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Facts About Fluoridation You Did Not Know 

References:  

                               1) Fluoride: Not an Essential Nutrient:National Research Council (1993). Health Effects of  
                               Ingested Fluoride. National Academy Press, Washington DC. See page 30.  

                               2) Arsenic Levels in Fluoridation Chemicals:Hazan, Stan (2000). Letter to Florida  
                               Department of Health from Stan Hazan, General Manager, Drinking Water Additives  
                               Certification Program, National Sanitation Foundation International. 24 April 2000.  
                               http://www.fluoridealert.org/NSF-Letter.pdf  

                               3) Fluoride's Topical Vs. Systemic Effects:  

                                    a) Burt, B.A. (1994). Letter. Fluoride, 27, 180-181.  
                                    b) Carlos, J.P. (1983). Comments on Fluoride. J.Pedodontics. Winter,  
                                    135-136.   
                                    c) CDC. (2001). Recommendations for Using Fluoride to Prevent and Control  
                                    Dental Caries in the United States. Mortality and Morbidity Weekly Review.  
                                    August 17, 50(RR14):1-42.  
                                    d) CDC (1999). Achievements in Public Health, 1900-1999: Fluoridation of  
                                    Drinking Water to Prevent Dental Caries. Mortality and Morbidity Weekly  
                                    Review (MMWR), 48(41);933-940 October 22, 1999.  
                                    http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/mm4841a1.htm  
                                    e) Featherstone, J.D.B. (1987) The Mechanism of dental decay. Nutrition  
                                    Today, May/June, 10.  
                                    f) Featherstone J.D.B. (1999) Prevention and reversal of dental caries: role of  
                                    low level fluoride. Community Dent Oral Epidemiol. 27:31-40.  
                                    g) Featherstone, J.D.B. (2000). The Science and Practice of Caries Prevention.  
                                    Journal of the American Dental Association. 131, 887-899.  
                                    g) Fejerskov, O. et al (1981) Rational use of fluorides in caries prevention.  
                                    Acta. Odontol. Scand., 241-249.  
                                    h) Levine, R.S., (1976). The action of fluoride in caries prevention: a review  
                                    of current concepts. Brit. Dent. J. 140, 9-14.  
                                    i) Locker, D. (1999). Benefits and Risks of Water Fluoridation. An Update of  
                                    the 1996 Federal-Provincial Sub-committee Report. Prepared for Ontario  
                                    Ministry of Health and Long Term Care.   
                                    j) Limeback, H. (1999). A re-examination of the pre-eruptive and  
                                    post-eruptive mechanism of the anti-caries effects of fluoride: is there any  
                                    caries benefit from swallowing fluoride? Community. Dent. Oral Epidemiol. 27,  
                                    62-71.  
                                    k) Margolis, H.C. and Moreno, E.C. (1990). Physicochemical Perspectives on  
                                    the Cariostatic Mechanisms of Systemic and Topical Fluorides. J. Dent. Res 69  
                                    (Special Issue) 606-613.  

                               4) Fluoride Never Approved as Safe & Effective by FDA:  
                               Kelly, J.V. (2000). Letter to Senator Robert Smith, Chairman of Environment and Public  
                               Works Committe, U.S. Senate, August 14, 2000. (for text see  
                               http://www.fluoridealert.org/f-supplements.htm)  

                               5) Fluoride Ineffective at Preventing Pit & Fissure Decay:   

                                    a) Dental study upsets the accepted wisdom. Science News. Vol. 125, No. 1.  
                                    Jan.7, 1984.   
                                    b) Gray, AS. (1987). Fluoridation: Time For A New Base Line? Journal of the  
                                    Canadian Dental Association. No. 10.   
                                    c) Loe, H. (1984). Hearings: Subcommittee of the Committee on  
                                    Appropriations, House of Representatives. Dr. Harald Loe, Director of the  
                                    National Institute of Dental Research.  
                                    d) Journal of the American Dental Association. (1984). Preserving the perfect  
                                    tooth. Editorial. Vol. 108.  
                                    e) Pinkham, JR, ed. (1999). Pediatric Dentistry Infancy Through Adolescence.  
                                    3rd Edition. WB Saunders Co.  
                                    f) Public Health Reports. (1993). Toward Improving the Oral Health of  
                                    Americans. Vol. 108, No. 6. Nov. - Dec.  

