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Oppose Water Fluoridation:

Oppose Water Fluoridation:

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Oppose Water Fluoridation:

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  1. Oppose Water Fluoridation: Over 1,500 Health Care Providers and Professionals, Washington Action for Safe Water, International Academy of Oral Medical Toxicology, Safewater Advocates of Washington State, Parents of Fluoride Poisoned Children, Environmental Working Group, Washington Toxics Coalition, Citizens for Safe Drinking Water, Oregon Toxics Alliance, EPA Unions, Fluoride Action Network, Native Fish Society, Willamette RiverKeepers, Oregon Sierra Club, Tualatin Riverkeepers, NEDC, Columbia RiverKeepers, Oregon Citizens for Safe Water, NW Environmental Advocates, NW Environmental Defense Center, Alliance for Natural Health UK, Most European Dental Associations, Dr. Rath Health Foundation Germany, Organic Consumers Association, MayDay Denmark, Oregon Conservation Network, National Health Federation US, Oregon Trout, VOICE Ireland, Second Look, Earth Island Institute, National Pure Water Assoc., Central Coast Pure Water, Green Party, Oregon Conservation Network “A fundamental promise we must make to our people is that the food they eat and the water they drink are safe.” - Safe Drinking Water Act Reauthorization, August 6, 1996 Bill Osmunson DDS, MPH www.smilesofbellevue.com 425.455.2424 bill@smilesofbellevue.comRevised 2/20/08

  2. Request: A Task Force be established to Review Public Health Practice re: The Prevention of Tooth Decay and Fluoride Exposure & Fluoridation.  Dental Decay is a common and serious problem. An appropriate and effective plan is critical. Previous reviews have been limited and biased.

  3. Fluoridation does NOT reduce Dental Expenses Portland – Not Fluoridated$176/yr dental expenses (children) Vancouver - Fluoridated$180/yr dental expenses (children) 2007Maupome JPHD The historical theory,“savings of $38” for every $1 spent . . . $25 billion savings is without evidence.http://www.ada.org/public/media/releases/0501_release01.asp 6 year dental expenses

  4. INCREASED GUM DISEASE http://www.ijdr.in/article.asp?issn=0970-9290;year=2007;volume=18;issue=2;spage=67;epage=71;aulast=Vandana

  5. INCREASED TOOTH FRACTURES (Crowns, Root Canals, extractions, bridges, implants) Represents over 50% of my current Treatments Geurtsen Quintessence 2003 Patel Prim Dental Care 1995 Bader Com Dent Oral Epi 1996 and 2001 and JADA 2004 Vieira Eur J Oral Sci 2006 Fennis Int J Prosth 2002 Osmunson Fluoride 2007

  6. Fluoride “Bomb”

  7. Cosmetic treatment Cost $16,000-$24,000 Well-documented Risk CDC reports 1/3 of kids suffer from dental fluorosis… 45% Increase in 10 years. Photos Courtesy of Dr. Stephen J. Markus

  8. Tooth Decay in Fluoridated Countries has declined at the same rate as unfluoridated Countries. Fluoridated vs. Unfluoridated Countries. Tooth Decay Trends for 12 Year Olds: Data from World Health Organization.(Graph by Chris Neurath). http://www.fluoridealert.org/health/teeth/caries/who-dmft.html

  9. COMPARING 50 STATES, FLUORIDATION DOES NOT IMPROVE DENTAL HEALTH Rich (King Co) Or the Poor • Higher Income = Better Teeth • Fluoridation is not effective http://mchb.hrsa.gov/oralhealth/portrait/1cct.htm National Survey of Children's Health. very little common cause variation U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The National Survey of Children's Health 2003. Rockville, Maryland: U.S. Department of Health and Human Services, 2005 http://www.cdc.gov/oralhealth/waterfluoridation/fact_sheets/states_stats2002.htmhttp://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html

  10. Oregon has Better Dental Health with less Cost OregonWashington Population Fluoridated 19% 59% public water systems Decay % 6-8 yr. olds 57%* 59%** Any Permanent Teeth Extracted60%**** 63% Very Good/Excellent Teeth 58%*** 51% Low Income Children AdultDental Expenses $176/child/yr$180/child/yr***** Median Income $42,593 $48,185 Preventive Dental Visit 45% 60%(within 12 mo Low income) Delay in tooth eruption --- 5%compared to OregonBachelor’s Degree 25.1% 27.7% English Spoken 88% 88% Race Similar +1% Hispanic +1% Black ***National Survey of Children's Health.http://mchb.hrsa.gov/oralhealth/portrait/1cct.htm ***** Portland vs Vancouver Maupome 2007 J PHD U.S. Department of Health and Human Services, http://www.cdc.gov/oralhealth/waterfluoridation/fact_sheets/states_stats2002.htm BRFSS 2002 http://www.dhs.state.or.us/dhs/ph/chs/brfs/02/orahea/dentvisi.shtml ****http://apps.nccd.cdc.gov/brfss/display.asp?state=WA&cat=OH&yr=2004&qkey=6610&grp=0&SUBMIT4=Go Sample size OR 3509 and WA 12,926 2004 data http://www.cdc.gov/fluoridation/fact_sheets/states_stats2002.htm **http://www.doh.wa.gov/cfh/Oral_Health/Documents/SmileSurvey2005FullReport.pdf *http://www.oregon.gov/DHS/ph/oralhealth/docs/databook.pdf#search='Oregon%20Decay%20experience‘ http://quickfacts.census.gov/qfd/states/41000.html http://www.fluoridationcenter.org/papers/2002/cdcmmwr022102.htm

