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Re: Fluoride - Demand AARP Take Action

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Message 1231 of 1,334

“Fluoride has no known essential function in human growth and development and no signs of fluoride deficiency have been identified.- European Food Safety Authority on DRV  (2013)

 

“Based on data from the National Academy of Sciences, current levels of fluoride exposure in drinking water may cause arthritis in a substantial portion of the population long before they reach old age" - Dr. Robert Carton,  EPA Scientist (1993)

 

"Drinking water: 1.0 mg/L is the upper limit the body may tolerate; less the better as fluoride is injurious to health." - Bureau of Indian Standards, 2012

 

There are essential nutrients and non-essential nutrients. Fluoride is neither in any form despite dental assertions to the contrary. The best American dentists got was convincing some folks in the 1990s to call it a beneficial element with no known adverse effects up to 10 mgs per day - but that ship has sailed.  

 

Fluoride is an enzyme poison and inflammatory drug that accumulates in bones, bodies and brains. In this century, it has been scientifically determined that fluoride is a developmental neurotoxicant (brain poison) even in low doses previously considered safe and that  0.5 mg/L disrupts thyroid function and that 1 mg/L is nephrotoxic to struggling kidneys. Fluoride penetrates the brain where it can disrupt sleep patterns when it calcifies the pineal gland.  If you drink 3 liters of water a day at 0.7 ppm, assuming you aren't using any fluoridated dental products or have any other exposure and have healthy kidneys, your dose would be 2.1 mg. 

 

* About 40% of Americans over age 60 develop bone spurs - Stage 2 Skeletal Fluorosis. 

* About 70 million Americans suffer from gastrointestinal disease

                  Individual susceptiblity to fluoride poisoning varies

 

2015 Review: 

http://fluorideandfluorosis.com/Reprints/pdf/IJPP%2017(2)%202015.pdf

SkeletalFluorosis.jpg

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Fluoride is not a mineral. Please read the Journal of Environmental and Public Health  439490 article in its entirety. Fluorite is a mineral but fluoride is not isolatable itself and is always accompanied with another cation.

Natural minerals containing fluoride that can be found in the ocean or as a contaminant in some fresh waters is calcium fluoride with limited solubility. The EPA regulates any calcium fluoride in drinking  water to prevent serious illness but does not insist that levels be low enough to prevent all adverse health effects. All added fluoride sources are synthetic, made in industrial processes. Fluoride is not a normal component of human blood and is not a nutrient. Fluoride accumulation in bone lifetime is a pathologic process, not a physiologic one and is not biochemically reversible. 

The use of sodium fluoride tablets in fluoridated cities violate FDA prescription instructions. And infants have no teeth so fluoridating infant bone is abuse. 

 

 

Richard Sauerheber, Ph.D.
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Message 1233 of 1,334
Clearly fluoride can be .

A natural mineral in drinking water
A mineral nutrient
A water additive
An over the counter medication
A prescription medication
An industrial chemical
An industrial pollutant
A fumigant
A rat poison

Each of these statements is true. There are important, critical distinctions between each use, each concentration, and the purity standards which define the various incarnations of "fluoride." Different governmental bureaucracies have regulatory responsibility depending on the specific use.

The willful refusal to acknowledge these clear and easily understood distinctions is an important element in fluoridation opponents misleading the general public.
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War is Peace, Freedom is Slavery, Ignorance is Strength,  Fluoride is Gin, and America is a Gulag! 

No free nation dumbs artificial industrial waste into the water supply using the ruse that the worthless garbage benefits teeth. We may as well ingest lead and say it makes humans beautiful. Lol! 

Dentist with venal interest have no credibility, since everywhere you look in America, you see spotted teeth. Good business for dentist!

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Message 1235 of 1,334

Here is the truth regarding your worry about arsenic added to water with fluoridation:Arsenic Intake Compared to fluoridation v4.jpg

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Re: Fluoride - Demand AARP Take Action

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Message 1236 of 1,334

Bill, 

 

1.  The cost-effectiveness of fluoridation is without question.  I will gladly cite the numerous peer-reviewed studies clearly demonstrating this fact. If you want to trot out Thiessen’s study as cherry-picked  “evidence” against these studies I’ll be glad to explain to you the fallacy of her study.

