Study Of Prevalence of Fluorosis in Endemic Village of Kankar District of Chhattisgarh State, India
Keywords:
Dental fluorosis, skeletal fluorosis, Genu varum, Genu vulgamAbstract
Background: Endemic fluorosis is an important public health problem in certain pockets of Chhattisgarh. Fluorosis is caused by exposure to a continuous high level of fluoride for a long time leads to dental and skeletal deformities.
Objectives: Objective of the study is to find out the prevalence of dental and skeletal fluorosis among the population and to assess its relation to the drinking water fluoride level.
Methods: Cross sectional survey was undertaken in Domarpali Village, of the Kanker district, of Chhattisgarh state in May 2013. The survey covered 1359 (85%) individuals, including 824 males and 769 females. The prevalence of dental and skeletal fluorosis was assessed by clinical examination of individuals undertaken by house to house visits. Water fluoride levels of drinking water sources were determined.
Results: The prevalence of dental fluorosis was 24.8 % and skeletal fluorosis was 6.0%. Both the types were more common in males. Dental fluorosis was higher in the age group of 13 to19 years. The prevalence of skeletal fluorosis increased with increasing age. Common skeletal deformities were genu varum (12.2%) and genu valgum (0.7 %). Water fluoride levels in different localities ranged from 0.5 to 2.8 ppm.
Conclusions: This study has shown the relation of fluorosis to high fluoride levels of prime water sources. Change in water source from deep tube well and a hand pump with health education to the community is needed to reduce in order to reduce the problem.
References
Arlappa N, Aatif Qureshi I, Srinivas R. Fluorosis in India: an overview. Int J Res Dev Health. April 2013; 1(2):97-102.
World Health Organization. Water-related diseases. Available at http://www.who.int/water_sanitation_health/diseases/fluorosis/en/.html Assessed Nov 4th 2014.
Saravanan S, Kalyani C, Vijayarani MP, Jayakodi P, Felix AJW, Nagarajan S et al. India prevalence fluorosis among primary school children in rural areas of Chidambaram Ta-luk, Cuddalore District ,Tamil Nadu, Indian journal of Community Medicine 2008;33:146-50.
Fluoride and Fluorosis: About fluorosis. Available at http//www.fluorideandfluorosis.com/Fluorosis/Districts.html.Assessed Nov 8th 2014
N. Janardhana Raju, Dey S and Das K. Fluoride contamina-tion in ground waters of Sonbhadra District, Uttar Pradesh, India: Current Science 2009; 96: 7- 10.
Krishnamachari K, Krishnamswamy K. Genu valgum and osteoporosis in an area of endemic fluorosis. Lancet 1973; 2: 887–9.
Isaaca A, Wilma Delphine Silvia CR,Somanna SN, My-sorekar V, Narayanad K, Srikantaiah P et al . Prevalence and manifestations of water-born fluorosis among school-children in Kaiwara village of India: a preliminary study. Asian Biomedicine 2009; 3 (5):563-566.
Bharati P, Kubakaddi A, Rao M, Nack RK. Clinical symp-toms of dental and skeletal fluorosis in Gadag and Bagalkot districts of Karnataka. Journal of Human Ecology 2005; 18:105–7.
Choubisa SL, Choubisa L, Choubisa D. Osteo-dental fluoro-sis in relation to nutritional status, living habits, and occu-pation in rural tribal areas of Rajasthan, India: Research report Fluoride 2009; 42(3):210–215.
Shashi A, Kumar M, Bhardwaj M. Incidence of skeletal deformities in endemic Fluorosis. Tropical Doctor 2008; 38: 231–233.
Pandey A. Prevalence of fluorosis in an endemic village in central India. Trop Doct. 2010; 40(4):217-9.
Choubisa SL, Choubisa L, Choubisa D. Osteo-dental fluoro-sis in relation to age and sex in tribal districts of Rajasthan, India J Environ Sci Eng. 2010; 52(3):199-204.
Nirgude AS, Saiprasad GS, Naik PR, Mohanty S. An epi-demiological study on fluorosis in an urban slum area of Nalgonda, Andhra Pradesh, India. Indian J Public Health. 2010; 54(4):194-6.
Sharma JD, Sohu D, Jain P. Endemic fluorosis in five vil-lages of the Palamau District Jharkhand, India. Research report Fluoride. 2008; 41(3)206–211.
Saksena DN, Narwaria YS. Incidence of fluoride in groundwater and its potential health effects in ten villages of Karera block in Shivpuri district, Madhya Pradesh, India Int j Environ Sci. 2012; 3(3).
Bawaskar HS, Bawaskar PH. Endemic fluorosis in an isolat-ed village in western Maharashtra, India. Trop Doct. 2006; 36: 221.
.Kotecha PV, Patel SV,Bhalani KD, Shah D, Shah VS, Mehta KG. Prevalence of dental fluorosis & dental caries in association with high levels of drinking water fluoride content in a district of Gujarat, India .Indian J Med Res. 2012 June; 135(6): 873–877.
Alvarez JA, Rezende KM, Marocho SM, Alves FB, Celiberti P, Ciamponi AL. Dental fluorosis. Exposure, prevention and management. Med Oral Patol Oral Cir Bucal 2009:14 (2): E103–7.
Dental Fluorosis: From Wikipedia, free encyclopaedia. Available at http;//en.wikipedia.org/wiki/dental_fluorosis.html.Assessed Nov 8th 2014.
Dahiya S, Kaur A, Jain N. Prevalence of fluorosis among school children in rural area, district Bhiwani: A case study. Indian Journal of Environ Health 2000; 42:192-5.
Ray SK, Ghosh S, Tiwari IC, Kaur P, Reddy DCS and Nagchaudhuri J. Dental fluorosis in Ledhupur and Rustampur villages near Varanasi. Indian J. Med. Res 1983; 112–118.
Gopalakrishnan P, Vasan RS, Sarma PS, Nair KS, Than-kappan KR. Prevalence of dental fluorosis and associated risk factors in Alappuzha district, Kerala. Natl Med J India 1999; 12: 99-103.
Singh AA, Birsingh, Kharbanda OP, Shukla DK, Goswami K, Gupta S. Dental fluorosis in rural school children from Haryana: A Brief Report. Indian Journal of Preventive and Social Medicine 2001; 32: 113-5.
Chandrashekar J, Anuradha KP. Prevalence of dental fluo-rosis in rural areas of Davangere, India. Int Dent J 2004; 54: 235-9.
Mane AB, Revathi S, Savale PG, Paul CN, Hiremath SG. Study of dental fluorosis among primary school children residing in rural area of Raichur district, Karnataka. Int J Biol Med Res. 2011; 2 (3): 716-720.
Bharati P, Rao M. Epidemiology of fluorosis in Dharwad district, Karnataka. J Hum Ecol 2003; 14:37–42
Watanabe T, Kondo T, Asanuma S, Ando M, et al. Skeletal fluorosis from indoor burning of coal in South-eastern Chi-na. Fluoride 2000; 33: 135–9.
Zhu C, Bai G, Liu X, Li Y. Screening high fluoride and high arsenic drinking water and surveying endemic fluo-rosis and arsenism in Shaanxi province in western China. Water Res 2006; 40:3015–22.
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