Analysis of surveillance results of drinking-water-borne endemic fluorosis in Inner Mongolia Autonomous Region from 2009 to 2018 / 中华地方病学杂志

ABSTRACT

Objective:To master the operating situation of water-improvement, water fluoride content and the disease trends in drinking-water-borne endemic fluorosis areas in Inner Mongolia Autonomous Region.Methods:From 2009 to 2018, 30 diseased villages (Tun, hereinafter referred to as village) in 11 cities (districts, banners and counties) were selected as fixed monitoring sites in Inner Mongolia Autonomous Region for 10 consecutive years to investigate the operation status of the water-improvement project and water fluoride content; the prevalence of dental fluorosis in all children aged 8 to 12 in the monitoring sites were checked.Results:From 2009 to 2018, the water-improving rate of monitoring villages increased from 70.00% (21/30) in 2009 to 86.67% (26/30) in 2018, the ratio of beneficiary population raised from 82.94% (20 921/25 224) to 96.84% (18 513/19 118); the normal operation rate of water-improvement project increased from 85.71% (18/21) to 95.65% (22/23), and the water fluoride qualification rate of the water-improvement project increased from 61.90% (13/21) to 82.61% (19/23). The water fluoride content of the village with water-improvement project was 1.00 - 1.44 mg/L, and that of the village without water-improvement project was 2.15 - 2.69 mg/L. The water fluoride content of the village with water-improvement project was lower than that of the village without water-improvement project in each year ( P < 0.05). From 2009 to 2018, the total detection rate of dental fluorosis was 27.95% (2 610/9 339), the community fluorosis index was 0.56, and the epidemic intensity was marginal. There was significant difference in the detection rate of children's dental fluorosis between different years (χ 2 = 484.195, P < 0.05). There were statistically significant differences in the detection rate of dental fluorosis of villages with normal operation of water-improvement project and qualified water fluoride, villages with abnormal operation of water-improvement project or excessive water fluoride content, and villages without water-improvement (χ 2 = 210.73, 143.60, 22.67, P < 0.01). The results showed that the detection rate of children's dental fluorosis in the villages with normal operation of water-improvement project and qualified water fluoride content was lower than that in the villages with abnormal operation of water-improvement project or excessive water fluoride content and the villages without water- improvement ( P < 0.05). Conclusions:The improvement of water quality and the reduction of fluoride in Inner Mongolia Autonomous Region have achieved remarkable results, but there are still some water-improvement projects and villages with serious water fluoride exceeding the standard. The fluorosis has not been fully controlled, and it is still necessary to further strengthen the work of water-improvement, and the management and protection after water-improvement.