  11. Washington Counties % of Washington Fluoridated 46% in 1996 59% in 2007 Wash Dept. of Health has not considered the evidence and continues to promote fluoridation. A Task Force is Needed Leroux, et al Univ. WA J Dent Res 1996

  12. CDC and ADA warn infants should NOT consume fluoridated water www.cdc.gov www.ada.org CDC: Ingestion of fluoride is not likely to reduce tooth decay CDC (1999). Achievements in Public Health, 1900-1999: Fluoridation of Drinking Water to Prevent Dental Caries. MMWR, 48(41); 933-940, October 22 The FDA evaluates the safety of drugs and chemicals not the CDC. EPA Scientists find fluoridation borders on a “criminal act” on the part of governments NTEU 1999 Hirzy NIHevidence for fluoridation is “incomplete” 2001 Consensus Development Conference Conclusion FDA toothpaste warning, if more than 0.25 mg is swallowed call the poison control center. (The same amount as found in ONE glass of fluoridated water) Most European Dental Associations and Canadian Dental Ass. say “NO” to Fluoride Supplements Zimmer 2003 and CDA has exceptions with expensive testing .

  13. National Research Council unanimous agreement: EPA’s MCL for Fluoride is too high: • Tooth Damage • Rheumatoid and Osteoarthritic-like Pain • Bone Cancer • Bone Fractures • Thyroid Reduction • Diabetes • Obesity • Kidney damage • Reproductive problems • Lower IQ and increased Mental Retardation • Allergies (overactive immune system) • Gastrointestinal disorders Dental Fluorosis White Spots For references See NRC 2006 report, http://www.nationalacademies.org/morenews/20060322.html www.fluoridalert.org and contact Bill@smilesofbellevue.com

  14. A 2006 National Research Council report found the EPA MCL for fluoride “not protective.” One Concern was Endocrine Damage. • The primary endocrine effects of fluoride exposure in humans and animals include • Thyroid function decreased NRC 2006 • - Obesity, skin disorders, lower metabolism (BMR), CVHD • - Synthyroid is the 2nd most common US prescription (1999) • Diabetes and impaired glucose tolerance NRC 2006 • -Six fold increase in diabetes since 1958 when fluoridation started • - 7% of US population, sixth leading killer, $132 Billion medical expense http://diabetes.niddk.nih.gov/dm/pubs/statistics/index.htm#7 • Early Puberty onset Schlesinger J Am Dent Assoc 1956,NRC 2006 p.26 http://www.nationalacademies.org/morenews/20060322.html See also: http://www.bruha.com/pfpc/html/thyroid_history.html http://www.slweb.org

  15. To graphically explain the NRC concerns: Example State with Highest % Of people Fluoridated State with Lowest % Of people Fluoridated 0.11 Pearson2 % of whole population fluoridated =% of public water users fluoridated X % of residents on Public Water 2004 data, Behavioral Risk Factor Surveillance System, CDC http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html http://www.unitedhealthfoundation.com/shr2005/components/obesity.html http://apps.nccd.cdc.gov/giscvh/map.aspx

  16. Increased Mental Retardation 21.6% mental retardation @ 3.14ppm F 3.4% mental retardation @ 0.37 ppm F Tianjin, Fluoride Vol. 33 No. 2 49052 2000, Editorial 49 Fluoride 33 (2) 2000 http://www.fluoride-journal.com/00-33-2/332-49.pdf See also: 1. NRC 2006 p 6 2. Lu Y, Sun ZR, Wu LN, Wang X, Lu W, Liu SS. Effect of high-fluoride water on intelligence in children. Fluoride 2000; 33:74-8. 2 Li XS, Zhi JL, Gao RO. Effect of fluoride exposure on intelligence in children. Fluoride 1995;28:189-92. 3 Zhao LB, Liang GH, Zhang DN, Wu XR. Effect of a high fluoride water supply on children’s intelligence. Fluoride 1996;29:190-2. 4. www.Fluoridealeart.org Est. 4,500 more MR in WA Due to Fluoridation Pearson’s Squared 0.18 Correlation Coefficient http://apps.nccd.cdc.gov/giscvh/map.aspxhttp://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html http://www.cdc.gov/mmwR/preview/mmwrhtml/00040023.htm

