The debate over fluoridated drinking water, recently reignited by Robert F. Kennedy Jr.'s comments, touches on longstanding concerns versus broad public health consensus. Fluoride is a mineral added to drinking water primarily to prevent tooth decay, hailed as a significant public health achievement by the CDC. It works by strengthening enamel and reducing cavities in children and adults, with data suggesting a 25% reduction in cavities due to fluoridation.
The practice of fluoridating water began in the mid-20th century, following a series of studies showing notable drops in dental cavities. Despite this, there has always been a vocal opposition. Critics like Kennedy claim potential adverse health effects, including neurological and developmental disorders. He cites issues like bone fractures, cancer, and IQ reduction, suggesting that fluoride is an industrial waste product and inherently toxic.
However, mainstream scientific institutions, including the CDC, NIH, and American Cancer Society, maintain that fluoridation at recommended levels (0.7 mg/L) is both safe and effective. They emphasize that most concerns arise from studies using far higher doses of fluoride than found in regulated drinking water or are based on methodologically weak evidence. For instance, skeletal fluorosis, a severe outcome of fluoride overexposure, is extremely rare in countries with regulated fluoride levels. The evidence linking fluoride to systemic health issues, such as cancer or cognitive impairments, remains inconclusive, with major reviews finding no strong association.
Despite the controversy, the broad consensus in the scientific community supports fluoridation as a key preventive measure for dental health, with benefits that far outweigh potential risks at the levels used in public water systems.