Lok Sabha Question No. 1093 (UNSTARRED), answered on 2020-02-07
Subject: Fluorosis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Magunta Sreenivasulu Reddy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1093 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## FLUOROSIS

## 1093. SHRI MAGUNTA SREENIVASULU REDDY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether many States are heavily affected with extreme fluoride in water causing fluorosis, if so, the details thereof, State/UT - wise including Andhra Pradesh;
- (b) whether the Government implements a National Programme for Prevention and Control of Fluorosis, if so, the details thereof;
- (c) the number of persons affected by fluorosis, including the children suffering from dental, skeletal and on- skeletal fluorosis in the country, State/UT - wise; and
- (d) the steps taken by the Government to save the people from contaminated drinking water and from such diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- ( a) : Yes.    As  per  the  latest  data  provided  by  the  States  in  Integrated  Managem Information System (IMIS) of Department of Drinking Water and Sanitation, there are 7, fluoride affected habitations including 261 habitations from Andhra Pradesh.  Details Annexure - I.
- ( b) : In order to tackle the problem of Fluorosis, the National Programme for Preventio and Control of Fluorosis (NPPCF) under the umbrella of National Health Mission (NHM) was initiated as a new health initiative in the 11 th Five year Plan ( 2008- 09).  At present, 157 districts  of  19  States  including  9  districts  of  Andhra  Pradesh  are  covered  under  N Under the programme, financial and technical support is provided to States/UTs includi Andhra Pradesh to strengthen their healthcare system s based on the requirements posed by the States/UTs in their Programme Implementation Plans (PIPs) within their overall res envelope.
- (c) : State/UT - wise  details  of  the  number  of  cases,  including  children,  suffering  f suspected Dental and Skeletal Fluorosis in the country is given at Annexure - II . No data for Non Skeletal Fluorosis is available.

(d): Government of India assists States by providing financial and technical assistance to provide potable water to rural population through the centrally s ponsored scheme Jal Jeevan Mission (JJM) of Department of Drinking Water & Sanitation. In March 2016, Department of Drinking Water & Sanitation with the recommendation of NITI Aayog, released a sum ₹ 1,000 Crore to various Arsenic & Fluorideaffected States  for installation of Community water purification plants and commissioning of piped water supply schemes.  Further, in March  2017,  National  Water  Quality  Sub - Mission  (NWQSM)  was  launched  as  a  part  of National Rural Drinking W ater Programme (NRDWP), which has now been subsumed under JJM, to provide safe drinking water to 27,544 Arsenic/ Fluoride affected rural habita the country.

In addition, to save the people from contaminated drinking water, the following are taken by the Government of India under the NPPCF Programme of Ministry of Health and Family Welfare:

- (i) Comprehensive management of Fluorosis cases in the affected areas by concerne district authorities;
- (ii) Capacity building for prevention, diagnosis and management of Fluorosis cases;
- (iii) Health  Education  and  Publicity  to  create  awareness  about  fluorosis  and awareness;

## Annexure - I

## The State - wise details of number of habitations having ground water source contaminated with fluoride

| S. No.   | State                     | No. of habitations   |
|----------|---------------------------|----------------------|
| 1.       | Andaman & Nicobar Islands | 0                    |
| 2.       | Andhra Pradesh            | 261                  |
| 3.       | Arunachal Pradesh         | 0                    |
| 4.       | Assam                     | 71                   |
| 5.       | Bihar                     | 551                  |
| 6.       | Chhattisgarh              | 265                  |
| 7.       | Goa                       | 0                    |
| 8.       | Gujarat                   | 0                    |
| 9.       | Haryana                   | 86                   |
| 10.      | Himachal Pradesh          | 0                    |
| 11.      | Jammu & Kashmir           | 4                    |
| 12.      | Jharkhand                 | 107                  |
| 13.      | Karnataka                 | 259                  |
| 14.      | Kerala                    | 29                   |
| 15.      | Ladakh                    | 0                    |
| 16.      | Madhya Pradesh            | 133                  |
| 17.      | Maharashtra               | 51                   |
| 18.      | Manipur                   | 0                    |
| 19.      | Meghalaya                 | 0                    |
| 20.      | Mizoram                   | 0                    |
| 21.      | Nagaland                  | 0                    |
| 22.      | Odisha                    | 90                   |
| 23.      | Puducherry                | 0                    |
| 24.      | Punjab                    | 319                  |
| 25.      | Rajasthan                 | 3,582                |
| 26.      | Sikkim                    | 0                    |
| 27.      | Tamil Nadu                | 0                    |
| 28.      | Telangana                 | 0                    |
| 29.      | Tripura                   | 0                    |
| 30.      | Uttar Pradesh             | 114                  |
| 31.      | Uttarakhand               | 0                    |
| 32.      | West Bengal               | 1,239                |
| Total:   | Total:                    | 7,161                |

## Annexure - II

## Suspected Cases of Dental and Skeletal Fluorosis Under National Programme for Prevention and Control of Fluorosis (NPPCF)

| S.N.   | State/UTs         | Community      | Community              | Community                | School         | School                 |
|--------|-------------------|----------------|------------------------|--------------------------|----------------|------------------------|
| S.N.   | State/UTs         | Total Examined | Suspected Dental Cases | Suspected Skeletal Cases | Total Examined | Suspected Dental Cases |
| 1      | Andhra Pradesh    | 163419         | 24120                  | 404                      | 20847          | 10128                  |
| 2      | Assam             | 37004          | 5333                   | 480                      | 3068           | 911                    |
| 3      | Bihar             | 8740           | 5270                   | 1606                     | 6250           | 1650                   |
| 4      | Chhattisgarh      | 6796           | 2579                   | 272                      | 2995           | 1115                   |
| 6      | Gujarat           | 9400           | 1320                   | 657                      | 48142          | 5473                   |
| 7      | Haryana           | 7853           | 2949                   | 66                       | 5476           | 2669                   |
| 8      | Jammu and Kashmir | N.A.           | N.A.                   | N.A.                     | N.A.           | N.A.                   |
| 9      | Jharkhand         | 4931           | 1378                   | 281                      | 12531          | 1506                   |
| 10     | Karnataka         | 1336380        | 553477                 | 199462                   | 1105938        | 401109                 |
| 11     | Kerala            | 21178          | 1475                   | 43                       | 64040          | 13084                  |
| 12     | Madhya Pradesh    | 44760          | 20532                  | 431                      | 73579          | 26078                  |
| 13     | Maharashtra       | 4424437        | 6011                   | 1355                     | 535504         | 4940                   |
| 14     | Odisha            | 102992         | 6663                   | 3728                     | N.A.           | N.A.                   |
| 15     | Punjab            | 38920          | 4612                   | 58                       | 32840          | 7297                   |
| 16     | Rajasthan         | 535449         | 247322                 | 39081                    | 314530         | N.A.                   |
| 17     | Tamil Nadu        | 41437          | 19948                  | 13834                    | 2471           | 16890                  |
| 18     | Telangana         | 12885          | 4920                   | 3223                     | 5119           | 2776                   |
| 19     | Uttar Pradesh     | 14876          | 3984                   | 588                      | 3734           | 2437                   |
| 20     | West Bengal       | 37147          | 12688                  | 9765                     | 39598          | 22731                  |
| Total: | Total:            | 6848604        | 924581                 | 275334                   | 2276662        | 520794                 |

## Notes: -

1. Asper Data Provided by States
2. 2.Data regarding Non -Skeletal Fluorosis is not available
3. 3.N.A. -Not Available.