Diagnosis of Fluorosis by Analysis of Fluoride Content in Body Fluids Using Ion Selective Electrode Method.

Analysis of fluoride in body fluids (urine and serum) is essential for fluorosis diagnosis. Although 24-h urine collection is adopted to assess community defluoridation/fluoride supplementation program/research studies, but not feasible for Clinical/Pathological laboratories. Patients are reluctant to bring 24-h urine samples. Hence, spot urine samples are collected in clean, dry polypropylene bottles (not glass) without any preservative and analyzed on the same day by the Ion analyzer (ISE method). Equal volumes of Total Ionic Strength Adjustment Buffer (TISAB) solution are then added with body fluids before analysis and mixed well to eliminate interference from other ions besides pH adjustment and to provide a constant ionic strength. Results are reported as mg of Fluoride/l (ppm). High fluoride level in body fluids is an indication of confirmed cases of fluorosis. Two interventions, e.g. withdrawal of fluoride intake and intake of nutritive diet was introduced for prevention and control of fluorosis. The present study is to provide useful guidelines for monitoring of fluorosis disease in human beings, those who are at the risk of fluoride exposure.

Early diagnosis and complete recovery from fluorosis through practice of interventions.

OBJECTIVES: The objective of this communication is to disseminate scientific and technical information for early diagnosis of Fluorosis; recent developments in care and management of patients of Fluorosis. MATERIAL AND METHODS: Body fluids collected from patients suspected of Fluorosis referred by hospitals, samples of drinking water used by them are the materials that have been investigated. Fluoride level in body fluids and water samples are tested by the ion selective electrode (ISE) potentiometry. Forearm X-ray radiograph is taken to assess interosseous membrane calcification. Upon diagnosis of the disease, two corrective measures, namely diet editing and diet counselling are introduced for practice in daily life. In the former, all sources of fluoride ingestion and use are withdrawn whereas in the latter, the patient is encouraged to consume a diet rich in essential nutrients, antioxidants and micronutrients through fruits, vegetables and dairy products. The patients are monitored at intervals to assess fluoride in body fluids. Reduction in fluoride levels has a direct relationship with disappearance of health complaints and subsequent recovery. RESULTS: Eight case studies (5 male + 3 female) are described. Patients'complaints are gastrointestinal discomfort, polyuria, polydipsia, muscle weakness, fatigue and joint pain. Body fluids may have high fluoride with normal or high fluoride level in drinking water.The main source(s) of fluoride entry identified are (i) consuming fluoride contaminated food/snacks/beverages laced with black rock salt; (ii) drinking of untreated ground water; (iii) using fluoridated toothpaste. The duration of recovery varies from patient to patient depending upon their body physiology and the seriousness with which the interventions were practiced. Recurrence of the disease may occur in some patients due to change in life-style, not practicing interventions, entry of fluoride inadvertently. CONCLUSION: This communication provides an overview of Fluorosis, its occurrence, manifestations, diagnostic tests, results, interventions practiced, monitoring and recovery from the disease.

Exposure to fluoride in smelter workers in a primary aluminum industry in India.

BACKGROUND: Fluoride is used increasingly in a variety of industries in India. Emission of fluoride dust and fumes from the smelters of primary aluminum producing industries is dissipated in the work environment and poses occupational health hazards. OBJECTIVE: To study the prevalence of health complaints and its association with fluoride level in body fluids of smelter workers in a primary aluminum producing industry. METHODS: In an aluminum industry, health status of 462 smelter workers, 60 supervisors working in the smelter unit, 62 non-smelter workers (control group 1) and 30 administration staff (control group 2) were assessed between 2007 and 2009. Their health complaints were recorded and categorized into 4 groups: 1) gastro-intestinal complaints; 2) non-skeletal manifestations; 3) skeletal symptoms; and (4) respiratory problems. Fluoride level in body fluids, nails, and drinking water was tested by an ion selective electrode; hemoglobin level was tested using HemoCue. RESULTS: The total complaints reported by study groups were significantly higher than the control groups. Smelter workers had a significantly (p<0.001) higher urinary and serum fluoride level than non-smelter workers; the nail fluoride content was also higher in smelter workers than non-smelter workers (p<0.001). The smelter workers with higher hemoglobin level had a significantly (p<0.001) lower urinary fluoride concentration and complained less frequently of health problems. Only 1.4% of the smelter workers were consuming water with high fluoride concentrations. A high percentage of participants was using substances with high fluoride contents. CONCLUSION: Industrial emission of fluoride is not the only important sources of fluoride exposure--consumption of substance with high levels of fluoride is another important route of entry of fluoride into the body. Measurement of hemoglobin provides a reliable indicator for monitoring the health status of employees at risk of fluorosis.

Investigation on fixed bed column performance of fluoride adsorption by sugarcane charcoal.

The present study explores the potentiality of sugarcane charcoal for fluoride removal from synthetic fluoride solution. Column adsorption experiments with respect to variation of flow rate, pH, initial concentration, and column depths were carried out. Sugarcane charcoal exhibited almost consistent scavenging capacity at various bed depths with a flow rate 4.34 ml min(-1). Maximum adsorption capacity of sugarcane charcoal was recorded 7.33 mg g(-1). The adsorption studies were simulated using Thomas and Bed depth service time model. Both the models consistently predict its characteristic parameters and describe the breakthrough profiles in the whole range of sorption process.

