Thursday, October 15, 2009

Decline by Bristol PCT of invitation to debate

Bristolians Against Fluoridation have issued a challenge to the Bristol Primary Care Trust, and Dr Hugh Annett, the Director of Public Health, to face us in a public debate on the issue of fluoridating the Bristol public water supply. We have also issued invitations to, among others, the Bristol University School of Dentists and the Bristol University Centre for Medical Ethics.

The Bristol PCT have today replied and declined our invitation to face us in a public debate.

Given the warnings that we have been given by a guest from Hampshire Against Fluoridation, that the decision to fluoridate has almost certainly been made anyway, it seems to me that this response is a deliberate refusal to engage in democratic discussion on the issue prior to the public consultation, which, if our guest from Hampshire was correct, may only be a mere formality.

This makes it even more important for us to warn the people of Bristol what they may be in for when/if fluoridation is allowed to proceed.

Robin Whitlock
Co-ordinating chair/Deputy Press Officer

Monday, August 24, 2009

Announcing the launch of Bristolians Against Fluoridation (BAF).

Following preliminary meetings in July and August and after gathering nearly five hundred local supporters on the social networking site Facebook, BAF is now organised and campaigning. [It will next meet at The Stag and Hounds, Old Market, 7.30pm, 25 August and again on 8 Sept].

BAF Press Officer Glenn Vowles said,
“Bristolians Against Fluoridation was formed to oppose the imposed mass medication of Bristol and the surrounding areas in BANES, N Somerset, and S Glos. that would result from NHS South West instructing the water company to fluoridate our tap water. Our view is that fluoridation: is not ethical; does not work; is not safe; and is not wanted.”

“The Government are keen on fluoridation but we must not allow it to be imposed upon us here. The decision to fluoridate water in Hampshire was recently taken despite 72% of the public being opposed.”

“Bristolians will know little or nothing about this but the decision process to fluoridate water throughout the Avon area has already begun with both NHS Bristol and NHS BANES, half the number of Primary Care Trusts (PCTs) in the Avon area, asking NHS South West to conduct a feasibility study. A ‘consultation process’ will follow acceptance of the feasibility report. Once that process has been gone through NHS South West can use their new powers to instruct Bristol Water to fluoridate our drinking water.”

“In the first instance we will be lobbying NHS North Somerset and NHS South Glos. to reject fluoridation as these two parts of the NHS in the Avon area have yet to request a feasibility study. If successful this would hopefully make it difficult for the NHS South West as the Strategic Health Authority (SHA) to claim to be acting on behalf of us all.. If unsuccessful we will campaign for a fair, open and balanced public consultation process ending with a public vote on the issue, the result of which should be binding on the NHS.”

Copies of the emails received from the NHS are posted on the BAF website (1). Statement from Bristol Water on the issue (2). The key regional and local decision makers’ details are available from (3). BAFs central arguments against fluoridation are listed below (further details, more references and background are available from ref (4) and (5)).

Fluoridation is unethical and is not wanted:
Bristolians who don’t want to consume fluoride, or have no need to, have a choice now. If all our drinking water was fluoridated people would be consuming something designed to create bodily changes i.e. a medication, without their consent. It is the norm in our society to consent to medical treatment. In the recent Hampshire public consultation 72% opposed fluoridation – people want to retain their freedom to choose!

Fluoridation does not work:
There is no high quality research showing that putting fluoride in drinking water safely and effectively does what it is supposed to do – reduce tooth decay. Available research is often categorised as at best only moderate quality because bias and lack of control are evident and analysis is lacking. No double blind tests have ever been conducted that proves it effective; nor has it ever been proved safe.

Fluoridation is not needed:
Most of Europe has seen falling rates of tooth decay for several decades – without a policy of widespread water fluoridation. Fluoride is available by choice in toothpaste. There is no substitute for regular dental check-ups where all sorts of medical issues can be covered.

Fluoridation defies good, safe scientific practice:
The dose of fluoridated water received by each person depends on the amount of water consumed and their body weight. Since we all drink different amounts the dose is highly variable – and will be received over a long period of time. Further, the people receiving the dose are highly variable too and unlike being prescribed a treatment by a GP, won’t be seen beforehand and won’t have their medical history checked. Around 4% of the population are known to suffer adverse reaction to fluoride. Infants under 5 years old, the elderly, kidney patients, athletes, are all at risk because of their higher consumption or increased vulnerability.

Fluoridation is unsafe:

The maximum concentration of fluoride currently allowed in our water is 1.5 mg/l. Any water fluoridation system would have to stay below this legal limit. The substance that is most likely to be used to fluoridate Bristol’s water is most unpleasant to say the least - fluorosilicic acid, a contaminated waste product from phosphate fertiliser manufacturing is a registered Class 2 Poison under the Poisons Act 1972. No license has ever been obtained for such a substance either as a food or a medicine.

