Health Risk Assessment of Employees Exposed to Chlorination By-products of Recreational Water in Large Amusement Parks in Shanghai

Objective Chlorination is often used to disinfect recreational water in large amusement parks;however,the health hazards of chlorination disinfection by-products(DBPs)to occupational populations are unknown.This study aimed to assess the exposure status of chlorinated DBPs in recreational water and the health risks to employees of large amusement parks.Methods Exposure parameters of employees of three large amusement parks in Shanghai were investigated using a questionnaire.Seven typical chlorinated DBPs in recreational water and spray samples were quantified by gas chromatography,and the health risks to amusement park employees exposed to chlorinated DBPs were evaluated according to the WHO's risk assessment framework.Results Trichloroacetic acid,dibromochloromethane,bromodichloromethane,and dichloroacetic acid were detected predominantly in recreational water.The carcinogenic and non-carcinogenic risks of the five DBPs did not exceed the risk thresholds.In addition,the carcinogenic and non-carcinogenic risks of mixed exposure to DBPs were within the acceptable risk limits.Conclusion Typical DBPs were widely detected in recreational water collected from three large amusement parks in Shanghai;however,the health risks of DBPs and their mixtures were within acceptable limits.

Assessment of Breast Cancer Prevention Practices among Women Attending Primary Health Care in Abha City, Aseer Region, Saudi Arabia

Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.

Health risk assessment of trace metal(loid)s in agricultural soils based on Monte Carlo simulation coupled with positive matrix factorization model in Chongqing, southwest China

This study aimed to investigate the pollution characteristics, source apportionment, and health risks associated with trace metal(loid)s(TMs) in the major agricultural producing areas in Chongqing, China. We analyzed the source apportionment and assessed the health risk of TMs in agricultural soils by using positive matrix factorization(PMF) model and health risk assessment(HRA) model based on Monte Carlo simulation. Meanwhile, we combined PMF and HRA models to explore the health risks of TMs in agricultural soils by different pollution sources to determine the priority control factors. Results showed that the average contents of cadmium(Cd), arsenic (As), lead(Pb), chromium(Cr), copper(Cu), nickel(Ni), and zinc(Zn) in the soil were found to be 0.26, 5.93, 27.14, 61.32, 23.81, 32.45, and 78.65 mg/kg, respectively. Spatial analysis and source apportionment analysis revealed that urban and industrial sources, agricultural sources, and natural sources accounted for 33.0%, 27.7%, and 39.3% of TM accumulation in the soil, respectively. In the HRA model based on Monte Carlo simulation, noncarcinogenic risks were deemed negligible(hazard index <1), the carcinogenic risks were at acceptable level(10^(-6)<total carcinogenic risk ≤ 10^(-4)), with higher risks observed for children compared to adults. The relationship between TMs, their sources, and health risks indicated that urban and industrial sources were primarily associated with As, contributing to 75.1% of carcinogenic risks and 55.7% of non-carcinogenic risks, making them the primary control factors. Meanwhile, agricultural sources were primarily linked to Cd and Pb, contributing to 13.1% of carcinogenic risks and 21.8% of non-carcinogenic risks, designating them as secondary control factors.

Assessment of Satisfaction in the Reception and Emergency Department of a Health Center

Introduction The main objective of any healthcare establishment must be to ensure the quality of patient care and customer satisfaction. It is necessary to regularly assess patient satisfaction. The aim of this study was to assess the level of satisfaction of customers aged over 18 years attending the emergency department of the health center. Methodology This was a descriptive and analytical cross-sectional study of patients aged 18 years and over, who attended the Samu Municipal emergency department between 02 and 30 May 2023. The satisfaction index was determined using the adapted 2009 SAPHORA-MCO questionnaire and the Likert satisfaction scale. Results A total of 400 patients were surveyed. The average age was 35 years, with a standard deviation of 14.7. Of those surveyed, 51% were women, 87% were educated, 50% lived in Grand Yoff and 59.5% were unemployed. Satisfaction levels linked to perception of the cost of care (72%), waiting time (64.3%), information given to patients (69.1%) and pain management (74 .5%) are fair. On the other hand, the levels of satisfaction linked to administrative procedures (82.5%), staff attitudes towards patients (84%), staff availability (86.4%), patient privacy (89.2%), general atmosphere (87.2%), staff competence (87.3%), and the effectiveness of care (89.4%) were satisfactory. The average waiting time was 38 minutes. However, 32% of patients waited less than 30 minutes and 92% less than an hour. The satisfaction index linked to administration and reception was 72.9% and 79.85%, respectively. The satisfaction index linked to the administration and technical quality of care is equal to 85.8% and 83.7%, respectively. The overall satisfaction index is equal to 80.6%;the level of satisfaction of users of the health structure is satisfactory. Conclusion Patient satisfaction is an essential part of quality care. Patient satisfaction must be based on effective communication from the healthcare team and the creation of a patient-caregiver relationship.

