Fluorosis Presentation_NPPCF_Bankura D.Dutta

1. Fluorosis
a public Health Problem
in BANKURA
Dr B Chakrabarti, ADHS (MPHWS)
Dr J N Dinda, CMOH, Bankura
Mr. D Dutta, Consultant (Fluorosis), Bankura
West Bengal
e-mail:……………………………………..
National Institute of Nutrition, 28th - 29th July 2011
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2. Fluorosis; in West
Bengal
In West Bengal
Malda, Birbhum,
Bankura, Purulia and
South 24 Paraganas
are affected.
Of them Purulia,
Bankura, Birbhum &
Daxin Dinajpur are
worst affected.
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3. Demography of
Bankura District
 Area 6780 Sq. Km
 Population 3611350 (2011)
 Sub Division 3
 CD Blocks 22
 GPs 170
 SCs 564
 Medical Collage 1
 SD Hospital 2
 RH/BPHc 22 (5+17)
 PHC 70
 Affected blocks 10
 Population affected 15, 40,000 apx
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4. Visit of Laboratory, Medical College
Bankura (19/07/2011)
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5. Visit of Ekteswar Primary
School,Bankura-II (20/07/2011)
Dr. S.T. Pasha, Consultant (F) & the CMOH (Bankura) on visit
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6. Some victims
Jamda: Dipali Mishra 35
F rom Jamda Village 6

7. Some more victims
Dental Fluorosis ,
Bankura –II
Jamda,Basudeb Majhi 60
Kamlagana (Bedepara)
Gaju Badia 9
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8. Surface Water Mapping of
Bankura District
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9. Fluorosis Affected Blocks
Bankura District
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10. Percentage of Fluoride affected village in 10 endemic
Blocks in Bankura with fluoride concentration >1.5 mg/l
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11. Data Sheet of Fluoride affected
villages in Bankura
District Blocks Total No. of
villages
No. of village
with fluoride
Contamination
% of
contaminati
on
Bankura Sadar Sub-Division
Bankura Bankura - I UNKNOWN
Bankura Bankura-II 154 12 7.79
Bankura Chhatna 278 14 5.03
Bankura Onda unknown
Bankura G-ghati 166 14 7.03
Bankura Mejhia UNKNOWN
Bankura Saltora 157 8 5.09
Bankura Borjora 201 05 2.48
Bishnupur Sub-Division
Bankura Bishnupur UNKNOWN
Bankura Kotulpur UNKNOWN
Bankura Joypur UNKNOWN
Bankura Sonamukhi UNKNOWN
Bankura Patrasayer UNKNOWN
Bankura Indas UNKNOWN
Khatra Sub Division
Bankura Khatra UNKNOWN
Bankura Sarenga UNKNOWN
Bankura Taldangra 146 10 6.84
Bankura Indpur 221 3 1.35
Bankura Hirbandh 121 9 7.43
Bankura Simlapal 103 70 67.96
Bankura Ranibandh UNKNOWN
Bankura Raipur 207 2 0.96
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12. Fluoride affected Tube Well : Report from Jan
2010 to May 2011,BANKURA (Source- PHED)
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13. Fluoride affected Tube Well : Report from Jan
2010 to May 2011, BANKURA (Source- PHED)
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14. Fluoride affected Tube Well : Report from Jan
2010 to May 2011,BANKURA (Source- PHED)
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15. Our plan
Activity 1
Prevalence
assessment
Expos
ure
assess
ment
Risk
determ
ination
Risk
manag
ement
Activity 2
Strengthening
infrastructure
-Labs
-Health
system
-Collaborating
centres
Activity 3
Capacity
building
Huma
n
resour
ce
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16. Activity - 1
Case
management
1. Diagnosis
2. Management
3. Surgery
4. Rehabilitation
Case
surveillance
1. Active -> H-t-H
2. Passive -> OPDs
Exposure
assessment
PHE lab data
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17. Activity - 2
Strengthening of
infrastructure
Laboratory
Collaborating
centres
Health system
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1. District Lab/

18. Activity - 3
Capacity
building
Human
resource
1. Sensitizations / training of MOs
2. Sensitizations / training of Lab Techs
3. Sensitizations / training of
paramedics
4. Capacity building- PRI/ community/
ASHA/ AWWs/ etc (IEC/ BCC)
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19. Objective and activity summery
Bankura District,W.B,India
Objectives Time Duration
1
Assess prevalence of
Fluorosis in endemic
areas of the district
Surveillance of Fluorosis cases will start after TOT
training in Hyderabad(28th -29th july,2011)
2 Lab equipment
Procurement of Lab Equipment Already done & installed:
Ion-Meter. Procurement of other Lab Equipment
under process.
3 lab diagnosis facilities
Will start by Aug 31st (after procurement of
equipment and reagents)
4
Training of medical &
para-medical staffs
district level
Will start soon after TOT (28th – 29th July,2011)
5
One coordinating
meeting at district level
Meeting already done October , 2010 / next during
August 2011
6
Medical management of
Fluorosis cases
including treatment,
surgery, rehabilitation
It will run side by side along with the surveillance of
Fluorosis cases following a plan manner.
7
Health education &
publicity
Soon after the training of Medical Officer (1st week of
September )
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20. Ultimate Goal
 To provide safe house hold water to
every citizen of Fluoride affected areas
of Bankura, a constant pursuance is
planned to be under taken through
“Intersectoral co-ordination” with the
NGOs, General Administration, PRIs,
PHED and related agencies.
 And get rid of Fluorosis……by 2015!
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21. Thank you