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field J. Abbe, PhD, Alan S.

Abrams, DDS, Michael Ackerman, DC, Céline Adam, ND, David Adams, PhD, Glenn T. Addison, PhD, Magda Aelvoet, MD
mer Minister of Public Health in Belgium, Miguel A. Aguilera, MD, Patty Aguilera, RN, Raymond M. Airola, DDS, Kenji Akiniwa, DDS, Carri L. Albers
Jerry D. Albert, PhD, Maria Victoria Albina, MPH, Zoe Alexander, PHD, Phillip M. Allen, MD, PhD, James Al-Oboudi, PhD, Jack Alpan, DDS, ND, Tom
orosi, PhD, Hubert M. Amstutz, MD, Alkmini Anastasiadou, MD, Dale Andelkovic, DC, David Anderson, DC, Dennis L. Anderson, DDS, Jeffry L. Ande
MD, Robert Anderson, PhD, Denel Andreas, ND, Robert Andres, DDS, Carol Arana, RDH, Nathalie Archambault, ND, Céline Arsenault, ND, James A
RD, Kimberly Aspelin, RN, John E. Augspurger, DDS, Kent Babcock, DDS, Stephen S. Baer, DDS, Jerald Balduf, DC, Jess Baldwin, DC, Fabiana Bambe
DC, Gregory Bamberger, DC, Richard S. Banfield Jr., MD, David S. Banks, DDS, Billie Barewald, RN, David Barker, PhD, Vinod Barot, PhD, A.L. Barrie
Susanna Barry, RN, Dominic Berry, PhD, Rosalie Bertell, PhD, Marcia Basciano, DDS, Mahaboob Basha, PhD, Ray Bayley, DC, Michael A. Baylin, DD
ielle Beauchamp, ND, John Beard, PhD, Barbara Beck, RN, James Beck, MD, PhD, Bobbie Beckman, DDS, Ray G. Behm, DDS, Michael Bell, DDS, Warr
MD, Melissa Bell-Dentico, DDS, Dominique Belpomme, PhD, Eliezer Ben-Joseph, ND, Duward Benson, DC, RN, James Bentz, DC, Matthew Beranek,
Michael Berkley, DC, Randy Berkman, PhD, Carol S. Berman, DDS, Toni Best, DC, Jitendra Bhawalkar, MD, James Biddle, MD, Martina Bielefeld, PhD
David L. Biles, DDS, Brett Binette, MD, Daniel Blodgett, MD, Alvin Bloom, PhD, Christine Bloss, DDS, Kevin Boehm, DDS, Kyung Boen, DMD, Donald P
ttcher, DC, Andrzej Bohatyrewicz, MD, Mabel Bohrtz, RN, Roger Bond, DC, Marc Boogaerts, MD, PhD, Alana Booher, RN, BSN, Sherri Borer, DC, Russ
neman, DDS, Denise Boulanger, ND, Diane Boutin, ND, Larry Bowden, DMD, James D. Bowen, MD, John Bowman, MD, Jill Braaten, DC, Ben Brabb, D
n Brady, DC, James Bradley, DDS, John Brawner, MD, Mark A. Breiner, DDS, Les Breitman, MD, Norman Bressack, DDS, Steve Breyman, PhD, John
a, BSc, MB, BS, Dennis Briggs, PhD, Bernard A. Bronczyk, DO, Jeff Bronstein, MD, PhD, Nigel Brooke, DO, Curtis Brookover, DDS, Wayland Brooks, D
wia Brossard, PhD, Christopher Brown, DC, Clarence Brown, MD, Shirley M. Brown, RN, L.S. Brown, DDS, Rob Bruley, Jr, MD, DC, Craig Buhler, DC,
stantin Burenin, Pharm. D, Ernesto Burgio, MD, Albert W. Burgstahler, PhD, Susan Burian, DC, Gene Burke, ND, John Bursell, MD, John Bursnall, PhD
t Buttyan, DDS, Mikayla Byers, DC, Paul Byers, DC, Gail M. Byron, PhD, Juan Daniel Calderon, MD, Chandos Caldwell, PhD, Dino Cardone, PhD,
ecca Carley, MD, Cheri Carlson, DC, Ronald Carlson, DDS, Arvid Carlsson, MD, Richard Carlton, MD, Neil J. Carman, PhD, Gilbert Carney, DMD, DC,
y Carroll, MD, Carol Carter, PhD, Robert J. Carton, PhD, Richard A. Carter, ND, Temeka L. Carter, PhD, Marco E. Castaneda, DC, Gonzalo Castillo, PhD
hanie F. Cave, MD, Steven Chamberlain, DMD, Richard J. Chanin, DMD, Christopher D. Chapman, DC, Mistie Charles, ND, Stuart E. Chassen, DMD, F
Chen, DDS, Arthur Chiu, PhD, MD, Dariusz Chlubek, MD, PhD, Pat Chow-Fraser, PhD, Duane E. Christian, DMD, Robyn Church, ND, Chester V. Clark,
, MPH, Joseph V. Clemmons, DDS, Ann Clifton, RN, Robert Clinton, DDS, Paul Coetzee, PhD, Theo Colborn, PhD, Chad Collard, DC, Griffin Cole, DDS
y V. Cole, DDS, FAGD, FAACP, DAAPM, LMT, Cheryl Confalone, ND, CCN, Leonard Confalone, PhD, DC, Paul Connett, PhD, Douglas Cook, DDS, Ken
The
k, President, Environmental Working Group, Louis Cook, DC, Roberta Cook, MD, Susan E.K. Cook, PhD, Aline Côté, PhD, James F. Coy, MD, Darrel

