Publications on Fluoride Toxicity & Fluorosis: On Human Subjects

Publications in Journals

  1. Anemia in Pregnancy: An Easily Rectifiable Problem. A.K.Susheela,Guest Editorial. Fluoride 43(2) 104 - 107, April - June 2010 Pdf available (click here)
  2. Effective Interventional Approach to Control Anemia in Pregnant women. A.K.Susheela, N.K. Mondal, Rashmi Gupta, Kamla Ganesh, Sashikant Brahmankar, Shammi Basin and G.Gupta. (Current Science, 2010) Pdf available (click here)
  3. Excess fluoride ingestion and thyroid hormone derangements in children living in Delhi, India. A.K. Susheela, M Bhatnagar, K.Vig, N.K. Mondal. Fluoride 38(2), 98-108, 2005.
  4. Fluorosis in developing countries: Remedial measures and approaches. By A.K.Susheela,  Proc. Indian Natn. Sci. Acad. (PINSA) B68, 389-400, 2002.
  5. Reversal of fluoride induced cell injury and disease (i.e. Fluorosis) through elimination of fluoride entry to the body and consumption of diet rich in essential nutrients and antioxidants, By A.K. Susheela and Madhu Bhatnagar.. Molecular and Cellular Biochem.234/235: 335-340. 2002
  6. Fluorosis - Early detection and Management: Importance of practising interventions with focus on consuming safe water and essential nutrients.  By A.K. Susheela. In: Heinz Nutrition Foundation India Publication, "In-Touch", Vol. 3, No. 3, October - December, 2001.
  7. Fluorosis management in India: the impact due to networking between health and rural drinking water supply agencies. In: Interdisciplinary Perspectives on Drinking Water Risk Assessment and Management. By A.K. Susheela and
    G. Ghosh Edi. Eric G. Reichard, Fred S. Hauchman and Ana Maria Sancha, IAHS Publication No. 260, 159 – 165, IAHS Press Oxfordshire OX 10 8BB. U.K., 2000.
  8. Fluorosis Management Programme in India. By A.K. Susheela. Current Science, Vol. 77 (10) : 1050-1256, 1999
  9. Structural Aberrations in Human Fluorosed Teeth: Biochemical and Scanning Electron Microscopic Studies. By A.K. Susheela , Madhu Bhatnagar, N. Gananasundaram and T. R. Saraswathy. Current Science, Vol. 77 (10): 1677 – 1681, 1999
  10. Gastroduodenal manifestations in patients with skeletal fluorosis.  By
    S. Dasarathy,  Taposh K. Das, I.P. Gupta, A.K. Susheela and R.K. Tandon.
     J. Gastroenterol 31: 333-337, 1996
  11. Circulating testosterone levels in Skeletal Fluorosis patients. By A.K. Susheela and Poonam Jethanandani. Clinical Toxicology, 34,2 : 1-7, 1996
  12. Safety of Ciprofloxacin therapy in children : Magnetic resonance images, body fluid levels of fluoride and linear growth. By K.M. Pradhan, N.K. Arora, A. Jena, A.K. Susheela and M.K. Bhan Acta. Prediatr, 84 : 1-6, 1995
  13. Fluoride ingestion in excess and its effects on organic and certain inorganic constituents of soft tissues. By P. Kharb and A.K. Susheela Med. Sci. Res, 22 : 43-44, 1994
  14. Serum haptoglobin and C-reactive protein in Human Skeletal Fluorosis. By
    A.K. Susheela and P. Jethanandani. Clin. Biochemistry., 27 (6) : 463-468, 1994.
  15. Toxic effects of chronic fluoride ingestion on the Upper Gastrointestinal Tract. T.K. Das, A.K. Susheela, I.P. Gupta, S. Dasarathy and R.K. Tandon. J. Clin. Gastroenterol, 18(3) : 194-9, 1994.
  16. .Prevalence of endemic fluorosis with gastro-intestinal manifestations in people living in some North-Indian villages. By A.K. Susheela, Arbind Kumar, Madhu Bhatnagar and R. Bahadur Fluoride, 26 (2): 97-104, 1993
