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Purpose  The purpose of this study was to define and outline areas prone to disease causing elements by analyzing the spatial distribution and concentration of toxic and essential elements in a section of the Voltaian sedimentary basin.    Design/methodology/approach  A total of 2,668 soil samples were analysed by the inductively coupled plasma mass spectrometry technique and were re-appraised by comparing with baseline values of elements accepted globally to be in soils. The concentrations of arsenic (As), chromium (Cr), iron (Fe) and magnesium (Mg) were evaluated. Factor analysis, hierarchical cluster analysis and principal component analysis multivariate techniques were used to identify the source patterns of the elements in the soils. The Getis-Ord Gi method was used to generate the optimised maps for these selected elements. These maps spatially defined and outlined high value clusters which imply potential pollution or areas with high background values (hotspots), whereas the low value clusters imply areas with low background values (cold-spots).    Findings  The multivariate analysis supports a dominant geogenic source of these heavy elements with obvious influences from variably metamorphosed mafic–ultramafic rocks known to have contributed to the deposition of sediments in the basin. The hotspots for As were located around Nalerigu and to the east of Nawchugu. A Cr hotspot was located to the east of Nawchugu with Cr cold-spots located within Nalerigu and Yunyuo. Fe hotspots were observed to the south of Nalerigu and the east of Nawchugu with Fe cold-spots around Yunyuo, Bongo-Da and Nagbo. The spatial maps demonstrated the presence of toxic and deficient areas of all the selected elements used in the investigation. Therefore, it suggested the likely health implications depending on the exposed elements, their pathways and recommended the usefulness of using the results displayed in the spatial maps to guide in devising appropriate remediation techniques.    Originality/value  This paper fulfils an identified need to study the distribution of elements and the possible effects it may have on the health and livelihoods of those residing in these areas.

Linking geology to the prevalence of non-communicable diseases: a case study of the Voltaian sedimentary basin, Ghana