PROFESSIONALS’ STATEMENT
n, DC, Benjamin Crandall, DC, Linda Crawford, RN, Daniel-J. Crisafi, PhD, ND, Joan M. Crooks, DC, Lindsay Croom, DVM, Corrie J. Crowe, DDS, Nan
mpacker, MD, Tina Cuccia, RN, Joe Cummins, PhD, Ronnie Cummins, National Director, Organic Consumers Association, Sara Cuperus, DC, John
cardi, DC, John Dacey, PhD, Michael Dam, DC, Brian Damiata, PhD, Jonathan Daniel, DC, LAc, Era Elaine Darden, RN, Tracy A. Darling, MD, Paula G
ey, MD, Michael W. Davis, DDS, Brian Dawson, DC, Amy Day, ND, Richard Dean, BDS, Stephen A. Dean, DC, Jean Deckenbach, RN, Douglas Decker
Calling for an end to
, Armand V. DeFelice, DDS, Connie Deline, MD, Gary Dellerson, MD, Ronald DeSandre, DC, Gary R. Detweiler, MS, DC, Marshall S. Dicker, DMD, FAG
ert C. Dickson, MD, Beth DiDomenico, ND, Mark Diesendorf, PhD, Angela Maria DiMartino, DC, Juana Celia Djelal, PhD, Stanley I. Dodson, PhD, Virg
Water Fluoridation
odson, PhD, David T. Doi, DDS, Michael F. Dolan, PhD, Eric J. Dolgin, DO, FCA, Christopher Domanski, Pharm D., Judy Dorn, PhD, Ioanna Douka, DD
rese Dowd, PhD, RN, Jenna Downs, DC, Ronald Dressler, DDS, John A. Drew, DC, Judith Driver, PhD, James E. Dunn, MD, Phillip Dunnaway, PhD, Gu
uet, DMD, Jonathan Duquette, PhD Aviva Zack Dycian, DMD, Curtis Eastin, DDS, ND, Samuelle Easton, ND, Gene Eberts, PhD, S. Ward Eccles, DDS,
ctor, International Academy of Oral Medicine and Toxicology, Kristin Edwards, RN, Rebecca Edwards, PharmD, David Egilman, MD, MPH, Karl B.
rt, DC, Lynn Howard Ehrle, MEd, Roger Eichman, DDS, Kathleen R. Eickwort, PhD, Monte Elgarten, MD, Charles S. Emmons III, DC, Kurt A. Enget, DC
ol S. Englender, MD, Ron Engler, DC, Cary English, MD, Samuel S. Epstein, MD, Dwight Erickson, DC, Shirley Erickson, RN, BSN, Bernard Estafen, PhD
na L. Estberg, PhD, Gerald N. Estberg, PhD, G. Robert Evans, DMD, Thomas F. Evans, DDS, Doug N. Everingham, Australian Health Minister 1972-75,
a Faircloth, MD, James Edward Fambro, MD, Katherine Farago, RN, Christine Farrug, RPh, Randy Faulkner, RDH, Herbert W. Fawcett, DDS, Leonard T.
o, DDS, Robert Feinberg, DC, Jay Feldman, Executive Director, Beyond Pesticides, Diane Ferland, ND, Joan Ferrante, PhD, Sandy Firman, RN, Richard
“It is time for the US, and the few remaining fluoridating
her, DDS, FAGD, Peggy Fishman, MD, Jay Fitzgerald, DC, Karine Fleurant, ND, Tim Flor, RN, Darrel Florence, DVM, Francis Flores, RN, Edward F.
