Fluorois-A Public Health Problem

1. Dibyendu Dutta
District Consultant (NPPCF) Dept. of Health & F.W. Govt. of W.B
Research Scholar (Food & Nutrition Science )
M. Sc ( Microbiology )
M. Sc (Community Dietetics & Nutrition Management)
Master of Social Work

2. Fluorosis is a slow progressive crippling disease caused by excessive intake
of fluoride > 1 P.P.M.
Dental Fluorosis (DF) Skeletal Fluorosis (SF) Non Skeletal
Fluorosis(NSF)
Joint Pain
Back Pain
Osteoarthritis
Osteosclerosis
………….

3. D e n t a l F l u o r o s i s (DF)
Chalky white or horizontal
yellow or both patching
Dental enamel molting
Pitting of affected teeth

4. Skeletal Fluorosis
Jenu Veram Jenu Valgum

5. BPHC O.P.D.
PHC O.P.D.
S/C
As per Line Listing by DFU
Community Demand for
Joint Pain/Back Pain / Arthritis
Like symptoms/ NSF symptoms
Community Medicines Utilized for Fluorosis Case Treatment
Calcium with Vitamin D3
Vitamin , Antioxidant
Vitamin- C
Direct Treatment for Prevent Fluoride Decomposition in Bone & Soft Tissue
Enhance Renal excretion of fluoride
Treatment for Anemia
usually found in
Fluorosis patient
Advice to prevent
malnutrition by proper
diet / Avoiding
Fluoridated food intake Urine – Fluoride / Serum -Fluoride test done at District Fluorosis Lab,
Dept. of Biochemistry ,B.S.M.C & H. Lokepur , Bankura every Wednesday
for referral cases from Block & Hospital OPD.
Laboratory Technician (NPPCF) Bankura Mobile No: 9614651426

6. Opening Balance + Received Amount
( As per necessity
indent has to be placed
in regular interval)
10 % 30 % 60 %
Stock maintained in Stock maintained Stock maintained
BPHC OPD cases in PHC for OPD cases in S/C for distribution
the medicines as per line listing /
patient demand in S/C
Total
Quantity
BPHC OPD PHC OPD S/C

7. Sl NO Name of 17 fluorosis
endemic block
1 Anchuri
2 Chhatna
3 Saltora
4 Kanchanpur
5 G-Ghati
6 Mejhia
7 Indhpur
8 Hirbandh
9 Khatra
10 Ranibandh
11 Onda
12 Taldangra
13 Simlapal
14 Sarenga
15 Raipur
16 Sonamukhi
17 Barjora
ASHA , AWW
,PRI , SCHOOL
TEACHERS
SENSITIZATION
DONE
ANM and untrained HS
SENSITIZATION DONE

8. FORMS FOR FLUOROSIS SURVEY

9. National Programme for Prevention and Control of Fluorosis Bankura National Programme for Prevention and Control of Fluorosis Bankura
Proforma for compilation of fluorosis cases in Community People Proforma for compilation of fluorosis cases in Community People
Entry Sheet No: Fluoride in Water Source (PHED): Entry Sheet No: Fluoride in Water Source (PHED):
Line Listing of Fluorosis Cases in Community People Line Listing of Fluorosis Cases in Community People
Name of Community: Hetiasol
Community
Name of Block: Hirbandh Name of the GP: Molian Name of Village: Tentulia
Name of the Habitation:
Tentulia Name of the S/C: Pin Code: 722136 Date of Visit: 20.05.2015
Page-1 Page-2
SlNo:
Name of the People Age Sex
Head of the
Family
Status of
Dental Fluorosis
(If Yes mark)
Type of
Skaletal
Fluorosis
Other Manifestation Other Manifestation Sample Collection
Medicine
Distribution
IEC/IPC
(Done/
Not
Done)
Refferal
Normal
Questionable
VeryMild
Mild
Moderate
Severe
JenuVaram
JenuVulgum
Restricted Movment
Name of the
Crippled/
Fixed Joints
SlNo
Constipation
Headach
Polydepsia
PolyUrea
Depression/
Nourvousness/Anxity
JointPain
BackPain
SweellingofKnee
TinglingSensetionin
FeetandFinger
UrineSampleCode
UrineFluorideLevel(Mg/L)
BloodSampleCode
BloodFluoride
Level(Mg/L)
NameoftheMedicine
Quantity
FortheMonth
Reffer(Yes/No)
RefferTo:
Neck
Sholder
LumberSpine
PelvicJoint
KneeJoint
1 Sanjoy Bauri 28M Sanjoy 1 TCU-1 0.42
2 Kalipada Bauri 45M Kalipada Y 2 TCU-2 1.93
3 Dipu Sahis 18M Methar Y 3 TCU-3 3.03
4 Janaki Bauri 70M Janaki 4 TCU-4 1.82
5 Kokil Bauri 66M Kokil 5 TCU-5 0.64
6 Pratima Bauri 55F Sahadeb 6 Not Given ~~~~
7 Madan Bauri 80M Madan 7 TCU-7 0.82

