Oppose Water Fluoridation:

1
Oppose Water Fluoridation Over 1,500 Health
Care Providers and Professionals, Washington
Action for Safe Water, International Academy of
Oral Medical Toxicology, Safewater Advocates of
Washington State, Parents of Fluoride Poisoned
Children, Environmental Working Group, Washington
Toxics Coalition, Citizens for Safe Drinking
Water, Oregon Toxics Alliance, EPA Unions,
Fluoride Action Network, Native Fish Society,
Willamette RiverKeepers, Oregon Sierra Club,
Tualatin Riverkeepers, NEDC, Columbia
RiverKeepers, Oregon Citizens for Safe Water, NW
Environmental Advocates, NW Environmental Defense
Center, Alliance for Natural Health UK, Most
European Dental Associations, Dr. Rath Health
Foundation Germany, Organic Consumers
Association, MayDay Denmark, Oregon Conservation
Network, National Health Federation US, Oregon
Trout, VOICE Ireland, Second Look, Earth Island
Institute, National Pure Water Assoc., Central
Coast Pure Water, Green Party, Oregon
Conservation Network
A fundamental promise we must make to our people
is that the food they eat and the water they
drink are safe. - Safe Drinking Water Act
Reauthorization, August 6, 1996
Bill Osmunson DDS, MPH www.smilesofbellevue.com
425.455.2424 bill_at_smilesofbellevue.com
Revised 2/20/08
2
Request A Task Force be established to Review
Public Health Practice re The Prevention of
Tooth Decay and Fluoride Exposure
Fluoridation. 
Dental Decay is a common and serious problem. An
appropriate and effective plan is critical.
Previous reviews have been limited and biased.
3
Fluoridation does NOT reduce Dental Expenses

• Portland Not Fluoridated 176/yr dental
  expenses (children)
• Vancouver - Fluoridated 180/yr dental
  expenses (children)

2007 Maupome JPHD
The historical theory, savings of 38 for
every 1 spent . . . 25 billion savings is
without evidence. http//www.ada.org/public/m
edia/releases/0501_release01.asp
6 year dental expenses
4
INCREASED GUM DISEASE
http//www.ijdr.in/article.asp?issn0970-9290year
2007volume18issue2spage67epage71aulastV
andana
5
INCREASED TOOTH FRACTURES (Crowns, Root Canals,
extractions, bridges, implants) Represents over
50 of my current Treatments
Geurtsen Quintessence 2003 Patel Prim Dental
Care 1995 Bader Com Dent Oral Epi 1996 and 2001
and JADA 2004 Vieira Eur J Oral Sci 2006 Fennis
Int J Prosth 2002 Osmunson Fluoride 2007
6
Fluoride Bomb
7
Cosmetic treatment Cost 16,000-24,000
Well-documented Risk
CDC reports 1/3 of kids suffer from dental
fluorosis 45 Increase in 10 years.
Photos Courtesy of Dr. Stephen J. Markus
8
Tooth Decay in Fluoridated Countries has declined
at the same rate as unfluoridated Countries.
Fluoridated vs. Unfluoridated Countries. Tooth
Decay Trends for 12 Year Olds Data from World
Health Organization. (Graph by Chris Neurath).
http//www.fluoridealert.org/health/teeth/caries/w
ho-dmft.html
9
COMPARING 50 STATES, FLUORIDATION DOES NOT
IMPROVE DENTAL HEALTH
Rich (King Co)
Or the Poor

