Questions and answers

How widespread is the groundwater arsenic problem in Bangladesh?
It is very widespread. We carried out surveys in 41 of the 64 districts and compiled the existing survey data for all of the country. Our survey area included what were thought to the worst affected areas of southern and eastern Bangladesh. Here, some 35% of the wells tested were above the Bangladesh limit of 0.05 mg/l and 51% were above the WHO Guideline value of 0.01 mg/l. Combining our data with all the other surveys it seems that about 26% of all the wells in the country might be affected. However, different surveys were done in different ways and so this figure should be taken as a rough guide rather than a precise calculation.

Where is the problem worst?
The extent of contamination varies greatly across the country. Both our data and most of the earlier surveys show that the most seriously affected areas are the south-east of Bangladesh around the Meghna Estuary and some parts of the south-west. The worst affected districts are Chandpur, Noakhali and Lakshmipur in the south-east and Madaripur in the south-west. Apart from these general patterns, it needs to be appreciated that there can be pockets of very severe contamination, referred to as ‘hot-spots’ in districts with little overall contamination.

Are there any arsenic-free areas?
That’s a difficult question to give a simple answer to. Although three quarters of the wells in the country are estimated to conform to the Bangladesh standard, no district has been tested to be 100% arsenic-free. Nevertheless, the percentages of wells contaminated vary from nearly 90% in Chandpur to as low as 0.3% in Rangpur, Thakurgaon and Panchgarh in the far northwest. It’s also true that the distribution of arsenic varies according to the geological conditions. There are older aquifers beneath the Barind and Madhupur Tracts that are virtually free of arsenic while the adjacent floodplains may be badly affected. The little bit of evidence we have suggests that the hilly areas also have very little contamination, but there are not enough test results to be really confident about that at this stage. As well as varying from area to area, the arsenic concentrations can also change as you go deeper below the ground surface, and most wells deeper than 150 - 200 metres (500 – 650 feet) are also safe.

Your survey shows that the Nawabganj district in western Bangladesh is generally low in arsenic, but Chapai Nawabganj is a well-known arsenic ‘hot spot’, where high arsenic concentrations in groundwater in Bangladesh were first discovered. How do you explain that?
Yes, we were surprised by that too as we had already made a small study of Chapai Nawabganj town and knew it to be very high in arsenic. However, it appears to be an isolated hot spot in a generally low arsenic area and it was simply too small to be 'hit' by our survey which only took about eight samples per thana. Using random sampling, we would have to take many more samples - perhaps four times as many - to identify all such hotspots. Something we have found is that this ‘patchiness’ is characteristic of certain parts of the country, particularly along the Ganges valley. By comparison, the contamination in other areas like around the Meghna Estuary is much more uniform.

Is Dhaka City affected?
No. Dhaka City takes its water from an older aquifer (the Dupi Tila sands) and many tests have shown that it is essentially arsenic-free. A few of these tests even go back ten years. So there is no problem in the city but just south of the city, in the rural parts of Dhaka district, there is a problem. Here the water is derived from younger aquifers which is where the problem occurs. You have to be careful when talking about Dhaka to distinguish the city from the district.

How many people are affected?
Groundwater provides the drinking water for more than 90% of people in Bangladesh. Using the estimated 1998 population, we estimate that around 20-30 million people are drinking water with arsenic above the Bangladesh standard. However, some areas have been better surveyed than others and this estimate may change slightly as more results come in.

If the Bangladesh standard for arsenic in drinking water were lowered from 0.05 mg/l to the WHO Guideline Value of 0.01 mg/l, how many more people would be affected?
In our survey area, we found many wells with below 0.01 mg/l arsenic and quite a few above 0.05 mg/l, with relatively few in between. However, the results of other surveys suggest that this proportion may be higher in other areas. We estimate that if the Bangladesh standard were changed to 0.01 mg/l, the water supplies for perhaps another 10 million people would fail to meet the standard.

