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The
residents of Mount Desert and Lincoln were wise to vote
against water fluoridation. They just did a favor for their
children and fellow residents.
Fluoride in
our water system does not make sense considering the latest
human and animal studies.
If all
clinicians and policymakers read the latest report by the
National Research Council, "Fluoride in Drinking
Water," released last March 2006, there should be no
more questions that fluoride should not be mixed with our
water supply.
Because of
this report, the American Dental Association issued a
warning last November telling parents they should not give
fluorinated water to infants under 12 months old. This is
the first time that the ADA acknowledged fluoride is not
healthy for young children. If fluoride were safe for young
children, the ADA would not reverse their 40-year-old policy
of giving fluoride to infants.
The NRC,
which advises our government on health policies, for the
first time devoted a whole chapter to "Neurotoxocity
and Neurobehavioral Effects." They cited four studies
from China that said children living in communities with
high fluoride had lower IQs. In one of these studies, the
children living in high fluoride communities had an average
IQ of 92.2 compared to the low fluoride areas of 100.41. The
"high" fluoride water content of this community is
2.47 milligrams per liter versus 0.36 mg per liter in the
"low" fluoride area.
In the same
chapter, the NRC stated: "In addition to a depletion of
acethylcholinesterase, fluoride produced alteration in
phospholipid metabolism and-or reductions in the biological
energy available for normal brain function."
Acethylcholinesterase is an important chemical in the brain
cells that is involved in the transfer of neural
information. Changes in these particular brain cells
receptors have been implicated in Alzheimer’s disease.
A report
from the Chinese Journal of Pathology in 1992 by Dr. Du Li
of Quiyang Medical College stated: "Fluorine passes
through the placenta of chronic fluorosis mothers and
accumulation within the fetus brain impacts the developing
central nervous system and stunts neuron development."
He studied 15 therapeutically aborted fetuses between 5 to 8
months of gestation, with the mother having lived in a
community with high fluoride and compared with ones from
nonendemic areas whose brain cells were normal. The brain
cell that is mainly affected in the fetuses from high
fluoride area are the Purkinje cells. These are the same
cells primarily affected in autism, as reported by Dr. Kern
of the University of Texas Southwestern Medical Center.
For the
adult population, the concern lies with the effect of
drinking water on the bones. According to Dr. Hardy Limeback,
who heads preventive dentistry at the University of Toronto,
a lifetime of fluoride ingestion in areas where the water is
fluoridated at about 1 part per million can change the
quality of dentin and bone and may increase fracture rates
for both.
He described
a study that measured the fluoride content of bones in
Toronto, where drinking water is fluoridated, and Montreal,
where it is not. The study found that the average level of
fluoride in bone is 1,033 ppm in Toronto and 643 ppm in
Montreal. (About half of ingested fluoride is stored in
bone.) The Toronto bone samples had altered architecture,
which decreased their resistance to compression and higher
density, but less mineral, which increased their
brittleness, he said. "The study shows that fluoride
lowers compressive strength and resilience, or toughness, of
bone."
Limeback
also noted that moderate fluorosis, which involves yellow or
brown mottling of teeth from excessive fluoride exposure, is
occurring at rates as high as 30 percent in some fluoridated
communities. Teeth with moderate fluorosis also have weaker
dentin. "This may make adult teeth fracture more
easily," said Limeback.
The apparent
benefit of fluoridation, reduced tooth decay, may simply be
a function of delayed tooth eruption, Limeback said. It is
well-known that permanent teeth take longer to erupt in
children who drink fluoridated water, he observed. Studies
comparing decay rates in fluoridated and nonfluoridated
communities usually assess the mean number of decayed,
missing and filled surfaces in permanent teeth of
12-year-old children. For example, a study conducted in 1990
found that 12-year-old children in fluoridated areas of the
United States had a mean DMFS score of 2.46, while those in
nonfluoridated areas had a score of 2.97. However, "if
you control for delayed tooth eruption, the study shows no
benefit," Limeback said. "Take fluoride out of the
water supply, and use the money spent for fluoridation to
promote better public health."
Considering
the risk benefit ratio in the total health of our children,
water fluoridation is not safe.
Dr. Leo Leonidas is a
pediatrician in Bangor and an assistant clinical professor
in pediatrics at Tufts University.
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