Evaluation on the Effect of Improved Oven for Defluorination in China_Chinese Journal of Evidence-Based Medicine

Authors：

CHENG Ronglian , HAN Lin , WANG Xingming , YANG Yan , CAO Yong

Fuling Centre for Disease Control and Prevention in Chongqing, Fuling, 408000, China;

Corresponding author：

Keywords：

Coal-burning endemic fluorosis; Improved oven for defluorination; Prevention and control; Evidence-based medicine

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Objectives 　To analyze the effect of improved oven for defluorination in coal-burning endemic fluorosis areas in China, and to provide evidence for the prevention and control of fluorosis.
Methods 　Electronic databases including CNKI, CBM, VIP and CDMD-D (1989 to 2005), were searched. We also checked the reference lists of relevant articles. We selected relevant articles according to the predefined inclusion and exclusion criteria. The methodological quality was assessed . Data on room heat preservation and the effect of improved oven for defluorination were collected in the surveillance spots of Three Gorges Reservoir. Correlation analyses were conducted between the improved oven and its effect parameters.
Results 　Twelve articles of low quality met the selection criteria, of which 9 were graded C and 3 were graded D in terms of the methodological quality. A negative correlation was found between the decreasing rate of normal oven use and the decreasing rate of dental fluorosis as well as of urine fluorine (Pearson correlation coefficient r = – 0.87, – 0.63, P lt;0.01, lt;0.05, respectively). Analysis also revealed a positive correlation between room heat preservation and the decreasing rate of dental fluorosis as well as of normal oven use (the two Spearman correlation coefficients and P values were the same: r = –1.00, P lt;0.01).
Conclusion 　High-quality studies on the effect of improved oven for defluorination in China are not available. Based on the current evidence, the improved oven for defluorination and the correct use, maintenance and house rebuilding for heat preservation may help to prevent fluorosis.

Citation： CHENG Ronglian,HAN Lin,WANG Xingming,YANG Yan,CAO Yong. Evaluation on the Effect of Improved Oven for Defluorination in China. Chinese Journal of Evidence-Based Medicine, 2006, 06(8): 600-604. doi: Copy

