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Groundwater is the main source of drinking water for the rural population in the chronic kidney disease of unknown etiology (CKDu) zone of the North Central Province (NCP) in Sri Lanka. In this study, a total of 334 groundwater samples (311 dug wells, 21 tube wells and 2 springs) during the wet season from two aquifers in the NCP were collected, and investigated their chemical characteristics and evaluate their water quality, including groundwater chemistry, main ion sources, the corrosion and scaling potential of groundwater. The results showed that the two hydrochemical types of groundwater in the NCP were mainly of the Ca-HCO 3 , Na·Ca-HCO 3 types, with the main HCO 3 −, Na+ and Ca2+ ions in both types of groundwater originating from silicate and evaporite salt dissolution and influenced by alternating cation adsorption, while the presence of NO 3 − was mainly anthropogenic. Evaluation of water stability using namely Langelier saturation index (LSI), Ryznar stability index (RSI), Puckorius scaling index (PSI) and Larson-Skold index (LS), indicated that most groundwater presents corrosion potential and has corrosion behavior tendency of metals to some degrees. The water quality of Polonnaruwa was better than that of Anuradhapura in the NCP, and when the groundwater was worse than the "good" grade, which must be properly treated before it is used as drinking water. [ABSTRACT FROM AUTHOR]

Installation of decentralized water-treatment plants is an ideal option to supply safe drinking water for rural communities. Presently in Sri Lanka, over 3.6 million villagers face acute water-quality problems, and chronic kidney disease of unknown etiology (CKDu) is also prevalent among this community. Most of the drinking water in these villages is unpalatable due to high hardness and salinity. As an interim measure, reverse-osmosis (RO) water-treatment plants are introduced to provide safe water. However, due to deficient electrolytes, RO-treated water tastes unpleasant to some consumers; hence, people refuse it after prolonged use. The operation, maintenance, and management of RO plants are other major problems. Aimed at providing safe drinking water to the rural sector in a cost-effective manner, in this study, we fabricated an automated drinking-water purification system based on nanofiltration (NF) membrane technology, which can remove divalent cations, dissolved organic carbon (DOC) and pathogens efficiently, and monovalent ions partially, and thus keep electrolytes to some degree. Ten commercial NF membranes were tested in a laboratory, for solute and DOC removal efficiency and robustness. The DF-90 membrane showed the highest removal of DOC and hardness, and it was therefore selected, to design a pilot NF drinking-water treatment plant. The adhered DOC by the membrane can be cleaned by NaOH solution (pH = 12). The pilot NF drinking-water treatment plant has been in use since September 2018, and it shows excellent performance of removing DOC, TDS, hardness, fluoride, and pathogens in groundwater, and the permeate water of the NF plant has been well-accepted by the stakeholders of the society. The dominant genus of source water, and throughout the two processes (NF and RO), is Pseudomonas, and their difference is significant in the concentrates of the NF and RO processes. [ABSTRACT FROM AUTHOR]

The dissolved organic matter (DOM) should be purified for safe drinking water due to disinfection by-products (DBPs) produced by disinfectants reaction with DOM. Current research on groundwater in the chronic kidney disease with unknown etiology (CKDu) zone of the North Central Province (NCP) in Sri Lanka has focused mainly on aquatic chemistry, with limited attention paid to the spatial distribution, compositional sources and factors of DOM. Therefore, the structure, composition, source and spatial distribution of the DOM of two kinds of groundwater samples collected from dug well and tube well in the NCP during the wet season were determined, compared and analyzed by analytical tools such as parallel factor analysis (PARAFAC). Results show that the average concentrations of TOC in these two groundwater samples are generally higher than 5.0 mg/L, and the concentration of TOC in the groundwater of the shallow weathered aquifer is higher than that of the deep hard rock aquifer, while its distribution of the two aquifers are on contrary. The DOM in the dug well has three types and four components, including humus-like component C1 (33.36%) and C2 (38.60%), protein-like component C3 (13.09%) and heterogeneous organic component C4 (14.95%). In the tube well, two types and two components of the DOM are determined, including humus-like component CⅠ (69.80%) widely existing in natural water and soluble microbial by-product CⅡ (30.20%) produced by microbial community activities. In the dug well, DOM is mainly exogenous input, the higher ion concentration in water affected the fluorescence intensity of humus and protein components. And in the tube well, DOM has obvious endogenous characteristics, and higher pH value may inhibit the production of protein like fluorescent substances to a certain extent. The DOM in groundwater of dug well has three types and four components (C1, C2, C3 and C4). In the tube well, two types and two components are determined (CⅠ and CⅡ). [Display omitted] • The DOM composition and its main water source of groundwater in the NCP were determined. • DOM in groundwater of dug and tube well are mainly exogenous and endogenous, respectively. • Exogenous inputs significantly affect the composition of DOM in the dug well. • The average TOC concentration is higher in the dug well than that in the tube well. [ABSTRACT FROM AUTHOR]

