What is the Alliance?

The Alliance for Equity in Dental Health is an informal coalition of organisations who support water fluoridation as a means of improving dental health. Currently over 115 organisations are affiliated to the Alliance which is jointly co-ordinated by the British Fluoridation Society, the British Dental Association and the British Medical Association.

What is the aim of the Alliance?

The Alliance was set up in 1996 to campaign for action by Government to ensure that water suppliers fluoridate supplies when asked to do so by communities and their health authorities.

Why do we need a campaign for water fluoridation?

Only around 10% of the UK population currently receives fluoridated water - mainly in the West Midlands and the North East of England.

Does the public want fluoridation?

Yes. National opinion surveys conducted by NOP and Gallup consistently show that around 70% of the public believe that fluoride should be added to water supplies to prevent tooth decay. In addition, statutory local consultations conducted by over 50 health authorities have demonstrated a high level of public support.

Who pays for fluoridation?

The total cost of fluoridation is borne by the NHS. Water fluoridation is a highly cost-effective public health measure. In a recent study of strategies for reducing tooth decay, the University of York Health Economics Consortium concluded that "the most cost-effective policy is fluoridation of water supplies."

How much of a problem is tooth decay?

Tooth decay is a disease which is strongly associated with social deprivation. It adversely affects the health and quality of life of many thousands of young children living in socially deprived areas. In Scotland for example, around 14% of children aged 5 have had tooth extractions - usually under a general anaesthetic. Of these children the average number of teeth extracted is 3.6. In parts of Liverpool 1 in 3 young children have had teeth extracted before the age of 5.

Do we need to fluoridate all water supplies?

No. The British Dental Association recommends that coverage should be extended to reach 25% - 30% of the population where tooth decay rates are unacceptably high. These areas include: the North West and parts of the North East of England, Inner London, parts of Yorkshire, the West of Scotland, parts of Wales, and Northern Ireland.

Are we sure that fluoridated water is safe?

Yes. The World Health Organisation recommends that "water fluoridation is safe and cost-effective and should be introduced and maintained wherever it is socially acceptable and feasible."

Why get involved?

The Alliance believes that there is a need to continue to press Government for action to ensure that water fluoridation is carried out when, following local consultations, health authorities request it. Public health is everybody's business, hence the diversity of organisations already supporting the Alliance. Affiliation to the Alliance is free, and will demonstrate your organisation's commitment to reducing health inequalities.

Local councils introduced water fluoridation to Birmingham and Newcastle in the 1960s. As a result many thousands of children have grown up with strong healthy teeth, and without experiencing the trauma of tooth extraction. Children in the North West of England, Scotland, Northern Ireland, Wales, Yorkshire, and Inner London deserve to enjoy the benefits too. Please encourage your organisation to help reduce inequalities in dental health by supporting the National Alliance for Equity in Dental Health.

For more information, or to join the Alliance please contact us today: bfs@bfsweb.org

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