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Ground water is main source of water supply in most rural communities in Africa. It has good microbiological and biological properties in general as such requires minimal treatment. Unfortunately groundwater is sometimes contaminated with naturally occurring chemicals. One such naturally occurring toxicant is fluoride. In some parts of Africa ground water contains high fluoride levels beyond the recommended World Health Organisation upper limit of 1.5 mg/l. It is reported that the East African Rift Valley is a high fluoride area. This region extends from Jordan valley down through Sudan, Ethiopia, Uganda, Kenya and Tanzania. High fluoride levels have also been reported in Malawi and The Republic of South Africa. In Kenya high fluoride levels in ground water beyond 5 mg/l and beyond 8 mg/l were reported in 20% and 30% respectively of 1000 samples taken nationally. A survey of fluoride in ground water in Tanzania showed that 30% of the waters used for drinking exceeded 1.5 mg/l fluoride. In Malawi and the Republic of South Africa fluoride levels beyond 1.5 mg/l and occurrence of dental fluorosis have also been reported. Proxy indicators of high fluoride levels in ground water are high pH, pH beyond 7, and high sodium and bicarbonate concentrations in the water. High fluoride waters often have low calcium and magnesium concentrations as such are fairly soft. There are some exceptions of fluoride occurrence that may not adhere to these proxy indicators.

Ground Water Contamination with Fluoride and Potential Fluoride Removal Technologies for East and Southern Africa