Transcript Mother`s milk is best for infants. This water contains more fluoride

City of Seattle
January 2012
REQUEST FOR NOTICE
Bill Osmunson DDS, MPH
Aesthetic, Comprehensive and
Neuromuscular Dental Practitioner,
Educator, Author, Lecturer and Nutritionist
www.smilesofbellevue.com 425.455.2424
1418-112th Ave Ste 200 Bellevue, WA 98004
www.washingtonsafewater.com
www. IAOMT.org
www.fluoridealert.org
“Mother’s milk is best for infants.
This water contains more
fluoride than mother’s milk. Use
non-fluoridated water for infant
drinking and making formula.”
FLUORIDE IS A DRUG UNDER
FEDERAL AND STATE LAWS
The Food, Drug, and Cosmetics Act (FDCA) and RCW 69.41.010(9) define a
drug as an article:
“… intended for use in the diagnosis, cure, mitigation, treatment, or prevention of
disease in man or other animal.” 21 U.S.C. 321 (g)(1)(B).
Dental caries is a disease, and fluoride is added to water with the intent to
prevent caries.
The WA Board of Pharmacy has confirmed fluoride is a legend drug.
The FDA CDER has confirmed the ingestion of fluoride is an unapproved drug and
unapproved drugs are illegal drugs.
UNDER WHO’S DEA LICENSE DOES SEATTLE CITY
FLUORIDATE PUBLIC WATER?
NOT UNDER DOH DEA LICENSE
”Our Environmental Health Division provided me with the following:
The Washington State Department of Health (DOH) does not dispense
fluoride. Rather, the DOH regulates water systems that choose to add
fluoride to water. Therefore, DOH does not operate under any DEA
license for the dispensing of fluoride.” Victor Colman, JD Sr. Policy Advisor
The WA legislature has authorized water districts to fluoridate, but
authorization does not exempt FDA CDER approval, customary and general
laws Federal and State laws for approval, manufacturing and dispensing.
A pea size of
toothpaste has
0.25 mg of fluoride,
the same as one glass
of Seattle water.
“Flexible language”, FDA
In 2002, the US Poison Control Centers reported 24,087 exposures
involving toothpaste with fluoride. emedicine
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 170 times more fluoride than mother’s milk.
NRC p33
Risks to fetus and babies include dental fluorosis, thyroid damage with ¼ cup,
decrease in IQ, mental retardation, and more.
Burgstahler (4)2006 Fluoride www.fluorideresearch.org
Fluoridation makes no difference in the
incidence or prevalence of dental caries.
Fluoridated vs. Unfluoridated Countries.
Chen et al, BMJ 5 October 2007
Tooth Decay Trends for 12 Year Olds: Data from World Health Organization. (Graph by Chris Neurath).
http://www.fluoridealert.org/health/teeth/caries/who-dmft.html
Colquhoun J. Perspectives in Biology and Medicine 41, 1, Autumn 1997
http://www.fluoride-journal.com/98-31-2/312103-f.htm
2000
Huge caries crushing “UNKNOWN”
Before Fluoridation
CONFOUNDING FACTORS
PROBLEMS WITH RESEARCH
HUGE Decay crushing “UNKNOWN”
•
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•
•
•
•
•
•
•
•
•
•
•
A. Not one Double Blinded Prospective
Randomized Controlled Trial
B. Socioeconomic status usually not
controlled
C. Inadequate Sample Size
D. Difficulty in diagnosing decay
E. Delay in tooth eruption
F. Diet: Vitamin D, calcium, strontium,
total and frequency of sugar.
G. Total exposure of Fluoride, (Water,
Toothpaste, Foods, Medicines)
H. Oral hygiene
I. Not evaluating Life time benefit
J. Estimating or assuming subject
actually drinks the fluoridated water.
K. Dental treatment expenses
L. Breast feeding and infant formula
M. Bias, fraud or gross errors.
N. Genetics
Comparing 50 states ,
fluoridation does not improve dental health.
TEETH
AND FLUORIDATION
GOODGOOD
TEETH
AND
FLUORIDATION
% Whole
Population
Fluoridated
100.0
% Whole
90.0
Population
80.080.0
Fluoridated
% High income
70.0
children
60.060.0
reporting
% Highgood/excellent
income
50.0
%
children
teeth
40.0
reporting
40.0
% Low income
good/excellent
20.030.0
children
teeth
reporting
20.0
% Low good/excellent
income
0.010.0
children
teeth
1 5 9 13 17 21 25 29 33 37 41 45 reporting
49
0.0
good/excellent
Linear (% High
1
7 13 19 25 31 37 43 49
teeth
income
50 STATES
children
STATES
Ranked,50
% Whole
Population FluoridatedLinear (%
High
reporting
incomegood/excellent
children
teeth)
reporting
Linear (% Low
good/excellent
income
teeth) children
Linear (%
Low
reporting
incomegood/excellent
children
teeth)
reporting
http://mchb.hrsa.gov/oralhealth/portrait/1cct.htm National Survey of Children's Health.
very little common cause variation
good/excellent
U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal
and
Child
Health
Bureau.
teeth)
The National Survey of Children's Health 2003. Rockville, Maryland: U.S. Department of Health and Human Services, 2005
http://www.cdc.gov/oralhealth/waterfluoridation/fact_sheets/states_stats2002.htm http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html
100.0
%.
