Thanks to excessive exposure, she says, some people suffer
from dental fluorosis (where white or brown discolourations appears on the
enamel; about 15 per cent of Toronto kids have objectionable fluorosis and need
bleaching, bonding or veneers).
But although the city has quietly lowered the amount of
fluoride in our water and Stewart admits its major beneficial effects come from
topical use (as in toothpaste), she denies that there are any real risks to
human health besides the whole browning-enamel thing. "To date, there have been
no scientific studies that meet the rigours of peer review that support that
point of view."
Hardy Limeback, head of preventive dentistry and former
president of the Canadian Association of Dental Research, says such broad
statements fly in the face of a vast scientific literature on the topic. "I was
on the National Academy of Sciences committee that reviewed hundreds of these
studies, and our committee recently published a review of them. I wonder if Dr.
Stewart read that review."
Limeback points to study after study, including one that
examined more children than all the fluoridation studies combined. It found that
the use of hydrofluorosilicic acid, a type of fluoride commonly used by
municipalities like Toronto, is associated with a significant increase of lead
levels in the blood of children. (Hydrofluorosilicic acid, by the way, is a
pollutant produced by the fertilizer biz. It's collected in scrubbers, then sold
to municipal fluoridation programs as a cheap source of fluoride).
Other studies indicate the levels we use to fluoridate
Toronto water could trigger thyroid problems in the population. "All of these
studies have been well-conducted, peer-reviewed and published in respectable
journals."
Limeback adds, "Environment Canada recommends that our
freshwater lakes and rivers not contain any more than 0.12 ppm fluoride to
protect all stages of freshwater life. Why is it okay for humans to drink
fluoridated water that is 10 times the level that is toxic to other life in the
environment?"
South of the border, unions representing the employees of
the U.S. EPA have been wondering the same thing. Last summer, in response to
their discovery of the Harvard study's connection to bone cancer, they demanded
that action be taken and asked the EPA to drop the health standard for fluoride
in drinking water down to zero.
"Like it is for all carcinogens," says EPA scientist and VP
of the EPA scientist union, William Hirzy. "We asked Congress to call for a
moratorium on water fluoridation programs around the country until this issue
could be resolved. It didn't make a lot of sense to us to continue exposing the
country to this cancer risk."
So why are we still swallowing this stuff? Critics say it's
a bit like swallowing sunblock to protect our skin from UV damage. But Health
Canada stands by the line that yanking your fluoridation system leads to a town
full of rotten teeth. Says Health Canada rep Renee Bergeron, "Canadian
researchers are... finding increases in the rates of tooth decay for communities
that no longer fluoridate."
When pressed for examples, Bergeron cites Dorval, Quebec,
the hub of recent controversy thanks to a study that found cavity rates doubled
in the Montreal suburb after it cancelled its fluoridation program three years
ago. Of course, that unpublished study only looked at 120 kindergarten kids.
Retired med school prof Pierre Jean Morin, co-author of
Fluoride: Autopsy Of A Scientific Error, laughs at the suggestion that Dorval
should be taken as a rigorous example of fluoride's benefits. He oversaw a
three-year study of more than 20,000 kids in central Quebec and says, "There was
no difference in the dental decay rate between the fluoridated and
non-fluoridated, and that's a large sample."
Indeed, Finland ended its fluoridation in 1992 and saw no
increase in dental decay. The same was found in cities in Germany, North
Carolina and BC. Still, roughly 40 per cent of Canada remains fluoridated, and
the chances of reopening the T.O. debate look slim.
Aliss Terpstra, the Toronto-based research coordinator for
the Fluoride Toxicity Research Collaborative says she and her group asked the
mayor for a fair and open re-examination of water fluoridation back in the fall
and were told the matter was being passed along to the chief medical officer of
health. They haven't heard back.
"We've put our requests in front of the mayor, the works
committee and the board of health. There's nothing we can do to force them to
look at the science. We can only ask politely."
In a city whose mayor has gone on record saying he blames
his bad teeth on that fact that he grew up in England without fluoridated water,
we might just be stuck swallowing this stuff.
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