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Bodhipaksha Krishna Geethani Thilakarathne Stephen Schensul Sujithra K. Weeragoda Rohan Weerasooriya Ng Wun Jern 《环境质量管理》2023,32(4):371-378
Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries. 相似文献
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饮水的化学组分与地氟病的关系 总被引:2,自引:0,他引:2
饮水的化学成分分析结果表明,徐州地区居民饮用水中的氟含量pH,Na^+,HCO^-3,As,B和矿化度呈正相关关系,与K^+,Ca^2+,Al^3+,Ba^2+,Si^4+呈负相关关系。地氟病的发病率不仅与饮水的氟含量密切相关,而且受饮水中其它组份的制榴,饮水中Ca^2+,Al^3+,Sr^2+,B,Si^4+,K^+,Ge^4+等组分的增高可抑制或减缓地氟病的发生。 相似文献
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浙江省中部萤石产区氟环境与地方性氟病 总被引:1,自引:0,他引:1
吕惠进 《生态与农村环境学报》1995,(3)
通过对浙江省中部萤石产区氟地球化学环境的初步研究,探讨了该区地方性氟病的成因和分布规律,指出了地方性氟病与高氟环境的关系。 相似文献
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Fluoride concentration of groundwater reserves occurs in many places in the world. A critical area for such contamination
in India is alluvial soil of the plain region, consisting of five blocks (Jhajjar, Bahadurgarh, Beri, Matanhail, and Sahalawas)
of the Jhajjar District adjacent to the National Capital Territory of India, New Delhi. The purpose of this study was to assess
the association between water fluoride levels and prevalence of dental fluorosis among school children of the Jhajjar District
of Haryana, India. The fluoride content in underground drinking water sources was found to vary in villages. Hence, the villages
were categorized as high-fluoride villages (1.52–4.0 mg F/l) and low/normal-fluoride villages (0.30–1.0 mg F/l). The source
of dental fluorosis data was school-going children (7–15 years) showing different stages and types of fluorosis who were permanent
resident of these villages. The fraction of dental fluorosis-affected children varied from 30% to 94.85% in the high-fluoride
villages and from 8.80% to 28.20% in the low/normal-fluoride villages. The results of the present study revealed that there
existed a significant positive correlation between fluoride concentration in drinking water and dental fluorosis in high-fluoride
villages (r = 0.508; p < 0.001) and insignificant correlation in low-fluoride villages. 相似文献
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目的 了解炼铝作业氟的危害状况,为工业性氟病的防治提供依据.方法 对氟作业环境作职业卫生学调查.采用剂量患病率寿命表法对866名电解铝作业工人工业性氟病的发病情况进行流行病学调查,并作相关回归分析.结果 该厂接氟工人工业性氟病的总患病率为1.73%,且患病率随累积接氟量的增加而升高,呈高度正相关(r=0.997,P<0.01).并据所求得回归方程(y=10.34InD-18.21)推算出接氟工人控制患病率时的允许连续工作年限和今后的发病趋势.结论 该厂电解铝车间氟危害较重,应加强卫生防护措施,并建议将车间氟最高容许浓度从目前1 mg/m3降为0.5 mg/m3为宜. 相似文献
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The area around Chandidongri (latitude 21 deg 02 prime N and longitude 80 deg 37 prime E) is covered by granitic gneisses and amphibolites of the Amgaon Group and granites and rhyolites of the Dongargarh super group. The granites which cover the major portion of the area have been intruded into by a number of dolerite and epidiorite dykes and traversed by a few N–S trending shear zones. A well-known fluorite deposit is located along the Lamtidongri–Kotnapani shear zone. Besides this deposit, the authors have located a few occurrences of fluorite along other shear zones where epidiorite dykes are in association with granites. A number of cases of fluorosis have been reported from those parts of Rajasthan and Andhra Pradesh which are covered by granitic rocks and also from the eastern parts of Bhandara district which are adjacent to the area described here. The Chandidongri area is mainly covered by granitic rocks, which at places show the presence of fluorite mineralisation. Taking into consideration these facts, the authors have investigated the area to study the cases of fluorosis if any, and the impact of geology and fluorite mining on the water quality in this region. During the survey, we have not come across any cases of fluorosis in this region. The pH is more than 7 and the fluoride concentration is within the permissible limit. 相似文献
10.
Fluoride contamination in groundwater of central Rajasthan,India and its toxicity in rural habitants
This study was carried out to assess fluoride (Fl) concentration in groundwater in some villages of central Rajasthan, India, where groundwater is the main source of drinking water. Water samples collected from deep aquifer-based hand pumps were analyzed for Fl content. Fluoride in groundwater of 121 habitations of Bhilwara tehsil of Bhilwara district of Rajasthan was determined to examine the potential Fl-induced toxicity in rural locations. Fluoride concentrations in the tehsil ranged from 0.5 to 5.8 mg/l. In the tehsil, 69 villages (57%) were found to have Fl concentration beyond the maximum desirable limit recommended in Bureau of Indian Standards (BIS), 10500, 1991. Fifty-eight percent population of these villages was under the threat of fluorosis. One percent population of tehsil living in two villages ingested more than 5 mg/l Fl in each liter of drinking water and at maximal risk for dental and skeletal fluorosis. 142 individuals of these villages were examined for fluorosis. Data indicated that only four individuals (2.82%) did not exhibit dental fluorosis. Most individuals were found to suffer from mild (34.51% or 49 individuals) and moderate (31.69% or 45 individuals) fluorosis. Severe dental fluorosis was recorded in only 16 individuals (11.27%). In 104 individuals above 21 years of age examined for the prevalence of skeletal fluorosis, 66 were positive for skeletal fluorosis with a maximum 36.5% with grade I skeletal fluorosis. Grade II skeletal fluorosis was recorded in 28 individuals (26.9%). Data in this study demonstrate that there is a need to take ameliorative steps in this region to prevent fluorosis. 相似文献