FLUORIDE ACTION NETWORK
http://www.FluorideAction.net
FAN Bulletin 757: CDC: Masters of public deception, part 2
Jan 25, 2007
Dear All,
I have never hidden my disgust about the activities of the Oral Health Division of the CDC (the Centers for Disease Control and Prevention, headquartered in Atlanta, Georgia) with respect to their fervent and unscientific promotion of water fluoridation. If we were dealing with a non governmental organization, which was set up to promote a particular program or point of view, their behavior might be tolerable, in fact democracy thrives on the exchanges between such groups. However, with these organizations, the public becomes accustomed to the need to sort out the “facts” from the “hype”. However, with the CDC we are not dealing with a non governmental organization. Here we are dealing with an important arm of the US Public Health Services which at taxpayers’ expense is set up to protect our health. In this case, the public should not have to work its way through a maze of public relations spin – let alone outright falsehoods - to get to the truth.
As citizens and taxpayers we have the right to expect nothing less than the most stringent application of science in the important endeavor to protect our health and particularly the health of our children. We should not find ourselves fending off the machinations of an agency which is hell bent on promoting a practice, however well-intentioned some who have promoted it in the past, might have been. Especially a practice which has been rejected by the vast majority of countries in the world (less than 10 countries worldwide have more than 50% of their population drinking fluoridate water). We should not expect, for example, with the current state of the scientific literature on the matter of fluoride’s toxicity, that top officials from the Oral Health Division of this agency, would go out and publicly support statewide mandatory fluoridation, which they have done within the last three years in Arkansas, New Jersey and Oregon.
In short, we should not find ourselves confronting an agency using our tax dollars to mobilize public relations to protect this practice, regardless of scientific findings. We should not be dealing with an agency which spins the science and massages the truth. They are there – or should be – to mobilize the best scientific judgment to protect our health. They are not doing this.
If we are to prevail against the unethical, ineffective and risky business of water fluoridation, a key step must be to get the “scientists” engaged in promoting this practice at the Oral Health Division of the CDC, testifying – and cross-examined - under oath. Ideally, this should take place in the US Congress, but if our legislators let us down on this, other avenues must be found to get their testimony under oath. This is not going to be easy. We are up against the huge power of government and millions of dollars in lobbying power from the ADA. But we have something that they don’t have: we have integrity, and the truth is on our side. These are two of the most powerful weapons in a democracy. A third is the willingness of the media to dig deep into an issue and – uninfluenced by its advertisers - find out which side is telling the truth.
In the next three parts in this series, we will examine (re-examine) three places where the CDC’s actions on defending this practice are demonstrably unscientific, and unless we are willing to grant them an extraordinary level of incompetence, dishonest:
1. First, we will look again at the paper which supposedly supported its 1999 claim that fluoridation is one of the top 10 public health achievements of the twentieth century. This claim has provided a convenient skirt behind which ill-informed newspaper editors and local officials can hide as they ignorantly promote and support this practice. The homage given to this CDC statement has reached almost biblical proportions!
2. Secondly, we will look at the dismissive manner in which they dealt with the 500 page review of the EPA’s drinking water standards by the National Research Council, made public on March 22 2006 and published in paperback format in December 2006.
3.Thirdly, we will look at the way they have attempted to rescue this practice from the ADA’s recommendation that fluoridated water not be given to infants less than one year of age.
Meanwhile, on the third issue we have received this important communication from Maureen Jones, who adds another nuance to the CDC’s deception on the significance of the dental fluorosis issue fro bottle-fed infants. In response to the last bulletin, Maureen wrote:
Paul,
I think this bulletin on the CDC’s deception along with the “conversation” is SO helpful for the person new to the issue. Thank you!
I think the CDC is also misusing Dean’s 1942 Classification and Criteria for dental fluorosis. Dean’s classification is:
Normal: Smooth, glossy, pale creamy-white translucent surface.
Questionable: A few white flecks or white spots.
Very Mild: Small opaque, paper-white areas covering less than 25% of the tooth surface.
Mild: Opaque white areas covering less than 50% of the tooth surface.
Moderate: All tooth surfaces affected; marked wear on biting, surfaces; brown stain may be present.
Severe: All tooth surfaces affected; discrete or confluent pitting; brown stain present.
The description of Questionable - a few white flecks or white spots, is often used by promoters to describe (i.e. down-grade) Very Mild fluorosis. Clearly, in their statement dealing with using or not using fluoridated water to make up infant formula, the CDC used the description of Questionable fluorosis for both Very Mild AND Mild fluorosis!
And as I’ve tried to describe before, combining fluorosis stats for both fluoridated and non fluoridated cities is yet another type of deception. When Heller and Eklund singled out the fluoridated children in the 1986-87 NIDR Survey, the 22.8% prevalence of fluorosis jumped to 29.9%. Therefore, the figure used by the CDC of 32 % (derived from the NHANES IV (see below)) and based upon a combination of stats from fluoridated and non-fluoridated communities, would also likely jump from 32% to around 40%. Again, this is without including the category of Questionable fluorosis!
In the only two sources of U.S. national data on the prevalence of enamel fluorosis; the 1986-87 NIDR Survey and the Fourth National Health and Nutrition Examination Survey (NHANES IV) of 1999-2002, fluorosis rates for all U.S. children (fluoridated and non-fluoridated cities combined) were 22.8% and 32% respectively (CDC’s MMWR August 26, 2005/54(03);1-44). Dean’s Questionable category was not included in either his own original work or in either the NIDR or NHANES IV surveys. However, Beltran-Aguilar et al. report on page 161 of JADA, Vol. 133, February 2002, that “In fact, the prevalence of fluorosis in our comparable OF group (0.7 to 1.2 ppm F) was 63 percent when children in the “questionable” category were included.” (OF = optimal fluoridation.)
Thanks again Paul,
Maureen Jones
Please look out for parts 3, 4 and 5 in this series on public deception by the CDC.
Paul Connett