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July 2002

Tzu Chi supports effort to reduce fluorine poisoning in Tibet

TAIPEI, Taiwan - Medical researcher fights fluoride poisoning in Tibet

The perils of brick tea

"Tea" is usually associated with health. However, this notion is absolutely not true for the people who live in the elevation highlands of the western Chinese frontier. The Tibetan people live primary in Tibet and the Chinese provinces of Qinghai, Suchuan, Yunnan and Gangshou. Most of the 5 million people are either nomads or farmers, whose main beverage is "brick tea", also known as butter tea. Suucha, a tea drunk daily and a culturally important source of nutrition for many Tibetans, is made with brick tea, Gyak butter and rock salt. A daily ritual, the brick tea first is ground, boiled in water and strained. This strained infusion is then churned with Gyak's milk, butter, and salt. Afterwards, it is transferred to a kettle and kept warm over a fire.

"Drinking tea causes poisoning?" This was the skeptical reaction that arose within Jin Cao, who has dedicated himself in studying the impact of tea on human health. According to evidence from research undertaken by Professor Jin Cao at the Xiang-Ya Medical Institute of Changsha University, Tibetan people who are accustomed to drinking brick tea are prevalently afflicted with dental and later, in their adult years, with skeletal fluorosis. Both diseases result from chronic fluoride poisoning.

An earlier report by Mr. Xuexin Bai from the Regional Disease Prevention and Treatment Center of Sichuan revealed that the Tibetan population residing in the Kandze prefecture of Sichuan carried such symptoms of fluoride poisoning, and speculated the cause of the poisoning to be from brick tea. To investigate the connection of fluorine on the human body after long-time drinking of brick tea, Cao, journeyed across the Kandze and Ngaba Tibetan prefectures in the Sichuan Province of China to undertake the investigation.

After five years of research, Cao discovered that the fluorine concentration of brick tea exceeded that of ordinary green tea and black tea by 200-300 times. This is because brick tea is made from old stems and leaves of the tea tree, but ordinary green tea and black tea are made from tender leaves and buds. Although it has been shown that the fluorine concentration of brick tea has no relationship with its method of preparation, the percentage of poisoning among the Tibetans is proportional to the amount of tea consumed. Cao categorized the pastoral prefecture of Nagchu to be a severely concentrated region of "Brick Tea Style Fluoride Poisoning".

Following this initial discovery, with support from Tzu Chi Foundation, Cao will continue the research process with a three-year program on fluorine poisoning prevention and control among the Tibetan population. The research program will focus on the children and herdsmen populations living in the Nagchu County of the high plateau.

Victims of a traditional drink

The Nagchu prefecture Elementary School is located at an elevation of 4500 meters on the high Tibetan Plateau. A school for orphans, it holds the distinction of being the world's highest reaching school in elevation. Of the two hundred students, ninety percent have developed dental fluorosis. A careful inspection of their seemingly white teeth revealed scars of indentation, as well as yellow spots, streaks, and patches. These symptoms of dental fluorosis showed that their bodies have already accumulated enough fluoride to cause illness in later years.

According to Cao, enough accumulation of fluorine in the body over the years will result in skeletal fluorosis, which typically strikes during adulthood. Initial symptoms of early skeletal fluorosis include aches, stiffness, and numbness of joints. As this disease progresses, it could lead to deformities of the joints, causing so much harm that the patient loses mobility. It its advanced stages, the disease could cause deterioration of the nervous system and the urinary system, including kidney functions. As Cao put it, "Skeletal fluorosis will cause the Tibetan people to lose their ability to work and live."

Social responsibilities of a medical scholar

Cao continued with empathy, "the traditions left behind by our ancestors are hard to change." Brick tea is such a permeating aspect of Tibetan society and there seems to be no substitute for it. Lowering the content of fluoride in the brick tea is the only plausible solution for resolving the poisoning epidemic. Cao has developed a technique for reducing the amount of fluoride in brick tea, and during his three-year research program he intends to train the research staff from the local population on prevention and control of fluorine poisoning from brick tea.

Understanding of the dire situation affecting the health of the Tibetan people and the parallel efforts of Cao, Tzu Chi will donate fluoride analysis instruments to his research teams as well as low-fluoride brick tea for the population of Nagchu. Approximately 500 individuals, which include the school children of Nagchu prefecture, as well as the more than twenty shepherd families in the area, are estimated to partake in Cao's preventative medicine project.

Cao anticipates without doubt that the upcoming three-year study on prevention and control of fluoride poisoning for the Tibetan population will be a drawn out and unpredictable experience. However, he emphasizes that his effort is propelled by the social responsibility he feels as a medical scholar. He states, "a medical study that would bring health to the future of a multitude of people is more important than biological technology that prolongs human longevity now." To ensure that future generations of Tibet enjoy healthy tea is the driving force behind Cao's devotion to the research.

Adapted from the article by Yi-Hua Lin, entitled "Tibet and Tea - A Melody heard from Outside the Chord of Chinese Tea Culture", originally published in the September 2002 issue of Canon Magazine.

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