{"id":854511,"date":"2025-06-09T22:12:39","date_gmt":"2025-06-10T03:12:39","guid":{"rendered":"https:\/\/newsycanuse.com\/index.php\/2025\/06\/09\/why-water-fluoridation-long-considered-a-public-health-success-story-is-under-scrutiny\/"},"modified":"2025-06-09T22:12:39","modified_gmt":"2025-06-10T03:12:39","slug":"why-water-fluoridation-long-considered-a-public-health-success-story-is-under-scrutiny","status":"publish","type":"post","link":"https:\/\/newsycanuse.com\/index.php\/2025\/06\/09\/why-water-fluoridation-long-considered-a-public-health-success-story-is-under-scrutiny\/","title":{"rendered":"Why water fluoridation, long considered a public health success story, is under scrutiny"},"content":{"rendered":"<div>\n<header id=\"site-header\" aria-label=\"Site Header\">\n<p>\t\t\t<a href=\"http:\/\/www.boston.com\/#site-content\"><br \/>\n\t\t\t\tSkip to Main Content\t\t\t<\/a><\/p>\n<\/header>\n<p>\t\t<main id=\"site-content\" aria-label=\"Main Site Content\"><\/p>\n<div>\n<section>\n<article role=\"main\">\n<header>\n\t\t\t\t\t\t\t\t\t\t\t\t<span id=\"article-header-primary-term\"><br \/>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.boston.com\/tag\/health\/\"><br \/>\n\t\t\t\t\t\t\t\tHealth\t\t\t\t\t\t\t\t<\/a><br \/>\n\t\t\t\t\t\t\t<\/span><\/p>\n<h2>About one-third of community water systems \u2014 17,000 out of 51,000 across the U.S. \u2014 serving more than 60% of the population fluoridated their water, according to a 2022 CDC analysis.<\/h2>\n<figure>\n<img width=\"768\" height=\"432\" src=\"https:\/\/bdc2020.o0bc.com\/wp-content\/uploads\/2025\/04\/RFK_Jr._Fluoride_81809-67f54b061d681-768x432.jpg\" alt=\"Health and Human Services Secretary Robert F. Kennedy Jr.\" decoding=\"async\" fetchpriority=\"high\"  ><figcaption>\n\tHealth and Human Services Secretary Robert F. Kennedy Jr. speaks during a press conference about Utah&#8217;s new fluoride ban, food additives and SNAP funds legislation, Monday, April 7, 2025, in Salt Lake City. <em> AP Photo\/Melissa Majchrzak<\/em>\t<\/figcaption><\/figure>\n<div>\n<p>\n\t\t\t\t\t\t\t\tBy MIKE STOBBE and KASTURI PANANJADY, Associated Press\t\t\t\t\t\t\t<\/p>\n<p><time><br \/>\n\t\t\t\t\t\t\t\t\tApril 9, 2025\t\t\t\t\t\t\t\t<\/time><\/p>\n<p><span>5 minutes to read<\/span><\/p>\n<\/p><\/div>\n<\/header>\n<p>\t\t\t\t<body><\/p>\n<p>NEW YORK (AP) \u2014 U.S. Health Secretary Robert F. Kennedy Jr. has said he wants communities\u00a0to stop fluoridating water, and he is setting the gears of government in motion to help make that happen.<\/p>\n<p>Kennedy this week said he plans to tell the\u00a0Centers for Disease Control and Prevention\u00a0to stop recommending fluoridation in communities nationwide. And he said he\u2019s assembling a task force of health experts to study the issue and make new recommendations.<\/p>\n<p>At the same time, the\u00a0U.S. Environmental Protection Agency\u00a0announced it would review new scientific information on potential health risks of fluoride in drinking water. The EPA sets the maximum level allowed in public water systems.<\/p>\n<p><body><\/body><\/p>\n<p>Here\u2019s a look at how reversing fluoride policy has become an action item under President Donald Trump\u2019s administration.<\/p>\n<h3 id=\"h-the-benefits-of-fluoride\">The benefits of fluoride<\/h3>\n<p>Fluoride strengthens teeth and reduces cavities by\u00a0<a href=\"https:\/\/www.cdc.gov\/oral-health\/prevention\/about-fluoride.html\">replacing minerals lost during normal wear and tear<\/a>, according to the CDC. In 1950, federal officials endorsed water fluoridation to prevent tooth decay, and in 1962 set guidelines for how much should be added to water.<\/p>\n<p>Fluoride can come from a number of sources, but drinking water is the main one for Americans, researchers say. Nearly two-thirds of the U.S. population gets\u00a0<a href=\"https:\/\/www.cdc.gov\/fluoridation\/php\/statistics\/2022-water-fluoridation-statistics.html\">fluoridated drinking water<\/a>, according to CDC data.<\/p>\n<p>The addition of low levels of fluoride to drinking water was long considered one of the greatest public health achievements of the last century. The American Dental Association credits it with reducing tooth decay by more than 25% in children and adults.<\/p>\n<p><body><\/body><\/p>\n<p>About one-third of community water systems \u2014 17,000 out of 51,000 across the U.S. \u2014 serving more than 60% of the population fluoridated their water, according to a 2022 CDC analysis.