Health Assessment of Typical Reservoirs in Eastern Jilin: A Case Study of Niligou Reservoir

Niligou Reservoir,a typical reservoir in the eastern region of Jilin Province,is subordinate to Niligou River,which is located in the Changbai Mountains in eastern Jilin,with abundant plant and animal resources and well protected biodiversity in the basin,but there are also some related problems such as fragile ecosystem of forest wetland.This paper carried out a health assessment of Niligou River,including water quality monitoring,aquatic organism monitoring,and riparian zone investigation.According to the requirements of the Technical Guidelines for River and Lake Health Assessment,13 assessment indexes were selected to build a river and lake health assessment index system.By sorting and analyzing the monitoring and investigation data,we got a clear picture of the ecological environment status and existing problems of Niligou Res-ervoir.Based on the actual situation of Niligou River,we evaluated the hydrologic integrity,chemical integrity,morphological and structural integrity,biological integrity and sustainability of social service function,and put forward corresponding countermeasures according to the re-sults,in order to provide a technical support for the health treatment of rivers and lakes in Jilin Province.

Ecosystem health: ecological sustainability target of strategic environment assessment

Strategic environment assessment (SEA) and ecosystem health are two new ideas on environmental management. On the basis of reviewing some relevant literature, this paper made discussions on the ecological sustainability target of SEA, the content of ecosystem health as well as the interrelations between SEA and ecosystem health. For a good SEA, its ecological sustainability principles should be provided with distinct content and a general assessment system. A framework for ecosystem health assessment was established according to the content of ecosystem health, and combined into SEA as SEA抯 ecological sustainability target, we can effectively guide decision-makers to make suitable indigenous means and local solutions. , The basic principles and procedure of SEA for ecosystem health are also discussed in the paper.

Investigation on Plant Species and Health Assessment in Roof Garden in East Area of Zhengzhou City

Using the plant of roof garden as an object, the effect of application of plant species, growth status, and health evaluation on the construction of roof garden in east area of Zhengzhou were investigated through the investigation and analysis in order to put forward the main problems of each plant species and select the suitable plant species and configuration. The results indicated that there was no significant difference between the roof garden greening plants and ground greening plant species, however, there was a big problem in terms of plant disease and root aeration. And so the root shallow, barren resistance, wind resistance, drought-tolerant plants were appropriately chosen in the construction of roof garden, in which low small trees, shrubs, ground cover, and climbing plants was given priority to.

Integrated assessment of river health based on water quality, aquatic life and physical habitat

The health conditions of Liao River were assessed using 25 sampling sites in April 2005, with water quality index, biotic index and physical habitat quality index. Based on the method of cluster analysis （CA） for water quality indices, it revealed that heavily polluted sites of Liao River are located at estuary and mainstream. The aquatic species surveyed were attached algae and benthic invertebrates. The result showed that the diversity and biomass of attached algae and benthic index of biotic integrity （B-IBI） were degrading as the chemical and physical quality of water bodies deteriorating. Physiochemical parameters, BODs, CODcr, TN, TP, NH3-N, DO, petroleum hydrocarbon and conductivity, were statistically analyzed with principal component analysis and correlation analysis. The statistical results were incorporated into the integrated assessing water quality index, combining fecal coliform count, attached algae diversity, B-IBI and physical habitat quality score. A comprehensive integrated assessing system of fiver ecological health was established. Based on the systimetic assessment, the assessed sites are categorized into 9 ＂healthy＂ and ＂sub-healthy＂ sites and 8 ＂sub-sick＂ and ＂sick＂ sites.

