27th June 2016
By Michael Connett, JD
Following the recent water crisis in Flint, it’s no wonder that the U.S. public has begun to question exactly how safe
our drinking water actually is. What was once taken for granted — the
idea of safe, pure, and drinkable water for everyone — is now in serious
question.
In addition to the continuing problems with lead contamination,
it has come to light in recent years that public water supplies are now
contaminated with trace levels of pharmaceutical drugs, including oral
contraceptives and mood stabilizers.
These drugs end up in our water somewhat inadvertently; however, there’s one pharmaceutical that is intentionally added to our tap water: Fluoride.
Fluoride Is a Neurotoxic, Endocrine-Disrupting Drug
Fluoride is an endocrine-disrupting, neurotoxic, and bone-weakening substance that the Food and Drug Administration (FDA) defines as a drug when used to prevent disease, because unlike the minerals we need (e.g. calcium), humans have no known physiological requirement for fluoride.
Sodium fluoride, long known as an effective roach poison, is added to tablets and drops (i.e., “fluoride supplements“)
for the purpose of preventing tooth decay. But because of fluoride’s
toxicity, you cannot purchase fluoride “supplements” over-the-counter;
they can only be dispensed by prescription under the supervision of a
doctor. In short, sodium fluoride is not a nutritional “supplement;” it
is a prescription drug, and a dangerous one.
Although fluoride drugs have been
prescribed for over 50 years, the FDA recently announced that marketing
fluoride drops and tablets for cavity prevention violates federal law, because FDA has never approved these products as either safe or effective.
FDA made this stunning declaration in a
Warning Letter, in which the Agency called on a manufacturer to
immediately cease selling fluoride drops and tablets. Removing harmful
fluoride drugs from the market will protect the health of millions of
children, but we also need to address the big elephant in the room:
water fluoridation.
With water fluoridation, cities and
towns can add almost the same dose of fluoride contained in prescription
fluoride drops and tablets to each glass a toddler drinks — with no supervision of a health professional, and without the informed consent of the patient.
FDA Issues Warning Letter
On January 13, 2016, the FDA sent a “Warning Letter”
to Kirkman Laboratories, Inc., demanding that the manufacturer
immediately discontinue the marketing of its fluoride drops and tablets.
The FDA’s Warning Letter clearly states
that fluoride drops and tablets are “unapproved new drugs” because: (1)
they are not generally recognized as safe and effective for caries
prevention purposes, and (2) no manufacturer has ever provided FDA with
adequate studies to demonstrate the drugs’ safety and effectiveness.
This isn’t the first time FDA has stated that fluoride drops and tablets are unapproved drugs; FDA first grudgingly admitted this bewildering fact in the 1990s in response to a dogged investigation by the late New Jersey Assemblyman John Kelly.
What makes the Warning Letter to Kirkman
so significant, however, is that the FDA has finally decided to take
enforcement action against a company producing these drugs.
FDA’s Warning Letter is a historic
development, but much remains to be done. The real test will be whether
FDA follows through on its own conclusions by going after the larger companies that are currently manufacturing the very same fluoride drugs.
Three of the largest companies making
fluoride drops/tablets today are Libertas Pharma Inc., Sancilio &
Company, Inc., and Qualitest and so far, FDA has not taken any action
against these companies.
For this reason, the Fluoride Action
Network (FAN) and International Academy of Oral Medicine &
Toxicology (IAOMT) have filed a Citizens Petition with the FDA that calls upon the agency to take enforcement action against all
companies, not just Kirkman, that continue to produce unapproved
fluoride drugs. The petition asks that these unsafe and ineffective
drugs be removed from the market entirely. To support the FAN/IAOMT
petition, please sign this online letter to FDA.
Pharmacies Are Violating Federal and State Law
It’s not just the fluoride drug
manufacturers who are violating the law. The nation’s largest pharmacies
are culprits as well. FAN recently conducted an undercover
investigation of the nation’s four largest pharmacies: Walgreens, CVS, Rite Aid, and Walmart.
This investigation has revealed that
each of these four companies continues to sell unapproved fluoride
drugs, which not only violates the federal prohibition on introducing
unapproved drugs into interstate commerce, but violates the laws of at least 17 states which prohibit the “sale” of any drug not approved by the FDA.
Not only are the nation’s largest
pharmacies systemically violating these laws, their pharmacists are
providing false information to inquiring customers and concerned parents
about the FDA approval status of these drugs.
As can be heard in these audiotaped conversations,
the nation’s largest pharmacies repeatedly assured customers that they
do not sell unapproved drugs, and that fluoride drops/tablets have
either been approved by the FDA or don’t need FDA approval.
Each of these assertions is false, as
evident by FDA’s Warning Letter and FAN’s investigation. The scope of
misunderstanding among pharmacists is striking, and troubling. If
pharmacists have no idea about fluoride’s lack of FDA approval, who else
would?
