APROPOS: Chitta Chowdhury's publication on fluorosis in Karnataka, covered by Time of India, 25th Feb 2016 (NITTE team), I would like to note the WHO prescribed limits of 1.5ppm F is not applicable to India and such hot countries with people consuming low nutritious food. Even 0.5ppm of F creates enough havoc in poor communities. We should be cautious in suggesting fluoridation of water. US and such societies are withdrawing water fluoridation. Could experts in the field respond please?
Dear All,
Yes, perhaps the Beareau of Indian Standards (BIS) should consider the permissible limit of Fluoride in drinking water as 1.0 mg/l without any relaxation.
Moreover, aiming at meaningful and participatory involvement of all stakeholders, an important aspect is the inter-sectoral convergence. For example, the Stakeholders working in the Nutrition Sector should consider the Food and their respective calorific value, with due importance on the impacts from the Fluoride content of drinking water. As an instance, Mid-day Meal Programme is sponsored by Government of India in Schools keeping in view of importance on Nutrition as well as to attarct students to school, but the qualities of drinking water in the locality of the school should also be taken into consideration, which may eventually help in achieving the desired impacts.
Thanking All
Regards.
Nripendra Kumar Sarma
Nagaon, Assam, India
The upper limit of F in India should not exceed 0.5ppm- kindly contact the researchers in the field- Dr Rajareddy, Dr Susheela, dr Arjun L Khandare. THis was discussed at UNICEF WASH meeting at Hyderabad and elswhere too.
Nutrition in fluorotic areas for children should also be to suite their special need (besides F free water) for Ca, Mg, Vit C, Vit D and protein. Supplementing with natural sources (food sources) is better as advised by Dr Susheela.
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