Is it getting worse?
There is a tendency for people to hear reports of arsenic being found in areas that had not been tested before and mistakenly think that the problem is spreading. There are still a few areas that have not been tested at all. The other question is whether the arsenic contents of wells are increasing. Nobody has been monitoring wells for more than a few years so nobody can say with absolute certainty whether conditions are really changing, although a few wells have increased in concentration. We do know that more of the older wells are contaminated than those constructed in the last couple of years, so it might be getting worse, but it will take a few years before anyone can answer this for sure.

An early suggestion was that the arsenic might be coming from the wood preservative used in the rural electrification schemes. Is that possible?
No, definitely not. The quantity of arsenic found in the groundwater is much too large for that and arsenic-affected wells are found in areas where there are no rural electrification schemes. Sometimes arsenic appears to increase with the depth of well which is the opposite of what you would expect if the arsenic were leaching from the soil.

A hypothesis put forward by West Bengali scientists said that the arsenic is due to excessive pumping of groundwater for irrigation over the last 15 years or so. The hypothesis says that the increased seasonal lowering of the water table has promoted the oxidation of the arsenic-containing sulphide mineral, pyrite, leading to the release of arsenic to the groundwater. Is this true?
We don’t think so. The evidence from the field just doesn’t seem to fit the theory. If you look at a map of the areas where the arsenic contamination is worst and compare it with the places where the water table is deepest in the dry season or where most groundwater is pumped, you don’t find any connection between them. Also, if pyrite oxidation were the key to the arsenic problem, we would expect to find quite high concentrations of sulphate in the groundwater. We don’t. So we don’t find any support for the idea that excessive pumping has created the arsenic problem in Bangladesh.

In other parts of the world phosphate fertilisers have been blamed for mobilising arsenic into groundwater. Do you think they might be to blame here?
No. It is true that many Bangladesh groundwaters have high concentrations of phosphate and we know that phosphate may make the arsenic more soluble. Some scientists believe that these high phosphate concentrations have come from the use of phosphate fertilisers but we believe that the most likely source is from the sediment itself, just like the arsenic. This matter will be resolved as we learn more about the movement of phosphate and arsenic in Bangladesh soils and aquifers.

So where do you think the arsenic is coming from?
The arsenic is coming from the alluvial sediments that make up much of Bangladesh. It was deposited together with the sediments, mostly in the last 20 000 years or so. Exactly how and when the arsenic dissolved into the groundwater is still uncertain but it is likely that it was originally derived from the iron and maybe manganese oxides that are found in the sediments. It only takes a little arsenic to dissolve from the sediment to give a serious contamination problem.

So why has the problem only just appeared?
There are anecdotes dating back more than 20 years of various skin complaints being a problem even then. The main reason, however, is that most of the wells have only been put down in the last 20 years or so, and the symptoms of chronic arsenic poisoning may take 10 to 15 years to reveal themselves. Before that, surface water and groundwater from shallow dug wells was used and we now know that these sources both tend to be low in arsenic.

Is it still being released from the sediments?
It is difficult to say at the moment but it probably is in the most recent sediments in the those parts where the delta is still pushing out into the Bay of Bengal, like the south of Noakhali. On the other hand, conditions may have more or less stabilised further inland. The chances are that, in most areas, the arsenic has been in the groundwater for thousands of years and is now just being pumped out. We need to monitor some shallow and deep wells very carefully over a number of years to prove whether it is changing with time.

Can you use your knowledge of the geology of Bangladesh to predict which areas will be high in arsenic and which will be low?
We know that the problem is largely confined to the alluvial sediments of Holocene age. We also know that wells in the older and deeper aquifers are largely arsenic-free and that this is related to geology. Patterns are emerging that relate the occurrence of arsenic to the type of sediments and how they were deposited, but there is still a lot of variation in these geological units that we cannot explain in detail.

