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Trump Administration Signals Change to Water Fluoridation Policy

President-Elect’s Team Considers Major Public Health Shift

According to a recent PolitiFact article by Samantha Putterman, the incoming Trump administration may consider removing fluoride from US public water systems, marking a potential shift in a decades-long public health policy. This development emerged after Robert F. Kennedy Jr. (pictured left with US President Elect Donald Trump), who recently ended his own presidential campaign to support Trump, announced the incoming administration’s intentions.

Current Scientific Consensus vs New Concerns

The article reports that while traditional research has supported water fluoridation as safe at recommended levels (0.7 milligrams per liter), recent studies have raised questions about potential health impacts. Dr. Ashley Malin, an assistant professor at the University of Florida’s Epidemiology Department, provided nuanced context: “There is evidence that fluoride exposure has been associated with the diseases (and) disorders that RFK listed, but with caveats.”

Expert Perspectives on Dosage

Harvard Medical School neurology professor David Bellinger emphasized the importance of considering dosage levels, telling PolitiFact: “In toxicology, ‘the dose makes the poison’ is a long-standing principle. So a general statement that fluoride is associated with diseases X, Y, and Z is not very helpful unless the dose that might be responsible is specified.”

Current Public Health Impact

The significance of this potential policy shift is substantial, as approximately 73% of Americans – around 209 million people – currently have access to fluoridated water. When asked about the potential removal of fluoride, Trump’s response was notably open to the idea: “Well, I haven’t talked to him about it yet, but it sounds OK to me. You know it’s possible.”

Recent Legal Developments

The article notes that in September, a federal judge ordered the Environmental Protection Agency to enhance its regulation of fluoride in drinking water, citing potential risks to children’s intellectual development. However, the ruling stopped short of declaring fluoridated water definitively harmful, with Judge Edward Chen noting that it remains “unclear whether the amount of fluoride typically added to water is causing children’s IQs to drop.”

Ongoing Research and Health Implications

Recent studies, including an August 2024 review by the Department of Health and Human Services’ National Toxicology Program, have found associations between higher fluoride exposure and lower IQ scores in children, particularly at levels above the US recommended limit. However, the review emphasized that more research is needed to understand the effects at lower exposure levels.

This developing situation represents a potential turning point in American public health policy, with significant implications for dental health practices that have been in place since 1945. The American Dental Association continues to maintain that “for more than 75 years, the best scientific evidence has consistently shown that fluoridation is safe and effective.”

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