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National Programme for Prevention and Control of Fluorosis
Points on Operational Guideline
Presentation: 1 Date:10/09/2015
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Dibyendu DuttaDistrict Consultant (NPPCF) Dept. of Health & F.W. Govt. of W.B
Research Scholar (Food & Nutrition Science )M. Sc ( Microbiology )
M. Sc (Community Dietetics & Nutrition Management)Master of Social Work
National Programme for Prevention and Control of Fluorosis Bankura
Fluorosis is a slow progressive crippling disease caused by excessive intake of fluoride > 1 P.P.M.
F L U O R O S I S
Dental Fluorosis (DF) Skeletal Fluorosis (SF) Non Skeletal Fluorosis(NSF)
Joint PainBack Pain
Osteoarthritis
Osteosclerosis
………….
National Programme for Prevention and Control of Fluorosis
D e n t a l F l u o r o s i s (DF) Chalky white or horizontal yellow or both patching
Dental enamel molting
Pitting of affected teeth
Training of untrained trainee will be done after receiving new allotment
Skeletal FluorosisJenu Veram Jenu Valgum
National Programme for Prevention and Control of Fluorosis
Medicine
Distribution
BPHC O.P.D.
PHC O.P.D.S/C
O.P.D Doctors
O.P.D Doctors
As per Line Listing by DFU
Community Demand forJoint Pain/Back Pain /
Arthritis Like symptoms/ NSF symptoms
Community Medicines Utilized for Fluorosis Case TreatmentCalcium with Vitamin D3Vitamin , AntioxidantVitamin- C
Direct Treatment for Prevent Fluoride Decomposition in Bone & Soft TissueEnhance Renal excretion of fluoride
Treatment for Anemia usually found in Fluorosis patient
Advice to prevent malnutrition by proper diet / Avoiding Fluoridated food intake
Urine – Fluoride / Serum -Fluoride test done at District Fluorosis Lab, Dept. of Biochemistry ,B.S.M.C & H. Lokepur , Bankura every Wednesday for referral cases from Block & Hospital OPD.
Laboratory Technician (NPPCF) Bankura Mobile No: 9614651426
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National Programme for Prevention and Control of Fluorosis
Normal Procedure of Maintaining Medicine stock Opening Balance + Received Amount
( As per necessity indent has to be placed in regular interval)
10 % 30 % 60 %
Stock maintained in Stock maintained Stock maintained
BPHC OPD cases in PHC for OPD cases in S/C for distribution
the medicines as per line listing / patient demand in S/C
Total Quantity
Proper Stock Register has to be maintained
BPHC OPD PHC OPD S/C
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National Programme for Prevention and Control of Fluorosis
Sl NO
Name of 17 fluorosis endemic block
1 Anchuri2 Chhatna3 Saltora4 Kanchanpur5 G-Ghati6 Mejhia7 Indhpur8 Hirbandh9 Khatra
10 Ranibandh11 Onda12 Taldangra13 Simlapal14 Sarenga15 Raipur16 Sonamukhi17 Barjora
ASHA , AWW ,PRI , SCHOOL TEACHERSSENSITIZATION DONE
ANM and untrained HS
SENSITIZATION DONE
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FORMS FOR FLUOROSIS SURVEY
Line Listing will be sent soon by
Email to concerned
B.P.H.C
National Programme for Prevention and Control of Fluorosishy¡L¥s¡ Sm¡ ü¡ÙÛÉ
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National Programme for Prevention and Control of Fluorosis Bankura National Programme for Prevention and Control of Fluorosis Bankura
Proforma for compilation of fluorosis cases in Community People Proforma for compilation of fluorosis cases in Community People
Entry Sheet No: Fluoride in Water Source (PHED): Entry Sheet No: Fluoride in Water Source (PHED):
Line Listing of Fluorosis Cases in Community People Line Listing of Fluorosis Cases in Community People
Name of Community: Hetiasol Community
Name of Block: Hirbandh Name of the GP: Molian Name of Village: Tentulia
Name of the Habitation: Tentulia Name of the S/C:
Pin Code: 722136 Date of Visit: 20.05.2015
Page-1 Page-2
Sl No: Name of the People Age Sex Head of the
Family
Status of Dental Fluorosis
(If Yes mark)
Type of Skaletal
FluorosisOther Manifestation Other Manifestation Sample Collection Medicine
Distribution
IEC/IPC(Done/
Not Done)
Refferal
Normal
Questionable
Very Mild
Mild
Moderate
Severe
Jenu Varam
Jenu Vulgu
m
Restricted Movment
Name of the Crippled/
Fixed Joints
Sl No
Constipatio
n
Headach
Polydepsia
Poly Urea
Depression/
Nourvousness/Anxity
Joint
Pain
Back
Pain
Sweelling of Knee
Tingling Sensetion in
Feet and Finger
Urine Sample Code
Urine Fluoride
Level(Mg/L)
Blood Sample Code
Blood Fluorid
e
Level(Mg/L)
Name of the Medicine
Quantity
For the Month
Reffer(Yes/No)
Reffer To:
Neck Sholder
Lumbe
r Spine
Pelvic
Joint
Knee
Joint
1 Sanjoy Bauri 28 M Sanjoy 1 TCU-1 0.42
2 Kalipada Bauri 45 M Kalipada Y 2 TCU-2 1.93
3 Dipu Sahis 18 M Methar Y 3 TCU-3 3.03
4 Janaki Bauri 70 M Janaki 4 TCU-4 1.82
5 Kokil Bauri 66 M Kokil 5 TCU-5 0.64
6 Pratima Bauri 55 F Sahadeb 6 Not Given ~~~~
7 Madan Bauri 80 M Madan 7 TCU-7 0.82
National Programme for Prevention and Control of Fluorosis
Line Listing Will try to sent within the 7 to 15 days possible.