Your survey only looked at part of Bangladesh. Why did you do that?
That was a difficult decision to make. We wanted to be as useful as possible as quickly as possible and so when planning the survey in mid-1997, we decided to concentrate on the areas that were then thought to be worst affected by the arsenic. In fact, we added some districts in the north-east region later as it was becoming clear that parts of that area were also affected.

Are you going to survey the rest of Bangladesh?
Yes, we have a plan to survey the northern part of Bangladesh but the details have not yet been finalised. There is no doubt that there will have to be a massive testing programme to identify all of the affected wells.

It appears that people are showing symptoms of arsenic poisoning in some of the worst-affected areas of Bangladesh (as shown by your map) and not in others. Can you explain that?
That is very interesting but we do not know the reason why that is for sure. There seem to be a lot of arsenic patients from the Pabna region in the west but relatively few from the Chandpur region in the east, one of the worst-affected regions according to our map. This could be due to differences in the iron content of the water or perhaps due to differences in diet but it also may reflect the geographic nature of the arsenic distribution and the scale of the exceedances. In the west of Bangladesh, the arsenic distribution appears to be quite patchy with the occasional village with a localised cluster of wells with exceptionally high arsenic concentrations, 1 mg/l or more. These hot spots give rise to a relatively large number of arsenic patients – indeed, arsenic-affected patients are one of the best ways of locating such hot spots. They are difficult to locate reliably with randomised sampling when the sample density is only one sample per 40 km2 or so, equivalent to about one well in a thousand, as in our regional survey. In the east, while the percentage of contaminated wells is higher on a thana or district basis, the extremely high concentrations appear to be less common. Therefore it may take longer before symptoms appear. The total number of arsenic-affected patients so far identified, a few thousand, is only a very small percentage of those exposed to concentrations above the Bangladesh or WHO standards and so the pattern of distribution of patients may change as the exposure period lengthens.

Why are the results of your survey different from those of other surveys by DPHE, NIPSOM and Dhaka Community Hospital?
Actually, we don’t think the results are all that different. Insofar as they are different the main reason is because of the way the wells were selected. Our survey aimed at getting an overview of the distribution of arsenic in the worst-affected areas to provide reliable statistics of the number of wells affected and to identify any geological patterns. We never knew whether a well was high in arsenic or low when sampling it. Other surveys had different objectives and so chose their wells differently. For example, many surveys only sampled wells where it was suspected there were arsenic-affected patients. This will obviously give different statistics from a survey where wells were selected randomly. Both types of survey are valid in their own way, but it must be appreciated that the way you select the wells will determine the answers you get.

But if the ‘hot spots’ are so small, how are we going to find them all?
The first thing to do is to follow up all villages where symptoms of arsenicosis are found with an arsenic-testing programme. Dhaka Community Hospital is already doing this under the Rapid Action Programme. Two hundred villages have been studied in detail and another 300 are on the list to be studied. The next thing to do is to continue with a systematic testing programme to identify less badly affected areas. It will be important to co-ordinate the data collection so that wells are not sampled twice and so that the results of the tests already carried out are not lost.

Do you think that the hot spots will spread with time?
Not very much, or at least not over a few decades. The groundwater moves very slowly because the land of Bangladesh is so flat and so hydraulic gradients are very low. It is only near rivers and irrigation wells that significant flow of groundwater is induced and even here, the arsenic will only move rather slowly. Below 10 or 20 metres there is not much movement to spread the hot spot laterally. In any case, the movement of arsenic is slower than that of the water because some of it is adsorbed by the sediments.

Would it be possible to pump all of the arsenic away then?
No, at least not in a matter of a few years. The quantities of water involved are enormous, and sometimes the arsenic is deep in the aquifer. Also the arsenic may be continuously replenished from the sediments. On the other hand, active groundwater circulation near the surface is greater than at depth and it may be that the shallow zone could gradually become depleted in arsenic by natural flushing. In fact, our data suggest that this may have already happened to some extent.

