Latest news with #LisaSimon
Yahoo
06-06-2025
- Health
- Yahoo
As Fluoride Bans Spread, Who Will Be Hit the Hardest?
A recent study projected that if the entire country were to stop adding fluoride to the water supply, tooth decay would increase by about 7.5%, representing about 25 million more cavities. Credit - Linda Raymond—Getty Images Cavities and dental costs are at risk of skyrocketing as a growing number of states consider banning the use of fluoride in public water—and children from low-income households are likely most vulnerable. In March, Utah became the first state to prohibit adding fluoride to drinking water. A couple months later, Florida followed suit. Several other states are now considering similar bills. In a recent study published in JAMA Health Forum, researchers projected what would happen if the entire country were to stop adding fluoride to the water supply. The potential impact on both people's oral health and their dental bills was substantial: Tooth decay, the study found, would increase by about 7.5%—representing about 25 million more cavities—and the U.S. would face about $9.8 billion in additional costs over five years, including both what families would have to pay out-of-pocket for dental care and what the government would need to pay for public health insurance. And those impacts would disproportionately affect children on public insurance plans or without insurance, the researchers found. Fluoridated water is 'an amazing public health intervention that comes straight from the tap,' says the senior author of the study, Dr. Lisa Simon, an internal medicine physician at Brigham and Women's Hospital, who is also a general dentist. Read More: The Science Behind Fluoride in Drinking Water 'Fluoride works for everyone—it benefits adults, it benefits children,' Simon says. 'But the people who derive the most benefit from it are people who have a harder time accessing routine dental care.' 'Unfortunately, in our country, that is more likely to be children and families who are low-income, who rely on public insurance, or who otherwise face challenges in getting to a dentist,' she says. States' moves to ban the use of fluoride in public drinking water come as the Trump Administration—due in large part to the influence of Robert F. Kennedy Jr., Secretary of the U.S. Department of Health and Human Services (HHS)—has pushed back against the practice. Kennedy has long blasted water fluoridation, claiming it is linked to arthritis, bone cancer, IQ loss, and more, and signaled that HHS will stop recommending it. The Environmental Protection Agency has said that it is studying the potential health risks of fluoride, and the Food and Drug Administration said it is taking steps to remove prescription ingestible fluoride supplements for children from the market. Some research suggests that fluoride could be associated with lower IQ scores, but only at significantly high levels of exposure—the amount of fluoride that is added to public water, based on federal guidelines, is far lower. And the majority of public health experts, pediatricians, and dentists insist that water fluoridation is a long-standing practice that is both safe and effective at protecting oral health and fighting cavities and tooth decay. Read More: America's Dental Health Is in Trouble 'It's been touted to be one of the most successful or greatest public health initiatives, right up there with vaccinations,' says Dr. Tomitra Latimer, a pediatrician at Ann & Robert H. Lurie Children's Hospital of Chicago. U.S. localities started adding fluoride to public water in 1945, and the Centers for Disease Control and Prevention (CDC) has credited the public health initiative for the 'dramatic decline in cavities' in the country in the years since. According to the CDC, drinking fluoridated water reduces cavities by roughly 25% in both children and adults. Tooth decay, though preventable, is one of the most common childhood diseases. And children of color, children who come from low-income households, children on public insurance plans that limit which providers they can see, and children who live in rural areas and have to travel long distances to access care—all of them are at greater risk of developing cavities, according to Latimer. Children with autism also tend to have a heightened risk of developing cavities because they may struggle with brushing their teeth regularly, she says. While there are alternative sources of fluoride that people can purchase, the cost may be out of reach for many families, Latimer says. That's why, she says, fluoridated water is so critical: It's an easily accessible tool that can help protect the oral health of children who are most vulnerable to cavities. And for generations, it's flowed straight from the tap. Contact us at letters@
Time Magazine
06-06-2025
- Health
- Time Magazine
As Fluoride Bans Spread, Who Will Be Hit the Hardest?
