Dental fluorosis—a case study from Nawa tehsil in Nagaur district,Rajasthan (India)

A study was carried out in Nawa tehsil of Nagaur district to assess the prevalence of dental fluorosis and its crippling effect due to ingestion and prolonged exposure of fluoride over a long period of time. During the survey of the study area, high concentration of fluoride (14.62 ppm) has been recorded. The presence of fluoride in quantities in excess of limits is a serious matter of concern from a public health point of view. Due to higher fluoride level in groundwater, several cases of dental fluorosis have appeared at alarming rate in the study area. The children’s teeth are damaged and are characterized by black and brown stains as well as cracking and pitting of the teeth have been observed. In the study area, 93.12% population suffered from dental fluorosis, and it was more prevalent in men (94.90%) than in women (90.00%). Dental fluorosis was also examined according to different grades. Out of the total 72 afflicted, in the 4–16-year age group, 41.46% were suffering from Grade I, Grade II was more prevalent in 33.85% of the 17–28-year age group and similarly Grade II was more prevalent in 39.13% of the 29–40-year age group. In the age group of above 40 years, grade III and grade IV were more prevalent. Thus, in the higher age group, the prevalence and severity of fluorosis is almost certainly due to longer exposure to fluoride. The major risk factor consistently identified for dental fluorosis was the consumption of fluoridated drinks and fluoride supplements. Ingestion of calcium, vitamin D and vitamin C is effective in protection from fluoride toxicity to certain extent.     

Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

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.     

Forecast optimal fluoride concentration data in drinking water according to the ambient temperature in Golestan,Iran

Controlling fluoride concentrations in drinking water at optimal levels could be effective in preventing certain negative health effects in humans. This study investigated optimal fluoride concentrations in potable water in Golestan province, according the ambient temperatures in the province. The study used data on fluoride concentrations in drinking water supplied by the Water and Wastewater Company of Golestan Province. The annual mean maximum temperatures were extracted from a website that recorded daily ambient temperature. The optimal value of fluoride in drinking water for each county of Golestan province was calculated by the Galgan and Vermillion formula. The results show that all of the counties should contain fluoride concentrations ranging from 0.73 to 0.766 milligrams per liter (mg/L) according to the calculation formula, while fluoride concentrations were instead reported to range between 0.23 and 0.53 mg/L by the Water and Wastewater company. In addition, according to World Health Organization (WHO) recommendations, the concentrations of fluoride in potable in all of the cities in Golestan province fall below the WHO standard. In conclusion, we suggest that the fluoride concentrations in Golestan province's drinking water should be taken into account by the appropriate authorities and that optimal fluoride concentrations in drinking water according to ambient temperatures be set to avoiding negative health impacts.     

嘉陵江下游饮用水氟化物时空变异特征研究

饮用水中可溶性氟化物是公众摄入氟的主要途径,其含量水平影响人体健康.分别于2015～2017年的丰水期和枯水期6次随机采集监测了嘉陵江下游52个饮用水样中氟化物含量,并基于地理信息系统平台和健康风险指数法进行了评价.结果表明,该区域饮用水中氟化物浓度平均为0.20～0.25 mg/L.除2015年部分样点外,其余样点的...     

Prevalence and severity of dental fluorosis in relation to fluoride in ground water in the villages of Birbhum district, West Bengal, India

In relation to fluoride in ground water, dental fluorosis is studied in seven villages, viz., Nasipur, Vabanandapur, and Deshnabagram under Nalhati I block and Kamdebpur, Chalk Atla, Nowapara, and Junitpur under Rampurhat II block, of Birbhum district, West Bengal, India. Water samples (N = 70) were collected from the tube wells of the mentioned villages in the months of December 2010 to February 2011 and analyzed for fluoride and other water parameters. The study result revealed that the fluoride levels of almost all the water samples (95.7%) were higher than 1.5 mg/L, with mean values of 3.15 and 3.83 mg/L in Nalhati I block and Rampurhat II block, respectively. Dental fluorosis of 490 respondents was visually determined by a competent dentist using Dean’s index (DI) and the tooth surface index of fluorosis (TSIF). According to the DI, the percentage of severely affected respondents was lowest in Chalk Atla (0%) and highest in Deshnabagram (50%). The percentage of severely affected respondents was lowest in Kamdebpur and Chalk Atla (0%) and highest in Nowapara (20%) according to the TSIF score. The age group 10–20 years showed the highest percentage of severe DI (40.8%) and the age group 21–30 years showed the highest percentage of severe TSIF (22.51%) compared to the other age groups in the study. The positive relationship between the fluoride level in water and the severity of dental fluorosis has been proved statistically. The high mean score of dental fluorosis indicates that dental fluorosis is endemic throughout the study area.     

