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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
………….

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

Skeletal Fluorosis
Jenu Veram Jenu Valgum

National Programme for Prevention and Control of Fluorosis
P.H.E.D. Declared
Fluoride effected Block (2010)
(More than 10 Village
effected in a Block)
Blocks /Place Surveyed
for Fluorosis Cases
Detection
(Fluoride contaminated
village/Habitation)
Newly affected
villages in the
year 2016-2017
Surveyed done
in the
year 2016-2017
Total case
surveyed
Clinically
found cases
Medicines
Distributed through
Sub Centre
10
17 Blocks
101 Villages
17 6 6993 4787
Sl No
PHED declared
Fluoridated village 2010
(More than 10 Village
affected in a Block)
1 Saltora
2 G-Ghati
3 Chattna
4 Indhpur
5 Bankura-II
6 Barjora
7 Taldangra
8 Simlapal
9 Hirbandh
10 Raipur

6993
4787
326
3313
4716
Graphical Representation :
Comparisons Among Different Types of Fluorosis Case Findings with
Clinically found Positive Cases
1 Total Persons Screened
2 Dental Fluorosis found out of 1
3 Skeletal Fluorosis found out of 1
4 Non-Skeletal Fluorosis Found
out of 1
5 No. of Sample above limit (>1PPM)
67.44 % Fluorosis Cases
Found (Clinically Positive)
Urine fluoride level more than 1 PPM

1. Meeting with PRI in GP level to make available alternative source
2. Ensure medicinal stock in each SC / PHC /BPHC
3. Primary diagnosis cases need to sent for Blood – Urine fluoride test including
drinking water to Fluorosis control lab in CMOH office campus .
4. Regular IPC by ASHA – ANM in house to house with health talk
5. Block MIES meeting consist of a part discussion on fluorosis – NCD programme.
6. Strict instruction to fluorosis case finding in OPDs and immediate medicinal
treatment to fluorosed pregnant mothers , children and other.
7. From OPD register a compiled report has to be submitted to District.
8. Demand fund for wall writing to District & ensure the UC after completion of
activities.
9. Sent name of untrained ANMs for training (17 progrmme block)
10. New plan of survey by camp mode in 3rd Phase will be intimated shortly.
11. Medical orthopedic aids and tri cycle will be given to fluorosis- crippled persons.
12. Introduce fluorosis- crippled persons in handicapped camp for disability
certification as orthopedic deformities confirmed by board member. Bone
deformities by fluoride also a orthopedics deformities.
13. Sent patient from bloc to medical college for further tertiary referral if needed

PHC O.P.D.
BPHC 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 On line demand should be placed to DRS Bankura.
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, CMOH Office
Campus, Tamblibandh, Bankura for blood & urine fluoride testing for referral cases
from Block & Hospital OPD.

Calcium with vit D3
(Chewable for school children )
Antiorident – Syrup , Tablate , Capsules as per convenient
Vitamin –C
Iron with folic acid / folate for pregnant –fluorosed mother to rise up Hb
level before & during pregnancy.
At least 3
months
doses is
required
with plenty
of water
intake –
avoid Tube
well water
– use
possible
surface
water

Dr dutta nppcf fluorosis_2nd half

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Dr dutta nppcf fluorosis_2nd half

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Dr dutta nppcf fluorosis_2nd half