Health implications among school children due to fluoride in underground aquifers of Haryana state, India

Abstract

AbstractPotable water requirements for 98% of people in Haryana (India) are accomplished by groundwater resources. Considering the presence of high fluoride content in ground aquifers, and the subsequent problem of dental fluorosis, this study was conducted in the central region of Haryana state. Underground water samples at eight sites at three depths were examined during premonsoon and postmonsoon (2018–2020) to differentiate the impact of water recharging and its interaction with rocks. The SPADANS‐zirconyl oxychloride method (UV–vis spectrophotometer – Systronics 118) was adopted for fluoride‐level detection. The fluoride level in sampling sites varied from 0.19 to 2.87 ppm with a mean of 1.06 ppm in water samples. More than 38% of samples did not meet the optimum permissible limit (1 ppm) of fluoride in potable water. The fluoride level intensifies in postmonsoon samples with the maximum concentration at 40 m bgl depth. Estimated marginal mean statistics illustrate a significant impact of locations, depth of water sample, and monsoon season on fluoride levels. Fluorosis prevalence among school‐going children (N = 1600) was also assessed (Dean's index) to gain implications of fluoride concentration on health. Forty‐nine percent of children suffer from various levels of dental fluorosis with male children had high occurrences. Public health authorities must ensure safe drinking water availability and preventive measures for fluorosis prevalence in this region through defluoridation of water resources and distribution of calcium/ascorbic acid food supplement to school children.