Assessment of Fluoride in take in Endemic Areas of Ethiopia and potential use of Calcium Rich Foods in Mitigating Ingested Fluoride
No Thumbnail Available
Date
2014
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa
Abstract
E\-cl!ssil'e infake of fluoride is accompanied by a c:JUlNIclerislk sequence of changes ill l e",1I.
bUill' and periar'icular lisslies. Skeletal changes lead 10 a \'oriable degree of /ocomolOr
disability. rtll1ging .li'o/ll simple mechanical back pain (0 severe, crippling and neurological
illlpairlllelll. Fluorosis is (/n impUrllll'JI cliniced al!d public health prublem il/ several jJar/~ or
fhe world. Reports indicate Ihall.J million EthiopiallS dwelling ill £/hiopian Rift /;olley (I.:~. RV)
(Ire (1/ risk a/fluorosis.
III Elhiopia, l/tl!re (Ire sewra! studies reportillgJllloride COIl/ellf a/waler sOllrces while Ihaf of
die /lilY ill,ake aIfluoride is scarce. For fhe purpose ojprevelllioll and mitigatory measlires.
studies oj a/l pOlel1/ill/ fluoride sources (Ire il11jJortal1l. The knowledge and pracrice~ of
endemic cOlllllllmilies Oil eliology o/}luorosis IIIlIyalso help in ils mitigOliolllllld prerelllioll.
The objective oI this .I'ludy is therefore fO identify putell/iol }luuride SOI/rces, fluorusis risks
and to delermine fhe level of die tmy }luoride illtake lind its ejJecls fV suggest mitigatory
means of ingesred jluoride based on nlllritional ill/en'ention. Moreover Ihe assessmel/l of rhe
kllolt'ledge, all ifllde and pracI ices of endemic COlllllllll1ily 011 fluoride contallli/Utl iOll, jluorosis
lIlId prevenliol1 pracfices is used 10 devise coordill(lfed al/d tal'geled prel'el1fiolJ mechanisms.
Recollnaissance survey was conducted 10 idemify three waleI' sources /wvingjluoride COllfelll
ill Ihe range of 5-7mg/L (calise skelelal jluol'm"i.\) ji-Olll three dijJerem dief(uy al'el/S iI/
E1hiopian R!fi Valley. In Ihe os.\·eSSIIICI1f ./8 waler sources were rOlldolllly selected and
assessedjor /he level ojfllloride. alit afthose screened Bellli ill Female, !-Ill/akll;'/ Adami/IIIII
alld Koboclwbllre in Alaba \rere selected 10 slIldy jluoride illlake and Ihe ejJecr of lIutrienl
il1lake on jll/orosi.\". The selecrioll 0/ rhe waler source was based all service year (> lOyn),
fluoride lewl (5 .$: X .$: 7 mg/LJ and dietary pracrice 0/ the co/III/IItHiry's /Ising Ihe selecred
warer source. Foclls gl"Oup discllssions (FGD) were c:al/ducled in each selected dielOr)' areas
10 col/ect knowledge, allifllde and prac/ices (KAF) 0/ the endemic cOlI/lIUlI/ity 011 fluoride
illtake and jluorosis.
Index children and fheir bio{ogicallllOlhers were recruited /rom !lIe three cOI/I/J/llllilies. n,e
eligibility criteria for house/wId se/ec/iol1 were dwelling for I/Iore tllall 10 yeors. 11.1'(' of
.,e/ecred wafer source and 1II'lti/abilil)' of seI/Ool age c/lild ill tlte hOl/sehold. All eligible
Ito/lseholds who are l"ollll1feered /0 participate ill the s flldy were recl"llited lI11d il//ormed