To assess the human impact on the water of Dayat Roumi Lake and to develop effective management strategies to protect and restore this vital ecosystem in the region, seasonal sampling was carried out at six stations distributed around the lake. During these sampling campaigns, 24 parameters were measured, including 20 trace elements. Results showed that measured levels of trace elements increased in the following order: Cd < Be < Tl < Co < Sb < Mo < Cu < Zn < Ni < V < Rb < Mn < As < Cr < Pb < Li < Ba < Se < Pd < Sr in the lake water and that these recorded values were lower than those recommended by the Moroccan standard and the World Health Organization, except for Pb and Se. Correlation analysis revealed two principal water-contamination sources: natural geological origins and anthropogenic inputs. In addition, the Water Quality Index WQI showed that the lake’s water quality is poor, and its use can be dangerous for human and animal health. Health risk assessment associated with prolonged exposure to trace elements in lake water revealed that the Hazard quotient HQ and Hazard index HI of certain elements, such as Tl, Sb, V, As, Cr, Pb, Li, and Se, are higher than 1 in adult and children, indicating a significant risk for people living near the lake. Children are particularly vulnerable, with higher levels of HQ and HI, and selenium poses a substantial risk to their health through ingestion and skin absorption. In both adults and children, the total risk of cancer due to metals is classified as follows: CI (Cr) > CI (Ni) > CI (As) > CI (Pb) > CI (Cd). The Cr presents the highest carcinogenic risk—by ingestion or dermal route—in both groups. The total risk for these five metals exceeds 1 × 10−4, indicating a danger for residents who drink or swim in the lake.
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