The U.S. Department of Health and Human Services and the Center for Disease Control and Prevention are considering new recommendations regarding fluoride in public drinking water. Secretary of HHS, Robert F. Kennedy Jr., has directed the CDC to convene a panel of 15 health experts to assess the role of fluoride in public water and its potential impact on public health.
Since 1945, fluoride has been added to public water in the United States, with the U.S. Public Health Service recommending its addition by 1962. The American Dental Association states that fluoride helps prevent tooth decay in children and adults by 25%, making it an effective tool for oral health. Numerous public health organizations have supported the safety and efficacy of fluoride in public water, particularly at the current concentration of less than 0.7 mg/L.
However, concerns have been raised about the potential negative effects of fluoride, particularly in higher concentrations. A study cited by HHS from the National Toxicology Program suggested that fluoride levels at or above 1.5 mg/L could be associated with lower IQs in children. Additionally, excessive fluoride levels can lead to tooth discoloration, joint pain, bony deformities, and an increased risk of fractures in bones.
Despite these concerns, the benefits of fluoride in public water at the current concentration are significant. In 2022, over 209 million Americans had access to fluoridated water, leading to lower caries-related treatment costs for children in fluoridated communities compared to non-fluoridated ones.
The investigation into fluoride and water has been criticized as a waste of federal resources and taxpayer dollars, given the substantial evidence supporting its efficacy. Removing fluoride from public water could harm millions of Americans, particularly those who lack dental insurance and rely on fluoridation for oral health.
While questioning scientific evidence is important, decades of research have shown the safety and benefits of fluoride in public water. The scientific method is based on formulating questions to arrive at deeper answers, and in the case of fluoride, the answers are well-documented through numerous studies.
In conclusion, the debate over fluoride in public water highlights the balance between questioning established norms and relying on scientific evidence. The potential impact of any changes to fluoride recommendations should be carefully considered to ensure the continued oral health of the American population.