Fluoride Follies
by
Donald W. Miller, Jr.,
MD
by Donald W. Miller, Jr., MD
The
federal government’s Centers for Disease Control and Prevention
(CDC) and the American Dental Association (ADA) are holding a symposium
in Chicago this week titled: "National Fluoridation Symposium
2005: Celebrating 60 Years of Water Fluoridation" (July 1316).
The CDC ranks fluoridation of community drinking water as one of
the ten most significant public health achievements of the 20th
century.
No speaker
at this symposium will dare question the safety or efficacy of fluoride.
That is now a given and has become dogma. But like in 1968 when
protests against the Vietnam War were held in the Windy City outside
the Democratic National Convention, this week protesters
have assembled in Chicago to fight fluoridation.
Fluoridation
of community drinking water began in Grand Rapids, Michigan on January
12, 1945. It was the brainchild of two people who worked for Andrew
W. Mellon, founder of the Aluminum Company of America (ALCOA), Drs.
H. Trendley Dean and Gerald J. Cox. Mellon was US Treasury Secretary,
which made him (at that time, in 1930) head of the Public Health
Service (PHS). He had Dean, a researcher at the PHS, study the effects
of naturally fluoridated water on teeth. Dean confirmed that fluoride
causes mottling (discoloration) of teeth, and he hypothesized that
it also prevents cavities. Cox, a researcher at the Mellon Institute
in Pittsburgh, was urged to study the effect of fluoride on tooth-decay
in rats. Determining that it had a beneficial effect, he proposed,
in late 1939, that the US should fluoridate its public water supply.
Fluorine is
a halogen, like chlorine and iodine. It is the smallest and most
reactive element in the halogen family (elements with 7 electrons
in their outer shell). Fluorine exists in nature attached to other
elements as the negatively charged ion fluoride, most notably to
hydrogen, calcium, sodium, aluminum, sulfur, and silicon. Sodium
fluoride, a by-product of aluminum smelting, initially was used
to fluoridate water. Silicofluorides (fluoride combined with silicon),
wastes of phosphate fertilizer production, are now used almost exclusively
for fluoridation. Fluorine is also present in compounds called organofluorines,
where fluorine atoms (not fluoride anions) are tightly bound to
carbon. Teflon (poly-tetra-fluoro-ethylene), Gore-Tex, and many
drugs, Prozac (fluoxetine), Cipro (ciprofloxacin), and Baycol (cerivastatin)
among them, are organofluorines.
Doctors and
public health officials did not think sodium fluoride, used commercially
as a rat and bug poison, fungicide, and wood preservative, should
be put in public water. The Journal of the American Dental Association
said (in 1936), "Fluoride at the 1 ppm [part per million] concentration
is as toxic as arsenic and lead… There is an increasing volume of
evidence of the injurious effects of fluorine, especially the chronic
intoxication resulting from the ingestion of minute amounts of fluorine
over long periods of time." And the Journal of the American
Medical Association" noted (in its September 18, 1943 issue),
"Fluorides are general protoplasmic poisons, changing the permeability
of the cell membrane by certain enzymes." But, as Joel Griffiths
and Chris Bryson reveal in "Fluoride,
Teeth, and the Atomic Bomb," and Bryson in his book The
Fluoride Deception, officials in the Manhattan Project persuaded
health policy makers and medical and dental leaders, in the interests
of national security, to do an about-face and join the fluoridation
bandwagon.
Vast amounts
of fluoride were required to build the atom bomb. Fluoride combines
with uranium to form the gas uranium hexafluoride, which, when passed
through a semi permeable membrane, separates bomb-grade, fissionable
uranium-235 from the much more abundant and stable uranium-238.
This done, fluoride is released into the environment as waste. (During
the Cold War millions of tons of fluoride were used in the manufacture
of bomb-grade uranium and plutonium for nuclear weapons.) Also,
large amounts of fluoride were generated in producing aluminum required
for warplanes.