• Higher Income Better Teeth
• Fluoridation is not effective

http//mchb.hrsa.gov/oralhealth/portrait/1cct.htm
National Survey of Children's Health.
very little
common cause variation U.S. Department of Health
and Human Services, Health Resources and Services
Administration, Maternal and Child Health Bureau.
The National Survey of Children's Health 2003.
Rockville, Maryland U.S. Department of Health
and Human Services, 2005 http//www.cdc.gov/oralh
ealth/waterfluoridation/fact_sheets/states_stats20
02.htm http//pubs.usgs.gov/circ/2004/circ1268/htd
ocs/table05.html
10
Oregon has Better Dental Health with less
Cost Oregon Washington Population
Fluoridated 19 59 public water systems Decay
6-8 yr. olds 57 59 Any Permanent Teeth
Extracted 60 63 Very Good/Excellent
Teeth 58 51 Low Income Children Adult
Dental Expenses 176/child/yr 180/child/yr
Median Income 42,593 48,185 Preventive
Dental Visit 45 60(within 12 mo Low
income) Delay in tooth eruption --- 5
compared to Oregon Bachelors
Degree 25.1 27.7 English Spoken 88 88
Race Similar 1 Hispanic 1 Black
National Survey of Children's Health.
http//mchb.hrsa.gov/oralhealth/portrait/1cct.htm
Portland vs Vancouver Maupome 2007 J
PHD U.S. Department of Health and Human Services,
http//www.cdc.gov/oralhealth/waterfluoridation/f
act_sheets/states_stats2002.htm BRFSS 2002
http//www.dhs.state.or.us/dhs/ph/chs/brfs/02/orah
ea/dentvisi.shtml http//apps.nccd.cdc.gov/b
rfss/display.asp?stateWAcatOHyr2004qkey6610
grp0SUBMIT4Go Sample size OR 3509 and WA
12,926 2004 data
http//www.cdc.gov/fluoridation/fact_sheets/state
s_stats2002.htm
http//www.doh.wa.gov/cfh/Oral_Health/Documents/
SmileSurvey2005FullReport.pdf http//www.oregon.g
ov/DHS/ph/oralhealth/docs/databook.pdfsearch'Ore
gon20Decay20experience http//quickfacts.census
.gov/qfd/states/41000.html
http//www.fluoridationcenter.org/papers/2002/cdcm
mwr022102.htm
11
Washington Counties of Washington
Fluoridated 46 in 1996 59 in 2007
Wash Dept. of Health has not considered the
evidence and continues to promote fluoridation.
A Task Force is Needed
Leroux, et al Univ. WA J Dent Res 1996
12

• CDC and ADA warn infants should NOT consume
  fluoridated water www.cdc.gov www.ada.org
• CDC Ingestion of fluoride is not likely to
  reduce tooth decay CDC (1999). Achievements in
  Public Health, 1900-1999 Fluoridation of
  Drinking Water to Prevent Dental Caries. MMWR,
  48(41) 933-940, October 22
• The FDA evaluates the safety of drugs and
  chemicals not the CDC.
• EPA Scientists find fluoridation borders on a
  criminal act on the part of governments NTEU
  1999 Hirzy
• NIH evidence for fluoridation is incomplete
  2001 Consensus Development Conference Conclusion
• FDA toothpaste warning, if more than 0.25 mg is
  swallowed call the poison control center. (The
  same amount as found in ONE glass of fluoridated
  water)
• Most European Dental Associations and Canadian
  Dental Ass.
• say NO to Fluoride Supplements Zimmer 2003 and
  CDA has exceptions with expensive testing .

13
National Research Council unanimous agreement
EPAs MCL for Fluoride is too high

• Tooth Damage
• Rheumatoid and Osteoarthritic-like Pain
• Bone Cancer
• Bone Fractures
• Thyroid Reduction
• Diabetes
• Obesity
• Kidney damage
• Reproductive problems
• Lower IQ and increased Mental Retardation
• Allergies (overactive immune system)
• Gastrointestinal disorders

Dental Fluorosis White Spots
For references See NRC 2006 report,
http//www.nationalacademies.org/morenews/20060322
.html www.fluoridalert.org and contact
Bill_at_smilesofbellevue.com
14
A 2006 National Research Council report found the
EPA MCL for fluoride not protective. One
Concern was Endocrine Damage.