  17. Fluoride as possible etiological factor in non-ulcer dyspepsia. By I.P. Gupta. T.K. Das, A.K. Susheela, S. Dasarathy and R.K. Tandon. Alimentary tract and pancreas :  Journal of Gastroenterology & Hepatology, 7 : 355-359, 1992
  18. Fluoride ingestion and its correlation with gastro-intestinal discomfort. By
    A.K. Susheela, Taposh K.Das. I.P. Gupta, R.K.Tandon, S.K. Kacker,P.Ghosh and R.C.Deka. Fluoride, 25 (1) : 5-22, 1992
  19. Effects of chronic fluoride toxicity on glucocorticoid levels in serum and urine. By Das T.K., and A.K. Susheela. Fluoride, 24 : 23-28, 1991
  20. Chronic fluoride toxicity and pituitary adrenal function. By Das T.K.and A.K. Susheela. Environ.Sci., 1: 57-62, 1991
  21. Chronic fluoride toxicity: A scanning electron microscopic study of Duodenal Mucosa. By A.K. Susheela and Taposh K. Das. Clinical Toxicology 26 (7) 467-476,1988.
  22. The Status of Sulphated Isomers of Glycosaminoglycans. By A.K. Susheela, Kamal Sharma, B.P. Rajan and N. Gnanasundaram Human Dental Fluorosis: Arch. Oral Biol. 33(10): 765-767, 1988.
  23. Circulating levels of Sialic Acid and Glycosaminoglycans: A Diagnostic Test for Ankylosing Spondylitis. By A.K. Susheela, Taposh K. Das, Jasvir S. Khurana.
    A. Jayaswal and P.K. Dave. Annals of the Rheumatic Diseases, 47, 10, 1988.
  24. Adenyl Cyclase activity following Fluoride ingestion. By A.K. Susheela and Manohar Singh. Toxicol Letters, 10: 209-212, 1982.
  25. Fate of Fluoride following its administration into a Biological System – An in vivo study. By A.K. Susheela, Y.D. Sharma, Mohan Jha, M. Singh, B. Jagannath and S.K. Jain. Fluoride 15, 4: 173-177, 1982.
  26. On the significance of Sialic Acid and Glycosaminoglycans in the serum of Fluorosed Human Subjects. By A.K. Susheela and Mohan Jha. Fluoride, 15,4: 202-207, 1982.
  27. Fluoride poisoning and the effect on Collagen Biosynthesis. By A.K. Susheela and D. Mukherjee Toxicological European Research. Vol. III, 2: 99-104, 1981.
  28. Effect of Fluoride ingestion on Sialic Acid content of Bone and serum. By A.K. Susheela and Mohan Jha. IRCS Med. Sci. Biochem. 9: 898, 1981.
  29. Chemical Profile of Human Serum in Fluoride toxicity and Fluorosis 1. Total Protein, Bound Carbohydrates, Seromucoid and Fluoride Levels. By A.K. Susheela, Y.D. Sharma, Mohan Jha, K. Rajalakshmi and N.V. Rama Mohan Rao. Fluoride 14: 150-154, 1981.
  30. Juvenile Muscular Atrophy localized to arms. By Naunihal Singh, Kuldip Sachdeva and A.K. Susheela. Arch. Neurol. 37: 297, 1980
  31. The muscle. In. Symposium on the Non-skeletal Manifestations of Chronic Fluoride Toxicity. By Kaul R.D. and A.K. Susheela. Fluoride 9: 9, 1976.
  32. Adenyl Cyclase activity in Duchenne Dystrophic Muscle. By A.K. Susheela.
    J. Neurol. Sci. 24: 361, 1975.
  33. A Note on Histochemical Distribution of Fiber Types in some human muscles – A study on Autopsy material. By A.K. Susheela and Walton J.N.  J. Neurol. Sci. 8 : 301, 1969.
  34. Free fatty acid concentrations in Normal and Diseased Human Muscle and in blood sera from patients with Neuromuscular diseases. By A.K. Susheela. Clin. Chim. Acta, 22 : 219, 1968.
  35. Structural and Enzymatic changes in muscle due to aging. By A.K. Susheela. Nature 204 : 296, 1964.
  36. Evidence for the Longitudinal Division of Skeletal Muscle Fibers. By A.K. Susheela. Die Naturwissenschaften , Vol 16, S.391, 1964

