ArticleEnvironmental health perspectives2007
Health effects of exposure to natural arsenic in groundwater and coal in China: an overview of occurrence.
Article in Environmental health perspectives, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Provision of folic acid for reducing arsenic toxicity in arsenic-exposed children and adults.The Cochrane database of systematic reviews · 2021Pooled it
- Assessing chemical properties and heavy metals in groundwater resources in a developing country: a baseline study.Scientific reports · 2025Article
- Spatial distribution of health risk assessment of a drinking water reservoir exposed to urban agglomeration and industrial lead contamination in Istanbul, Türkiye.Water environment research : a research publication of the Water Environment Federation · 2025Article
- Leveraging the One Health concept for arsenic sustainability.Eco-Environment & Health · 2024Review
- Comprehensive index analysis approach for ecological and human health risk assessment of a tributary river in Bangladesh.Heliyon · 2024Article
- Article
- Prevalence of arsenic-induced skin lesions and associated factors in Ethiopia: Community-based study.Toxicology reports · 2023Article
- Trace elements in Foodstuffs from the Mediterranean Basin-Occurrence, Risk Assessment, Regulations, and Prevention strategies: A review.Biological trace element research · 2023Review
- Pollution and risk assessment of heavy metals in rivers in the antimony capital of Xikuangshan.Scientific reports · 2022Article
- Environmental pollution, a hidden culprit for health issues.Eco-Environment & Health · 2022Review
- Preliminary assessment of trace elements in surface and deep waters of an urban river (Korotoa) in Bangladesh and associated health risk.Environmental science and pollution research international · 2021Article
- Trace elements concentration and distributions in coal and coal mining wastes and their environmental and health impacts in Shaanxi, China.Environmental science and pollution research international · 2018Article
- Evaluating Geologic Sources of Arsenic in Well Water in Virginia (USA).International journal of environmental research and public health · 2018Article
- An investigation of the health effects caused by exposure to arsenic from drinking water and coal combustion: arsenic exposure and metabolism.Environmental science and pollution research international · 2017Article
- Circulating miRNAs and their target genes associated with arsenism caused by coal-burning.Toxicology research · 2017Article
- Arsenic methylation and skin lesions in migrant and native adult women with chronic exposure to arsenic from drinking groundwater.Environmental geochemistry and health · 2017Article
- Assessment of arsenic, fluoride, bacteria, and other contaminants in drinking water sources for rural communities of Kasur and other districts in Punjab, Pakistan.Environmental science and pollution research international · 2017Article
- The mechanistic basis of arsenicosis: pathogenesis of skin cancer.Cancer letters · 2014Review
- Coal utilization in China: environmental impacts and human health.Environmental geochemistry and health · 2014Review
- Inactivation ofToxicology reports · 2014Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Between 2001 and 2005, 21,155 of 445,638 wells in 20,517 villages in 292 counties in 16 provinces from China, or 5% of wells, were found to contain > 50 microg/L arsenic (As) by field testing with the Merck As kit. We achieved quality assurance of analysis of at least 10% of the wells containing > 50 microg/L As using hydride generation atomic fluorescence spectrometry and silver dithiodicarbomate spectrometry. Our best estimate of the population exposed to > 50 microg/L As in drinking water was 582,769. This is probably an underestimate for China because of the limited area surveyed. In a survey of 135,492 individuals in eight provinces, we used the National Diagnosis Standard for Endemic Arsenicosis and identified 10,096 cases of arsenicosis with various degrees of skin lesions. The arsenicosis occurrence rate of 7.5% is likely an overestimate, because the survey focused more on known and suspected endemic areas of arsenicosis. The occurrence of arsenicosis correlates positively with the percentage of wells containing > 50 microg/L As, or at a ratio of 1 to 5%. Based on both the amount of As in well water and the rate of occurrence of arsenicosis, Shanxi province, Inner Mongolia autonomous region, and Jilin province are the top three areas in China as of 2005 for exposure to endemic As from drinking water. Our survey also identified exposure to high levels of As from wells in several provinces and from the indoor burning of coal containing high levels of As in Shaanxi province. These areas, however, have not had any reports of previous arsenicosis endemics. In the endemic areas, the average rate of occurrence of arsenicosis at advanced stages was 1.2%, possibly because of a long exposure time of > 20 years; the rate of occurrence increased to 2.7% when we included a high dose of As exposure from the indoor burning of coal. Mitigation to reduce As exposure remains a challenge in rural China.
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