Hydrogeochemical methods were integrated to delineate the geochemical factors controlling fluoride (F) contamination in groundwater at four sites in the districts of Lahore (Samada) and Kasur (Sari Chimba, Kot Maiga, and Chah Fatehwala) in Panjab province of Pakistan. Hydrochemical data and stoichiometric ratios indicate Na-Cl and Na-HCO3 as the dominant water types with silicate weathering influencing overall hydrogeochemistry of the study area. The groundwater F concentrations ranged between 0.54 mg/L and 17.5 mg/L, with more than 70% samples having F concentrations above the World Health Organization (WHO) provisional drinking water guideline (1.5 mg/L). Saturation indices determined that 100% samples were saturated with respect to calcite and 96% samples were undersaturated with respect to fluorite, indicating the influence of calcite precipitation on fluoride enrichment. A positive correlation was observed between fluoride with pH, Na+, and HCO3, confirming that high fluoride concentrations were the result of weathering of silicate minerals and the exchange of OH on clay surface under the alkaline pH conditions. The isotopic values of ?18O and ?2H in groundwater ranged from 9.14 to – 5.51‰ and 56.57 to – 39.5‰, respectively. The stable isotope data indicated the meteoric origin of groundwater with some evaporative effect, which is partly influencing groundwater quality such as high pH and salinity, as a result facilitating anion exchange (OH for F) on clays surface. The research indicates that the groundwater quality of the study area is not recommendable for drinking due to its high total dissolved solids (TDS) and elevated fluoride concentrations.

*Original abstract online at https://www.ncbi.nlm.nih.gov/pubmed/31701423