 

2.  The safety fluoride at the optimal level at which water is fluoridated is without question.  In the 73 year history of this initiative, hundreds of millions having ingested optimally fluoridated water during this time, there have been no proven adverse effects.  Zero.  There is no valid, peer-reviewed scientific evidence that fluoride at this level is, in any manner, unsafe.

 

3.  The effectiveness of fluoridation is without question.  It has been clearly demonstrated in countless peer-reviewed studies right up to the present.  I will be glad to cite as many as you would reasonably care to read.

 

4.  Opinions are opinions.  Justices are not health-care professionals or experts.  They issue rulings on legal points of law, not on science.  While they are as welcome to their personal  opinions as is anyone else, these opinions are  no more binding than those of the GSA or anyone else.  Your implication to the contrary is erroneous and dishonest.  

 

Rulings by the court are legally binding.  The reasoning they used to get to that point is not. 

 

5. I didn’t state that “Washington state is an ‘unknown state’ “.  You simply stated that “in all state laws I have reviewed”  without specifying which states, or which laws.  Therefore, whatever laws to which you refer were from some states unknown to readers.  Given that you now only mention Washington, it seems a safe assumption that your “in all state laws which I have reviewed” means you have read through a few of the laws of the state of Washington. 

 

6.  Consumable, retail fluoride under the jurisdiction of the Food and Drug Administration is labeled  by that agency under its drug classification,  as opposed to labeling  it under its food classification.  Fluoride in water supplies is under the jurisdiction of the EPA.  The EPA does not label such  fluoride as a drug.  Those are the facts.

 

7.  Sure the FDA classifies retail consumables under its jurisdiction as either food or drug, depending on what the FDA deems is their intended use.  

 

The EPA does not categorize substances under its jurisdiction in such manner.  Among many other responsibilities, the EPA determines safety levels of substances within drinking water supplies, and mandates adherence to those levels.  Fluoride in water is under the jurisdiction of the EPA, not the FDA.  It is therefore not subject to  FDA classification or labeling, any more than it would be subject to  the classification and labeling system of any other agency.    The laws and regulations of the FDA are irrelevant to fluoride under the jurisdiction of the EPA. 

 

The EPA  maximum allowable level of fluoride in drinking water is 4.0 pom.  

Water is fluoridated at 0.7 ppm, well under that level.

 

8.  Arsenic is everywhere in nature.  Arsenic dissolved out of  rock formations  is added to water as  that water flows over rocks or when the ground water level sinks to a certain level.    It is added to water from industrial pollution, fertilizer and pesticides in runoff, and from rain and snow which removes it from the air.  Any arsenic added to water from hydrofluorosilic acid is in barely detectable amounts far below EPA mandated maximum levels of safety.  

 

A zero level of arsenic is neither attainable  nor likely to be desirable.  The EPA maximum allowable level of arsenic in drinking water is 10 parts per billion.  Given strong evidence that arsenic is an essential nutrient, a zero level would likely do more harm than good.  

 

9.  How you so desperately want the US Environmental Protection Agency to classify substances under its jurisdiction is meaningless and irrelevant.  

 

10.  The EPA does not add anything to water for the treatment of humans or animals.  Decisions to add additional fluoride to water  are not made at the federal level.  They are  made at the state and local level, with implementation at the local level.  

 

11.  Anything in drinking water supplies other than H20 is a contaminant.  The EPA regulates the levels at which contaminants may exist in drinking water for purposes of safety.  The maximum allowable level of fluoride in water is 4.0 ppm.  Water is fluoridated at 0.7 ppm, far below this maximum. 

 

12.  Yes, let’s do look at the evidence....the valid, peer-reviewed scientific evidence.  Your personal opinions, desires,  and speculation do not qualify as such.

 

Steven D. Slott, DDS

 

 

 

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Message 1237 of 1,334

Steve,

 

We agree on many aspects and accuse each other of not following the facts and the science. 

We agree, science should not be religion and we need to look at factual evidence, not opinion.  

We agree the FDA does NOT have jurisdiction over public water.

We agree opinions of organizations are not facts, just opinions.

 

We disagree on cost effectiveness of fluoridation.

We disagree on safety.

We disagree on judgment.  Appears you feel the Girl Scouts opinion is just as reasoned as Supreme Court Justices.

We disagree that Washington State is an "unknown" state.