Literature review and analysis of the development of health outcomes assessment instruments in Chinese medicine

OBJECTIVE： To evaluate the development of health outcomes assessment instruments in Chinese medicine. METHODS： A comprehensive literature search for all published articles in China National Knowledge Infrastructure Database, Chongqing VIP Database and WANFANG Data was conducted. The studies that met the inclusion and exclusion criteria were used to extract information according to a predesigned assessment instrument. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine were identified. Of these questionnaires, 7 were generic, 12 were condition-specific and 78 were disease-specific. All instruments were suitable for adults, children, and both men and women. These instruments aimed to evaluate the health-related quality of life, signs and symptoms as well as patient satisfaction and doctor-reported outcome. However, the descriptions were poorly constructed for some of the most basic parameters, such as the domains and items, administrative mode, response options, memory recall periods, burden evaluation, format, copyright, content validity, and other properties. CONCLUSION： The instrument development for health outcomes assessment in Chinese medicine is increasing rapidly; however, there are many limitations in current methodologies and standards, and further studies are needed.

Assessment of pollution levels and human health risk of heavy metals in dust deposited on Yerevan＇s tree leaves (Armenia)

The total concentrations of Cd,As,Pb,Cr,Ni,Co,Zn,Cu,Ag,Hg,and Mo were determined in the atmospheric dust of the city of Yerevan by atomic absorption spectrometry(AAnalyst PE 800).Heavy metal pollution levels were evaluated by calculating geo-accumulation(I_(geo)) and summary pollution(Z_c) indices.Potential human health risk was assessed using the United States Environmental Protection agency's human health risk assessment model.The results show that mean contents of all elements tested except Ni and Cr were substantially higher than local geochemical background values.According to the I_(geo),Yerevan territory is strongly-to-extremely polluted by As,Ag,Hg,Mo,and Cd.The Z_c assessment indicated that very high pollution was detected in 36%of samples,high in 32%,average in 12%,and low in 20%.The health risk assessment revealed a noncarcinogenic risk(HI >1) for children at 13 samplings sites and for adults at one sampling site.For children the risk was due to elevated levels of Mo,Cd,Co,and As,while for adults,only Mo.Carcinogenic risk(>1:1,000,000) of As and Cr via ingestion pathway was observed in 25 and 14 samples,respectively.This study,therefore,is the base for further detailed investigations to organize problematic site remediation and risk reduction measures.

Literature review and analysis of the application of health outcome assessment instruments in Chinese medicine

OBJECTIVE： To evaluate the application of health assessment instruments in Chinese medicine. METHODS： According to a pre-defined search strategy, a comprehensive literature search for all articles published in China National Knowledge Infrastructure databases was conducted. The resulting articles that met the defined inclusion and exclusion criteria were used for analysis. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine have been used in fundamental and theoretical research, and 14 of these were also used in 29 clinical trials that were randomized controlled trials, or descriptive or cross-sectional studies. In 2 152 Chinese medicine-based studies that used instruments in their methodology, more than 150 questionnaires were identified. Among the identified questionnaires, 51 were used in more than 10 articles （0.5%）. Most of these instruments were developed in Western countries and few studies （4%） used the instrument as the primary evidence for their conclusions. CONCLUSION： Usage of instruments for health outcome assessment in Chinese medicine is increasing rapidly; however, current limitations include selection rationale, result interpretation and standardization, which must be addressed accordingly.

Health Risk Assessment on Rural Drinking Water Safety —A Case Study in Rain City District of Ya’an City of Sichuan Province

