The Bangladesh Observer May 23, 2004 Editorial Arsenic Contaminated Water And Children’s IQ As we have said on more than one occasion, arsenic-contamination of groundwater is the greatest challenge to face Bangladesh. According to the British Geological Survey, approximately 30 - 40 million people in Bangladesh have been chronically exposed to high concentrations of this naturally occurring substance in the water supplied by approximately 10 million tube wells. But in addition to the elevated concentrations of arsenic in the groundwater, many of the tubewells also have manganese concentrations that exceed the World Health Organisation (WHO) standard. Occupational manganese exposure has been associated with neurologic sequelae in adults, specifically Parkinsonism. The fact that arsenic has neurologic consequences in adults is known and has been for some time but what has not been revealed until now is the fact that children exposed to arsenic in the drinking water have reduced intellectual function. Scientists are now examining the consequences of exposure to arsenic on children’s health as part of a larger ongoing multi-disciplinary study by health, earth and social scientists working collaboratively in Araihazar. The reduced intellectual function in children presents a picture to us that is by no means pleasing and matches what we already know about adults so exposed such as its adverse impact on a range of cognitive functions, including learning, memory and concentration, as well as peripheral and central neuropathies is documented in clinical and industrial reports. This survey in the region of Araihazar revealed that 75% of the 6,000 contiguous wells covered in the study exceed the WHO standard for arsenic of 10 mg/L, while 53% exceed the Bangladesh standard of 50 mg/L. As nowhere else in the world is contamination from arsenic as widespread as in Bangladesh this country is a happy hunting ground for researchers which helps out understanding of the calamity that has befallen us but does little to help us find a permanent solution. If as reported, exposure to arsenic has affected our children’s IQ, this is a very serious matter as it is the consequence of allowing people to continue to drink the contaminated water. The obvious need was to provide alternative reliable sources of water but this aspect was ignored. But the biggest tragedy about this public health problem is that the affect of arsenic on the body is not understood by the people and is easily brushed aside despite the warnings. But arsenic poisoning left untreated will result in a slow painful death as continued use of contaminated water for drinking spreads the toxic element with known after-effects. One basic problem we are yet to overcome is that tubewell water is still believed by many to be safe to drink. As a result of this dependence on groundwater is growing and public and private water supplies are dependent on it. How to convince people of the danger in continuing to drink groundwater, albeit a colossal task after telling them it was safe, should now be top priority because if adults and children continue to drink contaminated water, not only will the intellectual growth of children be hampered but our development efforts will also have to take a back seat.