For the rich
Or the poor
• Higher
income = better teeth
Oregon has better dental health with less cost
Oregon
Population fluoridated
Decay % 6-8 yr. olds
Washington
19%
57%*
Any permanent teeth extracted 60%****
“Very Good/Excellent Teeth” 58%***
Dental expenses
$176/child/yr.
59%
59%**
63%
51% Low Income Children
$180/child/yr.*****
Median income
Preventive dental visit
Delay in tooth eruption
Bachelor’s Degree
English spoken
Race similar
$48,185
60%(within 12 mo Low income)
5% compared to Oregon
27.7%
88%
+1% Black
$42,593
45%
--25.1%
88%
+1% Hispanic
***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/fact_sheets/states_stats2002.htm
BRFSS 2002 http://www.dhs.state.or.us/dhs/ph/chs/brfs/02/orahea/dentvisi.shtml
****http://apps.nccd.cdc.gov/brfss/display.asp?state=WA&cat=OH&yr=2004&qkey=6610&grp=0&SUBMIT4=Go Sample size OR 3509 and WA 12,926 2004 data
**http://www.doh.wa.gov/cfh/Oral_Health/Documents/SmileSurvey2005FullReport.pdf
http://www.cdc.gov/fluoridation/fact_sheets/states_stats2002.htm
*http://www.oregon.gov/DHS/ph/oralhealth/docs/databook.pdf#search='Oregon%20Decay%20experience‘
http://quickfacts.census.gov/qfd/states/41000.html
Washington Counties
% of Washington fluoridated
46% in 1996
59% in 2007
dfs+DFS Caries Prevalence and
% of people Fluoridated
100
90
80
City of Seattle has not
considered the evidence and
continues to promote
fluoridation.
70
60
%
Fluoridated
50
40
Caries
Prevalence
30
Linear
(Caries
Prevalence)
20
10
0
1 6 11 16 21 26 31 36
Leroux, et al Univ. WA
J Dent Res 1996
Washington State Counties
– 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
– 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 .
Fluoridation does NOT reduce
dental expenses
Portland – Not fluoridated $176/yr. dental expenses (children)
Vancouver - Fluoridated
$180/yr. dental expenses (children)
1995 Data, Published 2007 Maupome JPHD
Claims of cost benefit are based
on estimates of assumptions, not
measured data.
6 year dental expenses
Dental
Fluorosis
$12,000 Treatment
Lifetime $50,000 to
$100,000 damage.
http://www.smilesbysoileau.com
National Research Council unanimous agreement:
EPA’s MCL for fluoride is too high due to risks of:
•Tooth damage
•Rheumatoid and osteoarthritic like pain
Dental Fluorosis White Spots
•Bone cancer
•Bone fractures
•Thyroid reduction
•
Diabetes
•
Obesity
•Kidney damage
•Reproductive problems
•Lower IQ and increased mental retardation
•Allergies (overactive immune system)
•Gastrointestinal disorders.
For references See NRC 2006 report, http://www.nationalacademies.org/morenews/20060322.html
www.fluoridalert.org and contact [email protected]
Comparing 0.04 ppm serum fluoride
With 0.08 ppm serum fluoride
Half a standard deviation IQ drop
Xiang 2003 & 2005 Fluoride
8 IQ Point Loss
2005 FLUORIDATION AND 2006 MENTAL
RETARDATION
250
http://apps.nccd.cdc.gov/giscvh/map.aspx
http://apps.nccd.cdc.gov/nohss/FluoridationV.asp
http://pubs.usgs.gov/circ/2004/circ1268/htdocs/table05.html
http://www.cdc.gov/mmwR/preview/mmwrhtml/00040023.htm
.
200
Per 10,000
Ranking 50 USA States on
percentage of population
fluoridated, confirms half a
standard deviation drop with
triple the number of mentally.
150
Mental Retardation
100
Linear (Mental
Retardation )
50
0
0.0
50.0
100.0
50 STATES RANKED ON % WHOLE
POPULATION FLUORIDATED
"In summary, we hold that fluoridation is an
unreasonable risk. That is, the toxicity of fluoride is so
great and the purported benefits associated with it are so
small - if there are any at all – that requiring every man,
woman and child in America to ingest it borders on
criminal behavior on the part of governments."
-Dr. J. William Hirzy, Senior Vice-President, Headquarters Union,
-US Environmental Protection Agency, March 26, 2001
“The process by which EPA arrived at the RMCL for
fluoride is scientifically irrational and displays an
unprofessional review of relevant scientific data.”
Amicus to the US Court of Appeals, DC Circuit, Natural Resources Defense Council, Inc., v EPA Civ. No.
85-1839 http://www.fluoridealert.org/health/epa/nrdc/union-brief1986.pdf
Hujoel et al.’s review in JADA (2009) by Levy 2010