Cavities and dental costs are at risk of skyrocketing as a growing number of states consider banning the use of fluoride in public water —and children from low-income households are likely most vulnerable. In March, Utah became the first state to prohibit adding fluoride to drinking water. A couple months later, Florida followed suit. Several other states are now considering similar bills. In a recent study published in JAMA Health Forum, researchers projected what would happen if the entire country were to stop adding fluoride to the water supply. The potential impact on both people's oral health and their dental bills was substantial: Tooth decay, the study found, would increase by about 7.5%—representing about 25 million more cavities—and the U.S. would face about $9.8 billion in additional costs over five years, including both what families would have to pay out-of-pocket for dental care and what the government would need to pay for public health insurance. And those impacts would disproportionately affect children on public insurance plans or without insurance, the researchers found. Fluoridated water is 'an amazing public health intervention that comes straight from the tap,' says the senior author of the study, Dr. Lisa Simon, an internal medicine physician at Brigham and Women's Hospital, who is also a general dentist. 'Fluoride works for everyone—it benefits adults, it benefits children,' Simon says. 'But the people who derive the most benefit from it are people who have a harder time accessing routine dental care.' 'Unfortunately, in our country, that is more likely to be children and families who are low-income, who rely on public insurance, or who otherwise face challenges in getting to a dentist,' she says. States' moves to ban the use of fluoride in public drinking water come as the Trump Administration—due in large part to the influence of Robert F. Kennedy Jr., Secretary of the U.S. Department of Health and Human Services (HHS)—has pushed back against the practice. Kennedy has long blasted water fluoridation, claiming it is linked to arthritis, bone cancer, IQ loss, and more, and signaled that HHS will stop recommending it. The Environmental Protection Agency has said that it is studying the potential health risks of fluoride, and the Food and Drug Administration said it is taking steps to remove prescription ingestible fluoride supplements for children from the market. Some research suggests that fluoride could be associated with lower IQ scores, but only at significantly high levels of exposure—the amount of fluoride that is added to public water, based on federal guidelines, is far lower. And the majority of public health experts, pediatricians, and dentists insist that water fluoridation is a long-standing practice that is both safe and effective at protecting oral health and fighting cavities and tooth decay. 'It's been touted to be one of the most successful or greatest public health initiatives, right up there with vaccinations,' says Dr. Tomitra Latimer, a pediatrician at Ann & Robert H. Lurie Children's Hospital of Chicago. U.S. localities started adding fluoride to public water in 1945, and the Centers for Disease Control and Prevention (CDC) has credited the public health initiative for the 'dramatic decline in cavities' in the country in the years since. According to the CDC, drinking fluoridated water reduces cavities by roughly 25% in both children and adults. Tooth decay, though preventable, is one of the most common childhood diseases. And children of color, children who come from low-income households, children on public insurance plans that limit which providers they can see, and children who live in rural areas and have to travel long distances to access care—all of them are at greater risk of developing cavities, according to Latimer. Children with autism also tend to have a heightened risk of developing cavities because they may struggle with brushing their teeth regularly, she says. While there are alternative sources of fluoride that people can purchase, the cost may be out of reach for many families, Latimer says. That's why, she says, fluoridated water is so critical: It's an easily accessible tool that can help protect the oral health of children who are most vulnerable to cavities. And for generations, it's flowed straight from the tap.
