Bihari Singh,
Jayant Kumar,
Prashant Chandra,
- Centre In-charge, Centre for Fluorosis Research, A.N. College, Patna, Bihar, India
- Project Associate, Water Quality Monitoring & Surveillance, Centre for Fluorosis Research, A.N. College, Patna, Bihar, India
- Consultant, National Programme for Prevention and Control of Fluorosis, Centre for Fluorosis Research, A.N. College, Patna, Bihar, India
Abstract
Two essential components of an Integrated Fluorosis Mitigation Programme include provision for regular supply of fluoride safe potable water to the fluorosis affected areas, and nutritional supplementation of Calcium, Vitamins, Iron, Protein and Antioxidants to fluorosis patients. Present study reports the experience of the authors gathered during their study on fluorosis problems in different fluorosis endemic areas of Bihar. They are fully convinced that of various methods available for providing fluoride safe water to fluorosis affected villages/habitations the simple, sustainable and easily acceptable by the beneficiary families- mostly rural poor families- may be either traditional surface water sources, rainwater harvesting techniques or some safe ground water source available in the nearby locality. Opting for a defluoridation technique should be the last choice. For nutritional supplementation our experience is that sahjana (Moringa oleifera)- its leaves, seeds and sticks- are rich in all the nutritional components (Calcium, Iron, Vitamins, Antioxidants etc.) required for fluorosis patients. Its inclusion in the daily meal items of the fluorosis patients have been found to be highly effective in mitigating the suffering of fluorosis patients and promoting their health conditions.
Keywords: Fluoride safe water, Traditional and sustainable methods, Rainfed dam water, Nutritional supplementation, Moringa oleifera body parts.
[This article belongs to Journal of Control & Instrumentation ]
Bihari Singh, Jayant Kumar, Prashant Chandra. Fluorosis- A Serious Health Problem which demands Sustainable Solution. Journal of Control & Instrumentation. 2025; 16(03):26-33.
Bihari Singh, Jayant Kumar, Prashant Chandra. Fluorosis- A Serious Health Problem which demands Sustainable Solution. Journal of Control & Instrumentation. 2025; 16(03):26-33. Available from: https://journals.stmjournals.com/joci/article=2025/view=232470
References
- Susheela AK. A Treatise on Fluorosis. New Delhi: Fluoride Research and Rural Development Foundation; 2018.
- Chandrajit R, et al. Chronic kidney diseases of uncertain etiology in Sri Lanka: geographical distribution and environmental implications. Environ Geochem. 2013;33:267.
- Strunecká A, Strunecký O. Neurotoxicity of fluoride: Autism Spectrum Disorders. In: 34th Conference of the International Society for Fluoride Research; 2018 Oct 18–20; Guiyang, P.R. China.
- Ministry of Health & Family Welfare, Government of India. National Programme for Prevention and Control of Fluorosis (NPPCF), Revised Guidelines. New Delhi: 2014.
- Panchayati Raj Department, Government of Bihar. List of districts and number of wards of Bihar, therein having fluorosis endemicity.
- Singh Bihari, Singh KK. Integrated Fluorosis Mitigation Programme for abatement of fluorosis in selected fluorosis endemic villages of Nawada district, Bihar. Fluoride. 2019;2(1):82.
- Chen et al. Change of urinary fluoride and bone metabolism indicators in the endemic fluorosis public water. BMC Public Health. 2013;13:156. Available from: http://www.biomedcentral.com/1417-2548/13/156
- Srikanth R, Gautam A, Jaiswal SC, Singh P. Urinary fluoride as a monitoring tool for assessing successful intervention in the provision of safe drinking water supply in five fluoride-affected villages in Dhar district, Madhya Pradesh, India. Environ Monit Assess. 2013;185(3):2343–50.
- American Public Health Association (APHA). Standard Methods for the Examination of Water and Wastewater. 23rd ed. Washington, DC: APHA; 2017.

Journal of Control & Instrumentation
| Volume | 16 |
| Issue | 03 |
| Received | 21/06/2025 |
| Accepted | 10/07/2025 |
| Published | 18/11/2025 |
| Publication Time | 150 Days |
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