arty, MD, John Foley, DC, Darlene Fortin, ND, Julie Fortin, ND, Gary Fortinsky, DDS, Anthony Fox, MD, Robert T. Foy, DC, Harold L. Fox, PhD, Paul
countries, to recognize that fluoridation is outdated, has
mson, PhD, Pamela Frank, ND, Rocco Frank, DVM, Stuart H. Freedenfeld, MD, Sean Freiberg, DMD, Milton Fried, MD, DC, Bonnie Friehling, MD, Nan
hs, PhD, Paul Fulk, DC, Christi K. Fuller, RDH, Cheryl Gainer, RN, MSN, Qin Gao, PhD, Lourdes Garcia, RDH, Ruben Garcia, MD, Karen Gardner, PhD,
serious risks that far outweigh any minor benefits, violates
r Gasperini, MD, Roberta Gates, RN, Diane Gauthier, ND, Louis Gauthier, DDS, Michel Gauvin, ND, Paul Kevin Gehin, DC, Erwin Gemmer, DC, Marga
naro, MD, Frank W. George, DO, MD, James B. Gerni, DC, Lois Gibbs, Executive Director, Center for Health, Environment, and Justice (CHEJ), Margue
sound medical ethics and denies freedom of choice.
son, MD, Sheila L. M. Gibson, MD, Jerzy O. Giedwoyn, MD, Paul Gilbert, DDS, Libuse Gilka, MD, Delora Gillman, RDH, Louis Gilula, MD, Theo Giorda
George Gioumousis, PhD, William P. Glaros, DDS, Charles Glenn, DC, Richard Gobel, DC, Isaac Golden, PhD, D.Hom, ND, Dorothy Goldin-Rosenberg
Fluoridation must be ended now.”
, Gary S. Goldman, PhD, Natalya Golovanov, ND, Angel M. Gonzalez, MD, Deborah Gordon, MD, Mike Gordon, DC, Bonny Goselin, RDHAP, Scott
selin, DC, Michael Gossweier, DDS, Lynda Goupil, ND, Alan Green, DDS, Steven N. Green, DDS, Alan Greenberg, MD, Johanna Greenberg, VMD, Jam
enwalt, RN, Michael Greer, DC, Ronald Greinke, PhD, Diane Croteau Grenier, ND, Randy J. Griffin, DC, Veronica Griffin, PhD, MD, C. Jess Groesbeck,
Alain Grouette, ND, Barry Groves, PhD, Blanche Grube, DMD, Florence Grunwald, RN, Lynne Gryboski, RDH, Zhi-Zhong Guan, MD, PhD, Mireille Gu
, Jose Gude, MD, Lori Gumper, DC, Marycie Hagerty, RN, Boyd Haley, PhD, Ella Haley, PhD, Adrienne Hall, DC, John B. Hallawell, DC, Edward E.
milton, PhD, Cathleen Hamza, RN, Lolita Hanks, RN, Christine Hannafin, PhD, George Hardy, MD, Norval L. Hardy, DC, Andrew Harms, BDS, Bruce
per, DO, ND, Mary Harpster, RN, Andy Harris, MD, Glenn Harris, PhD, William Harris, MD, Eric J. Harrison, DC, James Harrison, DDS, Robert Harson,
Darren Hart, DC, Susan Hartfield, PharmD, RPAC, Laurie Hartjes, RN, Tom Hartjes, MD, Laura Hatton, PhD, Gayle Haushahn, BSN, RN, Liz Hawks, RN

