Should fluoride be in our water?

From Vox.

The science isn’t so straightforward.

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RFK, Jr. has put the decades-old debate over water fluoridation back on the table. As Donald Trump’s pick for Health and Human Services secretary, he might be the most powerful public health figure in the US who believes we should take fluoride out of our water.

The US has been fluoridating public water systems since 1945, when the children of Grand Rapids, Michigan, and three other cities became the first to experience how fluoridated water can fight tooth decay. Ever since, other municipalities have followed suit. Today, 63 percent of Americans drink fluoridated water from their taps. The US is one of 11 countries worldwide where more than half the population has fluoridated water. Some countries opt for fluoridating salt or milk instead.

Fluoride is essential for our oral health. But there is a growing debate about whether water fluoridation is still necessary now that most toothpaste has fluoride in it. Right now, epidemiologists are looking into whether US water fluoridation doses are safe for developing brains — and how some levels of fluoride in the water may affect child IQ.

Sources and further reading:

The new meta-analysis along with an editorial by Bruce Lanphear and Steven Levy can be found here:
https://jamanetwork.com/journals/jamapediatrics/fullarticle/2828425

The Centers for Disease Control has more information on the history of community water fluoridation:
https://www.cdc.gov/fluoridation/timeline-for-community-water-fluoridation/index.html#:~:text=1956,over%20the%20next%20few%20decades

Undark science magazine covered the communities in the US that have groundwater levels of fluoride that are higher than the World Health Organization maximum:

In Millions of Homes, High Fluoride in Tap Water May Be a Concern

Undark’s podcast team made an episode where they interviewed two scientists on either side of the fluoride safety debate:

Podcast: Is Fluoride Toxic at Low Levels?

Here is the Calgary study we mention:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9542152/

Here is the National Toxicology Program’s monograph that preceded the meta-analysis:
https://ntp.niehs.nih.gov/sites/default/files/ntp/ohat/oeccaaho/mgraph/occchemo_final20190300_508.pdf

A similar study to the Calgary one found that water fluoride was beneficial in Juneau, Alaska
https://www.uaa.alaska.edu/news/archive/2019/02/happened-juneau-took-fluoride-drinking-water.cshtml