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Susheela A.K.,Fluorosis Research and Rural Development Foundation

A program emphasizing a greatly reduced intake of fluoride and the inclusion of essential nutrients in the daily diet during pregnancy led to a striking increase in hemoglobin, an improved body mass index, fewer low birth weight babies, and reduced numbers of pre-term deliveries. © 2010 The International Society for Fluoride Research Inc. Source

Susheela A.K.,Fluorosis Research and Rural Development Foundation
Indian Journal of Practical Pediatrics

In this update the types of fluorosis affecting different tissues / organs / systems in the body, their characteristics, how fluorosis can be suspected from the symptoms and how it can be confirmed based on the diagnostic procedures are discussed. After early diagnosis, complete recovery from fluorosis, is achieved by withdrawal of fluoride consumption through diet modification. Diet counselling to promote intake of nutrients, vitamins and antioxidants has been highlighted. Drugs are less effective in the recovery process. This article also deals with associated health problems due to fluoride toxicity such as anemia in pregnancy despite iron and folic acid supplementation and anemia in adolescent girls. This article also details the approaches for addressing fluorosis in children and the commonalities with iodine deficiency disorders (IDD). Source

Susheela A.K.,Fluorosis Research and Rural Development Foundation | Mondal N.K.,Fluorosis Research and Rural Development Foundation | Gupta R.,Fluorosis Research and Rural Development Foundation | Ganesh K.,Fluorosis Research and Rural Development Foundation | And 3 more authors.
Current Science

Anaemia in pregnancy and low birth weight babies, a serious public health problem, troubles India and several other nations. This article reports the results of a approach to address the issue. Women up to 20 week pregnancy with haemoglobin (Hb) 9.0 g/dl or less, those with urinary fluoride beyond 1.0 mg/l and not suffering from any other ailments, were selected. Out of the 205 pregnant women attending antenatal clinics (ANCs) during 1st and 2nd trimesters, the sample and control groups were selected through computerized random sampling procedure. Ninety pregnant women formed the sample group and 115 formed the control group. The sample group was introduced to two interventions, viz.: (1) removal of fluoride from ingestion through drinking water, food and other sources, (2) counselling based intake of essential nutrients, viz. calcium, iron, folic acid, vitamins C, E and other antioxidants through dairy products, vegetables and fruits. No intervention was introduced for the control group. Sample and control groups were monitored for urinary fluoride and Hb until delivery during their visits to ANC. Birth weight of the babies were recorded from the labour room register. Results reveal that (1) the urine fluoride levels decreased in 67% and 53% of the pregnant women respectively, who attended ANCs during 1st and 2nd trimester of pregnancy. (2) An increase in Hb upon withdrawal of fluoride followed by nutritional intervention in 73% and 83% respectively has also been recorded. (3) Body mass index (BMI) also enhanced. (4) The percentage of pre-term deliveries was decreased in sample group compared to control. (5) Birth weight of babies enhanced in 80% and 77% in sample group women who attended ANC in 1st and 2nd trimester respectively as opposed to 49% and 47% respectively in the control group. (6) The number of low birth weight babies was reduced to 20% and 23% respectively in sample as opposed to 51% and 53% in control groups. Source

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