• CKDu prevalence significantly affected antibiotic resistome and microbial community. • The cphA acted as the biomarker of the antibiotic resistome in the high CKDu zones. • The mexF dominated and acted as the intrinsic ARG in the groundwater. • Specific enrichment of cphA in CKDu prevalence zones was associated with Aeromonas. • Microbial community and MGEs contributed most to the antibiotic resistome. The chronic kidney disease of unknown etiology (CKDu) prevalent in certain regions of Sri Lanka poses a serious threat to human health. Previous epidemiological studies focused on the search of causative agents for CKDu etiology from the viewpoint of groundwater composition, but how CKDu prevalence affected the groundwater microbial composition, especially the antibiotic resistome, has never been illuminated. This study investigated the response of microbial community and antibiotic resistome to CKDu prevalence in the groundwater through the high throughput sequencing and qPCR (HT-qPCR), respectively. Results showed that CKDu prevalence significantly influenced the distribution of antibiotic resistome and microbial community composition. The mexF dominated in all the groundwater samples and could be considered as an intrinsic ARG, and the β-lactamase cphA was specially enriched and closely associated with the antibiotics used for CKDu patients. The Acinetobacter was a potential human pathogen common in the groundwater of CKDu affected regions, while CKDu prevalence specially enriched the Aeromonas. Statistical analysis indicated that CKDu prevalence impacted antibiotic resistome through the microbial community as a whole, and MGEs contributed to the occurrence of mexF , while the enrichment of cphA could be attributed to the increase of Aeromonas. [ABSTRACT FROM AUTHOR]

This study investigated the water quality of the groundwater that was collected from the chronic kidney disease of unknown etiology (CKDu) prevailing areas in the dry zone of Sri Lanka to assess its suitability for drinking purposes, and for the first time a Water Quality Index (WQI) with emphasis on proposing appropriate drinking water treatment method was developed. A total of 88 groundwater samples were collected in dry (December 2016) and wet (May 2017) seasons; high concentrations of water hardness, fluoride, salinity, dissolved organic carbon (DOC), and the general alkaline nature of water were the main issues that were observed for disease incidence. The chemical weathering of the underlying bedrock, followed by ion exchange and precipitation processes, primarily controlled groundwater geochemistry. During the 1985-2017 period, the variations of the annual rainfall and temperature were minimal, which suggests no evidence for major climatic changes within the study areas. Almost all of the samples from the CKDu regions show a low alkali hazard and most of the samples show a medium to high salinity hazard. The DOC of the studied samples was mainly composed of the organic fractions in the following order, as fulvic acids > humic acids > aromatic protein II > soluble microbial by-products, and the molecular weights (MW) of these fractions ranged from 100-3000 Da. Based on the water quality index (WQI) calculations, it was found that only 3.8% in the wet season and 2.6% in the dry season of total water samples were categorized as the "excellent" type, and all other water sources require a further treatment before consumption. As there is an urgent need for establishing proper long-term drinking water treatment technology for the CKDu affected area, these findings can be used as benchmark of raw water quality in the design processes of treatment plants., Competing Interests: The authors declare no conflict of interest.