Overfeeding of fluoridation substances into drinking water has caused serious health problems, as at Hooper Bay in Alaska in the 1990s, where equipment and human failure resulted in 1 death and 295 cases of fluoride poisoning(6). Overfeed precautions and plans for de-fluoridation if limits are exceeded are of course not needed if you respect people’s freedom to choose their ‘medication’ and don’t fluoridate in the first place!Further information/links

1. Bristolians Against Fluoridation (BAF)
http://bristoliansagainstfluoridation.blogspot.com/

Contacts: Glenn Vowles (BAF, Press) http://vowlesthegreen.blogspot.com/ grv4@tutor.open.ac.uk tel 0117 9717023

Robin Whitlock (BAF Steering Group Coordinator) http://beakymunch.blogspot.com/ robinwhitlock@hotmail.co.uk tel 07790 156486 (mob) (0117) 9715918

2. Bristol Water’s statement on the issue
http://www.bristolwater.co.uk/news/mainNews.asp?newsID=71

3.Key local and regional decision makers:



http://www.bristolpct.nhs.uk/thetrust/board/profiles.asp
[Dr Hugh Annett, Director of Public Health for NHS Bristol and Bristol City Council via info@bristolpct.nhs.uk]

Drinking Water Inspectorate
http://www.dwi.gov.uk/

4. National Pure Water Association
http://www.npwa.org.uk/

5. Safe Water Campaign (Avon, Glos and Wilts) http://safewatercampaign.blogspot.com/

6. Acute Fluoride Poisoning from a Public Water System
http://content.nejm.org/cgi/content/full/330/2/95

Thursday, August 20, 2009

NHS Bristol and NHS BANES request fluoridation feasibility study

In response to a follow up email, below is the latest from NHS South West on their position on the process towards fluoridation of our drinking water.

Time to lobby NHS North Somerset and NHS South Glos to oppose the move to fluoridation...

We are in receipt of letters from the 2 Avon PCTs NHS Bristol and NHS
BANES requesting that the Southwest SHA considers undertaking a
feasibility study on the issue of fluoridation. To date we await similar
letters from NHS North Somerset and NHS South Gloucestershire.

The Strategic Health Authority is not yet in a position to decide on the
merits or otherwise of conducting a feasibility study and will be
unlikely to do so until such time as all AVON based PCTs have expressed
an opinion.

You may find the following flow diagram [pictured - click to enlarge] helpful in understanding the process. As you can se we are still to complete the first stage.

Dr Jim O 'Brien , South West Public Health.

Public Health Directorate
NHS South West
South West House
Blackbrook Park Avenue
Taunton
TA1 2PX
E mail:
jim.o'brien@southwest.nhs.uk
Phone: 01823 361254 (w)
07711 985007 (m)

Decision process on water fluoridation already underway

The response to an email query from a member, back in late February this year confirms that that the first stage in consideration of fluoridating the drinking water in Bristol (and BANES, N Somerset, and S Glos) is underway:

Re: Fluoridation of Bristol’s Water Supply

Thank you for your recent correspondence regarding the potential fluoridation of Bristol’s water supply.

To avoid any confusion, I assume the release to which you are referring is titled: “Call for public consultation on fluoridation”. This release (or rather statement) was issued by the Department of Health on February 5 2008.

However, you are correct about NHS Bristol considering the fluoridation of Bristol’s drinking water. In recent months, NHS Bristol and our neighbouring PCTs have considered whether the fluoridation of drinking water could be a reasonable and cost-effective means of improving overall dental health and help reduce dental inequalities.

Dr Annett has concluded that it could, and he is recommending that the PCT request NHS South West to commission a technical feasibility study.

At this stage I would like to reassure you that no decisions have yet been made. Requesting a feasibility study is the first step in a process which may, or may not lead to a decision to fluoridate Bristol’s water.

If, and only if, the feasibility study supports fluoridation then the next stage of the process is a rigorous and transparent public consultation where we seek the views of as wide a representation of Bristol’s (and the surround areas) population before any decision is made.

We are committed to ensuring that the debate will be an open and transparent process ensuring the public have their say and will make final representations based upon the consensus of the views of the population. The consultation is externally regulated, and we are bound – by a legal and moral obligation – to ensure that we consult as widely and as completely as possible, and that it is the citizens of Bristol and potentially the wider neighbouring regions that make this important decision.

Throughout the process NHS Bristol will ensure that the public have every opportunity to understand why fluoridation could be an effective public health intervention and also learn of some of the concerns people may have.

If the feasibility study confirms that fluoridation is feasible and cost effective in treatment of water for Bristol, NHS Bristol’s opinion that the population – particularly those in deprived areas – would benefit from a combination of fluoridation of the water and the ongoing commitment to raising awareness of dental health issues which NHS Bristol demonstrates.

If implemented, the fluoridation of Bristol’s water supply will sit alongside a great deal of ongoing pro-active, community facing initiatives we have at improving dental health.

Interestingly, in the near future we are running a campaign aimed at filling NHS Dental entitlements at surgeries throughout Bristol – it may surprise you to note that a large number of surgeries struggle to attract enough NHS patients to their doors.

I appreciate you contacting me and hope that I have answered some of your questions and outlined more clearly the decision making process for fluoridation.

Yours faithfully,

NHS Bristol

You can contact NHS Bristol here info@bristolpct.nhs.uk , and the Strategic Health Authority via go@southwest.nhs.uk