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    Managing Challenges to WaterFluoridation

    1

    Judith Feinstein, MSPH, DirectorMaine CDC Oral Health ProgramAugusta, Maine

    Chair, ASTDD Fluorides Committee

    Strategies and Resources

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    Objectives Describe effective strategies to

    use when CWF is challenged

    Discuss the role of a State OralHealth Program/State HealthDepartment in a challenge

    Discuss the roles of partners and

    outside collaborators Identify ASTDD and web-based

    resources

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    Strategies

    Shift from stealth to proactivestance

    Issue specific as a tactic Variety of voices not only the

    usual suspects

    Develop support apart

    from/along with responding tochallenges

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    Community Water Fluoridation:

    Advantages and Benefits

    4

    Acknowledgements to the New York State Department of

    Health, Bureau of Dental Health for parts of this presentation.

    Judith Feinstein, DirectorMaine CDC Oral Health ProgramAugusta, Maine

    OVERVIEW: SAMPLE/TEMPLATE PPT(next 5 slides)

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    Presentation to Water System Operators:

    Why CWF matters and why water systems are

    important

    Objectives

    Review history and extent

    of CWF in the state

    Demonstrate impact ofCWF on health status *

    Demonstrate economic

    benefits *

    Acknowledge role of PWSoperators *

    Topics

    Public policy and research

    (reviews)

    Why fluoridate? * Impact of tooth decay and

    dental disease (lifespan) *

    Action of fluoride *

    FAQs *: Health concerns; whyfluoridation is still needed;

    fluorosis; changes in CDC & EPA

    recommendations

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    Background

    Public Policy on Fluoridation

    Reviews Benefits & Safety

    Why Fluoridation? Fluoridated communities have 20%-40% less tooth decay (25%)

    Single most effective intervention

    Saves money: every dollar spent on water fluoridation avoids

    on average $38 - $42 in dental care

    Benefits all consumers across socio-economic status

    Benefits children and adults

    Benefits last a lifetime

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    Fluoride Action

    7

    Systemic vs. topical and

    benefits to adults

    ----------------------------------

    FAQs for water districts: Health concerns

    Why do we still need it

    Fluorosis, infant formula

    Changes pending fromCDC and EPA

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    Why Fluoridation is Still Needed

    Water fluoridation is a population

    (community) level intervention

    Broad reach (equal opportunity)

    Safety, effectiveness, low cost

    Delivers a sustainable level of benefit in an

    inexpensive way (cost-effective)

    Changes in individual behaviors are difficult

    to accomplish

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    Conclusions

    Oral health status is improving

    We still have significant challenges

    Community water fluoridation is important

    Although its not an additive that makes

    water safer (as do other treatments), there is

    an important public health benefit

    Water systems and operators play an

    important role

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    Role of the State OralHealth Program

    Know your limits

    Work up through yourorganization

    Speak with one voice

    Provide/facilitateinformation and

    resources, data, andtraining

    Convene collaboratingparties

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    Examples from states

    Maine: focus on issues raised byopponents framed by supportivearguments and information

    Iowa: countered public complaints withevidence of cost savings, publicawareness campaign, and equipmentgrants program

    Alaska: in Bethel campaign, usedprevious experience to organizeapproach, with strong emphasis on datashowing less decay

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    Partners and Collaborators

    New York experience

    Iowa: partnered with Pew, Delta

    Dental of Iowa, and Iowa PublicHealth Association for publicawareness campaign; with DeltaDental of Iowa Foundation for

    equipment Others

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    ASTDD Resources

    http://www.astdd.org/fluoridation-and-fluorides-committee/

    ASTDD Statement in response to DHHS and EPAfluoridation announcements: Community water fluoridationremains the cornerstone of dental caries prevention in the

    United States and has been demonstrated to be safe, cost-effective and beneficial

    Resources:

    Policies On Fluoride

    Best Practice Reports

    ASTDD Fluoridation Fact Sheet

    Organizations - General Fluoride Information

    Information by Topic Area

    Community Water Fluoridation ADA Links CDC Links

    http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/http://www.astdd.org/fluoridation-and-fluorides-committee/
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    ASTDD Resources, continued Research Topical Fluorides, Gels, Foams Fluoride Supplements School Fluoride Programs Fluoride ToothpasteMembers Only Section:

    Fluoridation Messaging Webinar, February 2012,Rethinking How We Talk About Fluoridation

    PowerPoint template

    Fluorides Committee

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    Thank you

    Judith A. Feinstein

    [email protected]

    207-287-3267

    http://BLOCKED:%3Ablocked%3A%3Amailto%[email protected]/http://BLOCKED:%3Ablocked%3A%3Amailto%[email protected]/