Fluoride Expert Squares Off Against EPA on Day 1 of Landmark Trial

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by Brenda Baletti, Ph.D., Childrens Health Defense:

After a nearly four-year delay, federal Judge Edward Chen on Wednesday heard opening statements in a lawsuit seeking to compel the U.S. Environmental Protection Agency to prohibit water fluoridation in the U.S. due to fluoride’s toxic effects on children’s developing brains.

After a nearly four-year delay, federal Judge Edward Chen on Wednesday heard opening statements in a lawsuit seeking to compel the U.S. Environmental Protection Agency (EPA) to prohibit water fluoridation in the U.S. due to fluoride’s toxic effects on children’s developing brains.

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Fluoride Action Network (FAN) sued the EPA in 2017 — after the agency denied its petition to end water fluoridation under the Toxic Substances Control Act (TSCA). This week’s trial is the first to challenge the dismissal of such a petition. Other plaintiffs include Moms Against Fluoridation and other advocacy groups and individuals.

Fluoride’s neurotoxic effects on children’s brain development were not in dispute during opening statements and in testimony delivered by the plaintiffs’ first expert witness, Dr. Howard Hu, an internist and preventive medicine specialist, with a doctoral degree in epidemiology.

Instead, attorneys for both sides faced off over the question of what level of fluoride in the water supply poses a risk to the developing brain of fetuses and children.

Levels of fluoride found in drinking water in the U.S. are typically 0.7 milligrams per liter (mg/L), which is lower than the 1.5 mg/L levels found to be neurotoxic by the key reports discussed in the trial.

Attorneys for FAN argued that according to the EPA’s own guidelines for chemical risk evaluation — which they allege the EPA is failing to implement — fluoridating water at a dose that is so close to a known hazard level is too risky, especially given that children are exposed to fluoride from other sources in their daily lives.

They also argued the EPA’s failure to follow its own guidelines is unprecedented. The agency bans other regulated toxic chemicals, such as methylene chloride or trichloroethylene at levels much higher than the known hazard level to ensure the chemicals won’t pose a risk to human health.

And, they said, water fluoridation is unnecessary because the benefits to dental health come from the topical application of fluoride, not from its ingestion.

The EPA argued there is no compelling evidence that fluoride is a neurotoxin at the current levels used for fluoridation in the U.S. and that therefore water fluoridation doesn’t pose a risk to children.

Over two hundred million Americans drink fluoridated water, a practice that has been backed by public health officials and dental associations for decades.

If Chen decides fluoride poses an unreasonable risk, the EPA will have to revisit its rules on water fluoridation.

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