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Alleviation of fluorine toxicity in starting turkeys and chicks with aluminum.

Aluminum (Al) compounds were evaluated as fluorine (F) toxicity alleviators in starting broiler chicks and turkeys. Added F levels from NaF ranged from 0 to 1000 ppm, whereas Al levels varied from 0 to 800 ppm. Al was fed either as Al2O3 or Al2 (SO4)3.18H2O. When fed as the sulphate salt, 800 ppm of Al completely prevented the toxic effect of at least 1000 ppm of F. Al2O3 was not effective as an alleviator of fluorine toxicity. When the mode of action of Al2(SO4)3.18H2O against F toxicity was studied in colostomized turkeys it was apparent that F absorption occurred but was probably less efficient than previously reported in ruminants. Al significantly (P less than .05) reduced F absorption in turkeys. Urinary F levels were: 2.4 ppm in birds fed a control diet (26 ppm F), 17.8 ppm in birds fed a diet with 1000 ppm F, and 6.7 ppm in birds fed the high F diet with 800 ppm Al as the sulphate salt. In addition, data from this study indicated that starting broiler chicks were more tolerant (800 ppm F) than starting turkeys (600 ppm F) to fluorine toxicosis.

Aluminum↗

Fluoride, teeth and bone.

Fluoride therapy has been credited with remarkable success in reducing the incidence of tooth decay. Medium to high doses of fluoride have been used in the treatment of osteoporosis. The precise mode of action of fluoride on teeth and bone has yet to be elucidated. It is often assumed that, except in rare circumstances, plasma and extracellular fluid levels of ionic fluoride will not reach concentrations capable of interfering with the normal functioning of human cells. However, fluoride accumulates in skeletal tissues and may be concentrated in the surface layers of the lacunae and canaliculae of bone. Such a hypothetical mechanism may help to clarify the pathogenesis of the osseous lesions in skeletal fluorosis. This hypothesis should be tested in view of recent findings which show that sodium fluoride has a genotoxic effect on embryonic cell culture lines, and can interfere with DNA synthesis in human oral keratinocytes.

Animals↗

An outbreak of fatal fluoride intoxication in a long-term hemodialysis unit.

OBJECTIVE: To determine the cause of an outbreak of acute illness and death in a long-term hemodialysis unit. DESIGN: A retrospective cohort and case-control study of patients receiving hemodialysis and a laboratory study of a model deionization system to purify water for hemodialysis. SETTING: An outpatient hemodialysis unit of a university hospital. PATIENTS: 12 patients who became severely ill after hemodialysis treatment and 20 patients who did not become ill after receiving hemodialysis treatment in the same unit. MEASUREMENTS: Medical and dialysis unit records were reviewed to identify and characterize cases. Fluids for dialysis were tested for toxic substances, and fluoride was measured in patients' serum. Resistivity and fluoride were measured in effluent from a model deionization system operated in the same way as the system associated with illness. RESULTS: During five consecutive hemodialysis shifts, 12 of 15 patients receiving dialysis treatment in one room became acutely ill, with severe pruritus, multiple nonspecific symptoms, and/or fatal ventricular fibrillation (3 patients). None of 17 patients treated in the adjacent room became ill (P < 0.0001). Death was associated with longer hemodialysis time and increased age compared with other patients who became ill. Serum concentrations of fluoride in the sick patients were markedly increased to as high as 716 mumol/L, and the source of fluoride was the temporary deionization system used to purify water for hemodialysis only in the affected room. Operation of a model deionization system showed how fluoride was adsorbed and then displaced in a massive efflux. CONCLUSIONS: Because deionization systems are used widely in hemodialysis and can cause fatal fluoride intoxication, careful design and monitoring are essential.

Adult↗

Fluorosis in black-tailed deer.

Marked dental disfigurement and abnormal tooth wear patterns were observed in black-tailed deer (Odocoileus hemionus columbianus) taken from an area near an industrial fluoride source in northwestern Washington. Fluoride levels in the bones of these deer were from 10 to 35 times higher than levels in the bones of normal animals. These levels are similar to those associated with fluorosis of cattle.

Animals↗

Effects of fluoride emissions from a modern primary aluminum smelter on a local population of white-tailed deer (Odocoileus virginianus).

The influence of fluoride emissions from a modern aluminum smelter on concentrations of skeletal fluoride and dental fluorosis in a resident population of white-tailed deer was studied. The smelter was located on Mount Holly Plantation in South Carolina, and concentrations of skeletal fluoride in the deer collected at Mount Holly increased approximately five-fold 3 yr after the operation began. Increases in skeletal fluoride of less than two-fold were observed in deer obtained from Medway Plantation which has its nearest boundary 1.6 km from the smelter site. No dental fluorosis was observed in deer collected at Medway Plantation, but mild dental fluorosis was observed in a significant number of deer collected at Mount Holly Plantation. The dental fluorosis that was observed was not associated with incisor wear or with fluoride-induced molar wear. Osteofluorosis of mandibles or metacarpals was not observed in any of the deer obtained from either plantation. The data obtained from this study indicated that the presence of a modern aluminum smelter caused a detectable increase in concentration of skeletal fluoride in the resident population of white-tailed deer, but that no adverse health effects were seen.

