I am a public health professional who is invested in improving the health of all Coloradans. I have witnessed the costs and consequences of poor oral health, particularly in children who live in areas of the state without access to community water fluoridation. Fluoride prevents disease.

Community water fluoridation has been studied extensively and the general consensus among public health and medical professionals is that the practice should continue as an effective means of improving health. The Centers for Disease Control and Prevention has recognized community water fluoridation as one of 10 great public health achievements of the 20th century. The guidance supporting community water fluoridation contains nearly 100 references describing scientific studies that are specific to fluoride, dental caries and human health. That guidance was reviewed by a 27-member panel of science and medical experts. The most recent review was published in December 2016 in the policy journal Health Affairs and it reaffirms the value of community water fluoridation.

It is true that there are groups and individuals that have offered conflicting information suggesting that fluoride in community water systems presents a significant health risk. Such information has been presented through public rulemaking hearings yet the drinking water standard remains. Many of the arguments that are critical of fluoridation are based on data that is interpreted out of context of the study from which it originated and the conclusions about the effects of fluoride exposure were often extrapolated from studies not related to drinking water or were not subject to scientific peer review. Evidence is often anecdotal and based on a set of facts that are not specific to drinking water.

There have been repeated reviews of the risks and benefits of fluoridation over many decades and I believe the science is plentiful and clear. Community water fluoridation is an important element of a safe and effective water supply that protects and improves the health of the entire population. Durango should continue to support community water fluoridation to reduce the burden of oral disease, particularly among children.

Chris Wiant M.P.H., Ph.D.

Denver

Editor’s note: Dr. Wiant is president and CEO of the Caring for Colorado Foundation based in Denver.