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Dáil Éireann debate -
Wednesday, 19 Nov 2003

Vol. 574 No. 5

Written Answers. - Fluoridation Forum.

Michael Noonan

Question:

88 Mr. Noonan asked the Minister for Health and Children if the expert body envisaged to oversee the implementation of the Forum on Fluoridation report has been set up; if so, the advice it had given to him; and the number of the report's recommendations which have been implemented. [27406/03]

The use of fluoride technology is known to manifest a positive oral health outcome. Local and national surveys and studies conducted since the introduction of fluoridation in this country attest to the reduced dental decay levels of children and teenagers in fluoridated areas compared to those residing in non-fluoridated areas. The safety and effectiveness of water fluoridation has been endorsed by a number of international and reputable bodies such as the World Health Organisation, the Centre for Disease Control and Preven tion, the United States Public Health Service and the United States Surgeon General.

As the Deputy is aware, I established the Forum on Fluoridation to review the fluoridation of public piped water supplies in Ireland. The forum's report was launched on 10 September 2002 and its main conclusion was that the fluoridation of public piped water supplies should continue as a public health measure. The forum also concluded that: water fluoridation has been very effective in improving the oral health of the Irish population, especially of children, but also of adults and the elderly; the best available and most reliable scientific evidence indicates that at the maximum permitted level of fluoride in drinking water at one part per million, human health is not adversely affected; and dental fluorosis, a form of discolouration of the tooth enamel, is a well-recognised condition and an indicator of overall fluoride absorption, whether from natural sources, fluoridated water or from the inappropriate use of fluoride toothpaste at a young age. There is evidence that the prevalence of dental fluorosis is increasing in Ireland.

The forum consisted of people with expert knowledge spanning the areas of public health, biochemistry, dental health, bone health, food safety, environmental protection, ethics, water quality, health promotion and representatives from the consumer and environmental areas. This diversity of professional backgrounds and representation was reflected in the comprehensive way the forum conducted its work and research. Ultimately, the forum took an evidence based approach to its examination of water fluoridation.

The report of the fluoridation forum made 33 recommendations covering a broad range of topics such as research, public awareness, and policy and technical aspects of fluoridation. I have asked my Department to establish an expert body as recommended by the forum. Work on the establishment of the expert body is well under way. It will oversee the implementation of the wide-ranging recommendations of the forum and advise me on all aspects of fluoride.

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