• The primary endocrine effects of fluoride
  exposure in humans and animals include
• Thyroid function decreased NRC 2006
• - Obesity, skin disorders, lower metabolism
  (BMR), CVHD
• - Synthyroid is the 2nd most common US
  prescription (1999)
• Diabetes and impaired glucose tolerance NRC 2006
  
• - Six fold increase in diabetes since 1958 when
  fluoridation started
• - 7 of US population, sixth leading killer,
  132 Billion medical expense
  http//diabetes.niddk.nih.gov/dm/pubs/statistics
  /index.htm7
• Early Puberty onset Schlesinger J Am Dent Assoc
  1956, NRC 2006 p.26 http//www.nationalacademies.
  org/morenews/20060322.html

See also http//www.bruha.com/pfpc/html/thyroid_h
istory.html
http//www.slweb.org
15
To graphically explain the NRC concerns
Example
State with Highest Of people Fluoridated
State with Lowest Of people Fluoridated
0.11 Pearson2
of whole population fluoridated of public
water users fluoridated X of residents on
Public Water 2004 data, Behavioral Risk Factor
Surveillance System, CDC http//apps.nccd.cdc.go
v/nohss/FluoridationV.asp http//pubs.usgs.gov/cir
c/2004/circ1268/htdocs/table05.html
http//www.unitedhealthfoundation.com/shr2005/comp
onents/obesity.html http//apps.nccd.cdc.gov/giscv
h/map.aspx
16
Increased Mental Retardation
21.6 mental retardation _at_ 3.14ppm F 3.4 mental
retardation _at_ 0.37 ppm F Tianjin, Fluoride Vol.
33 No. 2 49052 2000, Editorial 49 Fluoride 33 (2)
2000 http//www.fluoride-journal.com/00-33-2/332-4
9.pdf See also 1. NRC 2006 p 6 2. Lu Y, Sun
ZR, Wu LN, Wang X, Lu W, Liu SS. Effect of
high-fluoride water on intelligence in children.
Fluoride 2000 3374-8. 2 Li XS, Zhi JL, Gao RO.
Effect of fluoride exposure on intelligence in
children. Fluoride 199528189-92. 3 Zhao LB,
Liang GH, Zhang DN, Wu XR. Effect of a high
fluoride water supply on childrens intelligence.
Fluoride 199629190-2. 4. www.Fluoridealeart.org

Est. 4,500 more MR in WA Due to Fluoridation
Pearsons Squared 0.18 Correlation Coefficient
http//apps.nccd.cdc.gov/giscvh/map.aspx
http//apps.nccd.cdc.gov/nohss/FluoridationV.asp h
ttp//pubs.usgs.gov/circ/2004/circ1268/htdocs/tabl
e05.html http//www.cdc.gov/mmwR/preview/mmwrhtml
/00040023.htm
17
Increased Cancer
In Loving Memory of Andrew Thibeault A child
bursting with life and a teenager robust With
courage- somehow, deep inside, A real man always
full of love. We are totally blessed to have
shared your life here, And to have you as a role
model. Now you are free of pain, and fast again,
and whole. On Gods soccer field, in his purity
yeah, baby, You regulate. Now you may speak
through the wind, And are some other form of pure
energy. Love, you dad.
See NRC 2006 Report http//apps.nccd.cdc.gov/nohss
/FluoridationV.asp www.cdc.gov/cancer/npcr/uscs
/pdf/2002_USCS.pdf http//apps.nccd.cdc.gov/nohss/
FluoridationV.asp http//pubs.usgs.gov/circ/2004/c
irc1268/htdocs/table05.html
http//andrewtebo.com/
18
Increased Heart Disease
Pearson Sq 0.20
Pearson Sq 0.11 Correlation Coefficient
http//apps.nccd.cdc.gov/nohss/FluoridationV.asp h
ttp//www.unitedhealthfoundation.com/shr2005/compo
nents/obesity.html http//pubs.usgs.gov/circ/2004/
circ1268/htdocs/table05.html
19
Lower Educational Success Increased
Infant Mortality
http//apps.nccd.cdc.gov/nohss/FluoridationV.asp h
ttp//pubs.usgs.gov/circ/2004/circ1268/htdocs/tabl
e05.html http//www.unitedhealthfoundation.com
20
LEAD Blood Levels Higher Coplan,
Neurotoxicology. 2007
For NHANES III Children 3-5, mean blood lead is
significantly associated with fluoridation status
(DF 3, F 17.14, p lt .0001) and race (DF 2, F
19.35, p lt .0001) as well as for poverty income
ratio (DF 1, F 66.55, p lt .0001). Interaction
effect between race and fluoridation status DF
6, F 3.333, p lt .0029
Fluoridation chemicals added to water are a
contaminated industrial grade product,
containing Arsenic, Lead, Mercury, Beryllium,
Vanadium, Cadmium, Radium, Silicon, Bauxite, and
Radioactive Materials National Sanitation
Foundation
21
Increased Violent Crime
http//apps.nccd.cdc.gov/nohss/FluoridationV.asp h
ttp//pubs.usgs.gov/circ/2004/circ1268/htdocs/tabl
e05.html http//www.unitedhealthfoundation.com Ma
sters, R.D. (2002). (Westport Praeger), pp.
275-296 (Ch. 15
22
We are Ingesting Too Much Fluoride Significant
Increases

