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Open Letter to a Concerned Citizen

Dear Sir or Madam:

Governor Jeb Bush has asked the Department of Environmental Protection to respond to your letter to his office concerning the use of fluoride in drinking water and impurities in hydrofluorosilicic acid, which is used to add fluoride to drinking water. We understand that your community is discussing fluoridation. I hope the public discussion in your community about this issue can provide you with the information you need to make an informed decision in support of fluoridation.

Our agency has the responsibility to regulate water treatment chemicals, such as hydrofluorosilicic acid. We require that all water treatment chemicals be certified to be in conformance with ASTM/NSF Standard 60 and AWWA Standard B703. Chemicals that meet these standards are deemed safe to be added to treat drinking water within specified limits. When fluoride is added to drinking water it is not a toxic or hazardous waste. It must meet strict standards. It exceeds the food grade standards of the FDA.

In your letter, you mentioned that hydrofluorosilicic acid contains arsenic, mercury and lead. Your probable question is how could this agency approve the use of a product with some impurities and still protect public health? We would answer that every material has some very small residue of trace elements often considered impurities and that our mission is to require that the public be protected from levels of impurities that could cause some harm. The levels of impurities found in hydrofluorosilicic acid are very low and present no health risk to any consumers who may drink water properly treated with this chemical.

Specifically, we have evaluated the concentrations of six reported impurities found in hydrofluorosilicic acid. Lead, mercury and selenium are normally not present at all. Iron and iodine are typically reported below levels considered useful as a dietary supplement. The amount of phosphorous found is usually insignificant to that amount already added by your water system to your drinking water to combat corrosion. Silver is typically reported at 0.0004 percent, or 4 parts per billion as an impurity. The amount in drinking water would be less than 4 parts per septillion (so small an amount that no lab could measure it) at the usual dosage rate of fluoride treatment for drinking water. The same is true for the other chemicals you asked about. Think of the comparison of one penny to the total national debt to visualize the amount of impurities that may be in drinking water as a result of fluoride treatment.

You also stated in your letter that you were concerned that fluoride treatment did not improve dental health for adults. Evidence, gathered by the National Center for Disease Control, now shows that fluoride treatment continues to provide dental health benefits to all ages, perhaps not as dramatic as for children, but still very important.

You questioned the possibility of accidents by your water treatment plant in operating fluoridation treatment. They already operate equipment that is much more complex to remove ground water impurities from your drinking water. We are confident that they can safely operate fluoridation equipment. We will also require that they provide safeguards such as day tanks and continuous monitoring equipment to ensure that optimum dosages are maintained.

Please be assured that we consider our mission to protect drinking water our highest priority. We regularly review the additives that drinking water systems use to ensure that only safe chemicals are used.

Sincerely,

Van R. Hoofnagle, P.E. Administrator
Drinking Water Program


A letter from NSF International

NSF International is an independent not-for-profit organization.  This organization develops standards for chemicals and components.  The State of Florida requires all chemicals that are added to drinking water and all components of a water system that come in contact with drinking water be tested and certified as meeting NSF International standards.

The Florida Department of Health wrote to NSF International and asked about the standards and testing programs for chemicals used in fluoridation.

Download a copy of the letter NSF International sent to the Health Department. (1.1MB)

Last updated: June 10, 2008

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