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.     

Industrial water conservation by water footprint and sustainable development goals: a review

Environment, Development and Sustainability - Application of advanced techniques to ensure the environment sustainability and freshwater ecosystem conservation is a paramount importance. Industrial...     

Environmental impact of polluted city canals — a case study from Colombo,Sri Lanka

The city canal of Colombo, an effluent canal running through the city, was monitored for its nitrogeneous species and toxic trace metal contents. The canal is the dumping ground for municipal garbage, human and animal excreta, organic waste matter, etc. However, nitrate content of the canal water remains low, indicating an incomplete nitrification process. Due to the existing pH and redox conditions, the nitrogen species are present in a chemically reduced form. Since the Pb, Cd, and Zn contents of the canal water are high, industrial contamination is obvious. The environmental impact of such a polluted canal is enhanced by the presence of a large number of drinking water wells in the vicinity of the canal.     

Drinking water quality and chronic kidney disease of unknown etiology (CKDu): synergic effects of fluoride,cadmium and hardness of water

Environmental Geochemistry and Health - High prevalence of chronic kidney disease of unknown etiology (CKDu) in some regions of the world is suspected mainly due to a toxin-mediated renal failure....     

Macroscopic and vibration spectroscopic evidence for specific bonding of arsenate on gibbsite

The As(V) adsorption onto gibbsite under different experimental conditions was examined. Macroscopic data suggests strong As(V) bonding on gibbsite possibly via a bidendate binuclear complexation mechanism. The As(V) adsorption was quantified with the charge distribution multi-site ions complexation (CD-MUSIC) model distributing the anion charge over 0- and 1-planes according to the modified Pauling's bond valence theory. In the dual-adsorbates system of As(III) and As(V), the As(III) adsorption was predicted up to pH 8 utilizing the binding constants derived for single-adsorbate data. However, with pH > 8, the modeled As(III) adsorption data is overestimating the experimental values.     

Pyrite-assisted degradation of trichloroethene (TCE)

Chemical kinetics of trichloroethene (TCE) degradation by pyrite was investigated at different experimental conditions. The TCE was transformed into C2H2, 1,1-dichloroethene (DCE) and C2H4 by a slow process (240 h required to convert TCE by 80%). Thereafter, the degradation rate showed a monotonous increase with the pH. A simple kinetic model was proposed to quantify the TCE degradation by pyrite.     

Ca2+ and SO42− interactions with dissolved organic matter: Implications of groundwater quality for CKDu incidence in Sri Lanka

It has recently been proposed that recalcitrant dissolved organic carbon(DOC) in groundwater plays a potent etiological role in the peculiar distribution of chronic kidney disease of unknown etiology(CKDu).This study aims to elucidate the interactions of Ca~(2+)and SO_4~(2-)with a model organic fraction of humic acid(SHA) to determine the possible relationship of CKDu incidence with the DOC in drinking water.XPS and FT-IR methods respectively determined the surface functional groups and chemical composition of protonated dissolved organic carbon(HDOC) in a CKDu high-risk zone(HR) of Sri Lanka and in SHA.Higher surface C composition(87.9%) and lower O(11.4%) were observed for HDOC from the HR region than for SHA(C: 73.8%, O: 24.7%).Aromatic C with less Ocontaining functional groups was observed in HDOC.The IR band at 1170 cm~(-1) confirms the formation of organic sulfonate(C–SO_3~-) on SHA.A band at 1213 cm~(-1) due to organic sulfonate in HDOC from the CKDu HR region was also identified.The IR band at 866 cm~(-1) evidenced the formation of CaCO_3 on SHA above pH 7.4.XPS data confirmed the presence of sulfur oxidation states corresponding to SO_3~(2-)and SO_4~(2-)at 168.9 eV and 170.1 eV binding energies,respectively.The binding energies at 347 eV and 351 eV for Ca 2p_(3/2) and Ca 2p_(1/2) eV,respectively, confirmed the bidentate complexation of Ca~(2+)with COO-and sulfonate groups on SHA.The organic sulfonate formed is postulated as a uremic toxicant.     

The reduction of selenate by fulvic acids in soils of a high gastric cancer risk area in Sri Lanka∗

In order to elucidate the probable etiological factors for the incidence of gastric cancer, the interaction between selenate and fulvic acids was investigated under chemically controlled conditions. The reduction ability of selenate by fulvic acids was enhanced in acidic conditions. The fulvic acids may play an important role in the nitrosation process. Thus the investigations of the mechanism by which selenate interact with fulvic acids will provide a new insight into the chemical activation process by which selenium supplementation is supposed to act as an anticarcinogen.     

Phyto-remediation potential of Ipomoea aquatica for Cr(VI) mitigation

Phyto-remedial efficiency of Ipomoea aquatica was examined at different experimental conditions for a period of 3 months. This plant was selected due to its easy establishment, tolerance and growing easiness. In all trials, the I. aquatica was grown in coir dust to ensure an inert medium. Essential growth nutrients were supplied externally using Albert solution. Once plant growth conditions were fixed, the model system was spiked with Cr(VI) solution in the range of 7-90 ppm. Up to 28 ppm Cr(VI), I. aquatica exhibits uniform absorption characteristics showing over 75% removal of added Cr(VI). At this stage I. aquatica was not affected and it showed no toxicity symptoms. Therefore, it is suited as a potential phyto-remediant. Further I. aquatica is a vegetable particularly in Asian region; therefore caution has to be taken when selecting it for human consumption due to its high chromium accumulation capacity.     

Modeling interactions of Hg(II) and bauxitic soils

The adsorptive interactions of Hg(II) with gibbsite-rich soils (hereafter SOIL-g) were modeled by 1-pK surface complexation theory using charge distribution multi-site ion competition model (CD MUSIC) incorporating basic Stern layer model (BSM) to account for electrostatic effects. The model calibrations were performed for the experimental data of synthetic gibbsite-Hg(II) adsorption. When [NaNO(3)] > or = 0.01M, the Hg(II) adsorption density values, of gibbsite, Gamma(Hg(II)), showed a negligible variation with ionic strength. However, Gamma(Hg(II)) values show a marked variation with the [Cl(-)]. When [Cl(-)] > or = 0.01M, the Gamma(Hg(II)) values showed a significant reduction with the pH. The Hg(II) adsorption behavior in NaNO(3) was modeled assuming homogeneous solid surface. The introduction of high affinity sites, i.e., >Al(s)OH at a low concentration (typically about 0.045 sites nm(-2)) is required to model Hg(II) adsorption in NaCl. According to IR spectroscopic data, the bauxitic soil (SOIL-g) is characterized by gibbsite and bayerite. These mineral phases were not treated discretely in modeling of Hg(II) and soil interactions. The CD MUSIC/BSM model combination can be used to model Hg(II) adsorption on bauxitic soil. The role of organic matter seems to play a role on Hg(II) binding when pH>8. The Hg(II) adsorption in the presence of excess Cl(-) ions required the selection of high affinity sites in modeling.