<\/p>\n<h3 id=\"h-the-potential-problems-of-too-much-fluoride\">The potential problems of too much fluoride<\/h3>\n<p>The CDC currently recommends 0.7 milligrams of fluoride per liter of water.<\/p>\n<p>Over time, studies have documented potential problems when people get much more than that.<\/p>\n<p>Excess fluoride intake has been associated with streaking or spots on teeth. And studies also have traced a link between excess fluoride and brain development.<\/p>\n<p>A\u00a0<a href=\"https:\/\/ntp.niehs.nih.gov\/whatwestudy\/assessments\/noncancer\/completed\/fluoride\">report<\/a>\u00a0last year by the federal government\u2019s National Toxicology Program, which summarized studies conducted in Canada, China, India, Iran, Pakistan and Mexico, concluded that drinking water with more than 1.5 milligrams of fluoride per liter \u2014 more than twice the CDC\u2019s recommended level \u2014 was associated with lower IQs in kids.<\/p>\n<p>Meanwhile, last year, a federal judge\u00a0ordered the EPA\u00a0to further regulate fluoride in drinking water. U.S. District Judge Edward Chen cautioned that it\u2019s not certain fluoride is causing lower IQ in kids, but he concluded that research pointed to an unreasonable risk that it could be.<\/p>\n<h3 id=\"h-kennedy-has-railed-against-fluoride\">Kennedy has railed against fluoride<\/h3>\n<p>Kennedy, a former environmental lawyer, has\u00a0<a href=\"https:\/\/x.com\/RobertKennedyJr\/status\/1852907832884285708\">called<\/a>\u00a0fluoride a \u201cdangerous neurotoxin\u201d and \u201can industrial waste\u201d tied to a range of health dangers. He has said it\u2019s been associated with arthritis, bone breaks, and thyroid disease.<\/p>\n<p><body><\/body><\/p>\n<p>Some studies have suggested such links might exist, usually at higher-than-recommended fluoride levels, though some reviewers have questioned the quality of available evidence and said no definitive conclusions can be drawn.<\/p>\n<h3 id=\"h-how-fluoride-recommendations-can-be-changed\">How fluoride recommendations can be changed<\/h3>\n<p>The CDC\u2019s recommendations are widely followed but not mandatory.<\/p>\n<p>State and local governments decide whether to add fluoride to water and, if so, how much \u2014 as long as it doesn\u2019t exceed the EPA\u2019s limit of 4 milligrams per liter.<\/p>\n<p>So Kennedy can\u2019t order communities to stop fluoridation, but he can tell the CDC to stop recommending it.<\/p>\n<p>It would be customary to convene a panel of experts to comb through the research and assess the evidence that speak to the pros and cons of water fluoridation. But Kennedy has the power to stop or change a CDC recommendation without that.<\/p>\n<p>\u201cThe power lies with the secretary,\u201d but public trust would erode if recommendations are changed without a clear scientific basis, said Lawrence Gostin, a public health law expert at Georgetown University.<\/p>\n<p>\u201cIf you\u2019re really serious about this, you don\u2019t just come in and change it,\u201d he said. \u201cYou ask somebody like the National Academy of Sciences to do a study \u2014 and then you follow their recommendations.\u201d<\/p>\n<p><body><\/body><\/p>\n<p>On Monday, Kennedy said he was forming a task force to focus on fluoride, while at the same time saying he would order the CDC to stop recommending it.<\/p>\n<p>HHS officials did not answer immediately questions seeking more information about what the task force would be doing.<\/p>\n<h3 id=\"h-some-places-are-already-pulling-back-on-fluoridation\">Some places are already pulling back on fluoridation<\/h3>\n<p>Utah recently became\u00a0the first state to ban fluoride\u00a0in drinking water, and legislators elsewhere are looking at the issue.<\/p>\n<p>An Associated Press analysis of CDC data for 36 states shows that many communities\u00a0have halted fluoridation\u00a0in recent years.<\/p>\n<p>Over the last six years, at least 734 water systems that consistently reported their data in those states have stopped fluoridating water, according to the AP\u2019s analysis.<\/p>\n<p>Mississippi alone accounted for more than 1 in 5 of those water systems that stopped. Most water systems that discontinued fluoridation mainly did so to save money, said Melissa Parker, the Mississippi state health department\u2019s assistant senior deputy.<\/p>\n<p>During the pandemic, Mississippi\u2019s health department allowed local water systems to temporarily cease fluoridating because they could not purchase sodium fluoride in the midst of global supply chain issues. Many never restarted, Parker said.