                               6) Cavities Declining throughout Western Industrialized World, Irrespective of Fluoridation:  

                                    a) Colquhoun, J (1997) Why I changed my mind about Fluoridation.  
                                    Perspectives in Biology and Medicine, 41, 29-44.  
                                    http://www.fluoride-journal.com/98-31-2/312103.htm   
                                    b) Diesendorf, M.(1986). The Mystery of Declining Tooth Decay. Nature, 322,  
                                    125-129.  
                                    c) WHO (Online). WHO Oral Health Country/Area Profile Programme.  
                                    Department of Noncommunicable Diseases Surveillance/Oral Health. WHO  
                                    Collaborating Centre, Malmö University, Sweden.  
                                    http://www.whocollab.od.mah.se/euro.html   

                               7) NIDR's National Survey on Dental Health (Largest Dental Survey Ever Conducted in US):  

                                    a) Brunelle, J.A. and Carlos, J.P. (1990). Recent trends in dental caries in  
                                    U.S. children and the effect of water fluoridation. J. Dent. Res 69, (Special  
                                    edition), 723-727. (Read correspondence on this study).  
                                    b) Hileman, B. (1989). New Studies Cast Doubt on Fluoridation Benefits.  
                                    Chemical and Engineering News, 67 (19) May 8.  
                                    http://www.fluoridealert.org/NIDR.htm   
                                    c) Yiamouyiannis, J.A. (1990). Water Fluoridation and Tooth decay: Results  
                                    from the 1986-87 National Survey of U.S. Schoolchildren. Fluoride, 23, 55-67.  
                                    http://www.fluoridealert.org/DMFTs.htm  

                               8) Fluoridation Cessation Studies:  

                                    a) Burt BA, Keels MA, Heller KE. (2000). The effects of a break in water  
                                    fluoridation on the development of dental caries and fluorosis.J Dent Res  
                                    Feb;79(2):761-9.  
                                    b) Kunzel, W., Fischer, T., Lorenz R., Bruhmann, S. (2000). Decline in caries  
                                    prevalence after the cessation of water fluoridation in former East Germany.  
                                    Community Dent. Oral Epidemiol. 28(5): 382-389.  
                                    c) Kunzel, W. and T. Fischer (2000). Caries prevalence after cessation of  
                                    water fluoridation in La Salud, Cuba. Caries Res 34(1): 20-5.  
                                    d) Maupome, G. et al. (2001). Patterns of dental caries following the  
                                    cessation of water fluoridation. Community Dent Oral Epidemiol 29(1): 37-47.  

                                    e) Seppa, L., Karkkaimen, S. and Hausen, H. (2000) Caries trends 1992-98  
                                    in two low-fluoride Finnish towns formerly with and without fluoride. Caries Res  
                                    34(6): 462-8.  

                               9) Fluoridation doesn't Prevent Baby Bottle Tooth Decay:  

                                    a) Barnes GP et al. Ethnicity, Location, Age, and Fluoridation Factors in Baby  
                                    Bottle Tooth Decay and Caries Prevalence of Head Start Children. Public  
                                    Health Reports; 107: 167-73, 1992.  
                                    b) Von Burg MM et al. Baby Bottle Tooth Decay: A Concern for All Mothers.  
                                    Pediatric Nursing; 21:515-519, 1995.   

                               10) Lack of Dentists Accepting Medicaid Patients:   

                               Guiden, M. (1990). Dental Health for kids moves to the forefront. State Health Notes  
                               19(280). Forum for State Health Policy Leadership, National Conference of State  
                               Legislatures. July 6. (Cited in: U.S. Department of Health & Human Services. (U.S. DHHS)  
                               (2000). Oral health in America: A Report of the Surgeon General. Rockville, MD: U.S.  
                               Department of Health & Human Services. National Institute of Dental and Craniofacial  
                               Research, National Institutes of Health. http://www.nidcr.nih.gov/sgr/execsumm.htm)  

                               11) Fluoride Acute Toxicity Data:  

                                    a) Hodge, H.C. and Smith, F.A. (1965). Fluorine Chemistry Vol. IV. Academic  
                                    Press, New York.  
                                    b) Gleason, M.N., Gosselin, R.E., Hodge, H.C., & Smith, R.P. (1969). Clinical  
                                    Toxicology of Commercial Products. 3rd Ed. Williams & Wilkins, Baltimore.  
                                    c) Physicians Desk Reference (1995). Pedia-flor Drops. pp. 2114.  