We disagree that fluoride is a drug.  Toothpaste says it is.  As a dentist I have prescribed fluoride.  FDA says it is a drug.  Those are facts.  

We disagree on the FD&C Act's definition of drug.  Natural occuring fluoride is not a drug, it becomes a drug when marketed with the intent to mitigate, prevent, cure or treat a disease.  Steve, the definition of a drug is not the chemical, but the use of the chemical, the marketing of the chemical.  The FDA regulates the manufacturer and the manufacturer must gain FDA NDA for any substance used with the intent.  Read the FD&C Act.  Read the FDA web page on drugs and the development of drugs.  Read for yourself.  Read the facts.  The FDA does not exempt a manufacturer from NDA simply because they "adjust" the concentration of the chemical.  The chemical can be fake, non-existant, ineffective, or placebo, the definition is based on the "INTENT" of use.  

 

I agree with the fact that arsenic is added to water as a contaminant of such things as hydrofluorosilicic acid and water treatment chemicals.  The MCLG is zero, but that is not usually possible.  

 

If the intent of adding arsenic to water was to treat or prevent a disease, the substance then becomes a drug.

 

Steve, think this through.  If I took a drug which exists in water in very small amounts, such as penacillin or lithium, and simply adjusted the concentration, would that substance be legal to market and sell as a substance to treat disease and without a prescription or FDA NDA?   No.   Dilution of the substance does not exempt the substance from FDA NDA.  Concentration makes no difference.  Efficacy makes no difference.  The intent of use determines whether a substance is a drug.  

 

Your quote of the SDWA is correct but incomplete.  The SDWA also prohibits the EPA from adding anything for the treatment of humans or animals.  The EPA regulates contaminants, which fluoride is a contaminant.  

 

So lets look at the evidence.

Later.  I'm off to protest and march against children being taken away from their parents and treated like criminals.   

 

 

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Bill, I’ll go round and round in your little circles as long as you would like. However, no matter how many times you keep repeating the same invalid arguments, the facts will not change.

 

Yes, science should not be treated like religion or politics. It is a mystery why you continue to do so. The only ones I see injecting religion into the issue of fluoridation, for whatever reason, are opponents. You and Connett do so repeatedly.

 

Again, posting misrepresentations, false claims, and misinformation does not you make you a “messenger” of anything but nonsense. I am personally aware of no attempts to “shoot” you, for whatever bizarre reason you keep making that reference.

 

Yet once again.......

 

1. The opinions of the New Zealand justices were just that....opinions. They are not rulings, and carry no force of law. Countless people have opinions on fluoridation. Interestingly enough, the opponents putting out their nonsensical misrepresentation of this ruling, conveniently omit the opinion of the justice which differed with those of the others. The ruling of the NZ Supreme Court in this case was that the arguments presented by the antifluoridationists were inadequate to warrant overturn of the lower court ruling against the antifluoridationists. Their appeal was therefore rejected and the lower court ruling was upheld.  

 

2. The US FDA has no jurisdiction over the contents of public water supplies. It therefore makes no more difference to water fluoridation what the FDA approves, than it does what the Girl Scouts of America approve.

 

3. The US FDA has jurisdiction over consumable retail products. It is certainly free to testify to Congress or anywhere else how it classifies these products. Such testimony has no relevance to contents of public water supplies.

 

4. The NZ justices did not agree that “fluoride is a drug”. Just the opposite. They unanimously agreed that under the regulations set forth under the NZ Medicine Act, fluoridating agents are not drugs. The antifluoridationist challenge to the validity of those regulations had already been rejected.

 

“The Supreme Court has unanimously dismissed New Health’s appeal against both aspects of the Court of Appeal decision. The Court found that the regulations were valid because they were not made for an improper purpose, nor were they made on the basis of an error of law. The Court agreed with the Court of Appeal that the question as to whether the fluoridating agents were medicines prior to the making of the regulations was moot.”

 

Fluoridation: New Health NZ v South Taranaki DC Wednesday, 27 June 2018, 12:30 pm Press Release: NZ Supreme Court Supreme Court of New Zealand Te Kōti Mana Nui 27 JUNE 2018 http://www.scoop.co.nz/stories/PO1806/S00307/fluoridation-new-health-nz-v-south-taranaki-dc.htm

 

5. You forgot to include the Girl Scouts in your little list of whom you claim thinks fluoride is a drug. Where does GSA stand, Bill? I mean, their opinion on the contents of drinking water supplies is every bit as relevant as that of the other groups you list.

