helping severe fluorosis affected people
TRANSCRIPT
Helping Severely Fluorosis affected people
Safe Water and Better Nutrition
Can we help people at the critical stage ?
What does research say ?Dr Susheela: Vitamin C and Antioxidants help in resistance. Iron absorption can be increased by safe water -- Amla
Dr Chakma: Calcium and Vitamin D improvement can help in recovery of malnourished children --- Cassia Tora
Dr Khandare: Tamarind helps in detoxification
Dr Teotia: Fluorosis and Calcium deficiancy causes Ricket like condition which can be treated with safe water and better calcium -- Calcium supplementation
Dr Reddy: Calcium, Magnesium and Vitamin C help in better resistance --- Til Chikki, Pharma supplements
• Minimize intake of fluoride through water and food
• Increase intake of Calcium and ways of absorbing Calcium
• Reduce Fluoride impact within body through better nutrition of Vitamin C, Magnesium, and other nutrients
INREM works with fluorosis affected communities and tries to bring in people an understanding of their disease. We have a strong emphasis on proper detection of the disease and then developing technologies which can help people to alter their current behaviour.
Detect with visual symptoms and blood, urine fluoride and x-rays
5 years of experience in Jhabua, MP2010 till 2015
Within the geographical situation that people live in Jhabua and given problems of electricity and roads, we need to think of technologies which can be easily maintained and used. Also, those which can easily connect with people’s culture
With these in mind, INREM has developed a earthen pot filter which uses Activated Alumina (AA) for fluoride removal
People also adapted to using dug wells which have relatively lesser fluoride
Safe Water Options
Nutrition approach
a) Pharma supplements of Ca, Mg, Vitamin D3 and Zinc
b) Natural food rich In Calcium, Magnesium, Vitamin C: Amla (dried form and tablets), Soya, Til-Chikki, Cassia Tora (Puvadiya, Chakora)
c) Helping access to choosing good food from markets
d) Producing nutritious food with nutrition gardens
Combined approach of:
Amla tabletsCalcium, Magnesium supplements
Dried AmlaTil Chikki
Nutrition enhancement
Sr. No. Parameters Nutrient composition
1 Calcium 4480 mg/100 gm2 Iron 30 mg/100 gm
3 Magnesium 360 mg/100 gm
4 Crude Protein 25 gm/100 gm5 Vitamin C 93.68 mg/100 gm
Cassia tora cold dried leaves powderCassia Tora powderCassia Tora leaves
Nutrition gardens for better food
We help to have green leafy vegetables and other nutritious food which are good to develop resistance
Impact on children
2010 2014
Apart from this, several reported changes by several other children and adults in Fluorosis symptoms such as pain, gastric problems and weakness related to Fluorosis
Similar work through Fluoride network
Assam(WQ Resource centre)
Chittoor(OUTREACH programme)
Nalgonda & Prakasam(DFMC, UNICEF, NIN)
Hubli(FRRC)
Other initiatives in Raichur, Tumkur, Dhar, Sonbhadra, Gadchiroli, Singrauli, Nanded, ….
Jhabua, Dhar(INREM, PSI, VVS)
Other key activities through Fluoride network
A Public health manual for Fluorosis
A fluoride detection kit using mobile phone
An open data and knowledge platform on Fluoride and Fluorosisfor better learning
A communication material package for fluorosis
An active social media forum to exchange information
State policy briefs
and many other initiatives …
What can NPPCF do ?
Choose 30-40 highly affected districts
Choose 100 highly affected patients in each district
Start
A - nutrition supplement programmeB - Safe water information awareness
How
Get officers trained using knowledge resource of ICMR Fluorosis task force and use local resources which are available from Fluoride network
How will this help?
Reduction in pain
Reduction in painkillers like Aceclofenac
Reduction in gastric problems
Improvement in Blood hemoglobin
Other benefits
Communicate positive improvement of 100 patients to entire district and scale up
Framework
NPPCF officers coordinating at district level
ICMR task force, NIN giving knowledge guidance and training
INREM and Fluoride network giving support locally and in local solutions