Understanding how pollution and parasite infection work together to stress their hosts' health raises the possibility of a danger to aquatic life and humans. This study examined two freshwater fish species, Clarias gariepinus, and Oreochromis niloticus, at El-Abbasa Fish farm in Sharkia Governorate of Egypt. to determine their heavy metal content, parasite frequency, and potential health risks. Parasitological investigations revealed higher parasite prevalence in C. gariepinus, with trematodes being the most prevalent. Histopathological examinations displayed severe alterations in infected fish, including gill necrosis, intestinal damage, liver degeneration, and muscle necrosis. Moreover, heavy metal analysis. Heavy metals levels in water, Fe, Zn, Pb, Cu, As, and Cd levels were 0.95 ± 0.04, 0.75 ± 0.03, 0.14 ± 0.02, 0.09 ± 0.01, 0.07 ± 0.01, and 0.03 ± 0.01 mg/L, respectively. Sediment samples showed Cd as the lowest (2.38 ± 0.94 μg/g dry wt. basis) and Fe as the highest (241.01 ± 6.39 mg/kg dry wt. basis). The sequence of heavy metal concentrations in both water and sediment was Fe > Zn > Pb > Cu > As > Cd. Significant differences were found among metals in water and sediment (p < 0.05). Heavy metal concentrations in fish tissues followed the order liver > muscles > gills > intestine Iron was the most abundant, while cadmium was the lowest is the order in which bio-accumulation factors (BAF) between water and fish tissues followed a descending order: BAF-Liver < BAF-Gills < BAF-Intestine < BAF-Muscles. The sequence of heavy metal accumulation in tissues was BAF-Fe > BAF-Pb > BAF-Cd > BAF-As > BAF-Cu > BAF-Zn, indicating varying degrees of accumulation across different metals and tissues and bio-sedimentation (BSF) of metals in fish tissues are the order of heavy metal concentration within tissues was BSF-Cd > BSF-As > BSF-Fe > BSF-Zn > BSF-Cu > BSF-Pb. Additionally, data were recoded to reflect histological changes in several fish organs. The estimated daily intake of heavy metals (EDI-HMs) was far lower than the permissible tolerated daily intake (PTDI) limits, which were set by international authorities at 70 kg of body weight. As the hazard index value is below 1, the THQ and HI associated with the consumption muscle of fish demonstrate negligible non-carcinogenic harm to residents' health. Contrarily, As, and Cd pose a cancer threat for kids and adults who eat muscular fish, and it needs to be viewed as a warning sign from the perspective of data indices and human health.
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