Abstract
Chronic industrial fluoride toxicosis in the forms of dental, skeletal and non-skeletal fluorosis was investigated in 162 villagers (94 males and 78 females) above 15 years of age living in the vicinity of superphosphate fertilizer plants located approximately 12 km south of Udaipur city of Rajasthan, India. Out of these villagers, 90 (55.5 %) and 29 (18.0 %) were found to be afflicted with mild to severe dental and skeletal fluorosis, respectively. Dental fluorosis characterized with light to deep-brownish bilaterally striated horizontal lines, pits or patches and fine dots or granules was noted on incisor teeth of villagers. Irregular wearing, excessive corrosions (abrasions), dark-brownish pigmentation of exposed cementum and dentine material, diastem as between teeth, pronounced loss of tooth supporting bone with recession and bulging of gingiva (gum) were also present in subjects of older age group (>55 years). Among 29 (18.0 %) individuals, mild to moderate manifestations of skeletal fluorosis such as crippling, kyphosis, invalidism and genu-varum syndrome were found. In these fluorotic subjects pain/rigidity in major joints viz. neck, back, hip, knee and shoulder was also found. None of the fluorotic subjects showed evidence of genu-valgum syndrome. Other signs of chronic industrial fluoride intoxication in soft tissues (non-skeletal fluorosis) included colic, intermittent diarrhoea or constipation, bloating, polyuria and polydipsia. These findings indicate that surrounding environment of superphosphate fertilizer plants is contaminated with fluoride emission, which in turn is causing diverse ill health effects in humans which are discussed.
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Barriga, F. D., Quezada, A. N., Grijalva, M. I., Grimaldo, M., Rodrguez, J. P. L., & Ortiz, M. D. (1997). Endemic fluorosis in Mexico. Fluoride, 30(4), 233–239.
Bhavsar, B. S., Desai, V. K., Mehta, N. R., Vashi, R. T., & Krishnamachari, K. A. V. R. (1985). Neighbourhood fluorosis in western India part II: population study. Fluoride, 18(2), 86–92.
Carnow, B. W., & Conibear, S. A. (1981). Industrial fluorosis. Fluoride, 14(4), 172–181.
Choubisa, S. (1996). Radiological skeletal changes due to chronic fluoride intoxication in Udaipur district (Rajasthan). Pollution Research, 15(3), 227–229.
Choubisa, S. L. (1997). Fluoride distribution and fluorosis in some villages of Banswara district of Rajasthan. Indian Journal of Environmental Health, 39(4), 281–288.
Choubisa, S. L. (1998). Fluorosis in some tribal villages of Udaipur district (Rajasthan). Journal of Environmental Biology, 19(4), 341–352.
Choubisa, S. L. (1999a). Chronic fluoride intoxication (fluorosis) in tribes and their domestic animals. International Journal of Environmental Studies, 56(5), 703–716.
Choubisa, S. L. (1999b). Some observations on endemic fluorosis in domestic animals of southern Rajasthan (India). Veterinary Research Communications, 23(7), 457–465.
Choubisa, S. L. (2000). Fluoride toxicity in domestic animals in Southern Rajasthan. Pashudhan, 15(4), 5.
Choubisa, S. L. (2001). Endemic fluorosis in southern Rajasthan (India). Fluoride, 34(1), 61–70.
Choubisa, S. L. (2007). Fluoridated ground water and its toxic effects on domesticated animals residing in rural tribal areas of Rajasthan (India). International Journal of Environmental Studies, 64(2), 151–159.
Choubisa, S. L. (2008). Dental fluorosis in domestic animals. Current Science, 95(12), 1674–1675.
Choubisa, S. L. (2010a). Osteo-dental fluorosis in horses and donkeys of Rajasthan, India. Fluoride, 43(1), 5–10.
Choubisa, S. L. (2010b). Fluorosis in dromedary camels of Rajasthan, India. Fluoride, 43(3), 194–199.