Attorney and FAN Executive Director, Michael Connett, recently wrote letters
to the big four pharmacies disclosing the findings of FAN’s
investigation, calling on them to immediately remove these unapproved,
unsafe, and ineffective drugs from their shelves.
Unnecessary, Ineffective, and Dangerous
In its Warning Letter, FDA states that fluoride drops and tablets are “not generally recognized as safe and effective” for caries prevention.
This is an important legal conclusion as
it means fluoride drops and tablets are “new” drugs under 21 USC
321(p), and thereby require FDA approval before they can be lawfully
marketed.1 This conclusion, important from a legal standpoint, is amply supported by a wealth of scientific research.
Fluoride drops and tablets were introduced in the 1950s and ’60s on the now universally discredited premise that fluoride’s predominant benefit to teeth comes from ingesting fluoride while the teeth are still forming.
As explained in the Journal of the
American Dental Association, “fluoride incorporated during tooth
development is insufficient to play a significant role in cavity
protection.”2
Both the Centers for Disease Control and
National Research Council have confirmed this, declaring, respectively,
that “fluoride’s predominant effect is posteruptive and topical,”3 and “the major anticaries benefit of fluoride is topical and not systemic.”4
In other words, fluoride works when it
is applied directly to the outside of teeth (i.e. topical), not when
swallowed (i.e. systemic).
The new understanding that fluoride’s main, if not sole benefit comes from topical application, eviscerates the need for adding fluoride to drops, tablets, and any other product that we swallow. Indeed, as noted in a recent review by the prestigious Cochrane Collaboration:
“Now the common view is that it is through the posteruptive (topical) effect that fluorides have caries preventative action.In this context, ingestion of the supplements is not necessary nor needed to obtain a preventive effect as the topical application of fluoride compounds is all that is required to provide preventive effect on dental caries.”5
Swallowing fluoride is not only
unnecessary, it’s dangerous. It is well-established that children who
swallow fluoride drops and tablets are at significantly elevated risk of
developing dental fluorosis,6 a defect of enamel that can produce embarrassing stains on the teeth7 which is caused by fluoride’s interference with tooth-forming cells.8
As noted in one review, “Supplement use
by children younger than 5 years entails a risk of fluorosis which, at
the community level, becomes a certainty.”9 Based on this
“clear” risk of fluorosis, and “marginal at best” benefit, even some
pro-fluoride dental researchers have called for the elimination of
fluoride drops/tablets entirely.10
Fluoride Exposure Can Impact Early Brain Development
Dental fluorosis is not the only risk from early ingestion of fluoride. Fluoride exposure can also negatively impact brain development, resulting in both learning and behavioral disorders. Fifty studies of human populations have linked fluoride exposure with reduced IQ scores, while over 30 laboratory experiments have confirmed (under carefully controlled conditions) that fluoride exposure can impair learning and memory capacity in rats and mice.
The
evidence of fluoride’s interference with brain development is now
sufficiently advanced that a recent review in Lancet Neurology classified fluoride as 1 of only 11 chemicals “known to cause developmental neurotoxicity in human beings.”11 Fluoride has also been classified by the prestigious National Research Council (NRC) as an “endocrine disruptor” due, in large part, to its documented capacity to interfere with thyroid function and glucose metabolism. In fact, they were previously used by doctors as a medication to reduce thyroid function among hyperthyroid patients, and recent research has linked fluoridated drinking water to elevated rates of hypothyroidism (under-active thyroid).
Further, fluoride’s ability to disrupt
insulin production and glucose metabolism has been established in
multiple studies, at strikingly low levels.12 In fact, the blood fluoride levels found in pre-school children following ingestion of fluoride tablets13 overlap the levels that have been found to impair glucose tolerance (~0.1 ppm).14 Other risks from fluoride ingestion include damage to the pineal gland, bone fragility, and possibly childhood cancer.
It should go without saying that a
non-FDA approved drug with the potential to permanently damage the
brain, disrupt the endocrine system, and damage the bone should not be
dispensed to infants and toddlers unless and until adequate and
well-conducted studies have been conducted and vetted by the FDA to
ensure the drug’s safety and effectiveness. The manufacturers of
fluoride drops and tablets have had decades to submit these studies, but
they have failed to do so.
Public Water Supplies and the Drug We Drink
Adding fluoride to prescription drops
and tablets for ingestion is bad enough, but adding
prescription-strength doses of fluoride to public water supplies is even
worse. No other drug — let alone an unapproved drug — is purposely added to water, and there is no reason to make an exception for fluoride.