Do you think that it is feasible to test all the wells in Bangladesh for arsenic?
That would be an enormous task because of the large number of wells involved – perhaps four million altogether - but it could, and probably must, be done some time. Clearly, the priority is to test the worst-affected areas first and to follow this up by providing an arsenic-free drinking water supply for the people using wells that are contaminated.

How would you do that?
The testing will undoubtedly involve a lot of field testing as well as laboratory testing and will have to be run a bit like a military campaign. We really need better field test kits – especially those able to get more reliable data in the 0.04-0.06 mg/l region. There are a number of such kits under development at the moment but even the present kits are good enough to identify the worst-affected wells.

I’ve heard it said that a well tested ‘no’ for arsenic one day and ‘yes’ another day. Is that possible?
Yes, it’s possible, though it should be quite rare. There are two reasons why this could be true. Firstly, there may be some genuine reason why the water is changing in quality – a change in the flow path due to seasonal variations, for example. The other reason is that no test kit is perfect and so if the water is close to the 'yes-no' cut-off, it could be 'yes' one day and 'no' the next. This is one of the problems with ‘yes-no’ kits. Even laboratory analyses are subject to some analytical uncertainty and this always has to be remembered. We are trying to measure very small quantities of arsenic and this is not easy to do.

Can we trust your results?
Yes, we hope so! We took a lot of care to ensure the best quality data possible. For example, we tested some samples in two BGS laboratories and the results agreed well. We were also careful in sampling. The range of arsenic concentrations in Bangladesh groundwaters is very large – from less than some 0.0005 mg/l to more than 2 mg/l so it is not always necessary to have high precision analyses to separate contaminated from non-contaminated groundwaters. But in general it does help of course. Obtaining reliable statistics for the percentage of wells contaminated in each district is much more challenging and it remains to be seen how well our current estimates stand up in the future.

It is often said that deep wells are free of arsenic. Is that true?
Yes. We found very little arsenic contamination at depths greater than 150-200 m or approximately 500-650 ft. Only about 1% of the deep wells we tested were contaminated. Even the earlier surveys, where we suspect the well depths were not always recorded accurately, showed that only 2-3% of the deep wells were contaminated. The main reason for the deep wells being safe is probably because the sediments are older and any arsenic present was flushed out thousands of years ago. Nevertheless, it is recommended that all new wells be tested before being put into use.

Results show that some of the new deep wells that were arsenic-free became contaminated with arsenic over a couple of years of use. How do you explain that?
We have heard anecdotal reports of this happening, mostly from West Bengal. If it is happening within a few years, then it’s most likely due to short-circuiting down the outside of the tubewell pipes. We don’t think that a big change in the aquifer could occur in such a short time. This reminds us how important it is to provide a proper sanitary seal for all tubewells, irrespective of whether arsenic is suspected.

Does irrigation have any effect on the arsenic problem?
Another difficult question! We are fairly sure that irrigation is not the primary cause of the problem but that does not mean it has no influence at all. The distribution of arsenic is not associated with the lowering of the water table or the amount of pumping, however, the use of phosphate fertilisers might have an effect on arsenic in the long run. We suspect that a long-term influence of irrigation could be its impact on the aeration status of the aquifer since paddy fields are rather efficient ways of reducing the input of air to the underlying aquifers. Then there are the questions of whether arsenic in contaminated irrigation water is getting into human or animal food chains. Preliminary data suggest that arsenic is not accumulating in rice grain, but these questions need thorough investigation.

Is the arsenic in the water related to the iron content of the water?
Yes and no. By international standards, the iron content of most Bangladesh groundwaters is high, which reflects the reducing nature of the aquifers. There is a relationship between iron and arsenic in the water, but it is slightly complicated. Almost all of the waters that contain high arsenic also contain high iron. However, there are many waters containing lots of iron that contain little or no arsenic, and a few waters with high arsenic and no iron. So, unfortunately you can’t really use the iron content to predict the arsenic content.

