Community Medicine (PSM) · Environmental Health (Water, Air, Sanitation, Radiation, Housing)

The permissible fluoride level in drinking water as per Bureau of Indian Standards (BIS: 10500) is:

  • A 1.0 mg/L (desirable limit); 1.5 mg/L (permissible limit in absence of alternate source)
  • B 0.5 mg/L (desirable); 1.0 mg/L (permissible)
  • C 1.5 mg/L (desirable); 3.0 mg/L (permissible)
  • D 2.0 mg/L flat limit with no distinction
Correct answer: A. 1.0 mg/L (desirable limit); 1.5 mg/L (permissible limit in absence of alternate source)

Explanation

BIS 10500 (2012 revision) specifies that the desirable limit for fluoride is 1.0 mg/L (adequate to prevent dental caries without causing fluorosis) and the permissible limit (acceptable only in the absence of an alternative water source) is 1.5 mg/L. The WHO guideline is also 1.5 mg/L. Levels above 1.5 mg/L cause dental fluorosis; levels > 3–4 mg/L over years cause skeletal fluorosis. The concept of a 'two-tier' limit is important — desirable does not equal permissible.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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