We probed the status quo of arsenic
(As) and related cocontaminants
like iron (Fe), fluoride (F–), and uranium (U) reported
in aquifers of the eastern Himalayan region including the northeastern
Indian states, the Ganga–Brahmaputra–Meghna basins,
and Bangladesh. Our study appraised the hydro-geobiological features
and probable sources of cocontamination and corroborated the variability
concerning the conditions in Bangladesh. Increased awareness, advanced
analytical capabilities, and support from international organizations
have led to the identification of new contamination sites, with As
levels in some areas exceeding the permissible value of 10 μg
L–1, reaching up to 986 μg L–1. Key factors include mineral deposits enriched with As, Fe, U, and
F– in the Indus–Tsangpo suture zone and the
Siwalik Neogene sediments, influenced by iron (hydr)oxide and microbial
processes, as well as growing reliance on groundwater. In northeastern
India, cocontaminants are more prevalent due to diverse land use,
quartzite, shale, sandstone, and clay deposits. In contrast, the contamination
in Bangladesh is mainly associated with aquifer geology. Leveraging
data from the Gravity Recovery and Climate Experiment (GRACE), this
study identifies the significant challenge of groundwater overexploitation
in both regions assessed. These findings offer opportunities to support
sustainable goals, raise awareness, and implement mitigation to protect
vulnerable communities.