Is there anything we can do to reduce the arsenic in our drinking water at village level?
Yes. A lot of people are working on that. The World Bank recently announced an initial loan of $44 million to the Government of Bangladesh to look at various mitigation options and begin implementing them on an emergency basis. It is likely that different solutions will be found for different situations ? for example, it depends whether most of the wells in a village are affected or not. In some places, the naturally high concentration of iron in the water will help. If the water is allowed to stand overnight and the iron sludge allowed to settle, then the arsenic concentration in the clear water above will be reduced. This is already done in some places and while it will not completely solve the problem, it is easy to do, costs little and could help to reduce the arsenic intake immediately. Another simple approach that needs further testing is to use alum to coprecipitate some of the arsenic – alum is already used in Bangladesh to clarify water after a flood and the same approach could probably be adapted to help reduce the arsenic intake. Rainwater could also be used for at least some of the year. All these ideas need testing for acceptability and reliability at village level and if successful, will require a massive publicity campaign to promote them.

Should we return to using surface water like we used to do?
It’s basically a question of balancing the risks between the arsenic and diarrhoeal disease. Clearly the arsenic problem in groundwater must be solved as a matter of urgency. It is generally agreed that there is no single solution of universal applicability. Surface water with treatment will, no doubt, play a role in the mitigation strategy. There are two main problems with using surface water – first to make sure that the treatment is done properly and routinely, and second that in many areas there is a serious shortage of surface water in the dry season. Neither of these problems is insurmountable, but experience shows that they are not trivial either, and in some cases may also be expensive and slow to implement.

Would you seal all high arsenic wells?
Sealing contaminated wells is controversial. The critical point is not to drink arsenic-contaminated water. Painting wells green and red is a good idea since it highlights which wells have been tested and whether they are contaminated or not. Red wells are fine for washing and so could save a lot of walking. But some wells have so much arsenic in them that it might be better to leave the water in the ground rather than to even use it for washing or to attempt to treat it. It therefore seems a reasonable idea to seal these wells, at least temporarily.

Are the filters that you can buy any good for removing arsenic?
It is possible in principle to filter out much of the arsenic using filters of various designs - the importance of iron precipitation in reducing arsenic in water has already been mentioned and this principle can be used to advantage in filters. A number of groups are working on filter designs and it remains to be seen whether they can provide an effective and acceptable long-term solution.

Do you think that there are other places in the world that have a similar arsenic problem to Bangladesh but don’t yet know about it?
Almost certainly, but we suspect that the scale of the problem in Bangladesh is exceptional ? after all, it is part of one of the largest deltas in the world. The lesson to be learnt from Bangladesh is that arsenic must be on the list of chemicals tested for when assessing the quality of water for drinking.

Are there likely to be other trace element problems with the groundwater in Bangladesh?
We have not looked at this exhaustively but expect that any other problems will be much less severe in comparison to arsenic. Concentrations of manganese and boron exceeding the WHO health-related guideline values have been found in a significant proportion of wells. A very small number of samples also exceeded the WHO health-related guideline values for barium and chromium. The limited published data for fluoride in Bangladesh suggest that concentrations are low. Concentrations of ammonium also exceed the WHO guideline value in some wells. In some areas of Bangladesh, there is serious iodine deficiency in the diet, which is exacerbated by the low iodine content of the groundwater. Elsewhere iodine deficiency has been tackled by using iodised salt. The nitrate concentration is very low in most groundwaters but it can be high in some contaminated shallow groundwaters. Similarly, there is some risk of pesticides leaching from agricultural fields to the water table and eventually to water supplies. However, in general and apart from arsenic, microbiological contamination poses the greatest cause for concern.

Iron removal plant
Iron removal by aeration and sedimentation at Faridpur