Signed by over 2,000 medical, scientific, and environmental health professionals as of:
JANUARY 2009
To view the list of signers, or to sign this statement, go to:
w w w. F l u o r i d e A l e r t . O r g
W e, the undersigned professionals, come from a variety of disciplines
but all have an abiding interest in ensuring that government public
health and environmental policies be determined honestly, with
full attention paid to the latest scienti!c research and to
ethical principles.

8 RECENT EVENTS
Make action to
end water "uoridation
U R G E N T

1
T h e P ro f e s s i o n a l s ’ S t a t e m e n t C a l l i n g fo r a n e n d t o Wa t e r F l u o r i d a t i o n

The publication in 2006 of a 500-page review of fluoride’s


toxicology by a distinguished panel appointed by the National
1 Research Council of the National Academies (NRC, 2006). The
NRC report concluded that the US Environmental Protection Agency’s
(EPA) safe drinking water standard for "uoride (i.e. maximum
contaminant level goal or MCLG) of 4 parts per million (ppm) is
unsafe and should be lowered. Despite over 60 years of "uoridation,
the report listed many basic research questions that have not been
addressed. Still, the panel reviewed a large body of literature in
which "uoride has a statistically signi!cant association with a wide range of adverse
effects. These include an increased risk of bone fractures, decreased thyroid function,
lowered IQ, arthritic-like conditions, dental "uorosis and, possibly, osteosarcoma.

The average fluoride daily intakes (*) associated with many of these adverse
effects are reached by some people consuming water at the concentration levels
now used for fluoridation -- especially small children, above average water
drinkers, diabetics, people with poor kidney function and other vulnerable sub-
groups. For example, the average "uoride daily intake associated with impaired
thyroid function in people with iodine de!ciency (about 12% of the US population)
is reached by small children with average consumption of "uoridated water at
1 ppm and by people of any age or weight with moderate to high "uoridated
water consumption. Of special note among the animal studies is one in which rats
fed water containing 1 ppm "uoride had an increased uptake of aluminum into
the brain, with formation of beta-amyloid plaques, which is a classic marker of
Alzheimer’s disease pathology in humans. Considering the substantial variation
in individual water intake, exposure to fluoride from many other sources, its
accumulation in the bone and other calcifying tissues and the wide range of
human sensitivity to any toxic substance, fluoridation provides NO margin
of safety for many adverse effects, especially lowered thyroid function.

* Note: “Daily intake” takes into account the exposed individual’s bodyweight and is
measured in mg. of "uoride per kilogram bodyweight.
2
The evidence provided by the US Centers for Disease Control and Prevention (CDC)

2 in 2005 that 32% of American children have dental fluorosis –


an abnormal discoloration and mottling of the enamel. This
irreversible and sometimes disfiguring condition is caused by
fluoride. Children are now being overdosed with "uoride, even
in non-"uoridated areas, from water, swallowed toothpaste,
foods and beverages processed with "uoridated water, and
other sources. Fluoridated water is the easiest source to eliminate.

3 3
The American Dental Association’s policy change, in November 2006, recommending
T h e P ro f e s s i o n a l s ’ S t a t e m e n t C a l l i n g fo r a n e n d t o Wa t e r F l u o r i d a t i o n

that only the following types of water be used for preparing infant formula during
the first 12 months of life: “purified, distilled, deionized, demineralized, or produced
through reverse osmosis.” This new policy, which was implemented to prevent
the ingestion of too much "uoride by babies and to lower the risk of
dental "uorosis, clearly excludes the use of "uoridated tap water. The
burden of following this recommendation, especially for low income
families, is reason alone for "uoridation to be halted immediately.
Formula made with "uoridated water contains 250 times more
"uoride than the average 0.004 ppm concentration found in human
breast milk in non-"uoridated areas (Table 2-6, NRC, 2006).

