We hadn’t heard of anyone actually opposed to water fluoridation since Colonel Jack D Ripper (Sterling Hayden) complained to Colonel Lionel Mandrake (Peter Sellers) in his famous “precious bodily fluids” rant in Dr. Strangelove.
But we heard a great deal in a talk given last Thursday by members of ConnFACT about the dangers of mandatory water fluoridation. We have already published an interview with the speakers, Carol Peringer and Christine O’Day, noting that ConnFACT stands for Connecticut Families Against Chemical Trespass, a group that seems to specialize in taking positions contrary to all accepted science. In fact, you have to wonder what rational group would talk about “chemical trespass.” What chemicals? How about water or salt?
The sparsely attended meeting featured a half-hour film “Professional Perspectives on Water Fluoridation,” full of quotes from marginal and fringe scientists decrying the use of fluoridation. A few were actually qualified, but many, like the Earl Baldwin of Bewley were just spouting nonsense. Also in attendance were representatives of Professional Water Systems, who subsidized the printing of the slick handouts.
Fluoridation works by having fluoride ions replace some of the hydroxyl ions in the mineral making up our teeth: hydroxyapatite becomes fluoroapatite, which is harder and resistant to tooth decay. Fluoride, furthermore is naturally occurring in our soil and in most drinking water: it is only the concentration that is adjusted to a level determined to do the most good, usually about 0.7 ppm. Moreover, water fluoridation is considered the single greatest public health advance of the 20th century.
However, the overriding problem with their presentation was nearly every statement they made was easily determined to be untrue.
- Fluoride causes bone cancer: Not according to the American Cancer Society
- Fluoride increases risk of bone fracture: Not according to the paper in Nature by Thomas.
- Fluoride decreases brain function: There is one study of naturally occurring high levels of fluoride in China where there may be some effect, but their control groups had the same level of fluoride as are recommended in the US. Thus standard fluoridation levels are perfectly safe. And, as Steve Novella pointed out in Science Based Medicine, these were not experiments, but retrospective studies.
- Fluoride causes diabetes: The American Diabetes Association recommends brushing twice a day with a fluoride toothpaste, and the CDC finds no problem for diabetics drinking fluoridated water.
- Fluoride causes kidney disease: According to reviews by the American Kidney Foundation, there is no evidence that drinking fluoridated water is harmful to or causes kidney disease.
- Fluoride is an endocrine disruptor: The WHO’s extensive report on fluoride’s effects on humans specifically says that no endocrine effects are observed in rats at any concentration (pp 95-96).
- Fluoride accumulates in the body; the benefit is topical, not systemic. Contradictory and both wrong. The European Scientific Committee on Health and Environmental Risks says that fluoride builds up in the plasma and is eventually excreted. Some ends up in the saliva where it can react to protect the teeth. Some will end up in the bones, but does not stay there.
By far the biggest objection that anti-fluoridation crowd makes is that fluoride can cause a sort of tooth enamel mottling called fluorosis. Fluorosis is caused by excess fluoride consumption before the teeth erupt, and is divided into Questionable, Very Mild, Mild, Moderate and Severe. The first three categories are only apparent to a specialist, and while Moderate may involve brown staining, the teeth are still healthy and resistant to decay. Only about 1-2% of all patients show Moderate and Severe fluorosis, and that is cause by very high dosages of naturally occurring fluoride in the water supply, far higher than would ever occur in water fluoridated for dental health.
According to the CDC: among persons aged 6-49, 16.5% had questionable fluorosis, 16.0% had very mild fluorosis, 4.8% had mild fluorosis, 2.0% had moderate fluorosis, and less than 1% had severe fluorosis. Adding these up gives you the relatively meaningless number of about 39%. And in the teenager sub-category, that number is 41%. However, claiming that 41% of teenagers have dental fluorosis is seriously misleading, because the lower categories aren’t even visible, let aloneharmful. Using this scary number in their literature as ConnFACT has done is intentionally misleading at the very least.
One of the most mendacious assertions of the anti-fluoridation crowd is in their description of how water is fluoridated. Fluoride is obtained as a byproduct of fertilizer manufacture mostly in the form of fluorosilicic acid. They claim without any evidence that these byproducts are contaminated with heavy metals and are just “dumped” into the drinking water supply. This is simply false. Any additive to our drinking water must pass safety standards of the American Waterworks Association, the EPA, and NSF International (page 42). Opponents have made up this lie to make fluoridation seem dangerous or contaminated. This is simply untrue.
Misrepresentation of Fluoridation Facts in Europe
Their handout suggests that “most other countries banned fluoridation,” which is demonstrably false. In fact, most European water supplies are not fluoridated because of their size and age, and because of multiple water sources. Instead fluoride is provided in their table salt.
They suggest that Cuba discontinued fluoridation and caries did not increase, but in fact Cuban children receive fluoride mouth rinses regularly and fluoride varnish treatments several times a year.
They suggest that water fluoridation in Kuopio, Finland was ceased in 1992, but that caries has decreased or remained the same. In fact, virtually all children took advantage of government dental care which included topical fluoride and dental sealant programs.
They suggest that two towns in East Germany, Chemniz and Plauen, saw a significant fall in caries after fluoridation was stopped, but again neglect to mention fluoridated salt, rinses and sealants.
Each of these cases is also summarized (in that same order) in the ADA report Fluoridation Facts, where they may well have drawn their summary from, conveniently leaving out the facts that fluoride treatments of other types replaced fluoridation. In other words, they are lying.
They also mention Landrigan and Grandjean’s discredited Lancet Neurology paper which calls fluoride a neurotoxin. Critics have called the authors “long time toxic terrorists,” who completely ignore dose-response information in order to write papers calculated to scare people. They also confuse correlation and causation.
Finally, the ConnFACT handout asserts that there are studies showing that there is no link between fluoride and cavity reduction. They cite this study by Warrren et. al. to prove that assertion, but Warren’s study was on the optimum fluoride level to minimize dental fluorosis among caries-free children. But they did note that children with caries had slightly lower fluoride intakes (as you might expect). The ConnFACT handout also claims that Cheng’s study in the British Medical Journal concludes there is a lack of strong evidence for fluoride’s benefits. That isn’t true either. Cheng asserts that the optimum fluoride level is difficult to establish exactly.
They also state that there have never been any randomized clinical trials demonstrating fluoridation effectiveness. Another fib. Just read the summary of studies on this early CDC page.
No matter how well intended the speakers were, the materials they were working from can best be described as a tissue of lies. And when we discovered that their assertions were cribbed from an ADA Report with critical facts removed, it is clear that this lying was intentional.
- None of the health assertions they make are true.
- None of the papers they quote say what they say they do.
- None of the assertions about dangers of fluoridation are true.
- Like Joe Isuzu, knowingly or not, they are lying about every aspect of fluoridation.