Potential link between ground water hardness, arsenic content...

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Prof. Priyani Paranagama Senior Professor & Chair of Chemistry University of Kelaniya Kelaniya Potential Link between Ground Water Hardness, Arsenic and Prevalence of CKDu

Transcript of Potential link between ground water hardness, arsenic content...

  • Prof. Priyani Paranagama Senior Professor & Chair of Chemistry

    University of Kelaniya Kelaniya

    Potential Link between Ground Water Hardness, Arsenic and Prevalence of CKDu

  • Members of the research team • Prof. Priyani Paranagama-Chemistry - Uni. of Kelaniya • Prof. Mala Amarasinghe- Botany - Univ. of Kelaniya • Mr. Saranga Fonseka – Faculty of Science, University of Kelaniya • Dr. Channa Jayasumana - Faculty of Medicine, Rajarata University • Ashwin Fernando, Collage of Chemical Science, Institute of Chemistry,

    Celon. • Ms. Kumudika Jayalath, University of Kelaniya

    Team of medical doctors • Dr. Chinthaka Wijewardhane- Former MOIC-Padavi Sripura Hospital • Dr. Kumudu Dahanayake- Former JMO-Monaragala DGH • Dr. Dananjaya Samarasinghe - Karawanella Base Hospital • Dr. Panduka Mahamithawa - Faculty of Medicine,Rajarata University • Dr. Lakshitha Rajakaruna- Faculty of Medicine, Rajarata University

    • University of Ruhuna • Dr. Mangala de Silva, Department of Zoology

  • Why? 1) unique geographical distribution of the

    CKDu

    2) there was no CKDu 20-25 years back

  • • Literature Search on Causative Factors for CKDu

    Initiated in December 2010

    • With the concurrence of Ethics Committee of the Faculty

    of Medicine and Allied Sciences of Rajarata University of

    Sri Lanka.

    • Written informed consent was obtained from all the

    individuals who have participated in the study.

  • Objectives of the present study • To investigate the link between water

    hardness and prevalence of CKDu

    • To determine the prevalence of clinical features and analysis the arsenic content in biological and environmental samples

    • To investigate the sources of arsenic contamination in the environment and biological samples

  • Clinical assessments of our Study

    Study areas;

    Endemic areas: Padavi-Sripura, Anuradhapura urban area, Polpithigama, Nikawewa, Mahawa-Siyambangamuwa, Medawachchiya, Matale, Kebithigollawa (Gonameriyawa)

    Nonendemic areas:

    Gampaha and Pasgoda

  • Endemic areas

  • Nonendemic areas: Gampaha and Pasgoda

  • Clinical assessments • Total no. of participants in the study (n) = 1293

    • Endemic areas: CKDu cases - 801 & Controls – 346

    • Non endemic areas : 146

    • A door-to-door survey to gather background information on CKDu patients among the villagers

    • Questionnaire form was used for the survey

    • All subjects were interviewed

    • Urine ACR were obtained and recorded

    • Socio - demographic variables and Anthropometric characteristic, blood pressure and pulse recording of all subjects were obtained

  • Statistical analysis • MINITAB 14 statistical software

    • Data obtained from CKDu cases in endemic area, controls in endemic and nonendemic area ; age, sex, education, occupation, type of agriculture, source of drinking water, use of agrochemicals were statistically analyzed .

    • Linear regression analysis and correlation of water hardness and number of CKDu patients were statistically analyzed

    • p values less than 0.05 were considered statistically significant.

  • • At the beginning of the study, all selected house holds were mapped using Global Positioning System (GPS)

    Moragollagama

    Nikawewa

  • Siyabakangamuwa

  • Socio - demographic variables of CKDu cases

    • Gender

    – Male 85 %

    – Female 15 %

    male

    female

    85%

    15%

  • 0

    50

    100

    150

    200

    250

    15 - 20 21 - 25 26 - 30 31 - 35 36 - 40 41 - 50 51 - 60 61 -70 71 - 80 80-90

    Age breakdown of the CKDu patients

    No. of CKDu

    Cases

    Age category

    CKDu primarily affects middle-aged farmers.

