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《Occupation and Health》 2012-01
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A survey of epidemic situation on endemic fluorosis in Heze city of Shandong province

SUN Guo-dong,GAO Hong-xu,LU Xiao-di Shandong institute of endemic disease control,Shandong,250014,China  
[Objective]To understand the epidemic situation of endemic fluorosis in Heze city of Shandong province,provide the basis for control and prevention. [Methods]According to the requirement of the National technical scheme for endemic disease control,the Caoxian county,Mudan district,Shanxian county,Juye county and Yuncheng county in Heze city were selected as the monitoring spots.The villages of mild,medium and severe endemic area were collected from each monitoring spot as the key spots,and a total of 15 villages were sampled.The investigation included water fluoride content,the prevalence of dental fluorosis in children,the prevalence of clinical skeletal fluorosis in adults and urine fluoride content in population. [Results]Among 69 water samples collected from 15 villages of 5 county(district),water fluoride content of 56 samples exceeded the national standard(1.0 mg/L),and the over standard rate was 81.16%.In over standard samples,there were 26 of water fluoride content2.0 mg/L and 3 of 4.0 mg/L,and the maximum value of the water fluoride was 7.76mg/L.728 people were tested for the urine fluoride content,and the geometric mean of children(435 cases) and adults(293 cases) was 2.73 mg/L and 2.92mg/L respectively.679 children aged 8-12 years old received dental fluorosis examination.The detection rate of dental fluorosis was 50.81%(345/679),the rate of default type was 4.57%(31/679),and dental fluorosis index was 1.16.7 956 adults were examined for clinical symptoms and signs of endemic fluorosis,the detection rate of clinical skeletal fluorosis was 7.69%(612/7 956),and there were 175 medium and severe cases. [Conclusion]The over standard rates of water fluoride content is serious in Heze city,especially in villages without water improvement(including water improvement projects are abandoned).The urine fluoride content maintains at a high level,the prevalence of dental fluorosis and skeletal fluorosis are high,and there still exist the harm of high level of fluorine.Therefore,it is necessary to strengthen the effective and scientific measures of water improvement to reduce fluoride projects,so as to control the endemic fluorosis.
【CateGory Index】: R599
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