09 10 comm water fl report
TRANSCRIPT
Michigan Department of Community Health Michigan Department of Community Health Community Water Community Water
Fluoridation Program Fluoridation Program
Susan Deming, RDH, Susan Deming, RDH, RDA, B.S.RDA, B.S.
Education/Fluoridation CoordinatorEducation/Fluoridation CoordinatorMichigan Dept of Community Michigan Dept of Community
HealthHealth
A Bit of History…A Bit of History…
Water fluoridation Water fluoridation has a 60-year has a 60-year history of success- history of success- Started in Grand Started in Grand Rapids in 1945Rapids in 1945
Michigan FactsMichigan Facts
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4
6 1
3
Gogebic
Ontonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
Schoolcraft
Luce
Mackinac
Chippewa
Cheboygan
Presque Isle
Charlevoix
Antrim OtsegoLeelanau
BenzieGrand
Traverse Kalkaska
Crawford
Oscoda
Alcona
Manistee Wexford Ogemaw
Iosco
Mason Lake Osceola Clare Gladwin
Arenac
Newaygo
Mecosta IsabellaMidland Bay
Huron
Muskegon MontcalmGratiot Saginaw
TuscolaSanilac
St. ClairLapeer
ShiawasseeClintonIoniaKentOttawa
Allegan Barry Eaton InghamLivingston Oakland
Macomb
Van Buren Kalamazoo
CalhounJackson Washtenaw
Wayne
Berrien Cass Hillsdale Lenawee
Monroe
Missaukee
Alpena
Emmet
Genesee
Oceana
St. Joseph
Branch
Detroit
Percentage of Persons Served by MichiganCommunity Fluoridated Water Systems by County
Water Fluoridation Reporting System CDC 2009
0-24% Fluoridated
25-49% Fluoridated
50-74% Fluoridated
75-100% Fluoridated
Improving Maternal and Child Health…achieving key outcomes within a life course context 6-7-10
Key Outcomes:
1. Decrease dental disease across the lifespan through access to optimally fluoridated water a. Increase number of community water systems with optimal levels of community water fluoridation b. Increase well water fluoride level testing c. Monitor safety of fluoride levels in all community water systems
2. Support preventive dental services such as sealants and fluoride, as part of a dental benefits package by third party payors a. Increase awareness of preventive services across the lifespan b. Increase educational efforts in oral health
3. Support scientific evidence and evidence-based practices for oral health policy initiatives and programs a. Provide technical assistance to programs b. Promote and implement goals of the State Oral Health Plan c. Aggregate and evaluate oral health data to improve programs and service outcomes
4. Support dental home development as part of medical home development a. Coordinate development of MDCH definition of dental home b. Increase collaboration with medical home partners
5. Support improving access to dental care across the lifespan to all residents of MI a. Support expanding dental workforce b. Increase number of school based dental clinics c. Increase utilization of nondental healthcare professionals
6. Increase oral disease prevention through school based dental sealant programs a. Support additional funding to increase number of MI children with sealants
The Goal of the MDCH-Oral Health The Goal of the MDCH-Oral Health Community Water Fluoridation Community Water Fluoridation
Program:Program: to promote a quality Community
Water Fluoridation Program through the State of Michigan with the Oral Health Program, Department of Natural Resources and Environment (DNRE) and the Michigan Oral Health Coalition to reduce dental disease in our state.
Michigan Fluoridation Michigan Fluoridation Advisory CommitteeAdvisory Committee
Fluoridation SafetyFluoridation Safety
• Michigan Safe Drinking Water Act Michigan Safe Drinking Water Act
• American Water Works Association American Water Works Association (AWWA)(AWWA)
• National Sanitation Foundation/American National Sanitation Foundation/American National Standards Institute (NSF/ANSI)National Standards Institute (NSF/ANSI)
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
A. Update State A. Update State Fluoridation Plan Fluoridation Plan that implements that implements CDC grant CDC grant requirements and requirements and submit requested submit requested reportsreports
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
B. Monitor fluoride levels on monthly B. Monitor fluoride levels on monthly basis consistent with WFRSbasis consistent with WFRS
Fluoride LevelsFluoride Levels
• Optimal for Optimal for Michigan: 1.0 Michigan: 1.0 ppmppm
• Lowest Optimal: Lowest Optimal: 0.9 ppm 0.9 ppm
• Highest Optimal: Highest Optimal: 1.2 ppm 1.2 ppm
• Split Tolerance: Split Tolerance: +/- .2 +/- .2
Fluoridation AwardsFluoridation Awards
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
C. Track Progress C. Track Progress of Incorporating of Incorporating CDC EARWF CDC EARWF PracticesPractices (DNRE (DNRE equivalent)equivalent)
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
D. New or D. New or Replacement Replacement Equipment to Equipment to Communities Communities Looking to Add Looking to Add FluoridationFluoridation
Name of Community:Award Amount
Allocated:
Award Amount Used:
ALPENA $17,820 $16,907
ESCANABA $1,780 $1,712.48
GLADSTONE $18,000 $16,019.68
GREENVILLE $11,300 $11,300
MARINE CITY $24,800 $23,799.95
MARQUETTE $890 $872.39
MUSKEGON $20,074 $20,074
Total: $94,664 $90,686
2009 Grantees:2009 Grantees:
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
E. Meet Healthy People 2010/2020 goal E. Meet Healthy People 2010/2020 goal of 75% of population on Community of 75% of population on Community Water FluoridationWater Fluoridation
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
F. Education and F. Education and Promotion of Promotion of Community Community Water Water FluoridationFluoridation
State Operator TrainingState Operator Training
CDC Fluoridation CDC Fluoridation TrainingTraining
Welcome To:
Water Fluoridation Principles and PracticesFor Water Facility Operators
Presented byPresented byState Water Fluoridation ProgramState Water Fluoridation Program
Brochures and Fact Brochures and Fact SheetsSheets
Website for CWFWebsite for CWF
Community Water Fluoridation Program Community Water Fluoridation Plan
2011 Fluoridation Equipment Grant Proposal
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
G. Maintain all G. Maintain all above objectives above objectives through through management and management and at a at a comprehensive comprehensive level that meets level that meets or exceeds or exceeds Healthy People Healthy People objectivesobjectives
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
H. Fluoridation Coordinator with DNREH. Fluoridation Coordinator with DNRE
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
I. Testing of I. Testing of individual wells individual wells for fluoride for fluoride levelslevels
Survey of Health Survey of Health Depts….Depts….
Does this county health department have access to information about naturally occurring fluoride levels in private drinking wells in
your area?
1. Yes
2. No
3. Unsure
Which of the following questions are asked by the public in regards to fluoride in their water? (CHECK ALL THAT APPLY)
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1. Is fluoride in my drinkingwater safe?
2. What are the fluoridelevels in my drinking water?
3. Other
Are water sample bottles for testing available to the public at your Health Department?
1. Yes
2. No
Awareness CampaignAwareness Campaign
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
J. Study on J. Study on Fluorosis Levels Fluorosis Levels in the Statein the State
Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:
K. EvaluationK. Evaluation
Looking AheadLooking Ahead::
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THANK YOU!!