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Some studies suggest fluoride concentrations in tap water are often below recommended levels, posing risks of dental caries and osteoporosis, while other studies indicate levels exceeding safe limits, posing health risks such as fluorosis.
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In Ogun State, Nigeria, the mean fluoride concentration in tap water was found to be 1.23 mg/L, which surpasses the World Health Organization (WHO) guidelines for drinking water. This high level of fluoride poses a significant health risk, particularly for infants, as indicated by the hazard quotient (HQ) values exceeding the accepted limit in 91% of the study region.
In the UAE, the fluoride concentration in tap water varied significantly across different emirates. The mean fluoride content was 0.14 mg/L, with Ajman showing the highest mean concentration of 0.3 mg/L. These levels are below the optimal fluoride concentration necessary to prevent dental caries, suggesting a need for dental professionals to consider fluoride supplementation.
In Belgium, the fluoride intake through tap water consumption was assessed, revealing regional differences. In Flanders, the mean fluoride intake was 1.4 mg/day, while in the Walloon region, it was 0.9 mg/day. These levels indicate that the probability of exceeding the upper limit of 7 mg/day via a normal diet is low, suggesting no immediate need to revise existing norms.
In the town of Cazma, Northern Croatia, the fluoride concentration in tap water was measured at 0.313 mg/L. This level is relatively low and suggests minimal risk of fluoride overexposure from tap water in this region.
In Chongqing urban areas, China, the fluoride concentration in tap water ranged from 0.100 to 0.503 mg/L, with an average of 0.238 mg/L. The study highlighted that the average daily fluoride intake from drinking water was inadequate, posing potential risks for dental caries and osteoporosis.
In the Gaza Strip, fluoride concentrations in tap water varied significantly, with low, moderate, and high fluoride levels averaging 0.21, 0.91, and 1.71 mg/L, respectively. The total daily fluoride intake increased with higher fluoride concentrations in tap water, with foods being the primary source of fluoride.
In Suzhou urban area, China, the fluoride content in tap water ranged from 0.267 to 0.336 mg/L, with an average of 0.304 mg/L. These levels are below the Chinese standard limit of 1.0 mg/L, indicating low fluoride exposure for the population.
In Poldasht city, Iran, fluoride concentrations in drinking water ranged from 0.27 to 10.3 mg/L, with an average of 1.70 mg/L. Over half of the samples exceeded the fluoride limit, posing significant health risks, particularly for young consumers and children.
In Thailand, fluoride levels in tap water from various regions were generally below 0.7 mg/L, with pH levels ranging from 6.81 to 8.37. These levels are within the WHO guidelines, indicating no immediate health risks from fluoride exposure in tap water.
In the rural district of Valea Râmnicului, Romania, fluoride concentrations in tap water varied from 0.01 to 0.138 mg/L. These low levels suggest minimal health risks from fluoride exposure in this region.
Fluoride concentrations in tap water vary significantly across different regions worldwide. While some areas, such as Southwestern Nigeria and Poldasht, Iran, exhibit high fluoride levels that pose health risks, other regions like Thailand and Romania have relatively low concentrations, indicating minimal risk. Monitoring and managing fluoride levels in tap water are crucial to prevent both dental fluorosis and dental caries, ensuring optimal public health outcomes.
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