The number of samples with greater than 5 ppm are few, but the concentrations are alarming. At this level, fluoride is also neurotoxic and can cause nonskeletal and serious health problems to people, causing birth disorders, development problems, and a serious concern for growing children. The situation needs to be taken seriously after this assessment, and urgent attention needs be made for safe water supply to the affected habitations. Dental fluorosis surveys were conducted in all the GPs with high fluoride. Medium to severe dental fluorosis was present among 20-30 percent school children in all of these affected habitations. Adults too were affected by dental fluorosis, indicating that the problem was not very recent, but was at least some 20 years old or more. Skeletal fluorosis was seen mainly in all villages of Patripal panchayat, apart from in Gududa and Chasakhanda villages. It was seen mostly in adults beyond the age of 25, but few skeletal fluorosis cases amongst children were also discovered. Around 40-50 skeletal fluorosis cases are present in these villages with visible bone deformities, and a few hundred skeletal fluorosis patients are present with joint pains and other non-skeletal symptoms. The figures are likely to rise in the coming years.