Arsenic levels in tube-wells water, food, residents' urine and the prevalence of skin lesions in Yatenga province, Burkina Faso.

The aim of the present study was to evaluate the levels of arsenic in tube-well water, food and residents' urines samples in Yatenga province, Burkina Faso. The prevalence of skin lesions was evaluated as well. The study was cross-sectional in design. It was conducted during April 2009. Permanent residents of 20 villages were included in the study. Water samples were collected from 31 tube-wells located in the selected villages. Tomatoes, cabbages, and potatoes produced in the selected village were randomly sampled. Arsenic content in water, food, and residents' urine was determined by atomic absorption spectrophotometry using hydride generation method. Finally, 240 people were examined by a medical doctor for skin lesions. Arsenic concentrations from the tube-well water ranged from 1 to 124 μg/l. Arsenic concentrations of more than one-half (52%) of the water samples exceeded the WHO guideline value (10 μg/l). No trace of arsenic was found in the samples of tomatoes, cabbages, and potatoes. Variation in arsenic concentrations in the urines was correlated to arsenic concentrations in tube-well water. Clinical examinations revealed that melanosis and keratosis were respectively identified in 29.26% and 46.34% of the population. Both conditions were observed in 24.39% of the population. The frequency of skin lesions was positively associated with the arsenic concentration in tube-well water. A great majority (89.53%) of those who had skin lesions were at least 18 years old. In conclusion, chronic arsenic poisoning remains a major public health problem in the province of Yatenga (Burkina Faso).