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Secretary Of State Calls For Debate On Fluoridation To Improve Dental Health, UK
New government funding and guidance to help facilitate local
fluoridation schemes
Health Secretary Alan Johnson urged the NHS to consider
fluoridating tap water for those areas with poor dental health to
help prevent tooth decay and reduce health inequalities.
£14 million per annum extra funding will be made available over the
next 3 years by the Government to those Strategic Health Authorities
who, following consultations, find that the local community is in
favour of the introduction of fluoridation schemes to improve the
dental health.
Academic studies show that oral health is better in areas where tap
water is already fluoridated and that the number of children with
tooth decay decreases by 15%. In practice the benefits are even
greater. For example, children in fluoridated Birmingham have half
the cases of tooth decay than children in non-fluoridated Manchester.
To help Strategic Health Authorities assess the level of public
support for local fluoridation schemes, the Department is also today
issuing revised guidance to ensure local consultations are conducted
in a fair and objective way, with benefits and risks being properly
considered.
Alan Johnson said:
"Fluoridation is scientifically supported, it is legal, and it is our
policy, but only two or three areas currently have it and we need to
go much further in areas where dental health needs to be improved. It
is an effective and relatively easy way to help address health
inequalities - giving children from poorer backgrounds a dental
health boost that can last a lifetime, reducing tooth decay and
thereby cutting down on the amount of dental work they need in the
future.
"But there are people who hold strong views on this subject, so it is
important that any proposed schemes are fully and widely consulted
on. The guidance published today will help local health bodies to
ensure there is an opportunity for everyone to put forward their
views. The extra funding I am announcing means that, should local
people decide to support fluoridation, SHAs have the resources to
implement it."
Fluoride has been added to Birmingham's tap water for over forty
years. Its residents are among the 5.5 million UK citizens whose
water fluoridation has been already funded by the NHS. A further
half a million people live in areas in which fluoride occurs
naturally in the water.
This new government funding will allow SHAs in areas of poor dental
health to meet the capital cost of fluoridation schemes without
depleting funds designated for other health needs and facilities.
Notes
In 2000 the Centre for Reviews and Dissemination at the University of
York published a report of a systematic review of the evidence on
fluoridation, which concluded that the fluoridation of water
increased the number of children without tooth decay by 15 per cent
and that children in fluoridated areas had, on average, 2.25 fewer
teeth affected by decay than those in non-fluoridated areas.
All water contains some fluoride. About half a million people in this
country receive water which is naturally fluoridated at, or about,
the optimum level for dental health of one part of fluoride per
million of water. A further 5.5 million people receive water where
the fluoride content has been increased at the request of the NHS to
a level of one part per million. No ill effects to overall health
have been identified. Major schemes are in operation in Birmingham
and the West Midlands, and also in Tyneside, with the cost borne by
the health service rather than water customers.
Water fluoridation is governed by the Water Industry Act 1991 as
amended by the Water Act 2003. The Act gives Strategic Health
Authorities (SHAs) the responsibility of deciding the need for
fluoridation and consulting locally about any proposals to fluoridate
local water supplies.
The Chief Dental Officer, Barry Cockcroft, has issued guidance
to SHAs and Primary Care Trusts on the scientific evidence on
fluoridation, the planning of new fluoridation schemes, the conduct
of public consultations, and the implementation of new schemes.
http://www.dh.gov.uk
Solicitã Secretarului de Stat pentru dezbatere pe Fluoridation de îmbunãtãþire a sãnãtãþii dentare, Marea Britanie - Secretary Of State Calls For Debate On Fluoridation To Improve Dental Health, UK - articole medicale engleza - startsanatate