Review of fluoride removal from drinking water

Fluoride in drinking water has a profound effect on teeth and bones. Up to a small level (1–1.5 mg/L) this strengthens the enamel. Concentrations in the range of 1.5–4 mg/L result in dental fluorosis whereas with prolonged exposure at still higher fluoride concentrations (4–10 mg/L) dental fluorosis progresses to skeletal fluorosis. High fluoride concentrations in groundwater, up to more than 30 mg/L, occur widely, in many parts of the world. This review article is aimed at providing precise information on efforts made by various researchers in the field of fluoride removal for drinking water. The fluoride removal has been broadly divided in two sections dealing with membrane and adsorption techniques. Under the membrane techniques reverse osmosis, nanofiltration, dialysis and electro-dialysis have been discussed. Adsorption, which is a conventional technique, deals with adsorbents such as: alumina/aluminium based materials, clays and soils, calcium based minerals, synthetic compounds and carbon based materials. Studies on fluoride removal from aqueous solutions using various reversed zeolites, modified zeolites and ion exchange resins based on cross-linked polystyrene are reviewed. During the last few years, layered double oxides have been of interest as adsorbents for fluoride removal. Such recent developments have been briefly discussed.     

电化学反应器吸附去除氟离子的研究

采用改性活性炭粉末对用纯净水加氟化钠配制而成的含氟水溶液进行动态电吸附去除实验.研究不同电压、电吸附时间,以及Cl-和SO2-4对氟离子去除的影响,并探讨吸附动力学和吸附方程.实验结果表明:活性炭对氟离子的吸附等温方程符合Freundlich方程,吸附动力学符合一级动力学方程;活性炭对氟离子去除与所施加的电位、吸附时间等因素有关,施加的电位越大,去除效果越好;随着吸附去除时间的延长,氟离子浓度下降趋缓;Cl-对氟离子去除影响很小,而SO2-4对氟离子去除有显著的不利影响.     

MODELING OF WATER SUPPLY/DEMAND IN THE SOUTH PLATTE RIVER BASIN, 1970–20201

ABSTRACT: The application of a water balance model in finding “solutions” to the supply/demand problem was demonstrated using the South Platte River basin as a case study. Solutions were ascertained by hand, using both “average” and “stress” supply/demand conditions, and were developed for 1980, 2000, and 2020; nonquantifiable boundary conditions were incorporated by judgement. The solution obtained for a particular set of conditions is not unique and has strong normative characteristics; thus it must be judged by various interest groups having different ethical positions. The water balance model has a tabular display format and so the “model” is merely a simple table, i.e., a “water balance table.” In this work the water balance table was displayed on an eight-foot by eight-foot color-coded magnetic board. The board provides a means to both find and display the needed supply/demand “solution.” The tabular display facilitates understanding of the systemwide solution and the formulation of value judgments. Based upon these value judgments and an initial “straw man” solution, successive negotiated solutions can be found which can minimize “conflict.”     

饮用水中氟浓度测定方法改进及影响因素分析

提出了一种测定水中氟化物电极的洗涤方法,实验结果表明:利用稀盐酸代替蒸馏水对氟电极和参比电极进行洗涤,可以缩短电极的洗涤时间,提高工作效率3～4倍.同时对用稀盐酸洗涤电极法测定水中氟化物浓度的影响因素进行了分析.     