  • Level of education of CKDu cases

    – Grade 1 to grade 5 21. 4 %

    – Grade 6 to Grade 10 46. 2 %

    – Up to O/L 18.3 %

    – Up to A/L 13.5 %

    – Degree or above 0.6 %

  • Employment status Farmers 77.5 %

    House wives 14.2 %

    Office employee 08.3 %

    (farmers)

    Marital status

    Single 38.4 %

    Married 61.6 %

  • Source of Drinking water Well water - 92 % Tube wells – 08 %

    Type of agriculture - Use of Agrochemicals 100 %

    The farming communities are predominantly affected; of which more than 90% live in rural areas

    Kristina Jakobsson & Channa Jayasuman (2013) Chronic Kidney Disease of Unknown origin in Sri Lanka, Proceedings of the First International Research Workshop on Mesoamerican Nephrophathy, Central American Institute for Studies on Toxic Substances (IRET-UNA) and Program on Work, Environment and Health in Central America (SALTRA), Editors: Catharina Wesseling, Jennifer Crowe, Christ er Hogstedt, Kristina Jakobsson, Rebekah Lucas and David Wegman, 28-30 November, Costa Rica, pp 53.

  • Hardness of water from endemic area and nonendemic area

    Collection of water samples

    Endemic area (n = 381)

    Non endemic area (n = 232)

    Methodology

    Total hardness was measured using EPA

    130.2 method

    EPA methods were used for detection of

    anions in hardwater.

  • District Sampling locations Number of

    samples

    Anuradhapura

    Kebithigollewa Spring 10

    Medawachchiya 40

    Padaviya 36

    Anuradhapura city 45

    Kurunegala Polpithigama, Nikawewa 60

    Mahawa-Siyambalangamuwa 20

    Mathale Mathale 49

    Ampara Padiyathalawa, Dehiaththakandiya 83

    Gampaha Kadawatha, Ja - ela, Katunayaka, Biyagama,

    Kaduwela, Gampaha 212

    Monaragala Monaragala 38

    Mathara Pasgoda 20

  • District Sampling

    locations

    Number

    of samples

    Avg. Total

    Hardness

    (mg/L-1)

    Minimum and

    Maximum

    Hardness

    (mg/L-1)

    Median

    hardness

    (mg/L-1)

    Number

    of CKDu

    patients

    Anuradhapura

    Kebithigollewa

    Spring 10 9.2 9.1 - 9.3 9.2 0

    Medawachchiya 40 376.2 160.2 -

    685.2 384.6 2783

    Padaviya 36 323. 8 270.0 -

    820.0 340 2378

    Anuradhapura

    city 45 112.4

    108.2 –

    312.5 122.5 5

    Kurunegala

    Polpithigama,

    Nikawewa 60 352.5 90.0 - 615.0 307.5 2654

    Mahawa-

    Siyambalangamuwa 20 253 60.0 - 410.0 240 72

    M.A.C.S. Jayasumana, P.A. Paranagama, M.D. Amarasinghe, S.I. Fonseka, Sri Lankan Agricultural Nephropathy and high ground water hardness Possible link, Proceedings of the First International Research Workshop on Mesoamerican Nephrophathy, Central American Institute for Studies on toxic Substances (IRET-UNA) and Program on Work, Environment and Health in Central America (SALTRA), Editors: Catharina Wesseling, Jennifer Crowe, Christer Hogstedt, Kristina Jakobsson, Rebekah Lucas and David Wegman, 28-30 November, Costa Rica, pp 195.