Yahoo
03-06-2025
- Business
- Yahoo
Cavities in children could increase by millions if fluoride is banned, study suggests
The Brief An estimated 25.4 million more teeth will result in tooth decay in the next five years if fluoride is banned from the U.S. public water supply, according to a recent model simulation. The study also predicted an estimated $9.8 billion will be spent on additional dental care over the next five years. Some states like Utah and Florida have already banned fluoride from the state's public water supply. Researchers created a model to estimate the impact a ban on fluoride in the United States water supply would have on children's dental health and the results are bleak. The simulations estimated that a ban would result in tooth decay in 25.4 million more teeth, which is equivalent to a decayed tooth for one out of every three children over the next five years. The results were published in Jama Health Forum on May 30. "There's strong evidence from other countries and cities, such as Calgary in Canada, showing that when fluoride is eliminated, dental disease increases. Our study offers a window into what would happen in the United States if water fluoridation ceased," Lisa Simon, MD, DMD, and senior author of the study, said. Why you should care Not only would eliminating fluoride increase the occurrence of tooth decay, but the estimated cost of dental care would rise exponentially, according to the study. By the numbers The models simulated the potential dental care costs over five and 10 years. $9.8 billion in additional dental care costs over five years $19.4 billion in additional dental care costs over 10 years "Most of the increased cost could be attributed to publicly insured children, meaning it would be a direct public health cost," said Simon. Dig deeper Fluoride strengthens teeth and reduces cavities by replacing minerals lost during normal wear and tear, according to the CDC. In 1950, federal officials endorsed water fluoridation to prevent tooth decay, and in 1962 set guidelines for how much should be added to water. Fluoride can come from several sources, but drinking water is the main one for Americans, researchers say. Nearly two-thirds of the U.S. population gets fluoridated drinking water, according to CDC data. The addition of low levels of fluoride to drinking water was long considered one of the greatest public health achievements of the last century. The American Dental Association credits it with reducing tooth decay by more than 25% in children and adults. About one-third of community water systems — 17,000 out of 51,000 across the U.S. — serving more than 60% of the population fluoridated their water, according to a 2022 CDC analysis. What they're saying "We know fluoride works. We're able to show just how much it works for most communities and how much people stand to lose if we get rid of it," said Simon. Big picture view U.S. Health Secretary Robert F. Kennedy Jr. has said he wants communities to stop fluoridating water, and he is setting the gears of government in motion to help make that happen. Kennedy has said he plans to tell the Centers for Disease Control and Prevention to stop recommending fluoridation in communities nationwide. And he said he's assembling a task force of health experts to study the issue and make new recommendations. Two states have already banned adding fluoride to public water systems. These include Florida and Utah. The Source Information for this article was taken from the Centers for Disease Control and Prevention website, a study that observed oral health and water fluoridation data collected from 8,484 children aged 0-19 which was published in JAMA on May 30, 2025, a Mass General Brigham news release about the study, and reporting by The Associated Press. This story was reported from Los Angeles.
Yahoo
30-05-2025
- Business
- Yahoo
Removing fluoride from public drinking water may lead to millions more cavities in US children, study estimates
The longstanding public health practice of adding fluoride to public drinking water systems in the United States is facing new challenges and bans in some places, and experts have warned that the change would come with significant costs – both to the health of children and the health care system. A new modeling study, published Friday in JAMA Health Forum, estimates that removing fluoride from public water in the US would lead to 25.4 million excess decayed teeth in children and adolescents within five years, along with $9.8 billion in health care costs. After 10 years, these impacts would more than double to nearly 54 million excess decayed teeth and $19.4 billion in costs. That translates to one additional decayed tooth for every three children in the US – but the costs wouldn't be spread evenly, said Dr. Lisa Simon, an internal medicine physician with Brigham and Women's Hospital and co-author of the new study. 'We know that the people who have the most benefit from fluoride are people who otherwise struggle to access dental care,' says Simon, who has been researching dental policy for a decade. 