                               12) Nutritional Deficiences Exacerbate Fluoride's Toxicity:  
                               Agency for Toxic Substances and Disease Registry (ATSDR) (1993). Toxicological Profile for  
                               Fluorides, Hydrogen Fluoride, and Fluorine (F). U.S. Department of Health & Human  
                               Services, Public Health Service. ATSDR/TP-91/17.  

                               13) Total Fluoride Exposure on the Increase:  

                                    a) Environmental Fluoride (1977) National Research Council of Canada (NRCC  
                                    No.16081) Associate Committee On Scientific Criteria For Environmental  
                                    Quality.  
                                    b) DHHS (1991). Review of Fluoride: Benefits and Risks, Report of the Ad Hoc  
                                    Committee on Fluoride of the Committee to Coordinate Environmental Health  
                                    and Related Programs. Department of Health and Human Services, USA.  

                               14) 29.1% of US Children in Fluoridated Areas have Dental Fluorosis on 2 teeth:   
                               Heller KE et al (1997). Dental Caries and Dental Fluorosis at Varying Water Fluoride  
                               Concentrations. J of Pub Health Dent, 57;No. 3, 136-143.  

                               15) An Average of 50% of all Fluoride Ingested Accumulates in the Body  
                               National Research Council (1993). Health Effects of Ingested Fluoride. National Academy  
                               Press, Washington DC. See page 131.  

                               16) UNICEF's Report on Fluoride:  

                                    UNICEF Water, Environment & Sanitation. Fluoride in water: An overview.  
                                    Waterfront December 1999  
                                    http://www.unicef.org/programme/wes/info/fluor.htm  

                               17) Chemical & Engineering News Review of Fluoridation:  

                                    Hileman, B. (1988). Fluoridation of water. Questions about health risks and  
                                    benefits remain after more than 40 years. Chemical and Engineering News.  
                                    August 1, 1988, 26-42. http://www.fluoridealert.org/hileman.htm  

                               18) Clinical Trials Examining the Effectiveness of Fluoride Therapy for the treatment of  
                               Osteoporosis:  

                                    a) Hedlund LR, Gallagher JC. (1989). Increased incidence of hip fracture in  
                                    osteoporotic women treated with sodium fluoride. J Bone Miner Res  
                                    Apr;4(2):223-5.  
                                    b) Riggs, B.L. et al (1990). Effect of Fluoride treatment on the Fracture Rates  
                                    in Postmenopausal Women with Osteoporosis. N. Eng. J. Med., 322, 802-809.  

                               19) New England Journal of Medicine Editorial Discussing Fluoride & Bone:  
                               Lindsay, R. (1990). Fluoride and Bone - Quantity Versus Quality. Editorial. New England  
                               Journal of Medicine. Vol. 322. No. 12. March 22.   

                               20) Water Fluoride/Hip Fracture Studies:   