Choubisa, S. L. (2010c). Natural amelioration of fluoride toxicity (fluorosis) in goats and sheep. Current Science, 99(10), 1331–1332.
Choubisa, S. L. (2012a). Status of fluorosis in animals. Proceedings of National Academy of Sciences, India Section B: Biological Sciences, 82(3), 331–339.
Choubisa, S. L. (2012b). Fluoride in drinking water and its toxicosis in tribals, Rajasthan, India. Proceedings of National Academy of Sciences, India Section B: Biological Sciences, 82(2), 325–330.
Choubisa, S. L. (2012c). Osteo-dental fluorosis in relation to chemical constituents of drinking waters. Journal of Environmental Science & Engineering, 54(1), 153–158.
Choubisa, S. L. (2012d). Toxic effects of fluoride on human bones. Advances in Pharmacology and Toxicolcolgy, 13(1), 9–13.
Choubisa, S. L. (2013a). Fluorotoxicosis in diverse species of domestic animals inhabiting areas with high fluoride in drinking waters of Rajasthan, India. Proceedings of National Academy of Sciences, India Section B: Biological Sciences, 83(3), 317–321.
Choubisa, S. L. (2013b). Fluoride toxicosis in immature herbivorous domestic animals living in low fluoride water endemic areas of Rajasthan, India: an observational survey. Fluoride, 46(1), 19–24.
Choubisa, S. L. (2013c). Why desert camels are least afflicted with osteo-dental fluorosis? Current Science, 105(12), 1671–1672.
Choubisa, S. L. (2014). Bovine calves as ideal bio-indicators for fluoridated drinking water and endemic osteo-dental fluorosis. Environmental Monitoring and Assessment, 186(7), 4493–4498.
Choubisa, S. L. (2015). Industrial fluorosis in domestic goats (Capra hircus), Rajasthan, India. Fluoride, 48(2), 105–112.
Choubisa, S. L., & Mishra, G. V. (2013). Fluoride toxicosis in bovines and flocks of desert environment. International Journal of Pharmacology and Biological Sciences, 7(3), 35–40.
Choubisa, S. L., & Sompura, K. (1996). Dental fluorosis in tribal villages of Dungarpur district (Rajasthan). Pollution Research, 15(1), 45–47.
Choubisa, S. L., Pandya, H., Choubisa, D. K., Sharma, O. P., Bhatt, S. K., & Khan, I. A. (1996a). Osteo-dental fluorosis in bovines of tribal region in Dungarpur (Rajasthan). Journal of Environmental Biology, 17(2), 85–92.
Choubisa, S. L., Sompura, K., Bhatt, S. K., Choubisa, D. K., Pandya, H., Joshi, S. C., et al. (1996b). Prevalence of fluorosis in some villages of Dungarpur district of Rajasthan. Indian Journal of Environmental Health, 38(2), 119–126.
Choubisa, S. L., Choubisa, D. K., Joshi, S. C., & Choubisa, L. (1997). Fluorosis in some tribal villages of Dungarpur district of Rajasthan, India. Fluoride, 30(4), 223–228.
Choubisa, S. L., Choubisa, L., & Choubisa, D. K. (2001). Endemic fluorosis in Rajasthan. Indian Journal of Environmental Health, 43(4), 177–189.
Choubisa, S. L., Choubisa, L., Sompura, K., & Choubisa, D. (2007). Fluorosis in subjects belonging to different ethnic groups of Rajasthan. Journal of Communicable Diseases, 39(3), 171–177.
Choubisa, S. L., Choubisa, L., & Choubisa, D. (2009). Osteo-dental fluorosis in relation to nutritional status, living habits and occupation in rural areas of Rajasthan, India. Fluoride, 42(3), 210–215.
Choubisa, S. L., Choubisa, L., & Choubisa, D. (2010). Osteo-dental fluorosis in relation to age and sex in tribal districts of Rajasthan, India. Journal of Environmental Science & Engineering, 52(3), 199–204.
