The article highlights the severe health impacts of fluoride contamination in Assam's groundwater, particularly in districts like Nagaon, Hojai, and Karbi Anglong.Over 13 districts are affected, with cases of skeletal fluorosis causing deformities, joint pain, and other health issues.Residents, including children, are suffering from long-term effects after consuming fluoride-rich water.Despite studies and government schemes like the Jal Jeevan Mission, access to safe water remains limited due to infrastructure challenges.Local activists and officials are raising awareness, but official data on contamination levels and affected populations is outdated.The problem stems from geogenic fluoride release from Precambrian rocks, with no immediate solutions for millions reliant on groundwater.The article underscores the urgent need for sustainable water management and health interventions in the region.