    Endemic area

  • District Sampling locations Number

    of samples

    Avg. Total

    Hardness

    (mg/L-1)

    Minimum and

    Maximum

    Hardness

    (mg/L-1)

    Median

    hardness

    (mg/L-1)

    Number

    of CKDu

    patients

    Kurunegala

    Polpithigama,

    Nikawewa 60 352.5 90.0 - 615.0 307.5 2654

    Mahawa-

    Siyambalangamuwa 20 253 60.0 - 410.0 240 72

    Mathale Mathale 49 228 60.0 - 460 252.5 55

    Ampara Padiyathalawa,

    Dehiaththakandiya 83 259.4 18.9 - 943 260 977

    M.A.C.S. Jayasumana, P.A. Paranagama, M.D. Amarasinghe, S.I. Fonseka, Sri Lankan Agricultural Nephropathy and high ground water hardness Possible link, Proceedings of the First International Research Workshop on Mesoamerican Nephrophathy, Central American Institute for Studies on toxic Substances (IRET-UNA) and Program on Work, Environment and Health in Central America (SALTRA), Editors: Catharina Wesseling, Jennifer Crowe, Christer Hogstedt, Kristina Jakobsson, Rebekah Lucas and David Wegman, 28-30 November, Costa Rica, pp 195.

    Endemic area

  • District Sampling locations Number

    of samples

    Avg. Total

    Hardness

    (mg/L-1)

    Minimum and

    Maximum

    Hardness

    (mg/L-1)

    Median

    hardness

    (mg/L-1)

    Number

    of CKDu

    patients

    Gampaha

    Kadawatha,

    Kelaniya, Ja -

    ela, Katunayaka,

    Biyagama,

    Kaduwela,

    Gampaha

    212 94.6 9.4 -

    140.0 67.3 0

    Mathara Pasgoda 20 30.6 28.4-

    54.6 33.7 0

    M.A.C.S. Jayasumana, P.A. Paranagama, M.D. Amarasinghe, S.I. Fonseka, Sri Lankan Agricultural Nephropathy and high ground water hardness Possible link, Proceedings of the First International Research Workshop on Mesoamerican Nephrophathy, Central American Institute for Studies on toxic Substances (IRET-UNA) and Program on Work, Environment and Health in Central America (SALTRA), Editors: Catharina Wesseling, Jennifer Crowe, Christer Hogstedt, Kristina Jakobsson, Rebekah Lucas and David Wegman, 28-30 November, Costa Rica, pp 195.

    nonendemic area

  • Relationship between water hardness and number of CKDu patients in sampling areas

    M.A.C.S. Jayasumana, P.A. Paranagama, M.D. Amarasinghe, S.I. Fonseka, Sri Lankan Agricultural Nephropathy and high ground water hardness Possible link, Proceedings of the First International Research Workshop on Mesoamerican Nephrophathy, Central American Institute for Studies on toxic Substances (IRET-UNA) and Program on Work, Environment and Health in Central America (SALTRA), Editors: Catharina Wesseling, Jennifer Crowe, Christer Hogstedt, Kristina Jakobsson, Rebekah Lucas and David Wegman, 28-30 November, Costa Rica, pp 195.

  • Hardness of water in reservoirs in the endemic

    area

  • Hardness of water in reservoirs in the endemic area

    Location of the Reservoir Avg. Hardness

    (ppm)

    Padaviya 115 - 135

    Tissa wewa 120 - 135

    Bulankulama 130 - 140

    Olugolla 105 - 125

    Nikawewa 140 - 155

    Siyambalangamuwa 100 - 120

    Medawachchiya 130 - 145

    Measured in three occasion of the year as Values may vary due to different climetic conditions.

  • Distribution and prevalence of

    CKDu in Sri Lanka

    Distribution of hardwater in Sri Lanka

    (Technical data for groundwater

    hardness in Sri Lanka, Water

    Resources Board, Colombo 7)

  • Average values of total hardness and other ions in water samples of sampling areas

    Location Avg.

    Hardness

    mg/L

    Avg.

    PO43-

    mg/L

    Avg.

    SO42-

    mg/L

    Avg.

    NO3-

    mg/L

    Avg.

    CO32-

    mg/L

    Avg. F

    mg/L

    Avg.