With several
instances already on record of fluoride causing damage to crops,
livestock, and people downwind from industrial plants, government
and industry, lead by officials running the Manhattan Project, sought
to put a new, friendlier face on fluoride. This would dampen public
concerns over fluoride emissions and help forestall potentially
crippling litigation. Instead of being seen as the poison it is,
people should view fluoride as a nutrient, which gives smiling children
shiny teeth, as epitomized in the jingle that calls fluoride "nature’s
way to prevent tooth decay."
It worked.
Early epidemiological studies showed a 50 to 70 percent reduction
in dental cavities in children who drank fluoridated water. These
studies, however, were poorly designed. None were blinded, so dentists
examining children for caries would know which kind of water they
were drinking. Data gathering methods were shoddy. By today’s evidence-based
medicine standards these studies do not provide reliable evidence
that fluoride does indeed prevent cavities.
Based on these
studies and its promotion, municipalities across the country started
adding fluoride to their water supply. Within 15 years a majority
of Americans were washing their clothes, watering their vegetable
gardens, bathing with, and drinking fluoridated water.
On its 60th
anniversary proponents still have not proved that the hypothesis
fluoride [put in public water] prevents cavities and is perfectly
safe is true. The first part of the hypothesis, at least, has
biological plausibility. Fluoride prevents cavities by combining
with calcium in dental enamel to form fluoroapetite, which increases
the resistance of teeth to acid demineralization. And fluoride inactivates
bacteria that damage teeth by interfering with their enzymes. But
biological plausibility alone is not sufficient to prove efficacy.
Epidemiological evidence is required to do that. A debate open to
well-informed opponents of fluoridation, if the CDC and ADA ever
agreed to hold one, would show that existing epidemiological evidence
does not prove that fluoride prevents cavities.
In evidence-based
medicine, systematic reviews (meta-analyses) are considered to be
the best, most "scientific" evidence. A systematic
review of water fluoridation studies, published in the British
Medical Journal in 2000, found, as the chair
of the Advisory Group that commissioned the review puts it, "The
review did not show water fluoridation to be safe. The quality of
the research was too poor to establish with confidence whether or
not there are potentially important adverse effects in addition
to the high levels of [dental] fluorosis." He adds, "The
review team was surprised that in spite of the large number of studies
carried out over several decades there is a dearth of reliable
evidence with which to inform policy." The case for fluoride
does not stand up to careful evidence-based scrutiny.
Evidence that
"fluoride [put in public water] does not prevent
cavities and is not safe" (the null hypothesis)
is more convincing. If a court of law held a trial on fluoride’s
safety and efficacy, the anti-fluoridationists would win. The judgment
in their favor would most likely be beyond a reasonable doubt, or
at least on a more likely than not basis. In a courtroom the pro-fluoridationists
would not be permitted to employ ad hominem attacks that focus on
the character of the opposing witness instead of the evidence, and
dogmatic assertions on the safety and efficacy of fluoride would
be subject to cross examination.
Proponents
of fluoridation will not willingly admit they are wrong. As Tolstoy
puts it, "Most men can seldom accept even the simplest and
most obvious truth if it would oblige them to admit the falsity
of conclusions which they have delighted in explaining to colleagues,
have proudly taught to others, and have woven thread by thread into
the fabric of their lives."
There are exceptions.
Two prominent leaders of the pro-fluoridation movement willingly
admitted publicly (in 1997 and 2000) that they were wrong. One was
the late John Colquhoun, DDS, Principal Dental Officer for Auckland,
New Zealand and chair of that country’s Fluoridation Promotion Committee.
He reviewed New Zealand’s dental statistics in an effort to convince
skeptics that fluoridation was beneficial and found that tooth decay
rates were the same in fluoridated and nonfluoridated places, which
prompted him to re-examine the classic fluoridation studies. He
recanted his support for it in "Why
I Changed my Mind About Water Fluoridation" (Perspectives
in Biology and Medicine 1997;41:2944). The other is Dr.
