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These communities are constantly exposed to various pollutants when they frequently consume polluted fish. The largest river basin in South Africa is the Orange-Vaal River basin, and several anthropogenic impacts, especially gold mining activities and industrial and urban effluents, affect this basin. The Department of Environment, Forestry and Fisheries in South Africa has approved the much-anticipated National Freshwater (Inland) Wild Capture Fisheries Policy in 2021. The aims of this study were (1) to analyze element concentrations in the widely distributed\n                    <jats:italic>Clarias gariepinus<\/jats:italic>\n                    from six sites from the Orange-Vaal River basin and (2) to determine the carcinogenic and non-carcinogenic human health risks associated with fish consumption. The bioaccumulation of eight potentially toxic elements (As, Cd, Cr, Cu, Hg, Ni, Pb, Zn) was assessed in\n                    <jats:italic>C. gariepinus<\/jats:italic>\n                    from sites with different anthropogenic sources. The human health risks were determined to assess the potential risks posed by consuming contaminated\n                    <jats:italic>C. gariepinus<\/jats:italic>\n                    from these sites. Carcinogenic health risks were associated with fish consumption, where it ranged between 21 and 75 out of 10,000 people having the probability to develop cancer from As exposure. The cancer risk between the sites ranged between 1 and 7 out of 10,000 people to developing cancer from Cr exposure. A high probability of adverse non-carcinogenic health risks is expected if the hazard quotient (HQ) is higher than one. The HQ in\n                    <jats:italic>C. gariepinus<\/jats:italic>\n                    from the six sites ranged between 1.5 and 5.6 for As, while for Hg, it was between 1.8 and 5.1. These results highlight the need for monitoring programs of toxic pollutants in major river systems and impoundments in South Africa, especially with the new fisheries policy, as there are possible human health risks associated with the consumption of contaminated fish.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Graphical Abstract<\/jats:bold>\n                  <\/jats:p>","DOI":"10.1007\/s11356-024-32932-8","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T21:01:43Z","timestamp":1712610103000},"page":"29886-29901","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Element contamination of the Orange-Vaal River basin, South Africa: a One Health approach"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9056-5424","authenticated-orcid":false,"given":"Johannes Hendrik","family":"Erasmus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0091-1598","authenticated-orcid":false,"given":"Marliese","family":"Truter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7950-193X","authenticated-orcid":false,"given":"Nico Jacobus","family":"Smit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2501-9157","authenticated-orcid":false,"given":"Milen","family":"Nachev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6865-6186","authenticated-orcid":false,"given":"Bernd","family":"Sures","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9374-7191","authenticated-orcid":false,"given":"Victor","family":"Wepener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"32932_CR1","unstructured":"ArcelorMittal, 2023. 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