10. National Programme for Prevention and Control of Fluorosis Bankura National Programme for Prevention and Control of Fluorosis Bankura
Proforma for compilation of fluorosis cases in School Children Proforma for compilation of fluorosis cases in School Children
Entry Sheet No: Fluoride in Water Source (PHED): Entry Sheet No:
Line Listing of Fluorosis Cases in School Children Line Listing of Fluorosis Cases in School Children
Name of the School: Mouchuriya Pri.
School Name of the
Block: Saltora Name of the GP: Kanuri Name of Village: Gote-Mouchuriya
Page-2
Name of the Habitation:
Name of the
S/C: Pin Code:722158 Date of Visit: 25-08-15
Name of the Head Master: Gurupada
Maji Ph. No. 8116457507 Page-1
SlNo:
Name of the People Age Sex
Head of the
Family
Status of Dental Fluorosis
Type of
Skaletal
Fluorosis
Other Manifestation Other Manifestation Sample Collection
Medicine
Distribution
IEC/IPC
(Done/
Not Done)
Refferal
Normal
Questionable
VeryMild
Mild
Moderate
Severe
JenuVaram
JenuVulgum
Restricted Movment
Name of the
Crippled/
Fixed Joints
SlNo
Constipation
Headach
Polydepsia
PolyUrea
Depression/
Nourvousness/Anxity
JointPain
BackPain
SweellingofKnee
TinglingSensetionin
FeetandFinger
UrineSampleCode
UrineFluorideLevel(Mg/L)
NameoftheMedicine
Quantity
FortheMonth
Reffer(Yes/No)
RefferTo:
Neck
Sholder
LumberSpine
PelvicJoint
KneeJoint
1Priya Mondal 9F Narugopal √ √ 1 MPSU-1 3.93
2Peu Mondal 9F Bangshi √ 2 MPSU-2 1.28
3Bristi Mondal 9F Aloke √ 3 MPSU-3 0.87
4Arpita Mondal 9F Nirmal √ 4 MPSU-4 0.94
5Mousumi Mondal 9F Bablu √ 5 MPSU-5 1.06
6Barsha Mondal 9F Bablu √ 6 MPSU-6 1.11
7Tina Mondal 9F Dyamoy √ 7 MPSU-7 0.32
8Sibu Mondal 9M Abani √ 8 MPSU-8 0.46
9Pradip Mondal 9M Rabilochan √ 9 MPSU-9 0.59
10Bikram Bauri 9M Nabik √ 10 MPSU-10 0.83
11Rimpa Mondal 9F Madhusudan √ 11 MPSU-11 0.94
12Sandhya Mondal 9F Shibaram √ 12 MPSU-12 1.63
13Monalisha Mondal 9F Santosh √ 13 MPSU-13 2.08
14Barnali Mondal 9F Utpol √ 14 MPSU-14 1.52
15Rakhi Mondal 9F Bikash √ 15 MPSU-15 2.64
16Ritu Bauri 9F Subhas √ 16 MPSU-16 0.22
17Surajit Bauri 9M Goutam √ 17 MPSU-17 2.41
18Mrityunjoy Kha 9M Dulal √ 18 MPSU-18 0.52

11. receiving section at the BPHC , PHC and
periphery should be maintained properly as per
standing Govt. procedure.
avoid the letter / Order / Written Intimation /
Reports etc. receiving chaos at Block , the
email also send from District Head Quarter
should be docating at concerned Block HQ and
send to concerned persons for N/A from
BMOH/BPHN/Sr.PHN/Competent Authority and in
some cases from his deputed officials.
Register copy may be utilized as per necessity for this
purpose.

12. THANK YOU