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Groundwater accounts for 25 to 40% of the world�s drinking water. It is the most preferred alternative source of drinking
water for rural communities in the absence of pipe-borne water, being less prone to microbial contamination compared
to surface water. However, groundwater as drinking water is known to cause dental and skeletal fluorosis in human if its
fluoride content is above the WHO guideline of 1.5 mg/L in drinking water. It is therefore pertinent to reduce the fluoride in
groundwater to an acceptable level (0.5-1.5 mg/L) necessary for the development of healthy teeth. In this study, Mg/Ce/Mn
oxide-modified diatomaceous earth (DE) was produced by co-precipitation of the metal hydroxides on DE, characterized and
applied in batch defluoridation of fluoride spiked water. The sorbent displayed high fluoride removal potentials (> 93% fluoride
removal) for solutions with initial fluoride concentration of 10 mg/L - 60 mg/L at sorbent dosage of 0.6 g/100 mL (contact
time: 60 min, mixing speed of 200 rpm and temperature: 297 K). The optimum fluoride uptake capacity was 12.63 mg/g for
a solution containing initially 100 mg/L fluoride. Percent fluoride removal was above 91% for fluoride solutions with initial
concentration of 9 mg/L, over a pH range of ~ 4 to 11, sorbent dosage being 0.6 g/100 mL. The equilibrium pH was greater than
the sorbent�s pHpzc of 5.45. Fluoride removal was therefore by exchange of surface hydroxyl groups by fluoride ions. Sorption
data fitted better to Langmuir isotherm and pseudo-second-order model External diffusion was observed to be the sorption
rate limiting step.