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1. Tackling a Winnable Battle:
Partners for Oral Health
Matt Jacob
Priester Health Conference
April 11, 2012
www.pewcenteronthestates.com
2. America’s oral health: steady progress
Percentage of Children Who Were Cavity-Free
(Permanent or “Adult” Teeth)
60%
50%
40%
30%
20%
10%
0%
1971-73 1979-80 1986-87 1988-94 1999-2002
Ages 5-17 Ages 6-19
www.pewcenteronthestates.com
3. The price and pain of tooth decay
• Each year, Americans spend
roughly $50 billion to treat
decayed teeth.
• 2007 survey: nearly 1 out of 9
children had suffered a toothache
in the previous six months.
• 830,000+ Americans visited
hospital ERs in 2009 for dental
problems that were preventable.
This was a 16% jump from 2006.
www.pewcenteronthestates.com
5. Key facts about fluoridation
• Fluoride exists naturally in nearly all
water supplies. “Fluoridation” is simply
adjusting fluoride to the optimal level
that protects teeth from decay.
• The first city to fluoridate its public
water system was Grand Rapids, Mich.,
in 1945.
• Fluoridated water reduces tooth decay
by 25%. In recent years, new studies
have strengthened the evidence behind
fluoridation.
• 72 percent of Americans whose homes
are connected to a public water system
receive fluoridated water.
www.pewcenteronthestates.com
6. How fluoridation works
• Fluoride in water mixes with
saliva and coats teeth. These
minute levels of fluoride re-
mineralize the enamel of teeth,
protecting against decay.
• Only a minute level of fluoride
is needed to reach optimal
fluoridation. Federal health
officials have recommended a
level of 0.7 parts per million.
www.pewcenteronthestates.com
7. Who supports water fluoridation?
• American Academy of Pediatrics • Institute of Medicine
• American Dental Association • American Public Health Association
• Centers for Disease Control and • National Consumers League
Prevention
• Council of State Governments
• American Academy of Family Physicians
• American Society for Clinical Nutrition
• American Medical Association
• American Academy of Physician • Florida Department of Elder Affairs
Assistants • The Linus Pauling Institute
• U.S. Task Force on Community
Preventive Services
• American Association for the
Advancement of Science
• World Health Organization
• Office of Health Affairs, U.S. Department
of Defense
The CDC has named fluoridation
• American Academy of Public Health
one of “10 great public health
Dentistry achievements of the 20th century”
www.pewcenteronthestates.com
8. Ample room for improvement
74 million Americans
on public water systems lack access to optimally fluoridated water
www.pewcenteronthestates.com
9. The public’s information gap
• 58% of Maryland residents How Informed Are You
couldn’t identify the
purpose for adjusting the About Fluoridation?
Survey of 1,503 adults (2010)
fluoride in public drinking
water.
Very
20%
• 80% of Americans admit Informed
they have a low level of
knowledge about Somewhat
fluoridation. 54%
Informed
Not at All
26%
Informed
www.pewcenteronthestates.com
11. A web of misinformation
www.pewcenteronthestates.com
12. Creating fear, distorting science
• The Claim: Children are over-exposed to
fluoride and it causes a condition called
fluorosis.
• The Facts:
– Nearly all fluorosis in the U.S. is a mild,
cosmetic condition that leaves faint white
streaks on teeth.
– Mild fluorosis does not cause pain and
does not affect the health or function of
the teeth.
– Fluorosis exists in many areas, including
She has fluorosis
countries with no water fluoridation.
www.pewcenteronthestates.com
14. Distorting the facts
l Dr. Heyd was AMA president in 1936-37, many years before any
U.S. city started fluoridating its water. His opposition was not
“based on the latest medical research.”
l The AMA supports water fluoridation.
www.pewcenteronthestates.com
16. A national campaign is launched
The Campaign for Dental Health
(ILikeMyTeeth.org)
1. Create a network of CWF
advocates who can share ideas
and support one another
2. Improve the quality and
accuracy of web content about
oral health and CWF
3. Provide state and local
advocates with fact sheets and
other communication materials
www.pewcenteronthestates.com
17. Some of our campaign partners
A campaign with diverse partners:
www.pewcenteronthestates.com
21. Is your water fluoridated?
Find out by going online and entering into your
search engine these words: my water’s fluoride
www.pewcenteronthestates.com
22. Share the facts in your community
1. The leading health and medical experts agree that
fluoridation is a safe and effective way to prevent
tooth decay.
2. Fluoridated water benefits people of all ages and
incomes without requiring them to spend extra
money or change their routine.
3. Every $1 invested in fluoridated water saves $38 by
eliminating the need for fillings and other, more
costly dental treatments.
www.pewcenteronthestates.com
23. Keep informed . . .
of these and other oral health issues by
receiving Pew's monthly e-newsletter –
Dental News & Views.
Send an email to mjacob@pewtrusts.org
with the words “Sign me up"
in the subject line.
www.pewcenteronthestates.com
Editor's Notes
Here is what this anti-fluoride site neglects to tell visitors. Dr. Heyd (rhymes with “played”) was the AMA’s president back in the 1930s, long before water fluoridation began. There were many people at this point in history that had serious doubts about fluoridation. But once fluoridation began and studies validated its benefits, the leading health and medical experts across America agreed this was a wise public health practice. The AMA remains a supporter of fluoridation.
Here is what this anti-fluoride site neglects to tell visitors. Dr. Heyd (rhymes with “played”) was the AMA’s president back in the 1930s, long before water fluoridation began. There were many people at this point in history that had serious doubts about fluoridation. But once fluoridation began and studies validated its benefits, the leading health and medical experts across America agreed this was a wise public health practice. The AMA remains a supporter of fluoridation.
