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Former Advocate
To explain how I came to change my opinion about water fluoridation,
I must go back to when I was an ardent advocate of the procedure.
I now realize that I had learned, in my training in dentistry,
only one side of the scientific controversy over fluoridation.
I had been taught, and believed, that there was really no scientific
case against fluoridation, and that only misinformed lay people
and a few crackpot professionals were foolish enough to oppose
it. I recall how, after I had been elected to a local government
in Auckland (New Zealand's largest city, where I practised dentistry
for many years and where I eventually became the Principal Dental
Officer) I had fiercely — and, I now regret, rather arrogantly
— poured scorn on another Council member (a lay person who
had heard and accepted the case against fluoridation) and persuaded
the Mayor
and majority of my fellow councillors to agree to fluoridation
of our water supply.
A few years later, when I had become the city's Principal
Dental Officer, I published a paper in the New Zealand Dental
Journal that reported how children's tooth decay had declined
in the city following fluoridation of its water, to which I attributed
the decline, pointing out that the greatest benefit appeared
to be in low-income areas [1]. My duties as a public servant
included supervision of the city's school dental clinics, which
were part of a national School Dental Service which provided
regular six-monthly dental treatment, with strictly enforced
uniform diagnostic standards, to almost all (98 percent) school
children up to the age of 12 or 13 years. I thus had access to
treatment records, and therefore tooth decay rates, of virtually
all the city's children. In the study I claimed that such treatment
statistics "provide a valid measure of the dental health
of our child population" [1]. That claim was accepted by
my professional colleagues, and the study is cited in the official
history of the New Zealand Dental Association [2].
INFORMATION CONFIDED
I was so articulate and successful in my support of water fluoridation
that my public service superiors in our capital city, Wellington,
approached me and asked me to make fluoridation the subject of
a world study tour in 1980 — after which I would become
their expert on fluoridation and lead a campaign to promote fluoridation
in those parts of New Zealand which had resisted having fluoride
put into their drinking water.
Before I left on the tour my superiors confided to me that
they were worried about some new evidence which had become available:
information they had collected on the amount of treatment children
were receiving in our school dental clinics seemed to show that
tooth decay was declining just as much in places in New Zealand
where fluoride had not been added to the water supply. But they
felt sure that, when they had collected more detailed information,
on all children (especially the oldest treated, 12-13 year age
group) from all fluoridated and all nonfluoridated places [3]
— information which they would start to collect while was
I away on my tour — it would reveal that the teeth were
better in the fluoridated places: not the 50 to 60 percent difference
which we had always claimed resulted from fluoridation, but a
significant difference nonetheless. They thought that the decline
in tooth decay in the nonfluoridated places must have resulted
from the use of fluoride toothpastes and fluoride supplements,
and from fluoride applications to the children's teeth in dental
clinics, which we had started at the same time as fluoridation.
Being a keen fluoridationist, I readily accepted their explanation.
Previously, of course, we had assured the public that the only
really effective way to reduce tooth decay was to add fluoride
to the water supply.
WORLD STUDY TOUR
My world study tour took me to North America, Britain, Europe,
Asia, and Australia [4]. In the United States I discussed fluoridation
with Ernest Newbrun in San Francisco, Brian Burt in Ann Arbor,
dental scientists and officials like John Small in Bethesda near
Washington, DC, and others at the Centers for Disease Control
in Atlanta. I then proceeded to Britain, where I met Michael
Lennon, John Beale, Andrew Rugg-Gunn, and Neil Jenkins, as well
as many other scientists and public health officials in Britain
and Europe. Although I visited only pro-fluoridation research
centers and scientists, I came across the same
situation which concerned my superiors in New Zealand. Tooth
decay was declining without water fluoridation. Again I was assured,
however, that more extensive and thorough surveys would show
that fluoridation was the most effective and efficient way to
reduce tooth decay. Such large-scale surveys, on very large numbers
of children, were nearing completion in the United States, and
the authorities conducting them promised to send me the results.
LESSON FROM HISTORY
I now realize that what my colleagues and I were doing was what
the history of science shows all professionals do when their
pet theory is confronted by disconcerting new evidence: they
bend over backwards to explain away the new evidence. They try
very hard to keep their theory intact — especially so if
their own professional reputations depend on maintaining that
theory. (Some time after I graduated in dentistry almost half
a century ago, I also graduated in history studies, my special
interest being the history of science — which may partly
explain my re-examination of the fluoridation theory ahead of
many of my fellow dentists.)
So I returned from my study tour reinforced in my pro-fluoridation
beliefs by these reassurances from fluoridationists around the
world. I expounded these beliefs to my superiors, and was duly
appointed chairman of a national "Fluoridation Promotion
Committee." I was instructed to inform the public, and my
fellow professionals, that water fluoridation resulted in better
children's teeth, when compared with places with no fluoridation.
Surprise: Teeth Better Without Fluoridation?
http://www.nofluoride.com/changed_my_mind.cfm
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