 

6. What you deem you have gleaned from a perusal of the laws of some unknown state or another, could not be any more meaningless or irrelevant. How you personally define fluoride could not be any more meaningless or irrelevant. Produce a ruling from any court of last resort that water fluoridation is illegal.

 

7. My comment does not “suggest” there are no drugs involved with fluoridation. It states this as a fact. Whatever “poison laws” to which you refer, are a mystery.

 

What you personally deem to be “options” for fluoride classification is meaningless and irrelevant. Fluoride has always existed in water. It is regulated by the US EPA, as are all other contents of such water.

 

8. The concentration of the existing fluoride content in public water supplies is adjusted through fluoridation to that level at which has been established that maximum dental decay resistance occurs in the population served by that water, with no adverse effects upon anyone. The fluoride ions added to adjust to this level are identical to those which already exist in water. An attempt to suddenly proclaim these fluoride ions to be a “drug” is obviously ludicrous.

 

9. Arsenic is ubiquitous in nature. It is added to water constantly. To prevent this occurrence would be nearly impossible. The amount of arsenic which can legally exist in drinking water at the tap, is 10 parts per billion The amount of fluoride which can legally exist in drinking water at the tap is 4.0 parts per million. As long as these amounts are not exceeded there are no legal violations. Optimally fluoridated water contains 0.7 parts per million fluoride.

 

10. Under the US Safe Drinking Water Act of 1974, the EPA has complete jurisdiction over the contents of drinking water. There is no “EPA legal council ” that somehow cedes this jurisdiction to the FDA. It is a congressional mandate.

 

“SDWA authorizes the United States Environmental Protection Agency (US EPA) to set national health-based standards for drinking water to protect against both naturally-occurring and man-made contaminants that may be found in drinking water. US EPA, states, and water systems then work together to make sure that these standards are met.”

 

https://www.epa.gov/sites/production/files/2015-04/documents/epa816f04030.pdf

 

11. The FDA never “withdrew approval of fluoride supplements”. Unlike fluoride in water, fluoride supplements are retail consumables, regulated under the FDA. They are therefore subject to the “drug” label of that agency. Drugs which were already on the market prior to 1938 when the 1906 Food and Drugs Act was revised were grandfathered in under the then new regulations. The 1906 law was revised to require testing of new drugs introduced into the market after 1938. Drugs already on the market at that time with no evidence of safety concerns were considered to be safe and not required to undergo the testing for new products which had no such existing record. Fluoride supplements were already on the market then, with no reason to question their safety. To this day, here has been no credible evidence that these supplements are in any manner unsafe. Had there been, the FDA would have reevaluated its decision to grandfather the substance......as it is currently doing with caffeine, a substance which had also been grandfathered but is now being questioned due to to effects of large doses in energy drinks.

 

The list of grandfathered drugs is extensive and includes, along with fluoride supplements and caffeine, such commonly ingested substances as acetaminophen, aspirin and codeine.

 

Antifluoridationist attempts to portray the grandfathering of fluoride supplements as an indication that such substances are unsafe, are misrepresentative and dishonest.

 

12. Penicillin does not already exist in water as does fluoride. Introducing this drug into water supplies as you suggest would be introducing a new substance not already being ingested from the water. Penicillin also has clearly documented adverse side effects, including potentially fatal allergic reactions, which fluoride does not at the optimal level utilized in fluoridation.

 

13. I have not stated you to have received any payment from FAN or AEHSP. I stated that you were extensively involved with this antifluoridationist faction. Given your lack of denial that you are a former Director of FAN and your admission that you are the Chair of the AEHSP Board, which is the same Board for FAN, the extensiveness of your involvement with FAN is self-evident.

 

14. Seeking to undermine the most cost-effective means of dental decay prevention in entire populations based on nothing but false assertions, unsubstantiated claims, and misinformation is neither ethical nor moral.

 

to be continued......

 

Steven D. Slott, DDS

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Message 1239 of 1,334

Osmunson, continued.......

 

15.  I have no “paradigm shift”.  I’m doing exactly as I said.  I’m correcting the misinformation you continually post, and have no desire to “discuss dentistry, fluoride, or other issues” with you, as you proposed in your previous comment.

