I was not aware that 'lifestyle' issues were not public health issues. Are you suggesting that widespread anti-smoking campaigns by governments are not 'public health' efforts, or they are not legitimate public health efforts?
Yes, but the government doesn't make us all take nicotine patches because some people are addicted to smoking. Sure, have campaigns on health issues, including diet in general, take measures to help smokers kick their habit, but this has nothing to do with those who do not smoke. And keep in mind that tooth decay is not contagious. Do the campaigns on tooth decay prevention, apply dental health and fluoride programs in schools where the target group congregate. Improve oral health through education, diet, regular cleaning...that is a public health program that allows personal choice.
Individual health and public health are not mutually exclusive.
Of course. But I'm saying that eduction is the way to go. And start early, in primary school if parents are incapable of teaching their children about oral health, or apparently, prevent their children from eating junk food and guzzling fizzy lolly water.
Flouridation is not a 'band aid'. Flouride in people's mouths really truly improves dental health. It doesn't cover up a symptom, it treats the disease.
There wouldn't be such a problem if children are taught the basics of looking after their teeth. Rotting teeth is not a contagious disease, but a poor lifestyle choice. Education is the key to prevention. Public fluoridation caters for those who are too busy to care, irresponsible and perhaps some that are incapable.
But the fact that most water just goes down the drain is neither here nor there. The question is: does flouridating tap water lead to a public health benefit to such an extent that it is a desirable action? The answer is a simple 'yes'.
It doesn't discriminate between those that take responsibility for their own health and subgroups that are at high risk. Not everyone needs it, those that do need it may not get the optimal dosage. Manual workers may drink a lot of water, while school children may drink very little. The dosage being haphazard.
While this article supports fluoridation, it also outlines many other effective strategies, which can be implemented while allowing individual choice on application and control of dosage.
''Measured use of fluoride modalities is particularly appropriate during the time of anterior tooth enamel development (i.e., age <6 years).''
Fluoride Toothpaste
Fluoride toothpaste is widely available, no more expensive than nonfluoride toothpaste, and periodically improved. Use of a pea-sized amount (0.25 g) twice per day requires approximately two tubes of toothpaste per year, for an estimated annual cost of $6--$12, depending on brand, tube size, and retail source (265). Persons who brush and use toothpaste regularly to maintain periodontal health and prevent stained teeth and halitosis (i.e., bad breath) incur no additional cost for the caries-preventive benefit of fluoride in toothpaste. Because of its multiple benefits, most persons consider fluoride toothpaste a highly cost-effective caries-preventive modality. ''
Our city had a vote on fluoridation years ago and it was rejected, the council has dismantled the machinery. There has been a push by some dentists to reinstate but the polls run at about 50/50 on issue. I think there is about a ten percent difference between our city and a comparable city with fluoridation. The difference could probably be addressed through school programs and public education.
For some it's a matter of choice, for others, it removes responsibility - ''let the Government look after our health''