Abstract
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? Coal-burning pollution type of endemic fluorosis poses a serious health threat to rural inhabitants in certain regions of China. WHAT IS ADDED BY THIS REPORT? The detection rate of dental fluorosis among children aged 8-12 years in China's coal-burning endemic fluorosis areas showed a significant decreasing trend from 2009 to 2023. Nine provincial-level administrative divisions (PLADs) were classified as low-prevalence clusters, while only Yunnan was identified as a high-prevalence cluster during 2022-2023. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? Prevention and control of coal-burning endemic fluorosis should be managed with precision based on the epidemiological characteristics of each PLAD. Efforts should enhance surveillance and early warning systems while strengthening preventive measures in high-risk regions.