Effect of salt solution treatment on impurity removal: A case study on phosphogypsum

This study gives a brief demonstration of impurity removal efficiency upon salt solution treatment of phosphogypsum (PG). The experimental set up has been designed according to a multi-variable Box–Behnken Design (BBD) with stirring time, solid: liquid (PG:salt solution) ratio and temperature as the conducted in various salt solutions. PG sample has been treated with sea water, 5% NaCl and 10% NaCl solutions according to the BBD matrix. Fluoride (F), copper (Cu), manganese (Mn), and nickel (Ni) amounts in the PG sample have been measured upon pre- and post-treatment with salt solutions. Among other operating conditions, temperature has been the dominant factor on fluoride removal efficiency, and responses for the factors determined in the experiment runs indicated that a significant correlation could be established between temperature and fluoride removal, sea water being the most efficient salt solution. Higher copper, manganese, and nickel removal efficiencies have been observed in single salt NaCl solution systems however no significant correlation could be established between factors. Results indicate that pre-treatment of PG located near coastal regions with sea water can be a cost-effective approach and applicable on industrial scale when fluoride removal is of importance.     

Groundwater purification by membrane technology

Hyperfiltration and nanofiltration membranes were tested with different water matrices for the removal of excess fluoride from underground water. Initially, the experiments were done with synthetic samples prepared by adding known amounts of sodium fluoride and calcium chloride in distilled water. The effect of feed water composition, pH, temperature of feed water, operating pressure, and feed water flow rate on separation efficiency of both types of membrane was studied by varying one parameter at a time and keeping all other parameters constant. Thus, the optimum operating conditions for the process were determined and after that ground water samples collected from three villages of district Gurgaon, Haryana, India (Farukhnagar, Wazirpur, and Mevka) were treated under optimum operational conditions. The mass transfer coefficient and membrane parameters were estimated for each data point using two-parameter model (Film theory and Solution-diffusion model) to study the concentration polarization on membrane surface. The nanofiltration membrane showed high percentage rejection of bivalent ions when compared to monovalent ions in a binary system. But in multicomponent system, when fluoride and calcium coexisted, the removal of fluoride was comparable to calcium removal because of the low solubility product of calcium fluoride. The results with RO membrane revealed that it removes practically all the ions present in water at high pressure, which need to be passed through a lime column to remineralize the water, to make it suitable for drinking purposes, whereas by running the system at low pressure which will further reduce the cost of operation, rejection percentage goes down to get permeate of required quality.     

IMPACT OF WATER CUTBACK ON SUGARCANE PRODUCTION IN THE FLORIDA EVERGLADES1

ABSTRACT: Sugarcane (Saccharum spp.) was planted in six lysimeters containing Pahokee muck (Lithic Mediaprist) where water tables were maintained at 30, 60, and 90 cm depths. The main objective was to study the impact of a 40 percent water cutback (108 mm) on sugarcane production during the period near the end of the dry season (i.e., May). The water cutback treatment was simulated through manipulation of water table depth. Due to the high available water capacity of the muck soil and selection of a sugarcane cultivar ‘CP63-588’ (which has a high tolerance of water table fluctuations), the sugarcane growth, and the yields of sugarcane biomass and sugar were not significantly different as a result of the treatments with and without 40 percent water cutback during a period of two months. This result is in good agreement with the 1981 cane yield in the Everglades Agricultural Area where a 35 percent water cutback was imposed during the 1981 drought.     

塔里木河下游生态输水的效应

根据塔里木河下游的地下水位、植物调查数据,对比分析了塔里木河下游生态输水后地下水位、生物量、物种多样性变化。结果表明：实施生态输水工程后,地下水位对生态输水的响应显著,地下水位逐渐抬升,下降趋势得以控制。草本植物生物量的变化趋势与每次输水量变化趋势基本一致,即随着输水量的增加草本植物的生物量也相应增加,草本植物生物量对生态输水的响应程度与输水的时间、输水量的多少有密切关系。地下水位埋深上升,物种多样性也呈上升趋势,但二者并不是同步,物种多样性上升趋势滞后于地下水位的上升,这表明地下水位的抬升有利于植物多样性的增加,但是地下水位变化对植物多样性的影响是一个渐变的过程。     