    Fe

    mg/L

    Pasgoda 30.60 0.14 2.40 0.21 60.82 0.20 0.22

    Gampaha 94.60 0.93 25.10 1.02 82.38 0.20 0.28

    Anuradhapura city 112.40 0.51 16.93 0.45 186.17 1.04 0.02

    Monaragala 142.90 0.60 20.31 1.60 110.80 1.80 0.10

    Mathale 228.00 0.37 9.57 0.41 294.27 0.72 0.09

    Mahawa -

    Siyambalangamuwa 253.00 10.41 63.79 3.07 178.58 1.40 0.24

    Ampara 259.40 9.60 54.58 1.25 346.00 1.02 0.11

    Padaviya 323.80 12.63 76.80 3.72 324.20 1.20 0.26

    Polpithigama 352.50 11.21 72.89 4.07 192.77 1.20 0.36

    Medawachchiya 376.20 12.80 80.10 4.86 366.75 1.50 0.60

    Fonseka, S.I., Amarasinghe, M.D., Paranagama, P.A. (2013) Nitrate, phosphate and sulfate concentrations of well water in CKDu endemic areas and non endemic areas and their relation to water hardness, Proceedings of the 69th annual sessions of Sri Lanka Association for the Advancement of Science, Sri Lanka will be held on 2nd – 6th Dec. 2013, pp 271.

  • Fonseka, S.I., Amarasinghe, M.D., Paranagama, P.A. (2013) Nitrate, phosphate and sulfate concentrations of well

    water in CKDu endemic areas and non endemic areas and their relation to water hardness, Proceedings of the 69th

    annual sessions of Sri Lanka Association for the Advancement of Science, Sri Lanka will be held on 2nd – 6th Dec.

    2013, pp. 271.

  • • To determine the prevalence of clinical features and analysis the arsenic content in urine and hair samples

    • Abnormal spotty pigmentation observed in palms and soles of CKDu patients during clinical examinations of CKDu patients

    • Different from Chronic Arsenic Toxicity present in Bangladesh

  • IN BANGLADESH

  • Endemic area

  • •Jayasumana, M.A.C.S., Paranagama, P.A., Amarasinghe, M.D., Wijewardane, K.M.R.C., Dahanayake, K.S., Fonseka, S.I.,

    Rajakaruna, K.D.L.M.P., Mahamithawa, A.M.P., Samarasinghe, U.D., Senanayake, V.K. (2013) Possible link of Chronic

    arsenic toxicity with Chronic Kidney Disease of unknown etiology in Sri Lanka, Journal of Natural Sciences Research,

    3(1), 64-73.

    Percentage dermal manifestation observed in

    the CKDu cases and control groups

    Subjects from non-endemic area did not show hyperpigmentations or kerotosis

    of palms and soles

  • Collection of biological samples

    • Urine samples were collected

    CKDu patients (n = 125)

    controls from endemic area (n = 180)

    controls from nonendemic area (n = 43)

    • Hair samples were collected

    CKDu patients (n = 125)

    controls from endemic area (n = 180)

    controls from nonendemic area (n = 43)

  • Measurement of Arsenic content in urine and hair samples

    • GBC 932 plus Atomic Absorption Spectrometer-AAS (Australia) equipped with a hydride generation system (GBC 3000) and Graphite Furnace (GF 3000) with the background corrector

    Analysis of arsenic content

  • Atomic Absorption Spectrometer and Mercury Vapour Generator at Water Resources Board Colombo 07 -Sri Lanka

  • CONSOLAB, MALAYSIA

  • AAS analysis with EPA 7060A method

  • ALS Laboratory in Australia (http://www.alsglobal.com) ICPMS analysis

  • Digestion of samples –EPA 7060 A method

    • Digestion of samples was carried out with concentrated nitric acid (70% AR) (Sigma Aldrich Pvt. Ltd),

    • concentrated sulfuric acid (98% AR) (Sigma Aldrich Pvt. Ltd),

    • perchloric acid (70% AR) (Sigma Aldrich Pvt. Ltd), HCl (37% AR) (Sigma Aldrich Pvt. Ltd),

    • and high purity hydrogen peroxide (35.5%) (Sigma Aldrich Pvt. Ltd),

    • Laboratory glassware was kept overnight in 10% (v/v) nitric acid. Before use, the glassware were rinsed with de-ionized

    water and dried in a dust free environment.

