Survey Held In 18 Dists Shows Large Number Of People With Dental, Skeletal Damage High content of fluoride in drinking water in the state is not only causing skeletal damage but also non-skeletal damages including infertility and mental disorders. In the state, a total of 2,749 samples (up to August 2014) were taken from different sources of water in 18 different districts and 1,717 of them were found containing 1 ppm to 3 ppm of fluoride, while 314 contained 3 ppm-5 ppm and 99 of them contained more than 5 ppm of fluoride. According to health experts, 1 ppm to 1.5 ppm con centration of fluoride in water is the standard and recommended upper limit. Water with high fluoride content puts people at a risk of getting affected with gastric problems, mental retardation, paraplegia and burning sensation during urination. Health officers checked the content of fluoride in urine and found that out of 7,649 samples, 5,869 had fluoride more than 1 ppm, which is above the permissible level. “Fluorosis is a public health problem resulting in major health disorders like dental fluorosis, skeletal fluorosis and non-skeletal fluorosis besides inducing ageing. There are cases of infertility, mental disorders and others which we have found during the survey in areas with high fluoride content in drinking water,” Dr Ramavatar Jaiswal, state nodal officer for fluorosis, said. He said the harmful effects are permanent and irreversible in nature. A health department’s physical report on fluorosis releasing figures up to August 2014, shows that there are 4,850 suspected cases of non-skeletal fluorosis including cases of suspected cases of infertility due to fluorosis in different districts. In the survey, the health department conducted tests on more than 2,76 lakh people and found that 90,122 were suspected cases of dental fluorosis and 17,160 persons were suspected cases of skeletal fluorosis but it came as a shock for the health authorities when they found that there are cases of 4,850 suspected non-skeletal cases. Dr Jaiswal said they do not have separate figures of cases of infertility linked to fluorosis as they are included in suspected non skeletal cases. The other non-skeletal cases are persons suffering from swollen joints, muscular tenderness and systematic rigidity. The survey was conducted in 18 districts of the state. The highest number of non-skeletal cases were found in Jodhpur (2,262), Churu (1,325) and Jaipur (1,068). Rajasthan is one of the states with the best National Programme for Prevention and Control of Fluorosis (NPPCF) and the director general of the Union ministry of health is expected to visit the state soon.