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Skeletal Fluorosis in India & its Relevance to the West
While the elevated consumption of water in warm climates such as India along with the increased incidence of malnutrition make direct comparisons of the Indian experience to the “West” difficult, it is striking to observe how narrow the margin is between the doses which cause advanced fluorosis in India and the doses that people are now regularly receiving in fluoridated communities.
Skeletal Fluorosis in India & China
In India and China, scientists have repeatedly found that skeletal fluorosis occurs in populations drinking water with just 0.7 to 1.5 ppm fluoride. Although nutritional deficiencies and hot climates make populations in India and China more susceptible to fluoride toxicity than is generally the case in western countries, this fact does not remove the relevance of the Indian and Chinese experience to the situation in fluoridating countries. This is because (a) nutritional deficiencies also exist in the western world, particularly in low-income communities, and (b) some individuals, including those with kidney disease, can be just as — if not more — susceptible to fluoride toxicity.