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The process of mutual recharge and transformation between Qingshui River and shallow groundwater in the basin is intense. There is a close coupling relationship between the power of central and southern Ningxia disease areas and Qingshui River watershed of excess fluorine water. Because the traditional drinking water source of the residents in the basin is shallow groundwater, the underground water is the main cause of the high incidence of endemic fluorosis. The results show that Xiji County and Yuanzhou District were the areas of hig