Water contamination is a major environmental issue, especially in rapidly growing industrialized areas like Singrauli. This study addresses research gaps regarding the hydrochemical characterization, health risk assessment, and source identification of contaminants. Hydrochemistry shows the concentrations of Na+, Ca2+, F-, Mn, As, Mo, Sr, and Ni were above the permissible limit for drinking usage. Water quality index (WQI), heavy metal pollution (HMPI), and evaluation indices (HMEI) revealed As, Mn, Cd, Mo, Co, and Ni were the key heavy elements contributing towards aqueous media pollution in the Singrauli area. Additionally, F was also considered one of the major contaminants. In health risk assessment, the higher values of hazard quotient (HQ) for non-carcinogens were associated with Mn, As, Mo, and F; and hazard index (HI) values > 1 were found in 70% and 55% of samples for children and adults, respectively. Carcinogenic risk (CR) for human health was associated with As. CR values in 56.7% (for adults) and 61.7% (for children) of the total samples exceeded 1 × 10-4. Monte Carlo simulation was applied and highlighted the significant risk factors responsible for both carcinogenic and non-carcinogenic health impacts. 19.2%, 7.3%, and 6.9% of the simulated HQ values for adults and 30.1%, 16.9%, and 10.6% for children were above the safe limit for F, As, and Mn, respectively. Additionally, only 43.8% and 24.8% of the simulated HI for adults and children were within the safe limit. Irrespective of age groups, all the simulated values of As in CR were above 1 × 10-6; and 60% (for adults) and 77.1% (for children) of the values were above 1 × 10-4. This outcome emphasizes the urgency of pollution control measures, especially for As, F, and Mn, to safeguard public health. Moreover, a multivariate statistical approach revealed that both geogenic and anthropogenic sources were responsible for contamination. Therefore, regular monitoring, filtration, and purification are mandatory to ensure safe drinking water for human consumption.
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