4 4
The CDC’s concession, in 1999 and 2001, that the predominant benefit of fluoride
in reducing tooth decay is TOPICAL and not SYSTEMIC. To the extent "uoride
works to reduce tooth decay, it works from the outside of the
tooth, not from inside the body. It makes no sense to drink it and
expose the rest of the body to the long term risks of "uoride
ingestion when "uoridated toothpaste is readily available.

Fluoride’s topical mechanism probably explains the fact


that, since the 1980s, there have been many research
reports indicating little difference in tooth decay between
"uoridated and non-"uoridated communities (Leverett, 1982;
Colquhoun, 1984; 1985 and 1987; Diesendorf, 1986; Gray,
1987; Brunelle and Carlos, 1990; Spencer,1996; deLiefde, 1998; Locker, 1999;
Arm!eld and Spencer, 2004; and Pizzo 2007). Poverty is the clearest factor
associated with tooth decay, not lack of ingested "uoride. According to the World
Health Organization, dental health in 12-year olds in non-"uoridated industrialized

5
countries is as good, if not better, than those in "uoridated countries (Neurath, 2005).

In 2000, the publication of the UK government sponsored “York Review,” the

5 first systematic scientific review of fluoridation, found that NONE of the studies
purporting to demonstrate the effectiveness of fluoridation to reduce tooth decay
were of grade A status, i.e. “high quality, bias unlikely” (McDonagh et al., 2000).
6
The publication in May 2006 of a peer-reviewed, case-controlled study

6 from Harvard University which found a 5-7 fold increase in osteosarcoma


(a frequently fatal bone cancer) in young men associated with exposure to
fluoridated water during their 6th, 7th and 8th years (Bassin et al., 2006). This
study was surrounded by scandal as Elise Bassin’s PhD thesis adviser, Professor
Chester Douglass, was accused by the watchdog Environmental Working Group of
attempting to suppress these !ndings for several yeas. While this study does not
prove a relationship between "uoridation and osteosarcoma beyond any doubt,

7
the weight of evidence and the importance of the risk call for serious consideration.

The admission by federal agencies, in response to questions from


7 a Congressional subcommittee in 1999-2000, that the industrial
grade waste products used to fluoridate over 90% of America’s
drinking water supplies (fluorosilicate compounds) have never been
subjected to toxicological testing nor received FDA approval for human
ingestion (Fox, 1999; Hazan, 2000; Plaisier, 2000; Thurnau, 2000).

8 8
The publication in 2004 of “The Fluoride Deception” by Christopher
Bryson. This meticulously researched book showed that industrial interests,
concerned about liabilities from "uoride pollution and health effects on
workers, played a signi!cant role in the early promotion of "uoridation.
Bryson also details the harassment of scientists who expressed concerns
about the safety and/or ef!cacy of "uoridation (Bryson, 2004).

References cited in this statement can be accessed at:


www.FluorideAlert.Org/refs.html
We call upon Members of Congress (and legislators in other fluoridating countries) to sponsor a new
Congressional (or Parliamentary) Hearing on Fluoridation so that those in government agencies who continue to
support the procedure, particularly the Oral Health Division of the CDC, be compelled to provide the scienti!c basis
for their ongoing promotion of "uoridation. They must be cross-examined under oath if the public is ever to fully learn
the truth about this outdated and harmful practice.
We call upon all medical and dental professionals, members of water departments, local officials, public
health organizations, environmental groups and the media to examine for themselves the new documentation
that "uoridated water is ineffective and poses serious health risks. It is no longer acceptable to simply rely on
endorsements from agencies that continue to ignore the large body of scienti!c evidence on this matter -- especially
the extensive citations in the NRC (2006) report discussed above.
The untold millions of dollars that are now spent on equipment, chemicals, monitoring, and promotion of "uoridation
could be much better invested in nutrition education and targeted dental care for children from low income families.
The vast majority of enlightened nations have done this.

It is time for the US, and the few remaining fluoridating countries, to recognize that fluoridation is outdated, has
serious risks that far outweigh any minor benefits, violates sound medical ethics and denies freedom of choice.
Fluoridation must be ended now.
Signed by over 2,000 medical, scientific, and environmental health professionals as of:
JANUARY 2009
To view the list of signers, or to sign this statement, go to:
w w w. F l u o r i d e A l e r t . O r g

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