'When we think about those 25 million decayed teeth, they're much more likely to appear in the mouths of children who are publicly insured by Medicaid or come from otherwise low-income families.' Fluoride is a mineral that can be found naturally in some foods and groundwater. It can help prevent tooth decay by strengthening the protective outer layer of enamel that can be worn away by acids formed by bacteria, plaque and sugars in the mouth. Adding fluoride to public water systems started in the US in 1945 and has been hailed by the US Centers for Disease Control and Prevention as one of the 10 greatest health interventions in America in the 20th century In 2022, close to two-thirds of the US population was served by community water systems that had fluoride added to them, according to CDC data. But US Department of Health and Human Services Secretary Robert F. Kennedy Jr. said in April that he would tell the CDC to stop recommending that fluoride be added to public drinking water, and lawmakers in two states – Utah and Florida – have banned the practice this year. To estimate the effects of removing fluoride from community water, Simon and co-author Dr. Sung Eun Choi from the Harvard School of Dental Medicine assessed clinical oral health data from the National Health and Nutrition Examination Survey to create a nationally representative sample of US children. At baseline, the data showed that about 1 in 5 children between the ages of 2 and 5 were estimated to have dental caries, a chronic infectious disease involving tooth decay and cavities, along with more than half of children ages 6 to 12 and more than 57% of teenagers. But removing fluoride would raise those prevalence rates by more than 7 percentage points, the researchers found. 'This is a huge cost for our country and it's all avoidable. There is no better replacement for the time-tested, doctor trusted use of fluoride in community water programs,' Dr. Brett Kessler, president of the American Dental Association, said in a statement. 'No amount of political rhetoric or misinformation will change that good oral health depends on proper nutrition, oral hygiene and optimally fluoridated water, or fluoride supplements if community water programs lack fluoride.' On the campaign trail last fall, Kennedy called fluoride 'industrial waste' and claimed that exposure has resulted in a wide variety of health problems, including cancer – claims that both the American Cancer Society and the CDC have disagreed with. And in April, HHS and the US Environmental Protection Agency announced that they would study the potential health risks of fluoride in drinking water – a review centered around a government study from last year concluding that higher levels of fluoride are linked to lowered IQ in children. In the new modeling study, researchers found that only about 1.5% of US children in 2016 had exposure to this excess level of fluoride – considered to be above 1.5 milligrams per liter – that posed risk for fluorosis, a condition that leaves streaks or spots on teeth, or other harms. Meanwhile, about 40% of US children had access to optimal fluoride levels that effectively prevent tooth decay – between 0.6 and 1.5 milligrams per liter – while about 46% had access to even lower levels. The authors of the new study did not assess the neurocognitive effects of fluoride because 'current federal guidance does not find an association' at the levels used in public drinking water. They found that removing fluoride would only help prevent about 200,000 cases of fluorosis over five years. Tooth decay can mean a lot of things, Simon said, but their model was picking up cases that would likely need at least a filling along with severe cavities that could turn into a root canal or a tooth extraction – the costs of which would be borne by families, insurers and the government. 'Talking about money, which is really important, is only one way to measure that cost,' Simon said. 'It's also a cost in terms of children being in pain, children not being able to eat, children missing school or not being able to pay attention in school because their teeth hurt, parents missing work, children losing teeth that are supposed to stay with them for their entire lives, and those children growing into older adults who are more likely to be missing teeth with all of the health consequences that entails.' Forecasts in the new modeling study mirror real-life impacts that were measured in other parts of the world after fluoride was removed from drinking water. Calgary, Alberta, stopped putting fluoride in its water in 2011, and a study found that children there had more cavities than those in cities that kept fluoride. Calgary will resume fluoridation this year. Simon worries the effects in the US might be even greater because of health inequities that are especially pronounced in the dental care system. 'We've had fluoridated water for so long and it's worked so well that we've stopped appreciating the amazing things it's done,' she said. 'When something has been a success story for 80 years … you don't know which kid never got a cavity because they were exposed to fluoride, and we don't know which older adults aren't wearing dentures because of that.'
CTV News
23-05-2025
- Health
- CTV News
New Medical Officer at Simcoe County District Health Unit
Lisa Simon has been named the new Medical Officer of Health at Simcoe County District Health Unit.
