Friday, 5 April 2013

Tariq Drabu Affair on Public Health and Flouride

Recent dental news revealed that in Wales more than four in 10 children are suffering tooth decay by the age of just five, according to figures released today by the Welsh Government. These worrying figures came to light last month just as the Government launched its National Oral Health plan, which aims to tackle dental problems in children. Tooth decay is a preventable disease and it is a well known fact that getting fluoride in to contact with teeth will have a positive effect on dental health. The best ways of doing this is by Fluoridation of the public water supply.

With the abolition of Primary Care Trusts responsible for local health provision after 1st April these current NHS reorganisations may lead to moves towards public water fluoridation being missed and in some cases abandoned, leading to a deterioration in the dental health of the population, especially children.

Last year there was confusion surrounding the proposed fluoridation of water in Southampton. In early 2012, the South of England Strategic Health Authority, which is due to be abolished in April 2013, insisted that fluoridation was due to go ahead in Southampton. However, from April 2013 the decision for fluoridation was to be passed to the local council. The council itself has already voted against the measure. The current understanding is that now, in a move that makes matters even more confusing, Southampton city council will await the outcome of a government consultation before deciding if they will consult residents on whether the fluoridation scheme should go ahead or be stopped. If the Southampton situation is reproduced all over the country where nobody knows what is going on then we are heading for a complete and utter mess. The current state of affairs is ambiguous, uncertain and muddled and it must be reviewed.

We practice here in North Manchester, which is an area of high social deprivation and poor dental health. In terms of tooth decay levels, our local health trusts are in the bottom 20 out of all 300 health trusts in the whole country. Figures from the Department of Health show that areas like ours have children's tooth decay rates that are eight times worse than the best areas in the country. Therefore we need prompt and proactive public health measures such as water fluoridation in order to improve the dental health of the population, especially children. A comparable area like South Birmingham, which is in the bottom third for social deprivation but which has fluoride in the water, is in the top third of areas with the lowest levels of tooth decay. So, when we compare like for like we can see that fluoride does work.

Back in 2010 after the election the Coalition government in its flagship "Programme for Government" document said not only that it would introduce a new NHS dentistry contract but more importantly it talked about an additional focus on the oral health of schoolchildren. The new contract is making ground but the dental public health of children is falling by the wayside and the confusion surrounding fluoridation will only make matters worse.

We need a strong lead from government to get fluoridation back on the agenda. The government talks a lot about reducing health inequalities. It needs to show that it is serious. It can show that it is serious by pushing forward with a programme of water Fluoridation.

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