Submitted by Liesa Cianchino – November 30, 2020
Mounting evidence suggests fluoride may be hampering brain development and reducing
kids’ IQ. The US needs to rethink this exposure for pregnant women and children.
The debate on the fluoridation of drinking water—one of the most polarized, long-running,
and high-decibel controversies in public health—has been reignited as new studies find
that fluoride is toxic to the developing brain.
October 2020, the U.S. National Toxicology Program (NTP) released a systematic review of all
published studies evaluating the potential neurotoxicity of fluoride; the benefits of fluoride
with respect to reducing tooth decay were not addressed. A committee of the National
Academy of Science, Medicine, and Engineering will review it this fall. This comprehensive
report scrutinized hundreds of human and animal studies on the impact of fluoride on
brain and cognitive function. Most, but not all, of the high-quality studies evaluated
fluoride concentrations that were about twice the level added to drinking water or higher.
However, when considering all the evidence, their conclusion was “fluoride is presumed to
be a cognitive developmental hazard to humans.”
The NTP’s conclusion was strengthened by a synthesis of high-quality studies showing that
children who were exposed to higher amounts of fluoride during early brain development
scored about 3 to 7 points lower on their IQ tests.
Their conclusion is consequential; about 75 percent of Americans on community water
systems have fluoride in their tap water. Water is the main source of fluoride for people
who live in communities with water fluoridation.
When do we know enough to revise long-held beliefs? We are reminded of the discovery of
neurotoxic effects of lead that led to the successful banning of lead in gasoline and paint.
Despite early warnings of lead toxicity, regulatory actions to reduce childhood lead
1/3 exposures were not taken until decades of research had elapsed and millions more children
We know that the developing brain is exquisitely sensitive to minute concentrations of lead
and other toxic chemicals. Moreover, toxic chemicals’ irreversible effects on children’s
rapidly growing brains emphasize the need for prevention.
Failing to act on accumulated evidence raises deep and unsettling questions.
Why are beliefs about the safety of fluoride so intransigent in the face of consistent
evidence to the contrary?
Fluoride offers no benefits to the fetus and infant and – as shown in the video below – new
evidence suggests that fluoride is toxic to the developing brain at levels routinely found in
the general population.
The benefits of fluoride in the prevention of tooth decay are predominately topical,
occurring only after teeth appear in the child’s mouth. Fortunately, pregnant women can
use fluoridated toothpaste and, if they want to do more to prevent cavities, they can limit
their consumption of sugar, a leading cause of tooth decay.
The loss of a single IQ point for an individual child is imperceptible, but the societal cost of
millions of children losing 5 IQ points, or more is enormous. A decrement of even one IQ
point translates to a 2 percent reduction in lifetime economic productivity (roughly
$20,000), not to mention the additional educational costs required for children with lower
Many health and dental organizations in North America recommend community water
fluoridation. Given the weight of evidence that fluoride is toxic to the developing brain, it is
time for health organizations and regulatory bodies to review their recommendations and
regulations to ensure they protect pregnant women and their children. We can act now by recommending that pregnant women and infants reduce their fluoride intake.
Specialized water filtration systems can be used to remove fluoride from tap water for
pregnant women and infants fed formula. Pregnant women can also avoid black tea, which
hyper-accumulates fluoride. The good news for all women is that there is little fluoride in
breast milk. Bottled water typically contains lower amounts of fluoride than fluoridated tap
Some health advocates are going a step further. In 2016, a group of citizens petitioned the
U.S. Environmental Protection Agency (EPA) to stop adding fluoride to drinking water
because it is toxic. The EPA rejected the petition. In response, the citizen’s group took an
2/3 unprecedented step and sued the EPA in federal court. EPA lawyers argued half-heartedly
that the science was insufficient and said the Agency does not have the resources to
regulate fluoride under the Toxic Substances Control Act (TSCA).
In August, Judge Edward Chen of the Ninth Circuit deferred his ruling on whether
fluoridation poses an unreasonable risk until the NTP released their report.
New evidence questions existing policies about the safety of fluoride for babies’ developing
brains. Given that safe alternatives are available and that there is no benefit of fluoride to
babies’ teeth before they erupt or appear, it is time to protect those who are most
Bruce Lanphear, MD, a physician and epidemiologist at Simon Fraser University in Vancouver, Canada, has studied the neurotoxicity of lead, fluoride and other toxic chemicals for over twenty years. His studies were the key ones that led the CDC and the WHO to conclude that there is no safe level of lead in children’s blood.
Christine Till, PhD, an associate professor of Psychology and clinical neuropsychologist at York University in Toronto, Canada has been spearheading a research initiative examining the neurotoxicity of fluoride on children’s intellectual abilities and behaviors.
Linda Birnbaum, is Scientist Emeritus and Former Director, National Institute of Environmental Health Sciences and National Toxicology Program of the National Institutes of Health. Dr. Birnbaum, who is internationally recognized for her work on the toxicity of flame retardants and other chemicals, was the Director of the National Toxicology Program when the report on fluoride began.
Their views do not necessarily represent those of Environmental Health News, The Daily Climate or publisher, Environmental Health Sciences.