    • Spike samples were used in order to calculate the % recovery of biological samples

  • Urinary arsenic contents of CKDu patients

    and individuals of the control groups

    •Jayasumana MACS, Dahanayake KS, Paranagama PA, Amarasinghe, MD, Wijewardena C, Rajakaruna

    L, Mahamithawa AMP, Samarasinghe UDS, Fonseka SI, Senanayake KV,Wijekoon, DVK (2012) Toxic levels of arsenic in

    hair and urine samples of patients of chronic kidney disease of unknown aetiology (CKDu) in Sri Lanka, Proceedings of

    the research symposium on Chronic Kidney Disease of unknown aetiology, Sri Lanka Medical Association, Sri Lanka, 11th

    March 2012, pp12.

    Toxic excretory level for arsenic in urine for south Asian population is 35μg/L.

    (http://www.mayomedicallaboratories.com).

    Urinary arsenic

    Concentration

    (µg/L)

    CKDu patients (%)

    (n=125)

    Controls 1 (%)

    (n=180)

    Controls 2

    (%)

    (n=43)

    0-10 4.0 10.0 11.6

    10-20 4.8 13.3 16.3

    20-30 6.4 26.6 27.9

    30-40 12.0 21.2 23.3

    40-50 32.0 14.4 9.3

    50-60 25.6 10.0 6.9

    >60 15.2 4.5 4.6

    Controls 1 – controls from endemic area control 2 – controls from

    nonendemic area

  • Arsenic content in hair samples of CKDu patients and individuals of the control groups

    • Jayasumana MACS, Dahanayake KS, Paranagama PA, Amarasinghe, MD, Wijewardena C, Rajakaruna

    L, Mahamithawa AMP, Samarasinghe UDS, Fonseka SI, Senanayake KV,Wijekoon, DVK (2012) Toxic levels of arsenic in

    hair and urine samples of patients of chronic kidney disease of unknown aetiology (CKDu) in Sri Lanka, Proceedings of

    the research symposium on Chronic Kidney Disease of unknown aetiology, Sri Lanka Medical Association, Sri Lanka,

    11th March 2012, pp12.

    Hair samples Arsenic -mg/kg

    Mean-Normal (Muzumdar

    2000)

    0.46

    Control group 1 0.22 to 4.58

    Control group 2 0.15 to 2.59

    CKDu patients 1.27 to 7.03

    Controls 1 – controls from endemic area control 2 – controls from

    nonendemic area

  • Arsenic content in Plants, Rice, Hard

    water and Soil

  • Plant species As (µg/Kg) Calotropis gigantean (Wara) 80.5±2.1

    Asteracantha longifolia (Ikiriya) 5.55±0.1

    Calotropis gigantean (Wara) 157.6±1.4

    Eichhornia crassipes 553.5±2.4

    Marsilea hirsuta 80±1.0

    Syzygium cumini ( (Dan) Root 17.85±0.6

    Cynodon dectylon (A grass) 84.05±1.1

    Terminalia arjuna Bark 115±2.4

    Tamarindus indica (Siyambala) bark 45.05±1.0

    Gliricidia sepium (Gliricidia) root 38.45±0.7

    Schleichera oleosa (Kon) root 160.1±2.8

    Diospyros ebenum (Kaluwara) leaves 53.2±1.0

    Bauhinia racemosa (Maila) leaves 87.0±1.3

    Memecylon sp. (Kuratiya) 40.5±1.1

    Pephrosia purpurea (Pila) root ND

    Schleichera oleosa (Kon) bark ND

    Bauhinia racemosa (Maila) bark ND

    Dichrostachys cinerea (Andara) root ND

    Ocimum sanctum (Maduruthala) ND

    Azadirachta indica (Kohomba) Bark high

    Terminalia arjuna Root high Amarasinghe, MD, Fonseka SI, Jayalath, K, Senanayake KV, Paranagama PA, Jayasumana MACS (2012) Preliminary investigations on presence of arsenic in soils and plants from two CKDu prevalent areas in Sri Lanka, (2012) Proceedings of the 10th Annual Academic S essions of the College of Forensic Pathologists of Sri Lanka, 25th February 2012, Sri Lanka Medical Association, Sri Lanka, pp 15.