1.	郑宝山，吴代赦，王滨滨等.导致燃煤型氟中毒流行的主要地球化学过程. 中国地方病学杂志，2005；24（4）：468～471.
2.	吴代赦，郑宝山，王爱民.贵州省燃煤型氟中毒地区的氟源新认识. 中国地方病学杂志，2004；23（2）：135～137.
3.	阎雷生，汪晶. 燃煤型氟中毒的防制－改灶降氟的研究. 中华流行病学杂志，1991；12 (1)：40～43.
4.	于光前，孙殿军.尿氟在地方性氟中毒防治中的意义. 中国地方病学杂志，2003；22（1）：78～80.
5.	张小波.重庆市武隆县燃煤污染氟中毒防制效果分析. 中国地方病学杂志，2004；23 (6)：617～617.
6.	周金水，黄学敏，陈頴,等.浙江省农村改灶降氟后地方性氟中毒现况调查. 中国公共卫生，2005；21 (3)：320～321.
7.	汪梅，王希荣，贾茂.青岗岭村2000年燃煤污染型氟中毒监测结果分析. 中国地方病防治杂志，2001；16 (6)：361～362.
8.	程晓天，王正辉，温新平等.山西省1995-1999年燃煤污染型氟中毒监测结果分析. 中国地方病防治杂志，2001；16 (2)：115—116.
9.	杨伟，黄朴，杨晓艳.重庆市黔江县燃煤型氟中毒现况调查结果分析. 中国地方病学杂志，2004；23 (2)：145～146.
10.	刘文，王仁禹, 郭先驰等.燃煤污染型氟中毒病区改灶降氟12年效果观察. 中国地方病学杂志，1999；18 (4)：312～312.
11.	李达圣，王述全.贵州省织金县燃煤污染型氟中毒病区7年监测分析. 中国地方病学杂志，1999；18 (5)：349～351.
12.	白广禄，马长安，刘晓莉等.改灶预防燃煤型氟中毒效果观察. 中国地方病学杂志，2003；22 (6)：522～524.
13.	陈震，周红, 贾成建.河南省陕县燃煤型氟中毒病区改灶降氟效果调查. 中国地方病学杂志，2003；22 (1)：93～93.
14.	李启贵，吴焰, 殷国清等.云南省富源县燃煤型氟中毒防治效果分析. 中国地方病学杂志，2004；23 (1)：50～52.
15.	王晶珠，杨荣刚，刘祝.一样期待两种结果——重庆地氟病防治启示录. 健康报，2003年11月3日；第1版.
16.	贾成建，陈震，卫成.三门峡市燃煤污染型氟中毒病区改灶降氟效果调查. 中国地方病防治杂志，2002；17 (2)：108～109.
17.	孙玉富，孙殿军.地方性氟中毒防治研究进展及今后工作意见. 中国地方病防治杂志，2004；19 (5)：277～280.
18.	温同安，聂晶，罗正文等.龙里县燃煤型氟中毒流行调查分析. 中国地方病学杂志，2003；22 (6)：576～576.
19.	陈宝群，李彦林, 白广禄等.陕西省燃煤型氟中毒病区及改炉灶进展调查. 中国地方病学杂志，2003；22 (5)：434～436.
20.	罗正文，聂晶，张宏民等. 贵州省龙里县健康教育与健康促进干预防制燃煤型氟中毒的效果分析. 中国地方病学杂志，2005；24 (3)：336～338.
21.	李达圣，安东，张锐智等.贵州乡镇中心与边缘区燃煤型氟中毒流行病学调查. 中国地方病学杂志，2004；23 (2)：138～141.
22.	Zhen BS, Wu DS, Wang BB, et al. Geochemical Process of the Prevalence of Coal-burning Endemic Fluorosis. Chinese Journal of Endemiology, 2005；24（4）：468-471.
23.	Wu DS, Zhen BS, Wang AM. A New Estimation of Fluoride Source in Coal-burning Endemic Fluorosis Areas of Guizhou Province. Chinese Journal of Endemiology, 2004；23（2）：135-137.
24.	Yan LS, Wang J. Prevention and Control of Coal-burning Endemic Fluorosis-Study on the Improved oven for Defluorination. Chinese Journal of Epidemiology, 1991；12 (1)：40-43.
25.	Yu GQ, Sun DJ. The Significance of Urinary Fluoride Content on the Endemic Fluorosis. Chinese Jouranl of Endemiology, 2003；22（1）：78-80.
26.	Zhang XB. Preventive Effects in Coal-burning Polluted Endemic Fluorosis Areas in Wulong County of Chongqing. Chinese Journal of Endemiology, 2004；23 (6)：617-617.
27.	Zhou JS, Huan XM, Chen Y, et al. Investigation on Present Situation of Endemic Fluorosis after Improving Cooking Stove in Rural Area of Zhejiang Province. Chinese Journal of Public Health, 2005；21 (3)：320-321.
28.	Wang M, Wang XR, Jia M. Analysis of the Monitoring Results in Coal-burning Polluted Endemic Fluorosis Area in Qinggangling Country in 2000. Chinese Journal of Control of Endemic Disenaces, 2001；16 (6)：361-362.
29.	Cheng XT, Wang ZH, Wen XP, et al. Analysis of the Monitoring Results in Coal-burning Polluted Endemic Fluorosis Areas in Shanxi Province in 1995-1999. Chinese Journal of Control of Endemic Disenaces, 2001；16 (2)：115-116.
30.	Yang W, Huang P, Yang XY. Analysis on the Present Situation of Endemic Fluorosis in Coal-burning Polluted Areas in Qianjiang County of Chongqing. Chinese Journal of Endemiology, 2004；23 (2)：145-146.
31.	Liu W, Wang RY, Guo XC, et al. Effect of Improved oven on Dental Fluorosis in Coal-burning Polluted Endemic Fluorosis Areas. Chinese Journal of Endemiology, 1999；18 (4)：312-312.
32.	Li DS, Wang SQ. Analysis of 7 Years’ Monitoring on Coal-burning Pollution Endemic Fluorosis in the State Test Spot in Zhijin County of Guizhou Province. Chinese Journal of Endemiology, 1999；18 (5) ：349-351.
33.	Bai GL, Ma CA, Liu XL, et al. Preventive Effects of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas. Chinese Journal of Endemiology, 2003；22(6)：522-524.
34.	Chen Z, Zhou H, Jia CJ. Investigation on the Effect of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas in Shanxian County of Henan Province. Chinese Journal of Endemiology, 2003；22 (1)：93-93.
35.	Li QG, Wu Y, Yin GQ, et al. Preventive Effects of Improved Oven in Coal-burning Polluted Endemic Fluorisis Areas in Fuyuan County of Yunnan Province. Chinese Journal of Endemiology, 2004；23 (1)：50-52.
36.	Wang JZ, Yang RG, Liu Z. The same expectation but two consequences —— Revelations from the Control of Endemic Fluorosis in Chongqing City. Healthnews, 2003, 11, 3；1st edition.
37.	Jia CJ , Chen Z , Wei C. Investigation on the Effect of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas in Sanmenxia City. Chinese Journal of Control of Endemic Disenaces, 2002；17 (2)：108-109.
38.	Sun YF, Sun DJ. Research Progress of Prevention and Treatment of Endemic Fluorosis and Work Intention. Chinese Journal of Control of Endemic Disenaces, 2004；19 (5)：277-280.
39.	Wen TA , Nie J, Luo ZW, et al. Investigation on the Prevalence of Endemic Fluorosis Caused by Coal-burning Pollution in Longli County. Chinese Journal of Endemiology, 2003；22 (6)：576-576.
40.	Chen BQ ,Li YL , Bai GL, et al. Investigation of Endemic Fluorosis in Coal-burning Pollution Areas in Shanxi Province. Chinese Journal of Endemiology, 2003；22 (5)：434-436.
41.	Luo ZW , Nie J , Zhang HM, et al. Analysis of the Effect of Health Education and Promotion Intervention for Controlling Endemic Fluorosis in Longli County, Guizhou Province. Chinese Journal of Endemiology, 2005；24 (3)：336-338.
42.	Li DS, An D, Zhang RZ, et al. Epidemiology of Endemic Fluorosis in the Town Central and Remote Villages of Guizhou Province. Chinese Journal of Endemiology, 2004；23 (2)：138-141.

