Fluoride concentration in Peruvian salts determined with specific electrode by the direct method

According to the Peruvian legislation, salt for human consumption should contain 200-250 mg F/kg, but there is limited data showing whether this requirement is being accomplished. Aim: In this pilot study, we evaluated the fluoride concentration in samples of salt marketed in Lima, Peru, using a standardized protocol with ion-specific electrode by direct method (ISE). Methods: Seven 1 kg salt packages of four brands were purchased in two supermarkets of Lima. Six aliquots of each package were weighed and dissolved in the proportion of 0.025 g/mL of water. Duplicates of 1.0 mL of these solutions were mixed with 1.0 mL of TISAB II and fluoride concentration was determined with ISE calibrated with standards fluoride solutions ranging from 0.25 to 16.0 µg F/mL. The ionic strength of the standards was adjusted with p.a NaCL (25 mg/mL). In addition, triplicates of 15 g of each salt package were fractionated in a set of sieves (0.590 to 0.177 mm) to determine the homogeneity of fluoride concentration in salt. Results: In four packages the mean fluoride (mean±SD,n=6) concentration (mg F/kg) was in agreement to the Peruvian regulation (214.5±10.4; 221.8±14.3; 226.9±19.1 and 237.2±52.0 mg F/kg), but in 3 packages it was lower (145.2±7.9; 145.7±23.3 and 158.4±20.6 mg F/kg). Variability in fluoride concentration was observed within the same brand and among brands. Also, the fluoride concentration was not homogeneous in none of the salt samples, ranging from 72.0 to 1449.7 mg F/kg. Conclusion: The findings suggest that the manufacturing and sanitary surveillance of fluoridated salt in Peru should be improved

Sensitivity of two biomarkers for biomonitoring exposure to fluoride in children and women: A study in a volcanic area.

The natural enrichment of water with fluoride is related to natural sources such as volcanic activity, with it being documented that fluorosis, an endemic and widespread disease in volcanic areas, is associated to the ingestion of high levels of fluoride through water. Thus, in this study, we aimed to define the fluoride concentration in drinking waters of volcanic origin and compare the sensitivity of urine and nail clippings as biomarkers for fluoride exposure in adults and children. Samples of drinking water from four villages in São Miguel Island (Azores) were used and the fluoride concentration was determined, as well the fluoride content in urine and toenails clippings from 66 children and 63 adults from these villages. A validated diet questionnaire, assessing sources of fluoride, was recorded for each participant. The fluoride determination in urine and nail clipping samples was made using a fluoride-specific electrode. A positive correlation was found between the fluoride daily intake and fluoride content in children urine (rs = 0.475; p < 0.001) and in their nail clippings (rs = 0.475; p < 0.001), while in adult women, the fluoride daily intake correlated positively with fluoride content nail clippings (rs = 0.495, p < 0.001). This reveals that nail clippings are more reliable as biomarkers of chronic exposure to fluoride than urine for populations of different ages (children vs. adults). Furthermore, nail clippings are more suitable than urine fluoride levels to assess long term exposure to fluoride in areas where the exposure to fluoride in drinking water is considered within, or slightly above, the recommended legal values.