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Last modified at 20/07/2016 14:49 by hfwnhm

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NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF FLUOROSIS​


INTRODUCTION

National Programme for Prevention and Control of Fluorosis is being implemented in Karnataka state during 2010-11 in two districts viz, Bellary and Mysore as pilot project. During 2011-12 this has been extended to Chikballapur, Davangere, Tumkur and Koppal. Further this programme is extended to 12 other districts viz, Bangalore Urban, Chitradurga, Kolar, Ramnagar, Shimoga, Bagalkote, Bijapur, Gadag, Raichur, Gulburga, Hassan, Mandya during 2013-14.
Below mentioned are 3 kinds of Metabolic dis-orders present in Children and as well as adult people irrespective of age and sex, who are being exposed to Fluoride intake more than 1PPM regularly through water,tooth paste, food which are rich in Fluoride and also this metabolic dis-order does not have any medicine or medicinal treatment, and this metabolic disorder is a socio-economic problem causer and leads to fatal complication if it persists in the human being. It could be only preventable and controllable through healthy balanced nutritious food intake and drinking fluoride free water.
There are 3 types of disorders due to the excess consumption of Fluoride: 
 Dental Fluorosis
 Skeletal Fluorosis 
 Non-Skeletal Fluorosis 


OBJECTIVES

 To create awareness about the adverse effects of consumption of excess fluoride in water.
 To motivate the communities to use only pure and clean water in daily usage.
 To sensitise elected representatives and Grama Panchayats about adverse effects of consumption of excess fluoride in water and to advocate provision of pure and clean water in daily usage.
 To promote rain water harvesting and safeguarding surface water to reduce the consumption of ground water in the long run.

ACTIVITIES PLANNED

Creating awareness among school children, teachers, health care deliverers, ASHAs, Anganawadi Workers, Members of self help groups, elected representatives, opinion leaders, Decision and Policy Makers at district and Taluka levels, Deputy Commissioner, Chief Executive Officer of ZillaPanchayat, Heads of water and sanitation, water supply and other line departments and media about adverse effects of consumption of excess fluoride in water and signs and symptoms of dental and skeletal fluorosis. 
 Regular Surveillance for fluorosis at schools and communities.  Quantitative and Qualitative analysis of Blood, Urine and Water samples for testing for Fluoride content at District Level Laboratory on dailybasis.
 Medical and Surgical Management of severely affected cases with appropriate referrals.

INTERVENTION STRATEGY

 Multipronged awareness programme by using all available mass, mid and inter personnel media 
 Advertisements, discussions, interviews, testimonials etc through electronic media like Television and Radio from state level. 
 Folk activities
 Publicity through posters, pamphlets, leaflets, hoardings etc. 
 Press advertisements and media releases.
 School visits and health check up of students to identify fluorosis affected children. 
 Capacity building of health care providers like health assistants and ASHAs to respond to the fluorosis issue. 
 Small group discussions and trainings of teachers, health care deliverers, ASHAs, Anganawadi Workers, Members of self help groups, elected representatives, opinion leaders etc.
 Advocacy meetings and workshops for decision and policy makers at district and Taluka levels, Deputy Commissioner, Chief Executive Officer of JillaPanchayat, Heads of water and sanitation, water supply and other line departments and media about adverse effects of consumption of excess fluoride in water, signs and symptoms of dental and skeletal fluorosis and to take up the responsibility of providing safe drinking water. 
 Collection of water samples, blood and urine samples from the communities for testing and analysis.
 Using the analysis for further planning, interventions, advocacy and midcourse corrections.
 Promotion of utilization of calcium and vitamin ‘C’ rich food to neutralize the adverse effects of fluoride and prophylaxis of calcium and vitamin ‘C’ provision appropriately.
 Medical and surgical interventions to the affected people to lead normal and useful life. 

JUSTIFICATION

The use of de-fluorinated water in the daily usage to prevent the fluorosisdisorders. The General Public is motivated to use only de-fluorinated water. Several Health Education and publicity activities on Fluorosis are taken up to create awareness regarding the use of only de-fluorinated water. State Government will conduct and co-ordinate approved programme activity and furnish quarterly financial and physical achievements as per prescribed format.

DELIVERABLES

Fluoride testing equipments for urine, blood and water sample container, reagents and other accessories are to be supplied to all districts lab to monitor the qualitative and quantitative analysis of Fluoride content at school and community level through health workers and Fluorosis consultants.