1. 郑宝山，吴代赦，王滨滨等.导致燃煤型氟中毒流行的主要地球化学过程. 中国地方病学杂志，2005；24（4）：468～471.
2. 吴代赦，郑宝山，王爱民.贵州省燃煤型氟中毒地区的氟源新认识. 中国地方病学杂志，2004；23（2）：135～137.
3. 阎雷生，汪晶. 燃煤型氟中毒的防制－改灶降氟的研究. 中华流行病学杂志，1991；12 (1)：40～43.
4. 于光前，孙殿军.尿氟在地方性氟中毒防治中的意义. 中国地方病学杂志，2003；22（1）：78～80.
5. 张小波.重庆市武隆县燃煤污染氟中毒防制效果分析. 中国地方病学杂志，2004；23 (6)：617～617.
6. 周金水，黄学敏，陈頴,等.浙江省农村改灶降氟后地方性氟中毒现况调查. 中国公共卫生，2005；21 (3)：320～321.
7. 汪梅，王希荣，贾茂.青岗岭村2000年燃煤污染型氟中毒监测结果分析. 中国地方病防治杂志，2001；16 (6)：361～362.
8. 程晓天，王正辉，温新平等.山西省1995-1999年燃煤污染型氟中毒监测结果分析. 中国地方病防治杂志，2001；16 (2)：115—116.
9. 杨伟，黄朴，杨晓艳.重庆市黔江县燃煤型氟中毒现况调查结果分析. 中国地方病学杂志，2004；23 (2)：145～146.
10. 刘文，王仁禹, 郭先驰等.燃煤污染型氟中毒病区改灶降氟12年效果观察. 中国地方病学杂志，1999；18 (4)：312～312.
11. 李达圣，王述全.贵州省织金县燃煤污染型氟中毒病区7年监测分析. 中国地方病学杂志，1999；18 (5)：349～351.
12. 白广禄，马长安，刘晓莉等.改灶预防燃煤型氟中毒效果观察. 中国地方病学杂志，2003；22 (6)：522～524.
13. 陈震，周红, 贾成建.河南省陕县燃煤型氟中毒病区改灶降氟效果调查. 中国地方病学杂志，2003；22 (1)：93～93.
14. 李启贵，吴焰, 殷国清等.云南省富源县燃煤型氟中毒防治效果分析. 中国地方病学杂志，2004；23 (1)：50～52.
15. 王晶珠，杨荣刚，刘祝.一样期待两种结果——重庆地氟病防治启示录. 健康报，2003年11月3日；第1版.
16. 贾成建，陈震，卫成.三门峡市燃煤污染型氟中毒病区改灶降氟效果调查. 中国地方病防治杂志，2002；17 (2)：108～109.
17. 孙玉富，孙殿军.地方性氟中毒防治研究进展及今后工作意见. 中国地方病防治杂志，2004；19 (5)：277～280.
18. 温同安，聂晶，罗正文等.龙里县燃煤型氟中毒流行调查分析. 中国地方病学杂志，2003；22 (6)：576～576.
19. 陈宝群，李彦林, 白广禄等.陕西省燃煤型氟中毒病区及改炉灶进展调查. 中国地方病学杂志，2003；22 (5)：434～436.
20. 罗正文，聂晶，张宏民等. 贵州省龙里县健康教育与健康促进干预防制燃煤型氟中毒的效果分析. 中国地方病学杂志，2005；24 (3)：336～338.
21. 李达圣，安东，张锐智等.贵州乡镇中心与边缘区燃煤型氟中毒流行病学调查. 中国地方病学杂志，2004；23 (2)：138～141.
22. Zhen BS, Wu DS, Wang BB, et al. Geochemical Process of the Prevalence of Coal-burning Endemic Fluorosis. Chinese Journal of Endemiology, 2005；24（4）：468-471.
23. Wu DS, Zhen BS, Wang AM. A New Estimation of Fluoride Source in Coal-burning Endemic Fluorosis Areas of Guizhou Province. Chinese Journal of Endemiology, 2004；23（2）：135-137.
24. Yan LS, Wang J. Prevention and Control of Coal-burning Endemic Fluorosis-Study on the Improved oven for Defluorination. Chinese Journal of Epidemiology, 1991；12 (1)：40-43.
25. Yu GQ, Sun DJ. The Significance of Urinary Fluoride Content on the Endemic Fluorosis. Chinese Jouranl of Endemiology, 2003；22（1）：78-80.
26. Zhang XB. Preventive Effects in Coal-burning Polluted Endemic Fluorosis Areas in Wulong County of Chongqing. Chinese Journal of Endemiology, 2004；23 (6)：617-617.
27. Zhou JS, Huan XM, Chen Y, et al. Investigation on Present Situation of Endemic Fluorosis after Improving Cooking Stove in Rural Area of Zhejiang Province. Chinese Journal of Public Health, 2005；21 (3)：320-321.
28. Wang M, Wang XR, Jia M. Analysis of the Monitoring Results in Coal-burning Polluted Endemic Fluorosis Area in Qinggangling Country in 2000. Chinese Journal of Control of Endemic Disenaces, 2001；16 (6)：361-362.
29. Cheng XT, Wang ZH, Wen XP, et al. Analysis of the Monitoring Results in Coal-burning Polluted Endemic Fluorosis Areas in Shanxi Province in 1995-1999. Chinese Journal of Control of Endemic Disenaces, 2001；16 (2)：115-116.