Assessment of indoor pollutants generated from bio and synthetic fuels in selected villages of Burdwan, West Bengal.

The objective of the present study was to access the pollutant generated from bio-fuels like bamboo sticks, cow dung, paddy straw, carbon dust cake, gobar gas, jute stick, and mustard stick and synthetic fuel like LPG during cooking in rural villages of Burdwan, West Bengal, India and its fluctuation in living room. The average SO2 released from the fuels was found in the following order: bamboo stick > cow dung > paddy straw > carbon cake > gobar gas > jute stick > LPG > mustard stick; NO2 emission was in the following order : mustard stick > carbon dust cake > paddy straw > cow dung cake > LPG, jute stick > gobar gas > bamboo stick > and SPM was obtained in the following sequence: cow dung cake > bamboo stick > carbon dust cake > gobar gas > LPG > mustard stick > paddy straw > jute stick, respectively. The highest living room to kitchen room (L/K) ratio of SO2, NO, and SPM was found in LPG, gobar gas, jute stick respectively in 2009 and followed by bamboo stick > paddy straw > jute stick > cow dung cake, respectively in 2010. Results of this study suggest that different fuels released different amount of air pollutants, but more extensive study is needed to confirm the relationship between fuels and released air pollutants.

Impact of combined exposure of chemical, fertilizer, bio-fertilizer and compost on growth, physiology and productivity of Brassica campestries in old alluvial soil.

Field experiment was carried out during November 2006 to February 2007 under old alluvial soil to evaluate the impact of combined dose of chemical fertilizer, biofertilizer in combination with compost for the yellow sarson (Brassica campestries cv. B9) in a randomized block design replicated thrice. Various morpho-physiological parameters viz., plant population, length of shoot and root, leaf area index (LAI), crop growth rate (CGR), net assimilation rate (NAR), yield attributes viz., number of siliquae per plant, number of seeds/siliquae, 1000 seed weight (test weight), seed yield, stover yield and physiological and biochemical parameters viz., pigment content, sugar, amino acid, protein, ascorbic acid content in physiologically active leaf were performed. The treatment T1 i.e., 40% less N fertilizer 25% less P fertilizer K fertilizer constant + 12 kg ha(-1) biofertilizer (Azophos) and organic manure (compost) @ 5Mt ha(-1), showed the maximum chlorophyll accumulation (10. 231 mg g(-1) freshweight), highest seed/siliquae (25.143), test weight of seeds (4. 861g) and highest seed yield (10.661 tha(-1)). A comparison between all the morphological, anatomical, physiological and biochemical parameters due to application of chemical fertilizer; bio-fertilizer and compost alone and in combination and their impact on soil microorganism, flora and fauna will throw a sound environmental information.

Assessment of noise level in Burdwan town, West Bengal.

Cities and towns of the world are now facing enormous rise of noise pollution problem due to very high population rise, transport congestion and associated commercial and industrial activities. Burdwan, a district headquarter (100 km away from Kolkata) is one such town where noise pollution is very frequent. In order to assess noise level, noise data were collected from various places of the town by sound level meter with a duration of 30 minutes/location during specified time like 6.00 am, 10.00 am, 1.00 pm, 4.00 pm and 6.00 pm. Most of the monitoring places either belongs to silence category or commercial category areas. From the tabulated data, it was found that sound level lies within the range of 64-85 dB or above in different time at different places. The locations that belong to the silence zone have the noise level up to 90 dB. Statistically noise level in all these zones differ significantly at their peak hours. Noise pollution adversely affects our environment as well as human beings. Sound causes both pathological and psychological disorders in human beings. Implementation of rules and regulations under section 20, 21J, 41, 68(I), 70, 90, 111A of Environment Protection Act, 1986 and of course various technological methods and public awareness are very essential to check noise pollution in Burdwan town.

Coverage of Maternal Care Services in the state of West Bengal.

Evaluation of the Coverage of Maternal Care Services was conducted during the year 1999 in the entire State of West Bengal, Urban poor localities of randomly selected three Municipal Corporation areas and 'high-risk' urban wards or villages of West Bengal that had reported AFP cases in 1998. It was observed that mothers who had three or more antenatal check-ups varied between 54% to 82% in different study areas. Tetanus Toxoid coverage varied between 83.5% to 93.4% being lowest in high-risk areas. Only a very small section of mothers (12.7% to 23.7%) consumed 100 or more Iron and Folic acid tablets during pregnancy. 'Danger Signs' of pregnancy were informed to only 21.1% to 38.2% of the pregnant mothers. Proportion of home deliveries varied between 16.7% (Calcutta) to as high as 72.7% (high-risk areas). Deliveries conducted by untrained personnel were 60.8% in high risk areas, 38.1% in State clusters and between 14.2% to 29.4% in the three urban areas. Vast majority of mothers (78.8% to 88.4%) received no post-natal check-up.