Taking Rain City District of Ya’an for example, this paper based on ComGIS (Component Object Model Geographic Information System) platform takes comprehensive and systematic detection on the exposure dose of chemical carcinogens and non-carcinogens from drinking water sources in this region and discusses health risk assessment of single factor and the whole health risk assessment. As, Hg, Cr, Pb, Cd and fluorides in some drinking water sources of Rain City District are analyzed according to Standards For Drinking Wa-ter Quality (GB5749-2006). A health risk assessment model called USEPA is also applied to drinking water health risk assessment and management countermeasure is proposed. The results show that the greatest health risk for individual person per year is caused by Cr(VI). The health risk of carcinogens is much higher than that of non-carcinogens: the greatest risk value due to non-carcinogen pollutants is caused by fluoride (F), achieving 1.05×10-8/a. The ranking of risk values due to non-carcinogen pollutants by drinking water is Pb>fluoride (F)>Hg, within Pb accounting for 44.77%, fluo-ride (F) accounting for 34.30% and Hg accounting for 20.92%. The average individual carcinogenesis annual risk of Cr(VI) is the greatest, achieving 8.91×10-4/a. The ranking of risk value due to chemical carcinogen by rural drinking water of Ya’an is Cr6+>As>Cd, within Cr6+ accounting for 91.12%, As accounting for 5.89% and Cd accounting for 3.00%. Based on this, the strategy and measures of the health risk management are put forward. This study has worked efficiently in practice. Compared with the same kind of methods which have been found, the paper has the outstanding results for the health risk assessment of the rural drinking water safety.

Comprehensive health assessment of shield tunnel structure based on prototype experiment

Health state of shield tunnels is one of the most important parameters for structure maintenance.Usually,the shield tunnel is extremely long in longitude direction and composed by many segments.It is difficult to quantify the relationship between the structure damage state and shield tunnel structure deformation by the model test because of unpredictable effects of different scales between model test and prototype tunnel structure.Here,an in-situ monitoring project was conducted to study the excavation induced shield tunnel structure damage,which could be considered a prototype test on the tunnel deformation.The disaster performance of tunnel leakage,segment crack,segment dislocation and segment block drop-off during longitude deformation and cross-section ovality developments was analyzed.The results indicate that instead of the longitude deformation,the ovality value has the strongest correlation to the rest disease performance,which could be used as the assessment index of the tunnel health.For this tunnel,it is in health state when the ovality is less than 0.5%,and the serious damage could be found when the ovality value is higher than 0.77%.The research results provide valuable reference to shield tunnel health assessment and help complete the standard of shield tunnel construction.

Human Health Risk Assessment Model of Organic Pollution in Groundwater:Shijiazhuang Industrial Zone

In this study, a risk-based management model is developed and applied to an industrial zone. The models proposed by the United States Environmental Protection Agency and Han Bing have been improved by adding a residual ratio of volatile organic compounds （VOC） after boiling and deleting the related parameters in half-life. Using this improved model, an integrated process was used to assess human health risk level in the study area. Compared with water quality analysis, the results highlight the importance of applying an integrated approach for decision making on risk levels and water protection. The results of this study demonstrated that： （1） Compared with these permissible level standards in China （GB 3838-2002） and National Primary Drinking Water Regulations of the United States, the residents＇ daily life had not been affected by the groundwater in this area （except for relative bad water quality of HB3-4 and HB3-6）; （2） The typical detected organic contaminants of all groundwater samples were chloroform, carbon tetrachloride, trichloroethylene and tetrachloroethene, and the pollution sources were mainly industrial sources by preliminary investigations; （3） As for groundwater, the non-carcinogenic risk values of all samples do not exceed the permissible level of 1.0 and the carcinogenic risk values are relatively lower than the permissible level of 1.00E-06 to 1.00E-04; （4） Drinking water pathway of trichloroethylene and tetrachloroethylene mainly contribute to increasing the health risk of residents＇ in study areas; （5） In terms of non-carcinogenic risk and carcinogenic risk, the health risk order for drinking water pathway and dermal contact pathway was： drinking water pathway 〉 dermal contact pathway.

Surface water quality and potential health risk assessments in Changsha-Zhuzhou-Xiangtan section of Xiangjiang River, China

The Changsha-Xiangtan-Zhuzhou City Group is a heavy industrial district and accepted as the serious pollution area in the Xiangjiang River basin.In this study,7 metals(Pb,Hg,Cd,As,Zn,Cu and Se)and the river water quality parameters including pH,dissolved oxygen(DO),Escherichia coli(E.coli),potassium permanganate index(CODMn),dichromate oxidizability(CODCr),five-day biochemical oxygen demand(BOD5),ammonia nitrogen(NH4+-N),total nitrogen(TN),total phosphorus(TP)and fluoride(F)in 18 sampling sites of the Changsha-Xiangtan-Zhuzhou section are monthly monitored in 2016,which is the year to step into the second stage of the“Xiangjiang River Heavy Metal Pollution Control Implementation Plan”.It is found that E.coli,TN and TP are the main pollutants in the Changsha-Zhuzhou-Xiangtan section,and the pollution of heavy metal is not serious but As with potential risk to local people especially children should be concerned.In addition,Xiangtan city is mainly featured with heavy metal pollution,while Zhuzhou and Changsha city are both featured with other pollutants from municipal domestic sewage.

