Medicandus

Medicandus

Fluoride conspiracies + activism = harm to children

Over the weekend there was a story in the Fairfax press which highlights why I think the bizarre anti-fluoride conspiracy beliefs that you see around the place are not harmless whimsy.

I’ve discussed in an earlier piece the origins of fluoride conspiracy theory in post-war Europe. Other articles on The Conversation have set out the science behind our understanding that optimising levels of fluoride in drinking water is a safe and effective intervention (albeit one with a modest effect size) for the good of public health.

What I didn’t put into that earlier piece was a few personal anecdotes. The SMH article was completely consistent with them, so I might as well add my bit of anecdotal colour to the debate.

The region where I live has been one of the last in Victoria to add fluoride. This has partly been for logistical reasons, but also because the region is home to one of the better organised and more vociferous anti-fluoridation groups. In fact, my Letters to the Editor of the local paper pointing out the numerous factual errors of these groups ended up getting me personal nasty replies from the Editor herself, along with solemn and binding commitments on her behalf never to publish my ill-formed opinions again.

As a Pain Specialist, many of my colleagues are anaesthetists, and they have for years never looked forward to the paediatric dental lists here. So many children getting general anaesthesia for multiple extractions due to decay. The children wake up dazed, in pain, crying, vomiting and bleeding. Even though they bounce back pretty quickly afterwards, it’s not a very rewarding job to do. Anaesthetic trainees rotating down from big city hospitals where they rarely see such lists are about the only ones who benefit from such a cavalcade of needless misery. The risks of general anaesthesia are not to be idly contemplated for children, and far outweigh the virtually nonexistent risk from fluoridation.

Since fluoridation was introduced to Geelong in 2009, my colleagues are much happier, as severe dental abscesses requiring tricky anaesthetic techniques are much less common, and tend to mainly come from areas in the region which still aren’t fluoridated. A quick chat with one of our local dentists confirmed they had the same belief. The rate of kids needing GAs for dental work is approaching that of their metropolitan counterparts, though the list remains disappointingly long.

The other anecdote I wanted to share was that one of my colleagues who had worked in Europe for a few years went away with 3 children under the age of 6, who were the same age and social demographic as our own children. When they returned from living in a non-fluoridated European city 3 years later, 2 of his 3 children had needed dental treatment under GA and all 3 had fillings compared to none of any of their peers in our social circle who stayed in Australia. That’s a nice little case-control study right there, as if any further anecdotal evidence was needed to add to the overwhelming scientific evidence for fluoride optimisation.

So again, please don’t buy into fluoride conspiracy-mongering. Let’s not voluntarily give up the advantages of access to first-world public health measures because of manufactured scare campaigns. Maybe many anti-fluoride activists are sincere and reasonable people at heart. They certainly seem to hold their views with conviction. It’s just that on this issue, they couldn’t be more demonstrably wrong. The consequences of their misguided support for non-fluoridation are causing direct and measurable harm to children who deserve better than wilful ignorance and ersatz health consciousness.