Evaluation of an acid ammonium oxalate extraction to determine fluoride resident concentrations in soils

Fluoride depositions near aluminum smelters and other fluoride-emitting plants can lead to fluoride accumulation in soils, which constitutes a risk for ground water contamination. This study was conducted to investigate the capacity of a 0.2 M acid ammonium oxalate solution to selectively and quantitatively extract fluoride accumulated in soils. The recovery of fluoride added to three soils was evaluated following 7- to 28-d incubations. Oxalate extraction was also compared with a total fluoride extraction method, using oxalate-extractable fluoride (Fox) and total fluoride (Ftot) accumulation profiles derived from column percolation experiments. To determine low-level fluoride concentrations without interference from high Al and Fe concentrations, an adapted ion chromatography method was used. Following soil incubations, oxalate extracted 42 to 86% of added fluoride. Recovery varied between soils and, in one soil, increased with added fluoride concentration. Recovery was unaffected by incubation time. Maximum recovery was obtained in a soil high in amorphous Fe and Al, low in clay, and free of carbonate. Lower recoveries were obtained in soils with higher clay or carbonate contents. Only 4 to 8% of Ftot was extracted in untreated samples using Fox, which suggests a high selectivity of this method for added fluoride. In percolation experiments, the use of Fox reduced considerably the background noise associated with Ftot for the evaluation of fluoride accumulation profiles. Because of its high selectivity and despite incomplete fluoride recovery, the use of Fox to determine fluoride resident concentrations in soils may improve environmental monitoring of fluoride accumulation and movement in contaminated soils.     

Ethical Approach to Fluoridation in Drinking Water Systems of UK and Turkey

The practice of adding substances to make water safe to drink and its consequential effects on human health have been a contentious matter for a long time. In this study, the addition of fluoride in drinking water was evaluated after examining two different countries: Britain and Turkey. This study has used an independent and ethical approach taking into account the cautious but assertive dentists’ comments on the addition of fluoride for years. This research focuses on a comparative analysis of Britain, an advanced economy, and Turkey, a developing country, supported with tangential reference to worldwide practice in general. Drawing on ongoing studies, the research analyses empirical evidence and arguments to conduct an assessment of Turkey’s practices. The ethical argument about fluoridation focuses on the question of adequate evidence for its health benefits and the autonomy of the consumer. As the consumer is not fully consulted about this practice, it could be argued that the will of the consumer can be put to the test in the democratic process. Hence, the key to any policy has to be about both clarity of the national government intention and continued engagement with consumer groups at regional level.     

MODELING THE FOREST HYDROLOGY OF WETLAND-UPLAND ECOSYSTEMS IN FLORIDA1

ABSTRACT: Few hydrological models are applicable to pine flat-woods which are a mosaic of pine plantations and cypress swamps. Unique features of this system include ephemeral sheet flow, shallow dynamic ground water table, high rainfall and evapotranspiration, and high infiltration rates. A FLATWOODS model has been developed specifically for the cypress wetland-pine upland landscape by integrating a 2-D ground water model, a Variable-Source-Area (VAS)-based surface flow model, an evapotranspiration (ET) model, and an unsaturated water flow model. The FLATWOODS model utilizes a distributed approach by dividing the entire simulation domain into regular cells. It has the capability to continuously simulate the daily values of ground water table depth, ET, and soil moisture content distributions in a watershed. The model has been calibrated and validated with a 15-year runoff and a four-year ground water table data set from two different pine flat woods research watersheds in northern Florida. This model may be used for predicting hydrologic impacts of different forest management practices in the coastal regions.     