<\/p>\n<h3 id=\"h-cdc-funding-for-fluoride-is-typically-a-small-factor\">CDC funding for fluoride is typically a small factor<\/h3>\n<p>Since 2003, CDC has funded a limited number of state oral health programs through cooperative agreements. The agreements run in cycles, and at the beginning of this year 15 states were each receiving $380,000 over three years.<\/p>\n<p>The money can be used on a number of things, including collecting data on people with dental problems, dental care and technical assistance for community water fluoridation activities.<\/p>\n<p>The current oral health funding is going to Iowa, Kansas, Louisiana, Maryland, Michigan, Minnesota, Missouri, Ohio, Nevada, New York, North Dakota, Pennsylvania, South Carolina, Virginia and Wisconsin.<\/p>\n<p><body><\/body><\/p>\n<p>The states are told not to use the money for chemicals, because the funding is intended to help set up fluoridation, not for everyday expenses, federal officials have said. South Carolina, for example, sets aside up to $50,000 to help communities in that state fluoridate. Iowa spends about $65,000 to promote community water fluoridation.<\/p>\n<p>Earlier this year, CDC officials declined to answer questions about how much of the total oral health money has been going toward fluoridation.<\/p>\n<p>Now, there is no one to ask: Last week, the CDC\u2019s entire 20-person Division of Oral Health was eliminated as part of\u00a0widespread government staffing cuts.<\/p>\n<p>Congress appropriated money to CDC specifically to support oral health programs, and some congressional staffers say the agency must distribute those funds no matter who is running the HHS or CDC. But\u00a0Trump-driven budget cuts\u00a0have struck at a number of programs that Congress had called for, and it\u2019s not clear what will happen to the CDC oral health funding.<\/p>\n<p>Fluoridation is relatively cheap compared with other water department expenses, and most communities simply incorporate the cost into the water rates charged to customers, according to the American Water Works Association.<\/p>\n<p>In Erie, Pennsylvania, for example, fluoridating water for 220,000 people costs about $35,000 to $45,000 a year and is entirely funded by water rates, said Craig Palmer, the chief executive of the Erie Water Authority.<\/p>\n<p>So cutting off the CDC money would not have much impact on most communities, some experts said, although it could be more impactful for some smaller, rural communities.<\/p>\n<p><body><\/body><\/p>\n<p><em>Pananjady reported from Philadelphia.<\/em><\/p>\n<div>\n<h3>Extra News Alerts<\/h3>\n<p>Get breaking updates as they happen.<\/p>\n<\/p><\/div>\n<p><\/body><\/p>\n<div id=\"comments\">\n<h3>Conversation<\/h3>\n<h5>This discussion has ended. Please join elsewhere on Boston.com<\/h5>\n<\/div>\n<\/section>\n<div id=\"sidebar-home\">\n<header>\n<h3>\n\t\t\tMost Popular\t\t<\/h3>\n<\/header>\n<\/div><\/div>\n<p>\t<\/main><\/p><\/div>\n<p> Associated Press <br \/><a href=\"https:\/\/www.boston.com\/news\/health\/2025\/04\/09\/water-fluoridation-long-considered-public-health-success-story-under-scrutiny\/\" class=\"button purchase\" rel=\"nofollow noopener\" target=\"_blank\">Read More<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Skip to Main Content Health About one-third of community water systems \u2014 17,000 out of 51,000 across the U.S. \u2014 serving more than 60% of the population fluoridated their water, according to a 2022 CDC analysis. Health and Human Services Secretary Robert F. Kennedy Jr. speaks during a press conference about Utah&#8217;s new fluoride ban<\/p>\n","protected":false},"author":1,"featured_media":854512,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[144493,2327],"tags":[144492,7017],"class_list":{"0":"post-854511","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-fluoridation","8":"category-water","9":"tag-fluoridation","10":"tag-water"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/854511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/comments?post=854511"}],"version-history":[{"count":0,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/854511\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media\/854512"}],"wp:attachment":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media?parent=854511"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/categories?post=854511"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/tags?post=854511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}