Fluoride concentration in public water supply: 72 months of analysis

Known as one of the ten most important advances on Public Health in the 20th century, fluoridation of public water supply is a measure of wide population coverage, which is effective on caries control. The city of Araçatuba, in the Northwest region of the São Paulo state, Brazil, started public water supply fluoridation in 1972 and, based on the average annual highest temperature, has kept the fluoride concentration between 0.6 to 0.8 mgF/L. The purpose of this study was to analyze monthly the fluoride concentration in public water supply in the city of Araçatuba during 72 months. Water samples were collected monthly on weekdays, directly from the water distribution network, on pre-established locations and analyzed in duplicate between November 2004 and October 2010 at the Research Laboratory of the Nucleus for Public Health (NEPESCO) of the Public Health Graduate Program from Araçatuba Dental School/UNESP, Brazil, using an fluoride-specific electrode connected to an ion analyzer. From the total of samples (n=591), 67.2% (n=397) presented fluoride concentration between 0.6 and 0.8 mgF/L; 20.6% (n=122) below 0.6 mgF/L; 11.5% (n=68) between 0.8 and 1.2 mgF/L and 0.7% (n=4) above 1.2 mgF/L. Most samples showed fluoride levels within the recommended parameters. Minimal variation was observed among the analyzed collection locations, showing that the city has been able to control the fluoride levels in the public water supply and reinforcing the importance of surveillance and constant monitoring to assure the quality of the water delivered to the population.

Necesidades financieras del Decenio Internacional del Agua Potable y del Saneamiento Ambiental en América Latina = Financial demands of the International Drinking Water Supply and Sanitation Decade in Latin America

Incluye Bibliografía

Decenio Internacional del Agua Potable y del Saneamiento Ambiental: la situación en América Latina al comenzar el Decenio y las perspectivas para el futuro = International Drinking Water Supply and Sanitation Decade: the situation in Latin America on the eve of the decade and the prospects for the future

Incluye Bibliografía

Self-financing water supply and sanitation services

Includes bibliography

Avances hacia el logro de los objetivos del Decenio Internacional del Agua Potable y del Saneamiento Ambiental, 1980-1983 = Progress towards achievement of the goals of the International Drinking Water Supply and Sanitation Decade (IDWSSD), 1980-1983

Incluye Bibliografía

Aprovechamiento de los recursos hídricos: progresos realizados en la aplicación del Plan de Acción de Mar del Plata y el Decenio Internacional del Agua Potable y del Saneamiento Ambiental en América Latina y el Caribe = Water resource development: progress in the implementation of the Mar del Plata Action Plan and the International Drinking Water Supply and Sanitation Decade in Latin America and the Caribbean

Incluye Bibliografía

Códigos, reglamentos y normas sobre abastecimiento de agua, saneamiento y eliminación de desechos sólidos con especial atención a las necesidades de las comunidades de bajos ingresos en América Latina y el Caribe = Codes, regulations and standards on water supply, sanitation and solid-waste disposal with emphasis on low-income community requirements in Latin America and the Caribbean

Incluye Bibliografía

Abastecimiento de agua potable y saneamiento ambiental en América Latina y el Caribe con posterioridad a la Carta de Punta del Este = Drinking water supply and sanitation in Latin America and the Caribbean since Punta del Este

Incluye Bibliografía

Necesidades financieras del Decenio Internacional del Agua Potable y del Saneamiento Ambiental en América Latina = Financial demands of the International Drinking Water Supply and Sanitation Decade in Latin America

Incluye Bibliografía

Resolución 441(XIX): Apoyo al Decenio Internacional del Agua Potable y del Saneamiento Ambiental = Resolution 441(XIX): Support for the International Drinking Water Supply and Sanitation Decade = Résolution 441(XIX): Mesures d'appui à la Décennie internationale de l'eau potable et de l'assainissement

Publicado separadamete en cada idioma

Resolución 442(XIX): Medidas para promover el cumplimiento de los objetivos del Decenio Internacional del Agua Potable y del Saneamiento Ambiental en América Latina = Resolution 442(XIX): Measures to promote the achievement of the objectives of the International Drinking Water Supply and Sanitation Decade in Latin America = Résolution 442(XIX): Mesures destinées à faciliter la réalisation des objectifs de la Décennie internationale de l'eau potable et de l'assainissement

Publicado separadamete en cada idioma

Seven years of external control of fluoride levels in the public water supply in Bauru, São Paulo, Brazil

luoridation of the public water supplies is recognized as among the top ten public health achievements of the twentieth century. However, the positive aspects of this measure depend on the maintenance of fluoride concentrations within adequate levels. Objective: To report the results of seven years of external control of the fluoride (F) concentrations in the public water supply in Bauru, SP, Brazil in an attempt to verify, on the basis of risk/ benefit balance, whether the levels are appropriate. Material and Methods: From March 2004 to February 2011, 60 samples were collected every month from the 19 supply sectors of the city, totaling 4,641 samples. F concentrations in water samples were determined in duplicate, using an ion-speciflc electrode (Orion 9609) coupled to a potentiometer after buffering with TISAB II. After the analysis, the samples were classified according to the best risk-benefit adjustment. Results: Means (±standard deviation) of F concentrations ranged between 0.73±0.06 and 0.81±0.10 mg/L for the different sectors during the seven years. The individual values ranged between 0.03 and 2.63 mg/L. The percentages of the samples considered low risk for dental fluorosis development and of maximum benefit for dental caries prevention (0.55-0.84 mg F/L) in the first, second, third, fourth, fifth, sixth, and seventh years of the study were 82.0, 58.5, 37.4, 61.0, 89.9, 77.3, and 72.4%, respectively, and 69.0% for the entire period. Conclusions: Fluctuations of F levels were found in the public water supply in Bauru during the seven years of evaluation. These results suggest that external monitoring of water fluoridation by an independent assessor should be implemented in cities where there is adjusted fluoridation. This measure should be continued in order to verify that fluoride levels are suitable and, if not, to provide support for the appropriate adjustments.

Water supply and sanitation for the poor: the achievements of the International Drinking Water Supply and Sanitation Decade in Latin America and the Caribbean

Includes bibliography