Soil Heavy Metal Pollution and Health Risk Assessment of Abandoned Land in Coal Mining Areas in Xingren County

Total contents of heavy metals （ Pb, Cr, Cd, Hg, As, Cu, Zn, and Ni） in 68 soil samples were determined to evaluate the contamination level of soil from five coal mine areas in Xingren County, Guizhou province. The pollution levels of heavy metals were characterized by anthro- pogenic influence multiple, and the pollution of heavy metal in soil was evaluated using geo-accumulation index. Based on the health risk models recommended by the U.S. Environmental Protection Agency （ US EPA）, the health risks of heavy metals in the soils were assessed. The results showed that the abandoned land in the five coal mining areas were contaminated by heavy metals, and the order of pollution levels of eight heavy metals was As 〉 Pb 〉 Cu 〉 Hg 〉 Ni 〉 Cr 〉 Cd 〉 Zn. The soils suffered moderate-heavy pollution from As and Pb, and the contents of As and Pb in the soils were 13.16 and 4.76 times higher than the background values of Guizhou Province, followed by Cu, Hg and Ni , while soil pollution from Cr, Cd and Zn was mild. The order of non-caminogenic risks of the heavy metals in the soils was As 〉 Pb 〉 Cr 〉 Ni 〉 Cu 〉 Hg 〉 Cd 〉 Zn, and the non-carcinogenic dsk value of As was higher than that its threshold value 1, which indicated that As had a high potential health risk to adults and children. The order of carcinogen risks of the four heavy metals was As 〉 Cd 〉 Cr 〉 Ni, and the carcinogenic risk value of As was higher than its threshold value, indicating that As had a high carcinogenic risk to adults and children. The carcinogenic risk values of other three heavy metals （ Cd, Cr and Ni） were lower than the threshold value, so they had no carcinogenic risk to human health. Moreover, children were more sensitively affect- ed by heavy metals from the abandoned land. Therefore, the health of children in such areas should be paid more attention to. The HI value of the eight heavy metals to children was seven times higher than that to adults. The contribution rate of HQAs to HI was about 88%, and the contribution rate of CRA, to TCR was about 98%, so As was the most crucial factor influencing non-carcinogenic and carcinogenic dsk in the abandoned soils.

Research Progress in Occupational Health Risk Assessment Methods in China

Traditional occupational disease control and prevention has remained prevalent in China over recent decades. There are appropriately 30,000 new case reports of occupational diseases annually. Although China has already established a series of occupational disease prevention programs, occupational health risk assessment （OHRA） strategies continue to be a limitation.

Forest ecosystem health assessment and analysis in China

Based on more than 300 forest sample plots surveying data and forestry statistical data, remote sensing information from the NOAA AVHRR database and the daily meteorological data of 300 stations, we selected vigor, organization and resilience as the indicators to assess large-scale forest ecosystem health in China and analyzed the spatial pattern of forest ecosystem health and influencing factors. The results of assessment indicated that the spatial pattern of forest ecosystem health showed a decreasing trend along latitude gradients and longitude gradients. The healthy forests are mainly distributed in natural forests, tropical rainforests and seasonal rainforests; secondarily orderly in northeast national forest zone, subtropical forest zonation and southwest forest zonation; while the unhealthy forests were mainly located in warm temperate zone and Xinjiang-Mongolia forest zone. The coefficient of correction between Forest Ecosystem Health Index (FEHI) and annual average precipitation was 0.58 (p<0.01), while the coefficient of correlation between FEHI and annual mean temperatures was 0.49 (p<0.01), which identified that the precipitation and temperatures affect the pattern of FEHI, and the precipitation’s effect was stronger than the temperature’s. We also measured the correlation coefficient between FEHI and NPP, biodiversity and resistance, which were 0.64, 0.76 and 0.81 (p<0.01) respectively. The order of effect on forest ecosystem health was vigor, organization and resistance.

