Globally, it has been reported that groundwater contains elevated levels of Fe and Mn. However, the risk of prolonged exposure to groundwater with elevated Fe and Mn was often ignored due to their much lower carcinogenic risk. To assess the human health risk of elevated Fe and Mn intake in groundwater, 1863 groundwater samples from the Yangtze catchment, a densely populated and economically prosperous area of China, were collected in this study. The spatial distributions of Fe and Mn in groundwater were investigated by the geographic information system (GIS) and their health risk assessment was done. The results indicated that 38.6% and 50.3% of the groundwater samples were defined as “elevated/high” levels for Fe and Mn, respectively, exceeding 0.3 and 0.1 mg/L (World Health Organization guidelines). Moreover, in the groundwater of Yangtze Catchment, the order of Fe and Mn contents is followed by upper< middle< lower. Based on the calculated hazard index (HI), HIadult and HIchild were in a range of 0‐4.91 and 0‐11.07, respectively. There was an area of 3,483 and 35,523 km2 with a non‐carcinogenic risk from Fe and Mn, correspondingly. The numbers of affected adults and children were about 3,018,066 and 2,775,007, respectively. It means that 0.20% and 2.00% of the study area or 0.64% and 0.59% of the total population will suffer health risks from Fe and Mn intake in groundwater, respectively. Therefore, a significant basis for groundwater safety in the Yangtze catchment and similar areas was provided in this study.
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