Understanding the Global Distribution of Groundwater Sulfate and Assessing Population at Risk.

Besides sulfate-induced diarrhea, recent studies have emphasized that groundwater sulfate drives the release of arsenic in groundwater and accelerates water pipeline corrosion. Despite its impact on public health and urban infrastructure, sulfate has been overlooked in water supply research. Here, we used a random forest model to develop a 1 km global map depicting the probability of sulfate exceeding 250 mg/L in groundwater based on the World Health Organization's guidelines. The map was further applied to estimate the exposed population and identify contributors of sulfate exceedance in global hotspot regions. The results revealed that sulfate exceedance in groundwater was widespread in 156 countries. Approximately 194 million people use water with sulfate levels exceeding 250 mg/L. Among them, around 17 million people face groundwater sulfate concentrations surpassing 500 mg/L, with 82% of these individuals residing in ten specific countries. Contributing factor analysis in these countries indicates that annual precipitation and sedimentary rocks are the primary factors contributing to sulfate concentration prediction, while other natural and anthropogenic predictors exhibit region-specific impact patterns. This study uncovered a significant prevalence of elevated sulfate levels in groundwater, highlighting the need to integrate sulfate into water safety management practices.