  • Arsenic in rice

    Sample name As g/L

    • CRM 1 253.73

    • CRM 2 256.94

    • CRM 3 262.07

    • CRM 4 257.31

    Dr. Mangala C De Silva, University of Ruhuna

    Analyzed by Prof. Andrew A. Meharg, Institute for Global Food

    Security, Queen’s University Belfast, David Keir Building, Malone

    Road, Belfast, BT9 5BN, Northern Ireland, U.K.

    (ICPMS)

  • Sample name As ug/L

    • SPIKE 1 8.17

    • SPIKE 2 8.07

    • SPIKE 3 8.12

    • SPIKE 4 7.99

    Mean 8.09

    Recovery 80.87 %

    Dr. Mangala C De Silva, University of Ruhuna

    Analyzed by Prof. Andrew A. Meharg, Institute for Global Food

    Security, Queen’s University Belfast, David Keir Building, Malone

    Road, Belfast, BT9 5BN, Northern Ireland, U.K.

  • Sample As g/kg

    1 101.5

    2 183.0

    3 115.9

    4 100.6

    6 179.2

    7 87.9

    8 55.9

    9 122.9

    10 68.2

    14 114.5

    14 77.4

    15 108.8

    16

    71.3

    110.4

    17

    18 51.2

    19 79.5

    20 106.3

    21 51.9

    22 67.7

    23 92.7

    24 76.1

    25 51.9

    26 64.3

    Arsenic

    content in Rice

    samples

    collected from

    endemic and

    nonendemic

    area (n= 75)

    Dr. Mangala de Silva,

    University of Ruhuna

    Andrew A. Meharg, Gareth Norton, Claire Deacon,‡ Paul Williams, Eureka E. Adomako, Adam Price, Yongguan Zhu, Gang Li, Fang-Jie Zhao, Steve

    McGrath, Antia Villada Alessia Sommella, P. Mangala C. S. De Silva, Hugh Brammer, Tapash Dasgupta and M. Rafiqul Islam (2013) Variation in Rice

    Cadmium Related to Human Exposure, Environmental Science and Technology, in press.

  • Dr. Mangala de Silva,

    University of Ruhuna

  • Drinking water analysis for arsenic Levels of arsenic in dug wells used by CKDu ranged from 0.1 - 12.3 μg L-1

    In most of the water samples below 10 µg/L Arsenic was detected.

    Concentration of Arsenic in different water sources in endemic and non endemic areas DW(EN) = Dug wells in endemic areas;

    TW(EN) = Tube wells in endemic areas; PF(EN) = Paddy field water in endemic areas; DW(nEN) = Dug wells in non endemic

    areas; PF(nEN) = Paddy field water in non endemic areas (Reference limit for As: 10 µg/L)

    Fonseka, S., Paranagama, P.A., Jayalath, K, Amarasinghe, M., Senanayeke, K., Jayasumana, C., Mahamithawa, P., Wijewardhane, C., Samarasinghe, D ., Dahanayake, K. Preliminary investigations on the presence of arsenic in groundwater surface water and soils around Siyambalangamuwa and Moragolla in the Kurunegala district, Proceedings of the International Conference on Chemical Sciences, Sri Lanka Foundation Institute, Colombo 07, Sri Lanka, 20 – 22 June, 144.