List of Books

  1. Handbook on Planning and Implementation of Water Supply Programme in Fluorosis Endemic Areas in India, 2009”. A Multi-Author Contribution. Editor. A.K. Susheela  Published by Fluorosis Research & Rural Development Foundation, Delhi - 92
  2. Fluorosis: Prevention and Control: Information for Diet Supplementation. 2009 Editor. A.K. Susheela. Published by Fluorosis Research & Rural Development Foundation, Delhi - 92
  3. Treatise on Fluorosis: 3rd Revised Edition. 2007. Editor. A.K. Susheela. Published by Fluorosis Research & Rural Development Foundation, Delhi - 92
  4. Fluoride poisoning: Effects on Health. (IEC Material for Community level Functionaries. 2006. Editor. A.K. Susheela. Published by Fluorosis Research & Rural Development Foundation, Delhi - 92
  5. Doctor's Handbook on Fluorosis, 1st Edition, July 2005. Editor. A.K. Susheela. Published by Fluorosis Research & Rural Development Foundation, Delhi – 92 (sponsored by Ministry of Health & Family Welfare, GOI)
  6. State of Art Report on extend of fluoride in drinking water and resulting endemicity in India. 1999. By A.K. Susheela. Published by UNICEF, Delhi

Chapters in Books

  1. Adverse health effects of fluoride in drinking water with special reference to children and remedial measures. In water quality management. By A.K.Susheela, South Asia perspective: Vision 2005. Published by International Life Science Institute, 2002
  2. Early detection of Fluorosis in children by A.K. Susheela. Up-date series 5. Centre for Research on Nutrition Support System, Nutrition Foundation of India, New Delhi, 2000.
  3. Fluorosis management in India: the impact due to networking between health and rural drinking water supply agencies. By A.K. Susheela and G. Ghosh.
     In: Interdisciplinary Perspectives on Drinking Water Risk Assessment and Management. Edi. Eric G. Reichard, Fred S. Hauchman and Ana Maria Sancha, IAHS Publication No. 260, 159 – 165, IAHS Press Oxfordshire OX 10 8BB. U.K., 2000.
  4. Epidemiological studies of health risks from drinking water naturally contaminated with fluoride. By A.K. Susheela. In : Assessing and Managing health risks from drinking water contamination : Approches and Applications. Edi. by Eric G. Reichard &Giovanni A. Zapponi. IAHS Publication No.233/SSN.0144-7815 IAHS Press Wallingford- Oxfordshire –OX10 8 BB. U.K..1995
  5. Fluorosis in disabled village children. By A.K. Susheela.  A guide for community health workers, rehabilitation workers and families. By David Warner, adapted for India and published by Voluntary Health Association of India. 1994.
  6. Studies on some aspects of Fluorosis. by A.K. Susheela In. Recent trends in Nutrition, Gopalan C.ed. New Delhi. Oxford Univ. Press., 12 : 143-157, 1993
  7. Skeletal Diseases: Fluoride. By A.K. Susheela In: Environmental Series, WHO Publication, 1987
  8. Erythrocyte Membrane Abnormality and Echinocyte formation.  By A.K. Susheela and Suresh K. Jain Proceedings of the 14th Conference of the International Society for Fluoride Research, Japan. Publisher: Elsevier Publishing House, Amsterdam, 1986.
  9. The Harmful effects of Fluoride pollution in India. By A.K. Susheela. In: Natural Resources Forum – Published by the United Nations, 9,3, ISSN 0165-0203, 1985
  10. Fluoride Toxicity: A molecular Approach. By A.K. Susheela, Jasbeer Koacher, Suresh K. Jain, Kamal Sharma and M. Jha. In: Fluoride Toxicity, ISFR publication, Edi. A.K. Susheela, 1985.
  11. Biophysical and Morphometric study of Bone Tissue in Endemic Fluorosis. By C.A. Baud, S. Bang, G. Bovin and A.K. Susheela In: Fluoride Toxicity, ISFR publication, Edi. A.K. Susheela, 1985.
  12. Fluoride and Calcified Tissues. In: Fluorosis Research Strategies. By A.K. Susheela, Mohan Jha, Jasbeer Koacher and S.K. Jain. Edi. S. Likimani, published by African Medical and Research Foundation, Nairobi, Kenya, 1984.

M.D. Thesis of AIIMS

  1. Effect of fluoride contamination in drinking water on human spermatozoa: Light and electron microscopic study. By C.C. Soundaram, A.K. Susheela, M. Bhatnagar, D. Takkar, K.K. Roy and A. Kriplani. 1998

Endowment Lectures:

  1. V.Raman Endowment Lecture by A.K. Susheela in the 38th Annual Convention of Indian Water Works Association (IWWA), Jaipur; January 2006.