Health Risk Assessment Due to Heavy Metals Exposure via Consumption of Bivalves Harvested from Marudu Bay, Malaysia

Concern over health risk from consumption of bivalves originating from Marudu Bay is escalating due to the rapid agricultural development surrounding the bay. This has motivated us to estimate the health risk index (HRI) of heavy metals from four commercially important and highly exploited bivalve species which are abundant in the bay. Samples (n = 30) of green mussel (Perna viridis), Asiatic hard clam (Meretrix meretrix), Pacific oyster (Crassosstrea gigas) and marsh clam (Polymesoda expans) were acquired from fishermen in Kg. Teritipan, Marudu Bay. These bivalves were analyzed for heavy metals content using the Inductively Couples Plasma-Optical Emission Spectroscopy (ICP-OES). The study found that the mean contents of Arsenic (As) and Manganese (Mn) in all analyzed bivalves exceeded the permissible limits as well as copper (Cu), lead (Pb) and zinc (Zn) in Pacific oyster, and Zn in marsh clam. It was also noticed that consumption of different bivalve species may bring about health risk from different metals as indicated by varied Total Hazard Index (THI) values. Consumption of the four bivalves was noticed to promote high health risk from As intoxication. Although metal pollution index (MPI) analysis revealed that the bivalves from the bay are currently not seriously impacted by heavy metal pollution, vigorous efforts should be taken to preserve the natural condition of the bay for years to come. There are several ways to minimize health issues from bivalve consumption which include keeping the bivalve natural habitat away from heavy metals pollution by strictly enforcing environmental laws and policies, establishing zones for bivalve fisheries, monitoring heavy metals concentration in bivalve on a regular basis and making depuration process a compulsory requirement in every seafood restaurant throughout the country.

ArcGIS-Based Rural Drinking Water Quality Health Risk Assessment

Aiming at the unsafe of water quality which is the core problem in rural drinking water safety, the study col-lected 221 water samples of rural drinking water sources in Ya'an and detected the concentrations of the car-cinogen and the non-carcinogen. Based on the analysis of water environment characteristics and the identifi-cation of water environment health risk source of Sichuan Ya’an City, which includes seven counties and a district and is the typical region of the western margin of Sichuan Basin, this study calculated and analyzed the carcinogenic risk (R) and non-carcinogenic risk (hazard index, HI) by applying the health risk model recommended by the US National Research Council of National Academy of Science. Then, taking advan-tage of the geo-statistic spatial analysis function of ArcGIS, this study analyzed the assessment result data (R and HI), selected the proper interpolation approach and educed R and HI spatial distribution maps of the study area. R and HI of the single factor and integrate factors were evaluated and thus obtained the following conclusions: For one thing, the cancerous risk indexes of the vast majority of water sources (about 94%) is the level of 10-7 and it belong to the safety extension. The main carcinogen in the water sources are As, Cr6+ and Pb, their concentrations are in the ranges of 0.004-0.01, 0.005, 0.01mg/l respectively and such water source mainly distributed in Yucheng district and Mingshan county. For another, the non-cancerous hazard indexes of the vast majority of water sources (about 98%) is also less than the limit value 1 and will not harm the local residents. The health risk of non-carcinogen comes mainly from As and fluoride, their concentra-tions are in the ranges of 0.004-0.01 and 0.1-4.2mg/l respectively. The results of the integrate factors health risk assessment showed that the total cancerous risk were still at the level of 10-6, only 12 drinking water source investigation sites (5%) exceeded the drinking water management standard value of EPA (the limit value is 10-6);the total non-cancerous hazard indexes are still in the range of 10-2-10-1, and will not harm the local residents either, only 18 drinking water source investigation sites (8%) exceeded the drinking water management standard value of EPA(the limit value is 1).The densely populated areas such as Yucheng Dis-trict, Tianquan County, Yingjing County and Shimian County are where the four contaminating materials, i.e., As, Cr6+, Pb and fluoride should be monitored with emphasis. Study results disclosed the health risk control indexes of source water quality of the studied area and thus provided the scientific basis for the water quality control of water sources. This study had worked efficiently in practice. Compared with the same kind of methods which had been found, the paper had the outstanding results for the health risk assessment of the rural drinking water safety.