Water is elixir of life. This paper focuses on the fluoride sources, its distribution and current status of fluoride occurrence in groundwater of mining area of Koderma. The factors which are mainly responsible for the occurrence of high fluorides in groundwater and fluoride associated diseases among the residents of the affected area were also analyzed. In the mining area of Koderma district, fluoride pollution in water is prevalent. The fluoride problem in the area is mainly geogenic. The solution of this problem is either look for the alternative sources of water supply or defluoridation.
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