  17. Increased Cancer In Loving Memory of Andrew Thibeault A child bursting with life and a teenager robust With courage- somehow, deep inside, A real man always full of love. We are totally blessed to have shared your life here, And to have you as a role model. Now you are free of pain, and fast again, and whole. On God’s soccer field, in his purity: yeah, baby, You regulate. Now you may speak through the wind, And are some other form of pure energy. Love, you dad. See NRC 2006 Report http://apps.nccd.cdc.gov/nohss/FluoridationV.asp www.cdc.gov/cancer/npcr/uscs/pdf/2002_USCS.pdf http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html http://andrewtebo.com/

  18. Increased Heart Disease Pearson Sq 0.20 Pearson Sq 0.11 Correlation Coefficient http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://www.unitedhealthfoundation.com/shr2005/components/obesity.html http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html

  19. Lower Educational Success Increased Infant Mortality http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html http://www.unitedhealthfoundation.com

  20. LEAD: Blood Levels Higher Coplan, Neurotoxicology. 2007 For NHANES III Children 3-5, mean blood lead is significantly associated with fluoridation status (DF 3, F 17.14, p < .0001) and race (DF 2, F 19.35, p < .0001) as well as for poverty income ratio (DF 1, F 66.55, p < .0001). Interaction effect between race and fluoridation status: DF 6, F ;3.333, p < .0029; • Fluoridation chemicals added to water are a contaminated industrial grade product, containing: • Arsenic, Lead, Mercury, Beryllium, Vanadium, Cadmium, Radium, Silicon, Bauxite, and Radioactive Materials National Sanitation Foundation

  21. Increased Violent Crime http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html http://www.unitedhealthfoundation.com Masters, R.D. (2002). (Westport: Praeger), pp. 275-296 (Ch. 15

  22. We are Ingesting Too Much Fluoride Significant Increases: • Up to 900 ppm Post-harvest Fumigant Residues • New Dental Products with Fluoride • New Medications with Fluoride • More Water Districts Fluoridating • Dosage is now too High • Up to 25 times more Pesticide Residues http://www.epa.gov/EPA-PEST/1996/May/Day-08/pr-685.html http://mbao.org/2004/Proceedings04/064%20WelkerJ%20UPDATE%20ON%20THEWelkerJ%20DEVELOPMENT%20AND%20COMMERCIALIZATION%20OF%20PROFUME.pdf

  23. DO NOT Swallow a pea-sized amount of toothpaste, the same amount of fluoride as one glass of Seattle water. “Flexible language”, FDA 0.25 mg of fluoride http://www.cdc.gov/mmwr/PDF/rr/rr5014.pdf In 2002, the US Poison Control Centers reported 24,087 exposures involving toothpaste with fluoride. emedicine

  24. INFANTS CDC and ADA warn NOT to mix fluoridated water with infant formula. Centers for Disease Control and the American Dental Association NO prescription fluoride before age 6 months NO more than one cup of water (0.25mg) 6 mo. To 3 yr.Pediatrics May 1998 Vol. 95, Number 5 RE9511 Fluoridated water has 250 times more fluoride than Mother’s milk. NRC p33 Risks to babies include Dental Fluorosis, Thyroid Damage, IQ Decrease, Mental Retardation, and more. Burgstahler (4)2006 Fluoride www.fluorideresearch.org

  25. No Scientific Group has provided a comprehensive review of ALL aspects of fluoridation. Request: A Task Force, inclusive of the various stakeholders to evaluate the scientific literature and evidence regarding the source of fluoridation, costs, risks, total dietary exposure, benefits, chemicals, environmental impact, and ethical concerns of fluoridation.  Seattle City Ordinance 96931 "Section 1.    That a source of fluoridation approved by the Washington State Department of Health be added to the Seattle water supply . . . .” See also http://www.historylink.org/essays/output.cfm?file_id=4040http://biotech.law.lsu.edu/cases/pp/parkland.htm Water Districts have the Power RCW 57.08.012

  26. Potential Confounding Factors Ranking States on the % of the population Fluoridated is not weighted by prevalence of Smoking, Income, Alzheimer Deaths, Children in poverty, MVA, or Race. http://apps.nccd.cdc.gov/nohss/FluoridationV.asp http://quickfacts.census.gov/qfd/states/01000.htm http://www.unitedhealthfoundation.com/shr2005/components/obesity.html

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