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How groundwater contamination is fuelling chronic illnesses

Groundwater’s Central Role in India

  • Share in water supply:
    • 85% of rural drinking water comes from groundwater.
    • 65% of irrigation water is groundwater-dependent.
  • Why reliance is high:
    • Seasonal monsoon variability makes groundwater a more dependable source.
    • Poor surface water management and storage infrastructure.
  • Perception vs. reality:
    • Historically considered nature’s purest reserve, but now a major source of toxic exposure.

Relevance : GS 1(Geography ) , GS 3(Environment and Ecology)

 

Scale & Nature of Contamination (2024 CGWB Annual Groundwater Quality Report)

  • Nitrates:
    • Found in >20% of samples (from 440 districts).
    • Causes: overuse of chemical fertilizers, leaching from septic tanks.
    • Risk: Blue Baby Syndrome (methemoglobinemia), especially fatal for infants.
  • Fluoride:
    • Excess (>1.5 mg/L) in 9% of samples.
    • Health: Skeletal and dental fluorosis (66 million affected; 230 districts across 20 states).
    • High-prevalence areas: Rajasthan, Andhra Pradesh, Telangana, parts of Madhya Pradesh, Uttar Pradesh.
  • Arsenic:
    • Gangetic belt states: West Bengal, Bihar, Uttar Pradesh, Jharkhand, Assam.
    • Exceeds WHO limit (10 μg/L) in many districts; in Bagpat (UP) recorded 40 mg/L (4,000× safe limit).
    • Risks: Skin lesions, cancers (skin, bladder, liver, kidney, lungs), gangrene, neurological issues.
  • Uranium:
    • Found in Punjab, Andhra Pradesh, Rajasthan; in Malwa region >WHO limit (30 μg/L).
    • Sources: phosphate fertilizers, excessive groundwater pumping.
    • Health: Chronic kidney damage, organ toxicity.
  • Iron:
    • 13% samples above safe limit.
    • Health: Gastrointestinal issues, developmental disorders.
  • Heavy metals (lead, cadmium, chromium, mercury):
    • Sources: industrial effluents, mining.
    • Risks: developmental delays, anaemia, immune suppression, neurological damage.
  • Pathogens:
    • From sewage/septic leaks; outbreaks of cholera, dysentery, hepatitis A & E.

Real-world Groundwater “Death Zones”

  • Budhpur, Baghpat (UP) – 13 deaths in 2 weeks from kidney failure; linked to industrial effluent contamination (paper & sugar mills).
  • Jalaun (UP) – Petroleum-like fluids in hand pump water due to suspected underground fuel leaks.
  • Paikarapur, Bhubaneswar – Faulty sewage treatment plant led to mass illness in hundreds.

Public Health Impacts

  • Chronic diseases: skeletal deformities, neurological decline, cancers, kidney/liver failure.
  • Acute outbreaks: waterborne diseases in peri-urban & rural belts.
  • Children at highest risk: developmental impairment from fluoride, lead, nitrate poisoning.
  • Geogenic + anthropogenic interplay: natural presence of arsenic/fluoride worsened by over-extraction & pollution.

Why the Crisis Persists – Structural Gaps

  • Weak legal coverage:
    • Water (Prevention and Control of Pollution) Act, 1974 barely covers groundwater contamination.
    • CGWB: no statutory enforcement powers.
  • Institutional fragmentation:
    • CGWB, CPCB, SPCBs, Ministry of Jal Shakti operate in silos.
    • Lack of coordinated, science-based interventions.
  • Resource constraints:
    • SPCBs underfunded, lack trained manpower & lab facilities.
  • Regulatory loopholes:
    • Industries operate with minimal oversight, low compliance checks.
  • Poor monitoring:
    • Sparse sampling, no real-time public data, weak health-surveillance integration.
  • Over-extraction link:
    • Falling water tables concentrate contaminants and trigger geogenic toxin release.

Key Statistics to Note

  • Fluoride: 66 million affected; 9% of 15,259 samples exceed WHO limit.
  • Nitrate: 56% of districts exceed safe limits; 28% rise in nitrate-toxicity hospital admissions (2018–2023).
  • Arsenic: 1 in 100 in affected regions highly cancer-vulnerable.
  • Uranium: 66% of sampled sites in Malwa region unsafe for children.

Reform Priorities

  • Legislative overhaul:
    • Enact National Groundwater Pollution Control Framework with binding enforcement powers.
  • Integrated governance:
    • Merge efforts of CGWB, CPCB, SPCBs into coordinated national task force.
  • Modern monitoring:
    • Install real-time sensors, expand sampling network, public data dashboards.
  • Polluter accountability:
    • Strict effluent standards, mandatory zero-liquid discharge for industries.
  • Health response:
    • Targeted remediation (defluoridation, arsenic removal plants), nutrition programs, alternate safe water supply.
  • Sanitation reform:
    • Upgrade rural/peri-urban sewage systems, regulate septic tank maintenance.
  • Community engagement:
    • Citizen water-testing drives, groundwater literacy campaigns.

Bottom Line

  • India’s groundwater crisis has shifted from quantity to quality.
  • It is silentinvisible, and often irreversible in damage.
  • Without urgent, coordinated action, contamination will translate directly into avoidable deaths, disease burden, and economic loss.

August 2025
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