Choubisa, S. L., Mishra, G. V., Sheikh, Z., Bhardwaj, B., Mali, P., & Jaroli, V. J. (2011a). Toxic effects of fluoride in domestic animals. Advances in Pharmacology and Toxicology, 12(2), 29–37.
Choubisa, S. L., Mishra, G. V., Sheikh, Z., Bhardwaj, B., Mali, P., & Jaroli, V. J. (2011b). Food, fluoride, and fluorosis in domestic ruminants in the Dungarpur district of Rajasthan, India. Fluoride, 44(2), 70–76.
Choubisa, S. L., Modasiya, V., Bahura, C. K., & Sheikh, Z. (2012). Toxicity of fluoride in cattle of the Indian Thar Desert, Rajasthan, India. Fluoride, 45(4), 371–376.
Desai, V. K., Saxena, D. K., Bhavsar, B. S., & Kantharia, S. L. (1988). Epidemiological study of dental fluorosis in tribal residing in fluorspar mines. Fluoride, 21(3), 137–141.
Franke, J., Rath, F., Runge, H., Fengler, E., Auermann, E., & Lenart, G. (1975). Industrial fluorosis. Fluoride, 8(2), 61–83.
Kumar, P. S., & Aravindakshan, C. M. (2015). Industrial fluorosis and its effects on serum biochemistry and haemogram in cattle of Kerala, India. Proceedings of National Academy of Sciences, India Section B: Biological Sciences, doi:. doi:10.1007/s40011-015-0524-y.
Mishra, P. C., & Pradhan, K. (2007). Prevalence of fluorosis among school children and cattle population of Hirakud town in Orissa. The Bioscan, 2(1), 31–36.
Moller, P. F., & Gudjonsson, S. V. (1932). Massive fluorosis of bones and ligaments. Acta Radiologica (Stockholm), 13, 269–294.
Murray, M. M. (1950). Industrial fluorosis. British Medical Bulletin, 7(1–2), 87–89.
Murray, M. M., & Wilsion, D. C. (1946). Fluorine hazards with special reference to some social consequences of industrial processes. Lancet, 2, 821–824.
Patra, R. C., Dwivedi, S. K., Bhardwaj, D., & Swarup, D. (2000). Industrial fluorosis in cattle and buffalo around Udaipur, India. Science of the Total Environment, 253, 145–150.
Roholm, K. (1937). Fluorine intoxication: a clinical-hygienic study, with a review of the literature and some experimental investigations. London:H. K. Lewis and Co..
Samal, U. N., & Naik, B. N. (1988). Dental fluorosis in school children in the vicinity of an aluminium factory in India. Fluoride, 21(3), 142–148.
Sharma, R., & Pervez, S. (2004). Study of dental fluorosis in subjects related to phosphatic fertilizer plant environment in Chhattisgarh state. Journal of Scientific and Industrial Research, 63, 985–988.
Susheela, A. K., Mondal, N. K., & Singh, A. (2013). Exposure to fluoride in smelter workers in a primary aluminum industry in India. The International Journal of Occupational and Environmental Medicine, 4, 61–72.
W. H. O. (1970). Fluorides and human health. Geneva:World Health Organization.
Wu, D., Zheng, B., Wang, A., & Yu, G. (2004). Fluoride exposure from burning coal-clay in Guizhou province, China. Fluoride, 37(1), 20–27.
Acknowledgments
The authors are grateful to the University Grants Commission, New Delhi, India for financial assistance [No.34-466/2008 (SR)]. They also wish to thank Dr. Zulfiya Sheikh, Associate Professor of Zoology, Government Meera Girls College, Udaipur and Pushkar Mali (Project Fellow) for their cooperation.
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Choubisa, S.L., Choubisa, D. Neighbourhood fluorosis in people residing in the vicinity of superphosphate fertilizer plants near Udaipur city of Rajasthan (India). Environ Monit Assess 187, 497 (2015). https://doi.org/10.1007/s10661-015-4723-z
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DOI: https://doi.org/10.1007/s10661-015-4723-z