This paper provides updated status of fluoride affected rural habitations in all the States in India and explains the initiatives of Ministry of Drinking Water and Sanitation, Government of India, in tackling fluoride affected habitations since year 2000. It also analyses the impact of these initiatives and identifies challenges in tackling excess fluoride in drinking water in India. The paper is intended primarily for policy formulators and programme managers working in drinking water sector to tackle fluoride and fluorosis problem in rural areas.

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