• Up to 900 ppm Post-harvest Fumigant Residues
• New Dental Products with Fluoride
• New Medications with Fluoride
• More Water Districts Fluoridating
• Dosage is now too High
• Up to 25 times more Pesticide Residues

http//www.epa.gov/EPA-PEST/1996/May/Day-08/pr-685
.html http//mbao.org/2004/Proceedings04/06420Wel
kerJ20UPDATE20ON20THEWelkerJ20DEVELOPMENT20AN
D20COMMERCIALIZATION20OF20PROFUME.pdf
23
DO NOT Swallow a pea-sized amount of toothpaste,
the same amount of fluoride as one glass of
Seattle water.
Flexible language, FDA 0.25 mg of fluoride
http//www.cdc.gov/mmwr/PDF/rr/rr5014.pdf
In 2002, the US Poison Control Centers reported
24,087 exposures involving toothpaste with
fluoride. emedicine
24
INFANTS
CDC and ADA warn NOT to mix fluoridated water
with infant formula. Centers for Disease Control
and the American Dental Association
NO prescription fluoride before age 6 months NO
more than one cup of water (0.25mg) 6 mo. To 3
yr. Pediatrics May 1998 Vol. 95, Number 5
RE9511
Fluoridated water has 250 times more fluoride
than Mothers milk. NRC p33 Risks to babies
include Dental Fluorosis, Thyroid Damage, IQ
Decrease, Mental Retardation, and more.
Burgstahler (4)2006 Fluoride www.fluorideresearch.
org
25
No Scientific Group has provided a comprehensive
review of ALL aspects of fluoridation.
Request A Task Force, inclusive of the various
stakeholders to evaluate the scientific
literature and evidence regarding the source of
fluoridation, costs, risks, total dietary
exposure, benefits, chemicals, environmental
impact, and ethical concerns of fluoridation. 
Seattle City Ordinance 96931 "Section 1.    That
a source of fluoridation approved by the
Washington State Department of Health be added
to the Seattle water supply . . . . See also
http//www.historylink.org/essays/output.cfm?file_
id4040 http//biotech.law.lsu.edu/cases/pp/parkl
and.htm Water Districts have the Power RCW
57.08.012
26
Potential Confounding Factors
Ranking States on the of the population
Fluoridated is not weighted by prevalence of
Smoking, Income, Alzheimer Deaths, Children in
poverty, MVA, or Race.
http//apps.nccd.cdc.gov/nohss/FluoridationV.asp
http//quickfacts.census.gov/qfd/states/01000.htm
http//www.unitedhealthfoundation.com/shr2005/co
mponents/obesity.html