Arsenic Poisoning

Arsenic (As) is a ubiquitous element found in the atmosphere, soils and rocks, natural waters and organisms.

It is mobilised in the environment through a combination of natural processes such as weathering reactions, biological activity and volcanic emissions as well as through a range of anthropogenic activities. Most environmental arsenic problems are the result of mobilisation under natural conditions, but man has had an important impact through mining activity, combustion of fossil fuels, the use of arsenical pesticides, herbicides and crop desiccants and the use of arsenic as an additive to livestock feed, particularly for poultry. Although the use of arsenical products such as pesticides and herbicides has decreased significantly in the last few decades, their use for wood preservation is still common.

The impact on the environment of the use of arsenical compounds, at least locally, will remain for some years. Of the various sources of arsenic in the environment, drinking water probably poses the greatest threat to human health. Airborne arsenic, particularly through occupational exposure, has also given rise to known health problems in some areas.

Drinking water is derived from a variety of sources depending on local availability: surface water (rivers, lakes, reservoirs and ponds), groundwater (aquifers) and rain water. These sources are very variable in terms of arsenic risk. Alongside obvious point sources of arsenic contamination, high concentrations are mainly found in groundwaters. These are where the greatest number of, as yet unidentified, sources are likely to be found. Following the accumulation of evidence for the chronic toxicological effects of As in drinking water, recommended and regulatory limits of many authorities are being reduced. The WHO guideline value for As in drinking water was provisionally reduced in 1993 from 50 µg l–1 to 10 µg l–1. The new recommended value is based largely on analytical capability. If the standard basis for risk assessment applied to industrial chemicals were applied to arsenic, the maximum permissible concentration would be lower still.
 
Whilst many national authorities are seeking to reduce their limits in line with the WHO guideline value, many countries and indeed all affected developing countries, still operate at present to the 50 µg l–1 standard, in part because of lack of adequate testing facilities for lower concentrations. Until recently, arsenic was often not on the list of constituents in drinking water routinely analysed by national laboratories, water utilities and NGOs and so the body of information about the distribution of arsenic in drinking water is not as well known as for many other drinking-water constituents. In recent years, it has become apparent that both the WHO guideline value and current national standards are quite frequently exceeded in drinking-water sources, and often unexpectedly so. Indeed, arsenic is now recognised as one of the most serious inorganic contaminant in drinking water on a worldwide  asis. In areas of high arsenic concentrations, drinking water provides a potentially major source of arsenic in the diet and so its early detection is of great importance.
 
However, arsenic poisoning is a slow process, taking many years to appear after continual consumption of arsenic-laden water. Tell-tale signs are having pigmentation changes, hyperkerotosis and skin cancers.