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.	鄭寶山，吳代赦，王濱濱等.導致燃煤型氟中毒流行的主要地球化學過程. 中國地方病學雜志，2005；24（4）：468～471.
2.	吳代赦，鄭寶山，王愛民.貴州省燃煤型氟中毒地區的氟源新認識. 中國地方病學雜志，2004；23（2）：135～137.
3.	閻雷生，汪晶. 燃煤型氟中毒的防制－改灶降氟的研究. 中華流行病學雜志，1991；12 (1)：40～43.
4.	于光前，孫殿軍.尿氟在地方性氟中毒防治中的意義. 中國地方病學雜志，2003；22（1）：78～80.
5.	張小波.重慶市武隆縣燃煤污染氟中毒防制效果分析. 中國地方病學雜志，2004；23 (6)：617～617.
6.	周金水，黃學敏，陳頴,等.浙江省農村改灶降氟后地方性氟中毒現況調查. 中國公共衛生，2005；21 (3)：320～321.
7.	汪梅，王希榮，賈茂.青崗嶺村2000年燃煤污染型氟中毒監測結果分析. 中國地方病防治雜志，2001；16 (6)：361～362.
8.	程曉天，王正輝，溫新平等.山西省1995-1999年燃煤污染型氟中毒監測結果分析. 中國地方病防治雜志，2001；16 (2)：115—116.
9.	楊偉，黃樸，楊曉艷.重慶市黔江縣燃煤型氟中毒現況調查結果分析. 中國地方病學雜志，2004；23 (2)：145～146.
10.	劉文，王仁禹, 郭先馳等.燃煤污染型氟中毒病區改灶降氟12年效果觀察. 中國地方病學雜志，1999；18 (4)：312～312.
11.	李達圣，王述全.貴州省織金縣燃煤污染型氟中毒病區7年監測分析. 中國地方病學雜志，1999；18 (5)：349～351.
12.	白廣祿，馬長安，劉曉莉等.改灶預防燃煤型氟中毒效果觀察. 中國地方病學雜志，2003；22 (6)：522～524.
13.	陳震，周紅, 賈成建.河南省陜縣燃煤型氟中毒病區改灶降氟效果調查. 中國地方病學雜志，2003；22 (1)：93～93.
14.	李啟貴，吳焰, 殷國清等.云南省富源縣燃煤型氟中毒防治效果分析. 中國地方病學雜志，2004；23 (1)：50～52.
15.	王晶珠，楊榮剛，劉祝.一樣期待兩種結果——重慶地氟病防治啟示錄. 健康報，2003年11月3日；第1版.
16.	賈成建，陳震，衛成.三門峽市燃煤污染型氟中毒病區改灶降氟效果調查. 中國地方病防治雜志，2002；17 (2)：108～109.
17.	孫玉富，孫殿軍.地方性氟中毒防治研究進展及今后工作意見. 中國地方病防治雜志，2004；19 (5)：277～280.
18.	溫同安，聶晶，羅正文等.龍里縣燃煤型氟中毒流行調查分析. 中國地方病學雜志，2003；22 (6)：576～576.
19.	陳寶群，李彥林, 白廣祿等.陜西省燃煤型氟中毒病區及改爐灶進展調查. 中國地方病學雜志，2003；22 (5)：434～436.
20.	羅正文，聶晶，張宏民等. 貴州省龍里縣健康教育與健康促進干預防制燃煤型氟中毒的效果分析. 中國地方病學雜志，2005；24 (3)：336～338.
21.	李達圣，安東，張銳智等.貴州鄉鎮中心與邊緣區燃煤型氟中毒流行病學調查. 中國地方病學雜志，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. 鄭寶山，吳代赦，王濱濱等.導致燃煤型氟中毒流行的主要地球化學過程. 中國地方病學雜志，2005；24（4）：468～471.
2. 吳代赦，鄭寶山，王愛民.貴州省燃煤型氟中毒地區的氟源新認識. 中國地方病學雜志，2004；23（2）：135～137.
3. 閻雷生，汪晶. 燃煤型氟中毒的防制－改灶降氟的研究. 中華流行病學雜志，1991；12 (1)：40～43.
4. 于光前，孫殿軍.尿氟在地方性氟中毒防治中的意義. 中國地方病學雜志，2003；22（1）：78～80.
5. 張小波.重慶市武隆縣燃煤污染氟中毒防制效果分析. 中國地方病學雜志，2004；23 (6)：617～617.
6. 周金水，黃學敏，陳頴,等.浙江省農村改灶降氟后地方性氟中毒現況調查. 中國公共衛生，2005；21 (3)：320～321.
7. 汪梅，王希榮，賈茂.青崗嶺村2000年燃煤污染型氟中毒監測結果分析. 中國地方病防治雜志，2001；16 (6)：361～362.
8. 程曉天，王正輝，溫新平等.山西省1995-1999年燃煤污染型氟中毒監測結果分析. 中國地方病防治雜志，2001；16 (2)：115—116.
9. 楊偉，黃樸，楊曉艷.重慶市黔江縣燃煤型氟中毒現況調查結果分析. 中國地方病學雜志，2004；23 (2)：145～146.
10. 劉文，王仁禹, 郭先馳等.燃煤污染型氟中毒病區改灶降氟12年效果觀察. 中國地方病學雜志，1999；18 (4)：312～312.
11. 李達圣，王述全.貴州省織金縣燃煤污染型氟中毒病區7年監測分析. 中國地方病學雜志，1999；18 (5)：349～351.
12. 白廣祿，馬長安，劉曉莉等.改灶預防燃煤型氟中毒效果觀察. 中國地方病學雜志，2003；22 (6)：522～524.
13. 陳震，周紅, 賈成建.河南省陜縣燃煤型氟中毒病區改灶降氟效果調查. 中國地方病學雜志，2003；22 (1)：93～93.
14. 李啟貴，吳焰, 殷國清等.云南省富源縣燃煤型氟中毒防治效果分析. 中國地方病學雜志，2004；23 (1)：50～52.
15. 王晶珠，楊榮剛，劉祝.一樣期待兩種結果——重慶地氟病防治啟示錄. 健康報，2003年11月3日；第1版.
16. 賈成建，陳震，衛成.三門峽市燃煤污染型氟中毒病區改灶降氟效果調查. 中國地方病防治雜志，2002；17 (2)：108～109.
17. 孫玉富，孫殿軍.地方性氟中毒防治研究進展及今后工作意見. 中國地方病防治雜志，2004；19 (5)：277～280.
18. 溫同安，聶晶，羅正文等.龍里縣燃煤型氟中毒流行調查分析. 中國地方病學雜志，2003；22 (6)：576～576.
19. 陳寶群，李彥林, 白廣祿等.陜西省燃煤型氟中毒病區及改爐灶進展調查. 中國地方病學雜志，2003；22 (5)：434～436.
20. 羅正文，聶晶，張宏民等. 貴州省龍里縣健康教育與健康促進干預防制燃煤型氟中毒的效果分析. 中國地方病學雜志，2005；24 (3)：336～338.
21. 李達圣，安東，張銳智等.貴州鄉鎮中心與邊緣區燃煤型氟中毒流行病學調查. 中國地方病學雜志，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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