 

16.  The FAN claim of what “NHANES shows”  is FAN’s interpretation, not that of NHANES.  You clearly admit here that moderate/severe dental fluorosis is not attributable to fluoridated water.  What you are therefore seeking to do is end fluoridation due to an effect that is not attributable to this public health initiative.  

 

17.  Yes, your arguments against the NTP study are not compelling in the least.  This is particularly true in view of the fact that your group promoted and blustered about this study from the very beginning, yet by some strange twist now finds it to be fraught with limitations and  having utilized questionable methodologies.  The no uncertain terms in which the results of the study debunked FAN’s claims, has nothing to do with this sudden shift in confidence in the NTP, I presume........

 

 

I fully agree.  No one study is proof of anything.  This is precisely the point  fluoridation advocates have been hammering home against the cherry-picking of antifluoridationists for years.  You should tell this to your FAN colleagues.  They are the ones who blustered about the NTP study as one “that could end fluoridation”,  who misrepresent Bashash as “proof” of neurotoxicity, and who constantly cite Bassin for their ridiculous cancer claims, while ignoring the volume of science which has clearly demonstrated just the opposite.  

 

Your claim of 6 to 1 is typical of the unsubstantiated nonsense constantly put forth  by antifluoridationists.  Providing titles of studies which contain the word “fluoride” in them somewhere does not denote relevance, validity, or proper representation of the results of such studies......as the EPA made clear in its 40 page rejection of the most recent meritless FAN petition.

 

18.  Anecdotes about what you claim the NTP told you are meaningless and irrelevance.  

 

The ones who “pops open the champaign” were FAN and its followers who blustered about this NTP study at the beginning, only to have their champaign go completely flat when the study results didn’t go as planned......to the surprise of no one except antifluoridationists.

 

19. As both York 2000 and Cochrane 2015 clearly noted, RCTs on large, population-based initiatives such as water fluoridation are infeasible, and will thus never be done.  Not only are the observational studies on fluoridation entirely acceptable, such studies have been clearly demonstrated to provide equally reliable results as RCTs.

 

“We found little evidence that estimates of treatment effects in observational studies reported after 1984 are either consistently larger than or qualitatively different from those obtained in randomized, controlled trials.”

 

—-A Comparison of Observational Studies and Randomized, Controlled Trials

Kjell Benson, B.A., and Arthur J. Hartz, M.D., Ph.D.

N Engl J Med 2000; 342:1878-1886

DOI: 10.1056/NEJM200006223422506

 

 

However, empirical proof that observational studies of treatment are widely off the mark has been surprisingly elusive.2 Four meta-analyses contrasting RCTs and observational studies of treatment found no large systematic differences (Benson 2000, Concato 2000, MacLehose 2000, Ioannidis 2001).

 

—-Why do the results of randomised and observational studies differ?

BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d7020 (Published 07 November 2011)

 

20.  Perhaps it is you who “should  read the NZ court case again”.....or actually read  for the first time, which your comments indicate you have not yet done.  If you did, then maybe you would cease misrepresenting it.  That aside, it’s interesting that you attempt to base your “choice” argument on one court case in New Zealand given that you previously professed the inadvisability of relying upon “one single study”.  I rest my case about the cherry-picking of antifluoridationists.

 

You have the option of purchasing fluoride-free bottled water, utilizing an RO filter, utilizing rain water, obtaining water from rivers and streams.....

 

Options are choices.  Inconvenience does not equate to force.  You are free to consume fluoridated water, or to obtain fluoride-free water from other sources.  Entirely your choice.

 

21.  Your “bottom line”:

 

a.  Your personal opinion as to whom is ingesting what is unsubstantiated, unquantified, and does not demonstrate  harm from optimally fluoridated water.  It is certainly not a reason to deprive entire populations of the very valuable disease preventive benefits of this public health initiative.

 

b.  The dose of fluoride from optimally fluoridated water is very strictly controlled.  For every one liter of such water consumed, 0.7 mg of fluoride is ingested.  When the amount of a substance which can be ingested falls below the level of adverse effects for that substance, then dose is not of concern in regard to adverse effects.  Before this level could be attained from ingesting optimally fluoridated water in conjunction with fluoride intake from all other normal sources of fluoride, water toxicity would be concern, not fluoride.