Hardy Limeback, PhD, DDS, Head of Preventive Dentistry at University
of Toronto. His reasons are given in "Why
I am Now Officially Opposed to Adding Fluoride to Drinking Water."
Another former pro-fluoridationist that is fighting
fluoride in Canada, and elsewhere, is Richard G. Foulkes, MD,
a health care administrator and former assistant professor in the
Department of Health Care and Epidemiology at the University of
British Columbia.
Chlorine is
added to water to kill bacteria. Chlorination (begun in 1908) has
eradicated typhoid fever and cholera, two water-borne diseases that
used to kill thousands of Americans each year. Chlorine is a disinfectant.
Fluoride is a medication, which the state requires all people to
consume because government officials believe it is good for a segment
of the population. The putative benefit of this medication is for
children age 5 to 12 (when enamel for their permanent teeth is being
formed). This age group drinks 0.01 percent of the water people
use.
This is how
the CDC justifies
compulsory fluoridation: "Although other fluoride-containing
products are available [e.g., toothpaste], water fluoridation remains
the more equitable and cost-effective method of delivering fluoride
to all members of most communities, regardless of age, educational
attainment, or income level." Fluoridation, therefore, addresses
social inequalities and fosters social justice. It provides fluoride
to poor families without their having to buy (fluoride) toothpaste
and make their children brush their teeth with it. The common good
takes priority over individual freedom to choose to not take this
medication. This communitarian ethic increasingly governs US public
health policy. One of the goals of the government’s Healthy
People 2010 initiative (Objective 21-9) is to "increase
the proportion of the U.S. population served by community water
systems with optimally fluoridated water [the target: 75 percent]."
Murray Rothbard
(in an article
written in 1992) describes water fluoridation as "ALCOA-socialism,"
arising from "an alliance of three major forces: ideological
social democrats, ambitious technocratic bureaucrats, and Big Businessmen
seeking privileges from the state." It is a legacy of war,
with its call for aluminum and enriched uranium, and the New Deal.
Fluoridation
is an especially destructive type of socialism because fluoride
is a poison. It is the 13th most common element and one
of the most toxic elements in the earth’s crust. It is an insidious
poison that produces serious multisystem effects on a long-term
basis.
Fluoride disrupts
enzymes (by altering their hydrogen bonds) and prevents them from
doing their job of making proteins, collagen in particular, the
structural protein for bone and teeth, ligaments, tendons, and muscles.
It damages DNA repair enzymes and inhibits the enzyme acetylcholinesterase
in the brain, which is involved in transmitting signals along nerve
cells. All cells in the body depend on enzymes. Consequently, fluoride
can have widespread deleterious effects in multiple organ systems.
One researcher has uncovered 113
ailments that fluoride is said to cause.
The
first visible sign of fluoride poisoning is dental
fluorosis. It begins as small white specks in the enamel that
then turn into spots, become confluent, and, in its most severe
stage, turn brown. Dental fluorosis of varying degree affects 20
to 80 percent of children who grow up drinking fluoridated water.
Moderate to severe changes, with brown mottling, occurs in 3
percent of children. Dental fluorosis is an indicator of fluoride
toxicity in other parts of the body. Like in growing teeth, fluoride
accumulates in the brain. One manifestation of "brain fluorosis"
in children could be this: Researchers
(in China) have found that children living in an area where
the water has high fluoride content (4.12 ppm) have IQ scores that
are 6 to 12 points lower than children living in a low fluoride
district (the difference in IQ scores, at p <0.02, is statistically
significant).
Fluoride has
a particular affinity for calcium and thus for bone; and it poisons
bones the same way it does teeth. The average American living in
a fluoridated community now ingests 8 mg of fluoride a day. Unlike
teeth where the enamel, once formed, remains static, 10 percent
of bone tissue is broken down and replaced annually, giving fluoride
an opportunity to steadily accumulate year-after-year in bones.
People who consume 1025 mg of fluoride a day over 10 to 20
years, or 2mg/day over 40 years, will develop skeletal fluorosis.
