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Fluorosisa public Health Problem

in BANKURA

Dr B Chakrabarti, ADHS (MPHWS)Dr J N Dinda, CMOH, Bankura

Mr. D Dutta, Consultant (Fluorosis), BankuraWest Bengal

e-mail:……………………………………..

National Institute of Nutrition, 28th - 29th July 2011

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Fluorosis; in West Bengal

In West Bengal Malda, Birbhum, Bankura, Purulia and South 24 Paraganas are affected.

Of them Purulia, Bankura, Birbhum & Daxin Dinajpur are worst affected.

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Demography of Bankura District

Area 6780 Sq. Km Population 3611350

(2011) Sub Division 3 CD Blocks 22 GPs 170 SCs 564 Medical Collage 1 SD Hospital 2 RH/BPHc 22 (5+17) PHC 70

Affected blocks 10 Population affected 15,

40,000 apx

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Visit of Laboratory, Medical College Bankura (19/07/2011)

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Visit of Ekteswar Primary School,Bankura-II (20/07/2011)

Dr. S.T. Pasha, Consultant (F) & the CMOH (Bankura) on visit

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Some victims

Jamda: Dipali Mishra 35

F rom Jamda Village

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Some more victims

Dental Fluorosis , Bankura –II

Jamda,Basudeb Majhi 60

Kamlagana (Bedepara)Gaju Badia 9

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Surface Water Mapping of Bankura District

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Fluorosis Affected BlocksBankura District

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Percentage of Fluoride affected village in 10 endemic Blocks in Bankura with fluoride concentration >1.5 mg/l

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Data Sheet of Fluoride affected villages in Bankura

District Blocks Total No. of villages

No. of village with fluoride

Contamination

% of contamina

tionBankura Sadar Sub-Division  

Bankura Bankura - I     UNKNOWNBankura Bankura-II 154 12 7.79Bankura Chhatna 278 14 5.03Bankura Onda     unknownBankura G-ghati 166 14 7.03Bankura Mejhia     UNKNOWNBankura Saltora 157 8 5.09Bankura Borjora 201 05 2.48

Bishnupur Sub-Division  Bankura Bishnupur     UNKNOWNBankura Kotulpur     UNKNOWNBankura Joypur     UNKNOWNBankura Sonamukhi     UNKNOWNBankura Patrasayer     UNKNOWNBankura Indas     UNKNOWN

Khatra Sub Division  Bankura Khatra     UNKNOWNBankura Sarenga     UNKNOWNBankura Taldangra 146 10 6.84Bankura Indpur 221 3 1.35Bankura Hirbandh 121 9 7.43Bankura Simlapal 103 70 67.96Bankura Ranibandh     UNKNOWNBankura Raipur 207 2 0.96

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Fluoride affected Tube Well : Report from Jan 2010 to May 2011,BANKURA (Source- PHED)

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Fluoride affected Tube Well : Report from Jan 2010 to May 2011, BANKURA (Source- PHED)

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Fluoride affected Tube Well : Report from Jan 2010 to May 2011,BANKURA (Source- PHED)

Our plan

Activity 1

Prevalence assessment

Exposure

assessment

Risk determinati

on

Risk manageme

nt

Activity 2

Strengthening

infrastructure

-Labs-Health system-Collaborating centres

Activity 3

Capacity building

Human

resource

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Activity - 1

Case managemen

t

1. Diagnosis2. Management3. Surgery4. Rehabilitation

Case surveillance

1. Active -> H-t-H2. Passive -> OPDs

Exposure assessment

PHE lab data

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Activity - 2

Strengthening of infrastructure

Laboratory

Collaborating centres

Health system

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1. District Lab/

Activity - 3

Capacity building

Human resource

1. Sensitizations / training of MOs2. Sensitizations / training of Lab Techs3. Sensitizations / training of paramedics 4. Capacity building- PRI/ community/ ASHA/ AWWs/ etc (IEC/ BCC)

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Objective and activity summeryBankura District,W.B,India  Objectives Time Duration

1Assess prevalence of Fluorosis in endemic areas of the district

Surveillance of Fluorosis cases will start after TOT training in Hyderabad(28th -29th july,2011)

2 Lab equipment Procurement of Lab Equipment Already done & installed: Ion-Meter. Procurement of other Lab Equipment under process.

3 lab diagnosis facilities

Will start by Aug 31st (after procurement of equipment and reagents)

4Training of medical & para-medical staffs district level

Will start soon after TOT (28th – 29th July,2011)

5One coordinating meeting at district level

Meeting already done October , 2010 / next during August 2011

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Medical management of Fluorosis cases including treatment, surgery, rehabilitation

It will run side by side along with the surveillance of Fluorosis cases following a plan manner.

7 Health education & publicity

Soon after the training of Medical Officer (1st week of September )

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Ultimate Goal To provide safe house hold water to

every citizen of Fluoride affected areas of Bankura, a constant pursuance is planned to be under taken through “Intersectoral co-ordination” with the NGOs, General Administration, PRIs, PHED and related agencies.

And get rid of Fluorosis……by 2015!

Thank you