    Location

    As (

    pp

    b)

    PF(nEN)DW(nEN)PF(EN)TW(EN)DW(EN)Reservoir

    18

    16

    14

    12

    10

    8

    6

    4

    2

    0

  • Arsenic content in soli (Endemic area)

    0

    500

    1000

    1500

    2000

    2500

    1 2 3 4 5 6 7 8

    As Content μg/ kg

    Depth (feet)

    "C Yaya" Paddy field

    0

    200

    400

    600

    800

    1000

    1200

    1400

    1 2 3 4 5 6 7 8 9 10 11 12 13

    As

    Content

    μg/ kg

    Depth (feet)

    Padaviya lake

    n= 10

    Amarasinghe, MD, Fonseka SI, Jayalath, K, Senanayake KV, Paranagama PA, Jayasumana MACS (2012) Preliminary

    investigations on presence of arsenic in soils and plants from two CKDu prevalent areas in Sri Lanka, (2012) Proceedings of the 10th Annual Academic Sessions of the College of Forensic Pathologists of Sri Lanka , 25th February 2012, Sri Lanka Medical

    Association, Sri Lanka, pp 15.

  • Gampaha paddy field

    Arsenic content in soli (nonendemic area)

    Amarasinghe, MD, Fonseka SI, Jayalath, K, Senanayake KV, Paranagama PA, Jayasumana MACS (2012) Preliminary investigations on presence of arsenic in soils and plants from two CKDu prevalent areas in Sri Lanka, (2012) Proceedings of the 10th Annual Academic Sessions of the College of Forensic Pathologists of Sri Lanka, 25th February 2012, Sri Lanka Medical Association, Sri Lanka, pp 15.

    n= 10

    0

    500

    1000

    1500

    2000

    2500

    1 2 3 4 5 6 7 8 9 10 11 12

    Pasgoda paddy field

    • As content in soil profiles from the study area indicated that the As loads in

    soil show gradual decline with depth.

    • Although these data provide evidence that As is added to the soil from the

    surface, more data will be collected for its confirmation.

  • Place Feets pH N (mg/Kg) P

    (mg/Kg) SO4

    (mg/Kg) Cd

    (mg/Kg) As

    (mg/Kg) Fe

    (mg/Kg)

    1

    1 7.3 48.447 78.90 237.43 0.005 0.034 802.66

    2 7.3 21.895 78.11 237.00 0.005 0.017 960.28

    3 7.1 16.421 76.61 232.00 0.002 0.008 940.45

    4 7.1 7.974 65.20 218.86 ND 0.004 864.14

    5 6.9 5.158 40.24 206.86 ND ND 702.53

    6 6.7 3.053 38.74 180.43 ND ND 806.74

    7 6.6 2.132 30.42 163.22 ND ND 795.49

    8 6.6 0.204 30.37 132.54 ND ND 743.31

    Soil profile from Nikawewa area

    ../A-FINAL

  • • The results suggested that arsenic is

    not present naturally in the soils of the

    study area

    •No reported work is available as to the

    presence of arsenic in the bedrocks

    •Anthropogenic activities

  • Potential Source of Contamination of toxic trace elements

  • Analysis of agrochemicals

    • Number of pesticides samples = 472

    • Number of fertilizer samples = 74

    Jayasumana MACS, Paranagama PA, Fernando A, Jayalath K, Fonseka SI, Amarasinghe MD, Presence of arsenic in fertilizers and its association with the agricultural kidney disease in Sri Lanka, (2013) The Journal of Toxicology and Health

    • EPA – 3050B Method was used to determine the Arseic in

    fertilizer available in Sri Lanka

    • Digested samples were filtered and used to detect arsenic

    by Hydride generation atomic absorption spectrometry

    (HGAAS)

    • Spike samples were used in order to calculate the % recovery of

    agrochemical samples

  • Arsenic content in pesticides

    No. Active ingredient company Arsenic content

    (µg/kg)

    1 Carbofuran

    A

    A

    A

    B

    B

    331 ±12

    2458 ±78

    554 ±16

    854 ±21

    1654 ±35

    2 Imidacloprid A

    A

    180 ±14

    359 ±12

    3 Methoxyfenozide A

    A

    911 ±24

    872 ±18

    4 Tubuconazole A

    A

    288 ±23

    680 ±14

    5 Etofenprox C

    C

    757 ±18

    2584 ±28

    7 Diazinon C

    C

    625 ±42

    995 ±21 Jayasumana MACS, Paranagama PA, Fernando A, Jayalath K, Fonseka SI, Amarasinghe MD, Presence of arsenic in fertilizers and its association with the agricultural kidney disease in Sri Lanka, (2013) The Journal of Toxicology and Health

