Countries Shun Fluoridation: THE TRUTH
to the American Dental Association - Fluoridation Facts, 1996:
are a number of countries that do not have fluoridation. However, failure
to fluoridate should not be misconstrued as concern over safety or effectiveness.
Inaction is not synonymous with banning; some countries have simply failed
to act. Also in many parts of the world, fluoridation is not feasible for
several reasons; the lack of a central water supply, the presence of more
urgent health needs and the lack of sufficient funds for start-up and maintenance
status of fluoridation of several countries cited as "shunning" fluoridation
is summarized below:
has never implemented fluoridation. Austrian Medical and Dental Association,
and the Austrian Federal Ministry for Health and the Environment are in
favor of water fluoridation and support the World Health Organization recommendation.
of the country have some fluoride naturally in their water supplies. Although
legislation allows fluoridation, there are no plans for it at present.
National Health Board of Denmark is convinced that fluoridation is a good
health measure. No decision regarding fluoridation has been made yet.
is strongly in favor. One community in Finland serving 70,000 people in
fluoridated. Two other communities approved fluoridation in 1974.
of salt is used in France.
reunification of Germany in 1990 has resulted in a complete change of medical
and dental care. Water fluoridation in 35 towns, reaching 18% of the citizens,
was stopped in 1990. Prior to this date there were technical problems of
the fluoridation process that caused ineffective fluoride levels from 1964-1985.
This has been stated as the most important reason for the lack of decline
of dental decay in East Germany.
stopping of fluoridation was not a result of banning but a change in political,
economic and social structures. For example, Germany currently benefits
from fluoridated salt and fluoride supplement programs.
1988 a preventative program (topical fluoride applications, brushing and
diet counseling) was introduced. These preventative programs, which include
the use of systemic and topical fluorides, have promoted the reduction
of tooth decay after water fluoridation was stopped in 1990.
country has opted to supplement with drops and pills using the extensive,
government-run health system to distribute fluoride.
less than 1% of Japan has community water fluoridation. Dental disease
in Japan is very severe compared to the United States.
Directorate of Health in Norway recommends water fluoridation. ". . .No
political decision has been made to abandon fluoridation in Norway, and
the Norwegian Dental Association supports fluoridation as a safe, effective
and efficient public health measure."
resolution to repeal the Fluoridation Act is not based on any proposals
presented by the Swedish Government or the National Board of Health and
Welfare but is entirely based on bills introduced by private members of
the parliament. Nor do the bills rest on petition or statements made by
odontological (dental) or medical institutions or organizations. The Swedish
Royal Commission has been reconsidering the whole question.
statement about Switzerland having officially banned fluoridation is incorrect.
The local government has the authority to order fluoridation. Currently
Basel is fluoridating at 1.0 ppm.
fluoridation systems that used to operate in Eastern and Central Europe
did not function properly and, when the Iron Curtain fell in 1989-90, shut
down because of obsolete technical equipment and lack of knowledge as to
the benefits of fluoridated water.