 

This is true not only for fluoride but for chlorine, ammonia, and the myriad other substances routinely added to public water supplies. 

 

c.  There are  no “freedom of choice” issues involved with water fluoridation.  You are  free to consume it or not.  Entirely your choice.

 

d.  The effects of fluoride are both topical and systemic.  The systemic effects are demonstrated in the mild to very mild dental fluorosis which which may be associated with optimally fluoridated water.  Mild to very mild dental fluorosis is a barely detectable effect which causes no adverse effect on cosmetics, form, function, or health of teeth.  As peer-reviewed science has demonstrated mildly fluorosed teeth to be more decay resistant, many consider this effect to not even be undesirable, much less adverse.  Dental fluorosis can only occur systemically. 

 

—-The Association Between Enamel Fluorosis and Dental Caries in U.S. Schoolchildren Hiroko Iida, DDS, MPH and Jayanth V. Kumar, DDS, MPH

http://jada.ada.org/content/140/7/855.long

 

 

Additionally, topical effects of fluoride are made possible through its ingestion. Saliva with fluoride incorporated into it provides a constant bathing of the teeth in a low concentration of fluoride all throughout the day, a very effective means of dental decay prevention. Incorporation of fluoride into saliva occurs systemically.

 

Further evidence of systemic benefit is provided by:

 

------Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States

United States Centers for Disease Control

Recommendations and Reports

August 17, 2001/50(RR14);1-42

 Additionally, in a 2014 study Cho, et al. found:

 

-----Systemic effect of water fluoridation on dental caries prevalence

Cho HJ, Jin BH, Park DY, Jung SH, Lee HS, Paik DI, Bae KH.

Community Dent Oral Epidemiol 2014; 42: 341–348. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

 

---Buzalaf MAR (ed): Fluoride and the Oral Environment. Monogr Oral Sci. Basel, Karger, 2011, vol 22, pp 97–114

(DOI:10.1159/000325151)

 

 

e.  Unsubstantiated claims about some phantom studies existing somewhere or another....are meaningless and irrelevant.

 

f.  There is no valid, peer-reviewed scientific evidence of any sensitivity to fluoride at the optimal level.

 

G.  Your “greatest blunder” in regard to this issue is a failure to properly educate yourself on it from reliable, respected sources of accurate information.

 

 

Steven D. Slott, DDS

 

 

 

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Message 1240 of 1,334

Steve Slott,

Science should not be treated like religion or politics.  Shooting the messenger does not prove science.  Historically, religions and governments shot the messenger.  Science focuses on the message.  

 

To your numbered points:

 

1.    Please read my post again and I agree, the NZ Court ruled in favor of fluoridation.  But the judges did acknowledge some key points.  They did say fluoride is a medicine, although the case was not specifically on determining whether fluoride is a medicine.  I'm not a lawyer. . . as you know.  But I do agree that since fluoride pills are drugs, simply diluting the pill in water does not make it anything else.  The intent of use makes it a drug/medicine.  And important to note, the ingestion of fluoride has never gone through the drug approval process in any country.

 

3.   The US FDA has approved fluoride topical use in toothpaste with warnings not to swallow.  Drug Fact.   

And the FDA testified to Congress fluoride is a drug when used with intent to prevent disease.

And NZ judges agreed fluoride is a drug. . . .

And Washington State judge agreed fluoride is a drug. . . .

And the Washington State Board of Pharmacy determined fluoride is a drug. . . 

And the Idaho State Board of Pharmacy determined fluoride is a drug. . . .

The FDA is clear, their interpretation of the FD&C Act is any substance with a health (mitigation, treatment, prevention, cure of disease)  claim is a drug, even a placebo is a drug and needs NDA.   Dilution or efficacy is not the criteria of whether a substance is a drug.  The intent of use, claim by the manufacturer for marketing defines the substance as a drug.   

 

In all state laws which I have reviewed, fluoride fits within the definition of a highly toxic substance, poison.  There are strict penalties for adding poisons to water.  However, there are two exemptions to poison laws, when they are regulated under pesticide or drug laws.  

 

Your comment suggests there are no drugs involved with fluoridation.  OK, then the law gives the choice of either fluoride is regulated as a pesticide or a poison.  Which would you prefer?  Drug, pesticide, or poison?  There are no other options. Fluoride is not a food and is not added to treat water.  Fluoride is not added to treat water and make it safer, rather fluoride is added with the intent to prevent disease in humans.  Just because arsenic naturally occurs in water does not mean a person could legally add more arsenic.