Indeed, most Western industrialized nations have rejected fluoridation
precisely on this ground: that the public water supply is a
fundamentally inappropriate and unethical way of medicating a
population. As summarized by Dr. Arvid Carlsson, the pharmacologist who won the Nobel Prize for Medicine/Physiology in 2000:
“[Fluoridation] is absolutely obsolete. In modern pharmacology it’s so clear that even if you have a fixed dose of a drug, individuals respond very differently. Now, in this case, you have it in the water and people are drinking different amounts of water. So you have huge variations in the consumption of this drug. So, it’s against all modern principles of pharmacology. It’s obsolete. I don’t think anybody in Sweden, not a single dentist, would bring up this question anymore.”
Carlsson’s home country of Sweden
rejected fluoridation in the 1970s, and most other western European
countries have done the same, including Belgium, Denmark, Finland,
France, Germany, Greece, Iceland, Italy, Luxembourg, Netherlands, and
Norway. And yet, despite rejecting fluoridation, tooth decay rates in
Europe are generally lower
than in heavily fluoridated U.S. Whatever we thought the fluoride in
our water supply would accomplish for us, it doesn’t actually seem to be
working so well.
It’s high time for the U.S. to follow
Europe’s lead and end water fluoridation. The only place that fluoride
belongs is in toothpaste and other topical tooth applications. This way,
the fluoride is applied to the only organ in the body that stands to
benefit (the surface of the teeth), individuals have a clear choice as
to whether or not to use fluoride, and the entire food chain is not
contaminated with fluoridation chemicals.
This is not rocket science; it’s common
sense. And, unlike the fluoride in drops, tablets, and tap water,
fluoride toothpaste is actually FDA approved. However, make sure to read
the poison label that FDA requires on all tubes of fluoride-containing toothpaste: “If you accidentally swallow more than used for brushing, seek professional help or contact poison control immediately.”
So — how many glasses of water, tea, coffee or other tap-sourced beverages do you drink in a day? If you’re starting to feel a little uneasy — you should be. We all should.
Help End the Practice of Fluoridation
There’s no doubt about it: fluoride should not be ingested.
Even scientists from the EPA’s National Health and Environmental
Effects Research Laboratory have classified fluoride as a “chemical
having substantial evidence of developmental neurotoxicity.”
Furthermore, according to the Centers
for Disease Control and Prevention (CDC), 41 percent of American
adolescents now have dental fluorosis — unattractive discoloration and
mottling of the teeth that indicate overexposure to fluoride. Clearly,
children are being overexposed, and their health and development put in
jeopardy. Why?
The only real solution is to stop the
archaic practice of water fluoridation in the first place. Fortunately,
the Fluoride Action Network has a game plan to END water fluoridation
worldwide. Clean pure water is a prerequisite to optimal health.
Industrial chemicals, drugs, and other toxic additives really have no
place in our water supplies. So please, protect your drinking water and
support the fluoride-free movement by making a tax-deductible donation
to the Fluoride Action Network today.
Internet Resources Where You Can Learn More
I encourage you to visit the website of the Fluoride Action Network (FAN) and visit the links below:- Like FAN on Facebook, follow on Twitter, and sign up for campaign alerts.
- 10 Facts About Fluoride: Attorney Michael Connett summarizes 10 basic facts about fluoride that should be considered in any discussion about whether to fluoridate water. Also see 10 Facts Handout (PDF).
- 50 Reasons to Oppose Fluoridation: Learn why fluoridation is a bad medical practice that is unnecessary and ineffective. Download PDF.
- Health Effects Database: FAN’s database sets forth the scientific basis for concerns regarding the safety and effectiveness of ingesting fluorides. They also have a Study Tracker with the most up-to-date and comprehensive source for studies on fluoride’s effects on human health.
In my opinion, there are very few NGOs
that are as effective and efficient as FAN. Its small team has led the
charge to end water fluoridation and will continue to do so with our help.
Article sources:- 1 21 USC 331(d) and 21 USC 355(a).
- 2 Featherstone, JDB. (2000). The science and practice of caries prevention. Journal of the American Dental Association 131:891.
- 3 Morbidity and Mortality Weekly Report 50(RR14): 1-42.
- 4 National Academies Press, Washington D.C. p 13.
- 5 Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children. The Cochrane Library. p. 29.
- 6 Community Dentistry & Oral Epidemiology 27(1):48-56.
- 7 Community Dentistry & Oral Epidemiology 37:45-57.
- 8 Journal of Dental Research 88(10):877-93.
- 9 Journal of Public Health Dentistry 27:72-83.
- 10 Journal of Public Health Dentistry 59(4):269-74.
- 11 Neurobehavioral effects of developmental toxicity. Lancet Neurology 13(3):330-38.
- 12 National Academies Press, Washington D.C. at p. 264.
- 13 Caries Research 17:380, Fig. 1.
- 14 National Research Council. (2006). p. 264.
Michael Connett, JD, is an attorney and
board member of the Fluoride Action Network, an organization founded in
2000 in response to the toxicity of fluoride compounds and the way it is
overlooked by public health and environmental communities. Please visit
www.fluoridealert.org for more information or to get involved.