                                    a) Cauley, J., P. Murphy, et al. (1995). "Effects of fluoridated drinking water  
                                    on bone mass and fractures: the study of osteoporotic fractures." J Bone Min  
                                    Res 10(7): 1076-86.  
                                    b) Cooper, C., C. Wickham, et al. (1991). "Water fluoridation and hip  
                                    fracture." JAMA 266: 513-514 (letter, a reanalysis of data presented in 1990  
                                    paper).  
                                    c) Cooper, C., C. Wickham, et al. (1990). "Water fluoride concentration and  
                                    fracture of the proximal femur." J Epidemiol Community Health 44: 17-19.  
                                    d) Danielson, C., J. L. Lyon, et al. (1992). "Hip fractures and fluoridation in  
                                    Utah's elderly population." Journal of the American Medical Association  
                                    268(6): 746-748.  
                                    e) Feskanich D., et al. (1998). Use of toenail fluoride levels as an indicator  
                                    for the risk of hip and forearm fractures in women. Epidemiology 9(4): 412-6.  
                                    f) Hegmann, K.T. et al (2000) the Effects of Fluoridation on Degenerative  
                                    Joint Disease (DJD) and Hip Fractures.Abstract #71, of the 33rd Annual  
                                    Meeting of the Society For Epidemiological research, June 15-17, 2000.  
                                    Published in a Supplement of Am. J. Epid.  
                                    g) Hillier, S., C. Copper, et al. (2000). "Fluoride in drinking water and risk of  
                                    hip fracture in the UK: a case control study." The Lancet 335: 265-269.  
                                    h) Jacobsen, S., J. Goldberg, et al. (1992). "The association between water  
                                    fluoridation and hip fracture among white women and men aged 65 years and  
                                    older; a national ecologic study." Annals of Epidemiology 2: 617-626.  
                                    i) Jacobsen, S., J. Goldberg, et al. (1990). "Regional variation in the incidence  
                                    of hip fracture: US white women aged 65 years and olders." J Am Med Assoc  
                                    264(4): 500-2.  
                                    j) Jacobsen, S.J. et al (1993). Hip Fracture Incidence Before and After the  
                                    Fluoridation of the Public Water Supply, Rochester, Minnesota. American  
                                    Journal of Public Health, 83, 743-745.  
                                    k) Jacqmin-Gadda, H. (1995). "Fluorine concentration in drinking water and  
                                    fractures in the elderly." JAMA 273: 775-776 (letter).  
                                    l) Jacqmin-Gadda, H., A. Fourrier, et al. (1998). "Risk factors for fractures in  
                                    the elderly." Epidemiology 9(4): 417-423. (An elaboration of the 1995 study  
                                    referred to in the JAMA letter).  
                                    m) Karagas,M.R. et al (1996). "Patterns of Fracture among the United States  
                                    Elderly: Geographic and Fluoride Effects". Ann. Epidemiol. 6 (3), 209-216.  
                                    n) Keller, C. (1991) Fluorides in drinking water. Unpublished results.  
                                    Discussed in Gordon, S.L. and Corbin, S.B,(1992) Summary of Workshop on  
                                    Drinking Water Fluoride Influence on Hip Fracture on Bone Health.  
                                    Osteoporosis Int. 2, 109-117.  
                                    o) Kurttio, P., N. Gustavsson, et al. (1999). "Exposure to natural fluoride in  
                                    well water and hip fracture: A cohort analysis in Finland." American Journal of  
                                    Epidemiology 150(8): 817-824.  
                                    p) Lehmann R. et al (1998). Drinking Water Fluoridation: Bone Mineral  
                                    Density and Hip Fracture Incidence. Bone, 22, 273-278.  
                                    q) Li Y, et al. (2001). Effect of long-term exposure to fluoride in drinking  
                                    water on risks of bone fractures. J Bone Miner Res.16(5):932-9.   
                                    r) May, D.S. and Wilson, M.G. Hip fractures in relation to water fluoridation: an  
                                    ecologic analysis. Unpublished data, discussed in Gordon, S.L. and Corbin  
                                    S.B.,(1992), Summary of Workshop on Drinking Water Fluoride Inflruenbce  
                                    on Hip Fracture on Bone Health. Osteoporosis Int. 2, 109-117.  
                                    s) Phipps, K. R. (2000). Community water fluoridation, bone mineral density  
                                    and fractures: prospective study of effects in older women. British Medical  
                                    Journal, 321: 860-4.  
                                    t) Sowers, M., M. Clark, et al. (1991). "A prospective study of bone mineral  
                                    content and fracture in communities with differential fluoride exposure."  
                                    American Journal of Epidemiology 133: 649-660.  
                                    u) Suarez-Almazor, M., G. Flowerdew, et al. (1993). "The fluoridation of  
                                    drinking water and hip fracture hospitalization rates in two Canadian  
                                    communities." Am J Public Health 83: 689-693.  

                               21) Neurotoxic Effects of Sodium Fluoride:  

                                    Mullenix, P. et al (1995).Neurotoxicity of Sodium Fluoride in Rats  
                                    Neurotoxicology and Teratology, 17, 169-177.  

                               22) Chinese Studies Concerning Relationship between Fluoride & Decreased IQ:  

                                    a) Li, X.S., (1995). Effect of Fluoride Exposure on Intelligence in Children.  
                                    Fluoride, 28:4, 189-192  
                                    b) Li Y, Li X, Wei S. (1994). [Effect of excessive fluoride intake on mental  
                                    work capacity of children and a preliminary study of its mechanism] Hua Hsi I  
                                    Ko Ta Hsueh Hsueh Pao Jun;25(2):188-91.  
                                    c) Lin Fa-Fu; et al (1991). The relationship of a low-iodine and high-fluoride  
                                    environment to subclinical cretinism in Xinjiang. Iodine Deficiency Disorder  
                                    Newsletter. Vol. 7. No. 3.  
                                    d) Lu, Y. et al (2000). Effect of high-fluoride water on intelligence of children.  
                                    Fluoride, 33, 74-78.  
                                    e) Zhao, L.B. et al (1996). Effect of high-fluoride water supply on children's  
                                    intelligence. Fluoride, 29, 190-192.   