  1. Scientific evidence on adverse effects of fluoride on human tissues due to (1) Fluoride contaminated water (2) Fluoridated dental products and (3) Fluoride therapy: A document (compilation of the most significant scientific data from researches carried out in India in recent years) presented to the British Parliament MPs and Lords of the House of Commons and Minister of Health and her Advisors, October, 1998. By A.K. Susheela

In Conference Proceedings

  1. Fluorosis Control Programme in India. Proceedings of the 18th WEDC. (Water, Environment and Management conference), by A.K. Susheela and K. Majumdar Kathmandu, Nepal : 229-231, 1991
  2. Defluoridation of Drinking Water: A reality and not a controversy in India: By G. Ghosh and A.K. Susheela. Safe water 2000. The Global Consultation on safe water and sanitation for the 1990s. New Delhi, 10-14 September, 1990
  3. Histoenzyme and Ultrastructural effects of Fluoride Toxicity. In : Proceedings of the Symposium on Fluorosis. By R.D. Kaul, N.H. Keswani and A.K. Susheela P 497, Geological Survey of India, 1974.
  4. A.K. Susheela and Madhu Bhatnagar Health benefits derived by children in endemic areas for Fluorosis in India through practice of interventions focusing on safe drinking water and nutritional supplementation. WHO International Conference, Bangkok March 2002.
  5. A.K. Susheela and Madhu Bhatnagar Experiences on combating Fluorosis cases in India, Fluoride, 2001.
  6. A.K. Susheela Safe drinking water, sanitation and hygiene promotion in developing countries: Fluoride and Fluorosis mitigation in India. Proceeding of the Water Resource Day and World Water Day 22nd March 2001.
  7. A.K. Susheela Sound planning and implementation of fluoride and Fluorosis mitigation programme in an endemic village. Proceedings of the International workshops on Fluoride in Drinking water; Strategies, Management and Mitigation at Bhopal 22 - 24th Jan., 2001
  8. A.K. Susheela Fluorosis mitigation programme in India (Abstract) In: Proceedings of Pan-Asia Pacific Conference on Fluoride and Arsenic Research. Shangyang (P.R. China) August 16 – 20, 1999.
  9. A.K. Susheela Fluorosis management programme in India: The impact of networking between Health and Rural Drinking Water Supply Implementing Agencies In: Toxicology and Environmental Health (Eds. S.B. Vohora and V.P. Agarwal) Asiatech Publi. Inc New Delhi 1999. Page: 125 – 136.
  10. A.K. Susheela Madhu Bhatnagar & Arbind Kumar Status Status of drinking water in the mega city Delhi : Proceedings of 22nd WEDC conference: Reaching the Unreached : Challenges for the 21st century New Delhi : 355-357,1996
  11. A.K. Susheela (Editor) Prevention and Control of Fluorosis Vol. I – Health Aspects, Government of India Publication, 1993.
  12. A.K. Susheela Issues and prevention and control of Fluorosis in India. Institute of Social Sciences. Report No.7.ISS-MR/7,1992.
  13. A.K. Susheela and G. Ghosh Fluoride : too much can cripple you. Health for the millions : 48-52, 1990 (Sept-Oct. issue)
  14. A.K. Susheela Adding Insult to Injury: Fluorosis. Health for the Millions, Vol. XIV, No. 3, 35, 1988
  15. A.K. Susheela, Kamal Sharma and Taposh K. Das Issues in Fluoride Toxicity and Fluorosis. Ann. Natl. Acad. Sci (India) 25(1)5, 1988.
  16. A.K. Susheela Drinking Water with excess Fluoride – Health Consequences – Preventive and Control Measures – A case study. In: Proceedings of the First Regional Seminar for Southern States and Union Territories at Gandhigram, Anna district, Tamil Nadu : 38-44, July 17-19, 1987.
  17. A.K. Susheela Epidemiology and Control of Fluorosis in India (Reproduced) in National Fluoridation News, USA. Vol. XXX, No. 3, 1984
  18. A.K. Susheela Recent Advances in Research on Fluoride Toxicity and Fluorosis. ICMR Bulletin, 9.3.1979.
  19. A.K. Susheela, Ross. K.F.A. and Jans, D.E.The Nucleolar and Cytoplasmic RNA in normally differentiated and Dystrophic Myoblasts. In Progress in Neurogenetics, Eds. Parbeay et al., Excerpta Medica., Amsterdam, 1968.

Reports & Interviews given by Prof. A.K. Susheela to the Media:

  1. Fluorosis. By Adrain Page. In "Asian Geographic” Magazine, No.73 Issue 4/2010 page 112-117. Pdf available (click here)