National Programme for Prevention and Control of Fluorosis Bankura National Programme for Prevention and Control of Fluorosis Bankura
Proforma for compilation of fluorosis cases in School Children Proforma for compilation of fluorosis cases in School Children
Entry Sheet No: Fluoride in Water Source (PHED): Entry Sheet No:
Line Listing of Fluorosis Cases in School Children Line Listing of Fluorosis Cases in School Children
Name of the School: Mouchuriya Pri. School Name of the
Block: Saltora Name of the GP: Kanuri Name of Village: Gote-MouchuriyaPage-2
Name of the Habitation: Name of the S/C: Pin Code:722158 Date of Visit: 25-08-15
Name of the Head Master: Gurupada Maji Ph. No. 8116457507 Page-1
Sl No: Name of the People Age Sex Head of the
Family
Status of Dental FluorosisType of SkaletalFluorosis
Other Manifestation Other Manifestation Sample Collection Medicine Distribution
IEC/IPC(Done/
Not Done)
Refferal
Normal
Questionable
Very Mild
Mild
Moderate
Severe
Jenu
Varam
Jenu Vulgu
m
Restricted Movment
Name of the Crippled/
Fixed Joints
Sl No
Constipation
Headach
Polydepsia
Poly Urea
Depression/
Nourvousness/Anxity
Joint
Pain
Back Pain
Sweelling of
Knee
Tingling Sensetion in
Feet and Finger
Urine Sample Code
Urine Fluoride Level(M
g/L)
Name of the Medici
neQuantity For the
Month
Reffer(Yes/No)
Reffer To:
NeckSholder
Lumber
Spine
Pelvic Join
t
Knee Joint
1Priya Mondal 9F Narugopal √ √ 1 MPSU-1 3.93
2Peu Mondal 9F Bangshi √ 2 MPSU-2 1.28
3Bristi Mondal 9F Aloke √ 3 MPSU-3 0.87
4Arpita Mondal 9F Nirmal √ 4 MPSU-4 0.94
5Mousumi Mondal 9F Bablu √ 5 MPSU-5 1.06
6Barsha Mondal 9F Bablu √ 6 MPSU-6 1.11
7Tina Mondal 9F Dyamoy √ 7 MPSU-7 0.32
8Sibu Mondal 9M Abani √ 8 MPSU-8 0.46
9Pradip Mondal 9M Rabilochan √ 9 MPSU-9 0.59
10Bikram Bauri 9M Nabik √ 10 MPSU-10 0.83
11Rimpa Mondal 9F Madhusudan √ 11 MPSU-11 0.94
12Sandhya Mondal 9F Shibaram √ 12 MPSU-12 1.63
13Monalisha Mondal 9F Santosh √ 13 MPSU-13 2.08
14Barnali Mondal 9F Utpol √ 14 MPSU-14 1.52
15Rakhi Mondal 9F Bikash √ 15 MPSU-15 2.64
16Ritu Bauri 9F Subhas √ 16 MPSU-16 0.22
17Surajit Bauri 9M Goutam √ 17 MPSU-17 2.41
18Mrityunjoy Kha 9M Dulal √ 18 MPSU-18 0.52
National Programme for Prevention and Control of Fluorosis
Line Listing Will try to sent within the 15 days possible.
Some important points on General Office Administration
Letter receiving section at the BPHC , PHC and periphery should be maintained properly as per standing Govt. procedure.
To avoid the letter / Order / Written Intimation / Reports etc. receiving chaos at Block , the email also send from District Head Quarter should be docating at concerned Block HQ and send to concerned persons for N/A from BMOH/BPHN/Sr.PHN/Competent Authority and in some cases from his deputed officials.
Register copy may be utilized as per necessity for this purpose.
Request to all concerned
THANK YOU