The first manifestations of this disease, before there are any changes
on x-ray, are joint pains and arthritic symptoms, which are indistinguishable
from osteoarthritis and rheumatoid arthritis; muscle weakness; chronic
fatigue; and gastrointestinal disorders. In the next stage, osteoporosis
develops and bones become more brittle and weak, making them prone
to fracture. (The third and final stage, crippling fluorosis, occurs
mainly in India where the natural fluoride content of the water
is high.)
There is an
epidemic of arthritis, osteoporosis, hip fractures, and chronic
fatigue syndrome in the United States. Could fluoride be causing
this epidemic? It turns out that even people who live in nonfluoridated
areas consume a lot of fluoride, on average 4 mg/day. It is in toothpaste;
in fruit juices, soda pop, tea, and processed foods; and, unfortunately,
in California wines, whose grapes are sprayed with the pesticide
cyrolite (sodium aluminum fluoride). American physicians know little
or nothing about skeletal fluorosis, and the early, arthritic stages
of this disease mimic other bone and joint diseases. It is a hypothesis
worth testing.
Studies show
that the rates of bone cancer are substantially higher in fluoridated
areas, particularly in boys. Other cancers, of the head and neck,
GI tract, pancreas, and lungs, have a 10 percent higher incidence.
Fluoride affects the thyroid gland and causes hypothyroidism, which
is also an increasingly frequent disorder in the US. Other studies
show that high levels of fluoride in drinking water are associated
with birth defects and early infant mortality.
Fluoride also
damages the brain, both directly and indirectly. Rats given fluoridated
water at a dose of 4 ppm develop symptoms resembling attention deficit-hyperactivity
disorder. High concentrations of fluoride accumulate in the pineal
gland, which produces serotonin and melatonin. Young girls who drink
fluoridated water reach puberty six months earlier than those who
drink unfluoridated water, which is thought to be a result of reduced
melatonin production. People with Alzheimer’s disease have high
levels of aluminum in their brains. Fluoride combines with aluminum
in drinking water and takes it through the blood-brain barrier into
the brain. Dr. Russell Blaylock, MD, a neurosurgeon, spells out
in chilling detail the danger fluoride poses to one’s brain and
health in general in his book Health
and Nutrition Secrets that can Save Your Life (2002).
Try to avoid
fluoride, in all its guises. It is not an element the body needs
or requires, even in trace amounts. There are no
known naturally occurring compounds of fluorine in the human body.
Live in a nonfluoridated
community. If that is not possible, drink distilled water or tap
water passed through a filter that can remove fluoride (a third
method using an activated alumina absorbent is not practical because
of its expense). Regular activated carbon filters do not work because
the diameter of a fluoride anion (0.064 nm) is smaller than the
pore size of the filter. It requires a reverse osmosis filter. (Living
in a fluoridated area, my family uses a table top reverse osmosis
filter that we purchased online.)
Distilled water has been given a bad rap by some health writers,
which is not deserved (see "Blowing
the Lid off Distilled Water Myths"). Distillation units
are relatively inexpensive.
Fluoride is
readily absorbed through the skin (and inhaled). Two-thirds of the
fluoride we take into our bodies using fluoridated public water
comes from bathing and wearing clothes washed in it. Drinking fluoride-free
water in a fluoridated district only reduces fluoride intake by
about a third.
One of the
greatest public health advances in the 21st century will
be removing fluoride from public water supplies. This "important
public health measure" is a Potemkin Village an impressive
façade that hides undesirable facts. In this village, the US Surgeon
General, the Czar, in this case, tells visiting dignitaries that
"Community water fluoridation benefits everyone," and
"There is no credible evidence that fluoridation is harmful."
This has given fluoride a protected pollutant status for 60 years
when the stark fact is that this substance is slowly poisoning us.
