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Eighteen of Gujarats 26 districts have more fluoride concentration in their groundwater reserves than the permissible limit,leaving those who use groundwater prone to tooth decay and weak bones,says the latest State of Environment Report 2009.
According to the report,sanctioned by the Ministry of Environment and Forests,the affected districts are Ahmedabad,Amreli,Anand,Banaskantha,Bharuch,Bhavnagar,Dahod,Junagadh,Kutch,Mehsana,Narmada,Panchmahals,Patan,Rajkot,Sabarkantha,Surat,Surendranagar and Vadodara.
In some parts of India,groundwater has excessive amounts of the halide due to geological conditions. Rajasthan has the highest amount of fluoride in its groundwater,followed by the northern parts of Gujarat,Kutch and western parts of Ahmedabad district,said Dr Prabhakaran,Head of Orthopaedic department at Civil Hospital in Ahmedabad.
We come across a lot of patients with weak bones and skeletal fluorosis. In extreme cases,the mass of their bone marrows is reduced. It is mainly because we drink a lot of water from bore-wells with high fluoride content,which makes our teeth and bones weak, he said.
While the expenses incurred for treating tooth decay take up the highest percentage for overall healthcare costs in most industrialised countries,it is not so in India. But that doesnt mean that it is an inexpensive treatment.
Treatment of decayed teeth costs a patient an average of Rs 4,000 Rs 5,000 each year. Skeletal fluorosis,on the other hand,can be very expensive. A fracture can cost between Rs 20,000 Rs 30,000 to treat, said Dr Bharat Gadhavi,chief executive officer of HCG Medi Surge Hospital,Ahmedabad.
He added: We are digging deeper and deeper in the earth for water,and ironically,fluoride content is higher in groundwater extracted from deeper layers.
Although Fluoride a halide of the element fluorine is used in toothpastes to prevent tooth decay,it can also cause the same disease if used in excessive amounts. Excess intake of fluoride through water can also lead to skeletal fluorosis, which causes pain and damage to bones and joints,and increases susceptibility to fractures.
In many countries,fluoride is added to public water supply in sufficient amounts to prevent tooth decay,while in others like India it is not.
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