1. The document summarizes fluoride mitigation efforts in Nagaon District, Assam, India between 2012-2015. Surveys found 458 villages affected by fluoride levels between 1-15 mg/L. 2. Initiatives included providing safe drinking water through new water schemes, free medical treatment, livelihood training, and forming Fluoride Mitigation Steering Committees. 3. Surveys showed decreases in affected populations and urine fluoride levels over time. The efforts improved health and livelihoods for thousands of people in Nagaon District.

1. Incredible recoveries
roap map, Nagaon
Assam
Dharani Saikya

2. Area

3. Fluoride endemic area of Nagaon
District Block No of village
affected
Fluoride
level(mg/L)
Fluoride
mitigation
scheme(PWSS)
Hojai Binakandi 216 1-15 17 (Till
intervention of
FMSC it was 5
schemes)
Hojai Jugijan 73 1-2.38
Nagaon Kathiatali 132 1-2.41 0
Nagaon Pachim Kaliabar 37 1-13.59 4
Total 458

5. Fluoride affected area at Lutumari

6. Few affected child

7. Aim and objectives
1. To provide safe drinking water
2. Free treatment
3. Livelihood
4. Compensation

8. Fluoride Mitigation Initiative in Nagaon
1. Survey
2. Advocacy
3. Treatment
4. Save drinking
5. Livelihood
6. FMSC

9. Survey
1. Patient
2. Water & urine tested
3. School survey

10. Fluoride affected village at Akashiganga
Abstract of fluoride affected villagers under Akashiganga GP, by- Hojai PHE division, March 2013
Name of
village
Nos of
household
Present
population
Affected person in age Total %
0-5 5-10 10-15 15-20 20+
Niz
Parakhowa
279 1634 19 36 52 51 185 343 21
Tapatjuri 464 2959 32 113 106 70 242 563 19
Dikharumu
kh
194 1288 3 42 34 31 51 161 13
Gangadisha 69 393 0 4 3 0 24 31 8
Veroni 39 252 0 1 2 1 6 10 4
Total
1045 6526 54 196 197 153 508 1108 17

11. Survey

12. Fluoride Affected people and
household at Akashiganga GP
6529
10451108
545
0
1000
2000
3000
4000
5000
6000
7000
Total population Total household

13. Advocacy
1. With PHED
2. Social welfare
3. Forest
4. School administrative

14. Treatment
• X-ray
• Urine tested
• Free medicine
• Free health checkup

16. Health checkup

17. Fluoride level decrease in urine
0
10
20
30
40
50
60
59
46
23
43
19
52
30
19
4
1 2 4 3 1
19
4
Fluoride in
urine(ppm),2012
Fluoride in
urine(ppm),2015
Column1

18. Improvement
Furhan Sabina

19. Improvement

20. Improvement

21. Save drinking water
1. From river
2. From ring well

22. Livelihood
1.Establised Disable Institute
2. Training on candle making

23. Disable institute

24. Formation of FMSC
1. At Hojai
2. At Kaliabor

25. FMSC
Convergent
meeting

26. FMSC
Central finance
secretary Mr
Sribastave at
FMSC

27. FMSC
Observe IPHE Day

28. FMSC
Candle making
training

29. FMSC
Group meeting
with water uses
comity

30. FMSC
Village mapping

31. FMSC
Matrix ranking
through focus
group discussion

32. FMSC
Free health camp

33. FMSC
Plantation

34. Publication 1

58. Use of water in the no fluoride
effected area

59. Bathing and cleaning (At no fluoride
effected area)

60. At fluoride effected area

61. At fluoride effected area

62. At fluoride effected area

63. Zahir, Akram and Zakir
From left Zahir Hussin(8) SO-Manna Husain; Akram
Husain(9)SO-Abdul Husain; Zakir Husain(8)SO-
Abutahu Husain, Tapatjuri Photo on 8-7-12