Tanmay Kumar,
Santanu Mallik,
- Student, Department of Civil Engineering, Poornima College of Engineering, Jaipur, Rajasthan, India
- Associate Professor, Department of Civil Engineering, Poornima College of Engineering, Jaipur, Rajasthan, India
Abstract
Groundwater is a critical source of drinking water in many regions worldwide, particularly in South and Southeast Asia, where dependence on untreated groundwater remains high. However, increasing groundwater contamination poses serious risks to human health. This review synthesizes recent peer-reviewed studies to examine the sources, distribution, and health impacts of major groundwater contaminants, with a focus on both carcinogenic and non-carcinogenic risks. Emphasis is placed on fluoride, nitrate, chromium, and other potentially toxic elements, which are frequently reported at concentrations exceeding recommended guideline values. The reviewed studies consistently identify ingestion as the dominant exposure pathway and demonstrate that children are the most vulnerable population group due to higher intake rates relative to body weight and greater physiological sensitivity. Non-carcinogenic health risks are primarily driven by fluoride and nitrate contamination in agricultural and hard-rock aquifers, with hazard quotient and hazard index values often exceeding acceptable thresholds. Carcinogenic risks are mainly associated with chromium and other trace metals in groundwater affected by industrial and mining activities, where lifetime cancer risk estimates frequently surpass recommended safety benchmarks. Evidence further indicates that co-occurrence of multiple contaminants can amplify overall health risk, while probabilistic assessment approaches reveal higher exceedance probabilities compared to deterministic methods, highlighting the importance of uncertainty consideration. Overall, this review underscores the need for contaminant-specific and region-appropriate groundwater management strategies. Integrated monitoring, standardized health-risk assessment, and targeted mitigation measures, with particular attention to vulnerable populations such as children, are essential to reduce long-term health risks and ensure sustainable groundwater-based drinking water security.
Keywords: Groundwater pollution; Human health risk assessment; Public health; Heavy metals
Tanmay Kumar, Santanu Mallik. Impact of Groundwater Pollution on Carcinogenic and Non-Carcinogenic Health Effects: A Review. Research & Reviews : Journal of Ecology. 2026; 15(01):-.
Tanmay Kumar, Santanu Mallik. Impact of Groundwater Pollution on Carcinogenic and Non-Carcinogenic Health Effects: A Review. Research & Reviews : Journal of Ecology. 2026; 15(01):-. Available from: https://journals.stmjournals.com/rrjoe/article=2026/view=238845
References
1. Chinye-Ikejiunor N, Iloegbunam GO, Chukwuka A, Ogbeide O. Groundwater contamination and health risk assessment across an urban gradient: Case study of Onitsha metropolis, south-eastern Nigeria. Groundwater for Sustainable Development. 2021; 14: 100642.
2. Rahman A, Mondal NC, Tiwari KK.Anthropogenic nitrate in groundwater and its health risks in the view of background concentration in a semi-arid area of Rajasthan, India. Scientific Reports. 2021; 11: 9279.
3. Ceballos E, Dubny S, Othax N, Zabala ME, Peluso F.Assessment of human health risk of chromium and nitrate pollution in groundwater and soil of the Matanza-Riachuelo River Basin, Argentina. Exposure and Health. 2021; 13(3): 323–336.
4. Giri S, Mahato MK, Singh PK, Singh AK.Non-carcinogenic health risk assessment for fluoride and nitrate in the groundwater of the mica belt of Jharkhand, India. Human and Ecological Risk Assessment: An International Journal. 2021; 27(7): 1939–1953.
5. Naik MR, Barik M, Jha V, Sahoo SK, Sahoo NK.Hydrogeochemical analysis and geospatial modeling for delineation of groundwater pollution and human health risks assessment of Cuttack district, India. Environmental Quality Management. 2021; 31(1): 1–15.
6. Jiang W, Liu H, Sheng Y, Ma Z, Zhang J, Liu F, Chen S, Meng Q, Bai Y.Distribution, source apportionment, and health risk assessment of heavy metals in groundwater in a multi-mineral resource area, North China. Exposure and Health. 2021; 13(4): 503–519
7. Pasupuleti S, Singh SS, Singh S, Kumar S, Singh R, Dhada I. Groundwater characterization and non-carcinogenic and carcinogenic health risk assessment of nitrate exposure in the Mahanadi River Basin of India. Journal of Environmental Management. 2022; 319: 115746.
8. Mahanta AR, Rawat KS, Singh SK, Sanjeevi S, Mishra AK.Evaluation of long-term nitrate and electrical conductivity in groundwater system of Peninsular India. Applied Water Science. 2022; 12(1): 17.
9. Luvhimbi N, Tshitangano TG, Mabunda JT, Olaniyi FC, Edokpayi JN.Water quality assessment and evaluation of human health risk of drinking water from source to point of use at Thulamela Municipality, Limpopo Province. Scientific Reports. 2022; 12: 6059.
10. Mallongi A, Rauf AU, Daud A, Hatta M, Al-Madhoun W, Amiruddin R, Stang S, Wahyu A, Astuti RDP. Health risk assessment of potentially toxic elements in Maros karst groundwater using a Monte Carlo simulation approach. Geomatics, Natural Hazards and Risk. 2022; 13(1): 338–363.

Research & Reviews : Journal of Ecology
| Volume | 15 |
| 01 | |
| Received | 31/01/2026 |
| Accepted | 25/02/2026 |
| Published | 26/02/2026 |
| Publication Time | 26 Days |
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