The source of fluoride toxicity in Muteh area,Isfahan, Iran

Endemic dental fluorosis has been observed in most inhabitants of three villages of Muteh area, located in northwest of Isfahan province, with mottled enamel related to high levels of fluoride in drinking water (1.8–2.2 ppm). Forty-seven groundwater samples from six villages were collected and fluoride concentrations along with physico-chemical parameters were analyzed. Fluoride concentration in this area varies from 0.2 to 9.2 mg/l with highest fluoride level at Muteh gold mine (Chahkhatun mine). Fluoride concentration positively correlates with pH and HCO₃ ⁻ indicating that alkaline pH provides a suitable condition for leaching of fluoride from surrounding rocks. The district is mainly covered by three lithological units, namely, metamorphic and granite rocks, alluvial sediments, and carbonate rocks. Factor analysis shows that parameters can be classified into four components: electrical conductivity (EC), total dissolved solids (TDS), Cl⁻, Na⁺ and K⁺, pH and F⁻, SO₄ ²⁻and Mg²⁺, HCO₃ ⁻ and Ca₂ ⁺. The groundwaters from the three geological units were compared using Mann–Whitney U test. The order of median fluoride concentration is: metamorphic and granite rocks > alluvial sediments > carbonate rocks. Hence, the fluoride content is most probably related to fluoride-bearing minerals such as amphibole and mica group minerals in metamorphic and granitic rocks. The concentration of fluoride in drinking water wells located near the metamorphic complex in Muteh area is above 2 ppm.