 

The EPA legal council clearly stated the addition of fluoride to water is under the jurisdiction of the FDA.  And the FDA said the EPA has responsibility.  You have suggested the FDA has no problem with fluoride in water.  Really?  Has anyone tried to get a New Drug Approval (NDA) from the FDA for fluoride diluted in water. Fluoride added to bottled water did not go through the NDA process and receive approval.  The FDA did not evaluate any science on the efficacy or safety of fluoride.  The FDA was notified of a health claim that was going to be put on bottled water based on other government agencies supporting fluoride ingestion.  The FDA and EPA avoid fluoride regulation due to politics, not science.

 

And what about fluoride supplements?  We know full well the FDA withdrew approval of fluoride supplements because the evidence of efficacy was incomplete.   Swallowing fluoride with the intent to prevent dental caries has never been approved with a NDA.  

 

  Suppose we add a small amount of penacillin to water with a claim the water helped prevent bacterial infections?  Certainly we would need FDA NDA. 

 

4.  FAN.  I have never received any money from FAN or AEHSP.  I am a volunteer.  Ethically and morally I am trying to stop my patients and humans from being harmed.  

 

5.  You wrote, " I have no desire  to talk about, “dentistry, fluoride, or other issues” with you.  I simply correct the misinformation you post."   Sounds like you are doing what you don't want to do.   A paradigm shift can be uncomfortable.  

 

7.   Dental fluorosis.  You have suggested the only dental fluorosis associated with "optimally" fluoridated water is mild to very mild.   Then why does the NHANES 2010-2011 CDC survey in the USA show 20% of adolescents with moderate/severe dental fluorosis.   I would agree if a person only received fluoride from fluoridated water, we would not see moderate/severe cases of dental fluorosis.  

 

Do you disagree with the NHANES survey?  Why?  Where are they wrong?  What are the other sources of fluoride?  Or is the dental fluorosis due to synergistic chemical effects?  The huge increases in dental fluorosis should be alarming to everyone.  

 

And what sources of fluoride should be reduced to lower the risk of harm?  Fluoride pesticides? 

Fluoride toothpaste?

Fluoride chemicals?

Fluoride medications?

Fluoride added to water?   HHS suggested lowering the fluoride concentration in water, which was a good start, but not enough.

 

8.  NTP study.  You don't find my arguments compelling?  Well, for scientists, no single study is proof of anything.  We evaluate the weight of evidence, the quality of studies.  The NTP only did one study.  We can't hang our hats and declare ingestion of fluoride is safe for the developing brain, based on one study.  There are some human studies which have found no harm to the brain.  But for every study which did not find harm to the brain there are more than six which have found harm.  And as we are still in the infancy of studying the fluoride/brain relationship, the research is becoming more focused and of higher quality.  Several studies a year on humans are being published and the vast majority report harm at ever lower dosages.

 

The relavance of what the NTP told me is important.  They are not finished with their report.  Perhaps one should wait for them to finish their report before one pops open the champaign.

 

9.  Yes, I maintain so little quality research on fluoride has been done.  Not a single prospective randomized controlled trial on fluoridation or fluoride ingestion with the intent to prevent dental caries.  You mention 50,000 studies in your search.  Yet not one RCT????  They can be done and maybe they have and found no benefit. 

 

Yes, fluoride has been used to cause cancer in animals so new cancer drugs can be tested.  But those kinds of studies do not prove fluoride is either safe or effective.  

 

10.   You have suggested ingesting fluoridated water is my choice.  Perhaps you should read the NZ court case again.  The judges found one could not avoid fluoridated water, they did not agree fluoridated water is an individual's choice.  

 

For me, the bottom line is:

 

1.  Too many are ingesting too much fluoride.  (NHANES and EPA)

2.  Dosage of water is highly variable, some drinking very little and some drinking a great deal.  Distribution of any substance without control of dosage is problematic.

3.  Freedom of choice is violated.

4.  Fluoride's effect is primarily topical, not systemic.

5.  Many studies report risks to most cells and systems of the body.

6.  Some individuals are chemically very sensitive.

 

Fluoridation is one of my professions greatest blunders.

 

Bill Osmunson DDS MPH

 

 

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