30. Yang W, Huang P, Yang XY. Analysis on the Present Situation of Endemic Fluorosis in Coal-burning Polluted Areas in Qianjiang County of Chongqing. Chinese Journal of Endemiology, 2004；23 (2)：145-146.
31. Liu W, Wang RY, Guo XC, et al. Effect of Improved oven on Dental Fluorosis in Coal-burning Polluted Endemic Fluorosis Areas. Chinese Journal of Endemiology, 1999；18 (4)：312-312.
32. Li DS, Wang SQ. Analysis of 7 Years’ Monitoring on Coal-burning Pollution Endemic Fluorosis in the State Test Spot in Zhijin County of Guizhou Province. Chinese Journal of Endemiology, 1999；18 (5) ：349-351.
33. Bai GL, Ma CA, Liu XL, et al. Preventive Effects of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas. Chinese Journal of Endemiology, 2003；22(6)：522-524.
34. Chen Z, Zhou H, Jia CJ. Investigation on the Effect of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas in Shanxian County of Henan Province. Chinese Journal of Endemiology, 2003；22 (1)：93-93.
35. Li QG, Wu Y, Yin GQ, et al. Preventive Effects of Improved Oven in Coal-burning Polluted Endemic Fluorisis Areas in Fuyuan County of Yunnan Province. Chinese Journal of Endemiology, 2004；23 (1)：50-52.
36. Wang JZ, Yang RG, Liu Z. The same expectation but two consequences —— Revelations from the Control of Endemic Fluorosis in Chongqing City. Healthnews, 2003, 11, 3；1st edition.
37. Jia CJ , Chen Z , Wei C. Investigation on the Effect of Improved Oven for Endemic Fluorosis in Coal-burning Polluted Areas in Sanmenxia City. Chinese Journal of Control of Endemic Disenaces, 2002；17 (2)：108-109.
38. Sun YF, Sun DJ. Research Progress of Prevention and Treatment of Endemic Fluorosis and Work Intention. Chinese Journal of Control of Endemic Disenaces, 2004；19 (5)：277-280.
39. Wen TA , Nie J, Luo ZW, et al. Investigation on the Prevalence of Endemic Fluorosis Caused by Coal-burning Pollution in Longli County. Chinese Journal of Endemiology, 2003；22 (6)：576-576.
40. Chen BQ ,Li YL , Bai GL, et al. Investigation of Endemic Fluorosis in Coal-burning Pollution Areas in Shanxi Province. Chinese Journal of Endemiology, 2003；22 (5)：434-436.
41. Luo ZW , Nie J , Zhang HM, et al. Analysis of the Effect of Health Education and Promotion Intervention for Controlling Endemic Fluorosis in Longli County, Guizhou Province. Chinese Journal of Endemiology, 2005；24 (3)：336-338.
42. Li DS, An D, Zhang RZ, et al. Epidemiology of Endemic Fluorosis in the Town Central and Remote Villages of Guizhou Province. Chinese Journal of Endemiology, 2004；23 (2)：138-141.

Chinese Journal of Evidence-Based Medicine

Evaluation on the Effect of Improved Oven for Defluorination in China

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