In addition
to being contaminated with trace amounts of arsenic, beryllium,
mercury, and lead, silicofluorides (hexafluorosilicic acid [H2SiF6]
and its sodium salt hexafluorosilicate [Na2SiF6])
carry lead through the intestine into the body. These are the compounds
that, untested, now are used to fluoridate water. Lead interferes
with the neurotransmitter dopamine, which controls impulsive and
violent behavior; and studies show that lead pollution is linked
to higher rates of violent crime. The average violent crime rate
in US counties that have lead pollution is 56 percent higher when
their drinking water is fluoridated, as reported in "A
Moratorium on Silicofluoride Usage will Save $$Millions (Fluoride
2005;38:15). School shootings occur ten times more frequently
in fluoridated communities, as Jay Seavey points out in "Water
Fluoridation and Crime in America (Fluoride 2005;38:1122).
Antifluoridationists
weaken their case by mistakenly putting florine-carbon organofluorines
in the same category as fluoride anions, as Joel Kauffman, a chemist,
points out.
The fluorine in these compounds is not dangerous (Teflon heated
continuously at 500° F does not release any fluoride.) Policy makers
will be better able to deal with fluoridation of water alone and
ban it when organic (carbon-based) fluorine compounds are removed
from consideration.
The day will
come when fluoridation of community drinking water will suffer the
same fate as blood letting. Used for over a millennium to treat
disease, it was abandoned three centuries ago.
Recommended
Reading:
- "Water
Fluoridation: a Review of Recent Research and Actions,"
by Joel M. Kauffman, PhD. Published last month in the peer-reviewed
Journal of American Physicians and Surgeons, this well-considered,
succinct, up-to-date review would be Exhibit A in a trial against
fluoridation. The author brought to my attention the distinction
between inorganic fluoride anion and organically carbon-bound
fluorine. (J Am Phys Surg 2005;10:3844.)
- "Fluoridation
of Water," by Bette Hileman. Published in Chemical
and Engineering News in 1988, this "Special Report"
by an associate editor of the journal examines the fundamental
issues and specifics of fluoridation, which scientists, policy
makers, and the public must confront. It shows that the fluoride
controversy is much more serious than most people at the time,
including scientists, realized. This seminal article gives important
examples of how data on fluoride’s adverse effects are withheld
from the public. (August 1, 1988 C&EN, p. 2642,
with links to the article’s four sidebars and to 39 letters published
in C&EN about it, including one from Surgeon General
C. Everett Koop.)
- "Fluoride:
Commie Plot or Capitalistic Ploy," by Joel Griffiths.
Originally published in Covert Action Quarterly in 1992,
this article, with a photo of Capt. Jack Ripper in Dr. Strangelove
saying, "Have you ever seen a commie drink a glass of water?,"
is another classic on the subject.
- Fluoride:
Drinking Ourselves to Death? by Barry Groves (2001)
This thoroughly researched and well written book refutes,
one by one, answers the British Fluoridation Society told UK dentists
to give to (32) questions people might ask them about Fluoride
questions like "Is fluoridated water safe?" and
"Is it true that there is enough fluoride in a tube of toothpaste
to kill a small child?" (The BFS answer to the toothpaste
one is: "Used sensibly, fluoride toothpaste presents no risks
to children.")
- "50
Reasons to Oppose Fluoridation" by Paul Connett. There
are, indeed, 50 reasons. Written by the Executive Director of
the organization that held the protest in Chicago.
- The
Fluoride Deception by Christopher Bryson (2004)
A good review of this book can be found here.
The author has thoroughly researched the subject and obtained
previously unreleased documents on the wartime politics behind
fluoridation. He pulls down its façade and lays bare this
Potemkin Village.
"A
Bibliography of Scientific Literature on Fluoride." A
good compilation of references, arranged by subject. It is 55
pages long.
July
15, 2005
Donald
Miller (send him mail)
is
a cardiac surgeon and Professor of Surgery at the University of
Washington in Seattle and a member of
Doctors for Disaster Preparedness
and writes articles on a variety of subjects for LewRockwell.com,
including bioterrorism. His web site is www.donaldmiller.com.
Copyright
© 2005 LewRockwell.com
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