    Approximately 50 % contaminated with Arsenic

  • 8 Fenoxaprop-p-ethyl

    +Ethoxysulfuron

    C

    C

    1254 ±26

    2578 ±39

    9 Diazinon C

    C

    625 ±42

    995 ±21

    10 Quinalphos C

    C

    928 ±08

    1893 ±15

    11 Thiamethoxam D

    E

    542 ±19

    1024 ±25

    12 Penthoate E

    E

    E

    698 ±36

    565 ±31

    1258 ±44

    13 Dimethoate B

    B

    965 ±25

    2457 ±59

    14 Profenofos

    A

    A

    C

    C

    C

    1452 ±45

    865 ±21

    458 ±12

    569 ±22

    987 ±32 Jayasumana MACS, Paranagama PA, Fernando A, Jayalath K, Fonseka SI, Amarasinghe MD, Presence of arsenic in fertilizers and its association with the agricultural kidney disease in Sri Lanka, (2013) The Journal of Toxicology and Health

  • 15 Oxyfluorofen D 788 ±32

    16 Ispyribac Na E

    E

    721 ±21

    1458 ±36

    17 Methomyl F

    F

    1112 ±29

    1458 ±35

    18 Chlophyriphos

    B

    B

    C

    C

    1365 ±42

    654 ±09

    865 ±31

    1008 ±24

    19 MCPA

    A

    A

    C

    C

    D

    D

    D

    858 ±15

    458 ±12

    895 ±11

    478 ±13

    1258 ±18

    1496 ±24

    789 ±20

    20 Carbendazim A

    C

    1458 ±23

    1163 ±25 Jayasumana MACS, Paranagama PA, Fernando A, Jayalath K, Fonseka SI, Amarasinghe MD, Presence of arsenic in fertilizers and its association with the agricultural kidney disease in Sri Lanka, (2013) The Journal of Toxicology and Health

  • Arsenic content in synthetic fertilizer

    Sample Arsenic content (mg/kg) Triple super phosphate1 43.25+2.5

    Triple super phosphate 2 25.49+4.3

    Triple super phosphate 3 33.58+7.6

    Single super phosphate 26.75 + 4.12

    Eppawala rock phosphate 15.25 + 3.67

    Urea 0.88 + 0.32

    Muriate Of Potash 1.2 + 0.19

    Vegetable fertilizer 1 14.75+1.04

    Flower fertilizer 1 16.46+5.2

    Flower fertilizer 2 11.28+7.9

    Dolomite 30.46 + 5.82

    Calcium carbide 16.30 + 3.08

    N = 39

  • Arsenic content in Natural fertilizer

    Sample Arsenic content

    (µg/kg)

    Compost mixture 1 2.32 + 0.43

    Compost mixture 2 ND

    Chicken manure 1.77 + 0.41

    Cow dung mixture 1.48 + 071

    Natural flower fertilizer

    mixture

    ND

    Wood charcoal 3.54 + 0.58

    Paddy husk charcoal 1.23 + 0.34 N = 35

  • 3 ppt

    Bioaccumulation biomagnification

  • Risk factors for CKDu

    • Hardness of water

    • Agrochemicals

    • Arsenic

    • Cadmium

  • Jayasumana, M.A.C.S., Paranagama, P.A., Amarasinghe, M. D., Wijewardane, K.M.R.C., Dahanayake, K.S., Fonseka, S.I., Rajakaruna, K.D.L.M.P., Mahamithawa, A.M.P., Samarasinghe, U.D., Senanayake, V.K. (2013) Possible link of Chronic arsenic toxicity with Chronic Kidney Disease of unknown etiology in Sri Lanka, Journal of Natural Sciences Research, 3(1), 64-73.

  • Acknowledgement

    Financial support given by

    • HETC grant awarded to Dr. Channa Jayasumana

    • University grant (Rs. 300,000/-) from University of Kelaniya

    • Prof. Nalin de Silva, Former Dean, Faculty of Science, University of Kelaniya