Air Pollutants↗

Bone fluoride concentrations in beluga whales from Canada.

Beluga whales (Delphinapterus leucas) from the St. Lawrence Estuary have been reported to have dental and bone abnormalities. To determine whether these lesions could be caused by high exposure to fluorides, we measured bone fluoride levels in eight beluga whales stranded on the shores of the St. Lawrence Estuary (Quebec, Canada), and in nine beluga whales killed by Inuit hunters in the Hudson Bay (North Western Territories, Canada). In both groups, fluoride concentrations were higher than those found in terrestrial mammals intoxicated by fluorides. Unexpectedly, fluoride concentration was significantly higher in beluga whales from the Hudson Bay (mean +/- SD: 10.365 +/- 1.098 ppm) than in beluga whales from the St. Lawrence Estuary (4.539 +/- 875 ppm) and was positively correlated with age in the latter population. Differences in diet might explain the differences in fluoride concentrations found between these two populations.

Aging↗

Factors influencing the urinary fluoride level in subjects drinking fluoride-poor waters.

The influence on the urinary F level of the short-term consumption of drinking water of 1 mg/litre fluoride content, of the ingestion of low (1.0 to 2.0 mg) and higher (7.0 and 8.0 mg) fluoride doses and of tea has been studied. Excess fluoride is rapidly excreted with urine, and may disturb the results of urinary fluoride estimation. The urinary F level responds sensitively to the ingestion of fluorine.

Adolescent↗

[Accumulation and excretion of fluorine and effect of selenium on them in rats with chronic fluorosis].

2 groups of Wistar rats with chronic fluorosis were duplicated with 30 and 50 mg/L fluorine (F) in drinking water. 2. 0 mg/kg selenium (Se) in fodder was supplemented in the other 2 groups of rats with fluorosis. The amount of drinking water and diet, the excretion of urine and the contents of urine F were tendentiously surveyed every month in one year and then, intake and excretion of F were calculated per day. The contents of Se in urine, liver and serum and F in bone, liver, kidney and serum were measured in the 4th, 8th, and 14th month. The results showed that F absorption increased and F excretion/F absorption rate decreased in 2 groups of rats with fluorosis compared with control group and there were positive correlations between concentration of urine F and water F, as well as concentration of F urine and time of drinking F water. The accumulation of F in bone and liver occurred in the middle period of fluorosis and then, the increase of serum F was observed in the late period of fluorosis in 2 groups of rats with fluorosis. After supplement of Se, urine, liver and serum Se ascended. At the same time, state of eating and drinking improved, the weight rose and the amount of urine excretion heightened, as well as there was an increase of urine F and excretion F/absorption F rate and there was a decrease of bone, live, kidney and serum F in rat of Se supplementation with fluorosis compared with non-Se groups.

Animals↗

Systemic fluoride. Sources, amounts, and effects of ingestion.

Fluoride may be ingested from a variety of sources, including many foods and beverages. Fluoride intake varies greatly among individuals and is dependent on dietary constituents and use of fluoride products. Although ingestion of toxic amounts of fluoride is rare, the prevalence of dental fluorosis has increased in North America, suggesting that the levels of fluoride ingestion need to be closely monitored. Care should be taken to avoid excessive ingestion of fluoride dentifrice by preschool-aged children by placement of a small, pea-sized quantity on the tooth-brush. Dietary fluoride supplements should be considered a targeted, preventive procedure only for those at elevated caries risk, and before prescribing them, careful consideration should be given to other fluoride sources, including home and child-care water supplies, foods, and beverages.

Administration, Oral↗

[Evaluation on the effects of water defluoridation measures in China. Research Group Evaluation on the Effects of Water Defluoridation Measures in China].

In order to find out the situation of management and application of water defluoridation measures, as well as the effects on the prevention of endemic fluorosis in 10 provinces and cities with heavy endemic fluorosis from the drinking water sources, 1960 water engineering projects accounting for about 10% of all projects were investigated. The authors applied uniform method, criteria and forms to carry out the retrospective investigation. The data were entered into the computer database and analyzed statistically. The results demonstrate that all the defluoridation projects have significant effectiveness on the prevention of endemic fluorosis. The concentrations of water fluoride were below 1 mg/L. The prevalences of dental fluorosis were 30%-40% and the main type was light dental fluorosis. But with the time prolonging, less attention has been paid in man.

China↗