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      Impact of Calcium and Magnesium in Groundwater and Drinking Water on the Health of Inhabitants of the Slovak Republic

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          Abstract

          This work aims to evaluate the impact of the chemical composition of groundwater/drinking water on the health of inhabitants of the Slovak Republic. Primary data consists of 20,339 chemical analyses of groundwater (34 chemical elements and compounds) and data on the health of the Slovak population expressed in the form of health indicators (HI). Fourteen HIs were evaluated including life expectancy, potential years of lost life, relative/standardized mortality for cardiovascular and oncological diseases, and diseases of the gastrointestinal and respiratory systems. The chemical and health data were expressed as the mean values for each of the 2883 Slovak municipalities. Artificial neural network (ANN) was the method used for environmental and health data analysis. The most significant relationship between HI and chemical composition of groundwater was documented as Ca + Mg (mmol·L −1), Ca and Mg. The following limit values were set for these most significant groundwater chemical parameters: Ca + Mg 2.9–6.1 mmol·L −1, Ca 78–155 mg·L −1 and Mg 28–54 mg·L −1. At these concentration ranges, the health of the Slovak population is the most favorable and the life expectancy is the highest. These limit values are about twice as high in comparison to the current Slovak valid guideline values for drinking water.

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          Guidelines for Drinking Water Quality

          (2011)
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            Cancer risks from arsenic in drinking water.

            Ingestion of arsenic, both from water supplies and medicinal preparations, is known to cause skin cancer. The evidence assessed here indicates that arsenic can also cause liver, lung, kidney, and bladder cancer and that the population cancer risks due to arsenic in U.S. water supplies may be comparable to those from environmental tobacco smoke and radon in homes. Large population studies in an area of Taiwan with high arsenic levels in well water (170-800 micrograms/L) were used to establish dose-response relationships between cancer risks and the concentration of inorganic arsenic naturally present in water supplies. It was estimated that at the current EPA standard of 50 micrograms/L, the lifetime risk of dying from cancer of the liver, lung, kidney, or bladder from drinking 1 L/day of water could be as high as 13 per 1000 persons. It has been estimated that more than 350,000 people in the United States may be supplied with water containing more than 50 micrograms/L arsenic, and more than 2.5 million people may be supplied with water with levels above 25 micrograms/L. For average arsenic levels and water consumption patterns in the United States, the risk estimate was around 1/1000. Although further research is needed to validate these findings, measures to reduce arsenic levels in water supplies should be considered.
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              The biochemistry of environmental heavy metal uptake by plants: implications for the food chain.

              Plants absorb a number of elements from soil, some of which have no known biological function and some are known to be toxic at low concentrations. As plants constitute the foundation of the food chain, some concerns have been raised about the possibility of toxic concentrations of certain elements being transported from plants to higher strata of the food chain. Special attention has been given to the uptake and biotransformation mechanisms occurring in plants and its role in bioaccumulation and impact on consumers, especially human beings. While this review draws particular attention to metal accumulation in edible plants, researched studies of certain wild plants and their consumers are included. Furthermore, this review focuses on plant uptake of the toxic elements arsenic, cadmium, chromium, mercury, and lead and their possible transfer to the food chain. These elements were selected because they are well-established as being toxic for living systems and their effects in humans have been widely documented. Arsenic is known to promote cancer of the bladder, lung, and skin and can be acquired, for example, through the consumption of As-contaminated rice. Cadmium can attack kidney, liver, bone, and it also affects the female reproduction system. Cadmium also can be found in rice. Chromium can produce cancer, and humans can be exposed through smoking and eating Cr-laden vegetables. Lead and mercury are well known neurotoxins that can be consumed via seafood, vegetables and rice.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                08 March 2017
                March 2017
                : 14
                : 3
                : 278
                Affiliations
                [1 ]State Geological Institute of Dionyz Stur, Mlynská Dolina 1, 817 04 Bratislava, Slovak Republic; veronika.cveckova@ 123456geology.sk (V.C.); katarina.fajcikova@ 123456geology.sk (K.F.)
                [2 ]WHO Country Office in the Slovak Republic, Limbová 2, 837 52 Bratislava, Slovak Republic; sedlakovad@ 123456who.int
                [3 ]Faculty of Economics and Business, Paneuropean University, Tematínska 10, 851 05 Bratislava, Slovak Republic; stehlikovab@ 123456gmail.com
                Author notes
                [* ]Correspondence: stanislav.rapant@ 123456geology.sk ; Tel.: +421-2-59-375-213
                Article
                ijerph-14-00278
                10.3390/ijerph14030278
                5369114
                28282877
                c1231823-0cda-4710-927a-180270a63309
                © 2017 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 07 December 2016
                : 03 March 2017
                Categories
                Article

                Public health
                groundwater,health status of inhabitants,ca,mg,mortality from cardiovascular,oncological,gastrointestinal and respiratory diseases

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