Sensitivity of Stream flow and Water Table Depth to Potential Climatic Variability in a Coastal Forested Watershed1

Dai, Zhaohua, Carl C. Trettin, Changsheng Li, Devendra M. Amatya, Ge Sun, and Harbin Li, 2010. Sensitivity of Streamflow and Water Table Depth to Potential Climatic Variability in a Coastal Forested Watershed. Journal of the American Water Resources Association (JAWRA) 1–13. DOI: 10.1111/j.1752-1688.2010.00474.x Abstract: A physically based distributed hydrological model, MIKE SHE, was used to evaluate the effects of altered temperature and precipitation regimes on the streamflow and water table in a forested watershed on the southeastern Atlantic coastal plain. The model calibration and validation against both streamflow and water table depth showed that the MIKE SHE was applicable for predicting the streamflow and water table dynamics for this watershed with an acceptable model efficiency (E > 0.5 for daily streamflow and >0.75 for monthly streamflow). The simulation results from changing temperature and precipitation scenarios indicate that climate change influences both streamflow and water table in the forested watershed. Compared to current climate conditions, the annual average streamflow increased or decreased by 2.4% with one percentage increase or decrease in precipitation; a quadratic polynomial relationship between changes in water table depth (cm) and precipitation (%) was found. The annual average water table depth and annual average streamflow linearly decreased with an increase in temperature within the range of temperature change scenarios (0-6°C). The simulation results from the potential climate change scenarios indicate that future climate change will substantially impact the hydrological regime of upland and wetland forests on the coastal plain with corresponding implications to altered ecosystem functions that are dependent on water.     

Impacts of Residential Development on Humid Subtropical Freshwater Resources: Southwest Florida Experience1

Abstract: The population of Collier and Lee Counties in southwestern Florida has increased 11‐fold from 1960 to 2004 with a concomitant increase in freshwater demand. Water levels and salinity within the water table aquifer over the past two to three decades have generally been stable, with more monitoring wells showing statistically significant temporal increases in water level than decreases. Residential development has had a neutral impact on the water table aquifer because the total annual evapotranspiration of residential communities is comparable to that of native vegetation and less than that of most agricultural land uses. Public water supply systems and private wells also result in net recharge to the water table aquifer with water produced from deeper aquifers. Confined freshwater aquifers have overall trends of decreasing water levels. However, with the exception of the mid‐Hawthorn aquifer, water levels in most areas recover to near background levels each summer wet season. Freshwater resources in humid subtropical areas, such as southwestern Florida, are relatively robust because of the great aquifer recharge potential from the excess of rainfall over ET during the wet season. Proper management can result in sustainable water resources.     

PATTERN OF GROUND-WATER LEVEL DECLINE IN THE HIGH PLAINS AQUIFER NEBRASKA1

ABSTRACT: Ground-water level decline patterns in parts of Nebraska conform to the circular island concept of Bredehoeft et al. (1982), which indicates how water is derived by wells developed in a circular island. If elongated, the center of the island corresponds to a regional ground-water divide while the shoreline corresponds to a regional river. In both versions, ground-water table elevation is a function of recharge and transmissivity. A dynamic equilibrium exists such that the gradient of the water table will convey all recharge to discharge areas. Withdrawals of ground water result initially in mining, with a new equilibrium attained when pumping equals capture. During early development, capture is an important source of water in discharge areas, while mining is more significant in recharge areas. The pattern observed in many areas shows the greatest ground-water level decline in the vicinity of ground-water divides and the steepest gradient near regional rivers. A similar pattern has been observed adjacent to the Arkansas River in south-central Kansas. Similar decline patterns can be modeled for a hypothetical ground-water basin. This is of major importance to water-resource managers because it dictates that management programs be applied to the entire hydrologic system.     

RAPID WATER TABLE RESPONSES TO RAINFALL IN A NORTHERN PEATLAND ECOSYSTEM1

ABSTRACT: Two types of rapid water table responses to rain were observed in a northern Michigan peatland. The first, called the Lisse effect, occurred during rains of high intensity when the infiltrating water acted as a tightly closing lid that forced the water table to rise to the level required to compensate for the pressure increase. The second, called the Wieringermeer effect, was a rapid rise of the water table to the surface due to the conversion of capillary to phreatic water and was always followed by an equally rapid decline after cessation of the rainfall. We simulated these phenomena in the laboratory and estimated the critical parameters that determine their occurrence. The recognition of the importance of the capillary fringe is essential in evaluating the role of wetlands in flood control and in wastewater treatment.