| Summary: | The presence of high concentrations of geogenic arsenic (As) in groundwater poses a serious threat to the health of millions of individuals globally. This paper examines the research progress of groundwater with high concentrations of geogenic As through a comprehensive literature review and analysis, covering distribution, health risks, in situ remediation, regulatory technologies, and development trends, to establish a reference for future research. The global distribution of geogenic high-As groundwater is mainly in inland basins and river deltas of countries in South Asia, East Asia, and South America. High-As risk areas can be modeled using hydrogeologic data and field measurements. This modeling approach allows for assessing and measuring potential areas of high-As groundwater. In order to provide safe drinking water promptly and effectively to areas affected by high-As groundwater, in situ rapid detection and remediation techniques have been given significant attention. This paper introduces household- or community-scale As removal technologies, including flocculant–disinfectant, bucket treatment units, use of activated alumina, use of nano zero-valent iron, aquifer iron coating technology, and bioremediation, summarizing the basic mechanisms of arsenic removal for each technology. Guaranteeing the sustainability of site-scale remediation technologies, reasonable aquifer management, and exploring alternative water sources are crucial for combating high-As groundwater contamination. Future studies should aim to elucidate the mechanisms of As’s coexistence with other pollutants in groundwater, effectively treating As-containing wastes or sludge produced during the treatment process and exploring better treatment options.
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