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Revised Statement on Fluoridation

Dean C. Fletcher, PhD
JAMA. 1975;231(11):1167. doi:10.1001/jama.1975.03240230041020.
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Few health measures have been accorded greater clinical and laboratory research, epidemiological study, massive clinical trial of total community populations, and public attention, both favorable and adverse, than the fluoridation of public water supplies.

In 1957, the American Medical Association (AMA) issued a position statement relative to fluorides and public water supplies (based on what was then known through trial and study). It is timely to update this statement as there now exist extensive additional experimental, clinical, laboratory, and epidemiological data confirming the safety and efficacy of this important essential nutrient.

In evaluating these data, the AMA has directed major interest at several aspects of fluoridation: its clinical effectiveness in public water supplies, factors of safety, range of effectiveness, as well as determination of levels of toxicity or other undesirable effects. The mechanics and control of the addition or removal of fluorides from water supplies have been reviewed. A complete


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