                               23) Fluoride & Pineal Gland:  

                                    a) Luke, J. (1997). The Effect of Fluoride on the Physiology of the Pineal  
                                    Gland. Ph.D. Thesis. University of Surrey, Guildord.  
                                    b) Luke, J. (2001). Fluoride Deposition in the Aged Human Pineal Gland.  
                                    Caries Res. 35:125-128.  

                               24) European Doctors Used Fluoride to Treat Hyperthyroidism:  

                                    a) Stecher, P, et al. (1960). The Merck Index of Chemicals and Drugs. Merck  
                                    & Co., Inc, Rathway NJ.  
                                    b) Waldbott, G.L., Burgstahler, A.W. and McKinney, H.L. Fluoridation: The  
                                    Great Dilemma. Coronado Press, Inc., Lawrence, Kansas, 1978.  

                               25) US Government Data on Total Fluoride Intake (1.6-6.6 mg/day) in Fluoridated  
                               Communities:  

                                    DHHS (1991). Review of Fluoride: Benefits and Risks, Report of the Ad Hoc  
                                    Committee on Fluoride of the Committee to Coordinate Environmental Health  
                                    and Related Programs. Department of Health and Human Services, USA.  

                               26) Study Discussing Dosage of Fluoride (2.3-4.5 mg/day) Found to Depress Thyroid Gland:  

                                    Galletti, P. & Joyet, G. (1958). Effect of Fluorine on Thyroidal Iodine  
                                    Metabolism in Hyperthyroidism. Journal of Clinical Endocrinology;  
                                    18:1102-1110 http://www.fluoridealert.org/galletti.htm   

                               27) Brain Research Study Reporting that Fluoride Administers the Uptake of Aluminum into  
                               the Brain:  

                                    Varner, J.A. et al (1998). "Chronic Administration of Aluminum-Fluoride and  
                                    Sodium-Fluoride to Rats in Drinking Water: Alterations in Neuronal and  
                                    Cerebrovascular Integrity" Brain Research, 784, 284-298.  

                               28) Epidemiological Studies Reporting Association Between Fluoridated Water and Elevated  
                               Blood Lead Levels in Children:   

                                    Masters, R. et al. (2000). Association of Silicofluoride Treated Water with  
                                    Elevated Blood Lead. Neurotoxicology. 21:6, 1091-1099.  

                               29) Another Epidemiological Study Reporting Association Between Fluoridated Water and  
                               Elevated Blood Lead Levels in Children:   

                                    Masters, R.D. and Coplan, M. (1999). "Water treatment with Silicofluorides  
                                    and Lead Toxicity" International Journal of Environmental Studies.  
                                    September.   

                               30) Fluoride is a Mutagen:  

                                    Department of Health and Human Services (1991). Review of fluoride benefits  
                                    and risks. Appendix H. H1-H6.   

                               31) EPA's Dr. William Marcus Discussing his Objections to the NTP's Downgrading of the  
                               Tumors:  

                                    a) Marcus, W. (1990). Memorandum from Dr. William Marcus,to Alan B. Hais,  
                                    Acting Director Criteria & Standards Division ODW, US EPA, DATED MAY 1,  
                                    1990, and subsequent memos. These can be viewed on the web at  
                                    http://www.fluoridealert.org/marcus.htm  
                                    b) 30) Marcus, W. (1995). Radio Interview with Dr. Gary Null. March 10.See  
                                    www.fluoridealert.org/ifin-19.htm  

                               32) Study Finding Decreased Female Fertility in Areas with Elevated Fluoride in the Water:  

                                    Freni SC. (1994). Exposure to high fluoride concentrations in drinking water is  
                                    associated with decreased birth rates. J Toxicology and Environmental Health  
                                    42:109-121.  

                               33) Statement from EPA Headquarters Union on Why they Oppose Fluoridation:  
                               Hirzy, J.W. (1999). Why the EPA's Headquarters Union of Scientists Opposes Fluoridation.  
                               Press release from National Treasury Employees Union, May 1, 1999. (for text see  
                               http://www.fluoridealert.org/HP-Epa.htm )   

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