United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2015_register executive 2018-02-21 article Notices D09002ee1c7f7a40d D09002ee1c7f7a491 United States Department of Health and Human Services originator org United States Government Agency or Subagency Through this final recommendation, the U.S. Public Health Service (PHS) updates and replaces its 1962 Drinking Water Standards related to community water fluoridation--the controlled addition of a fluoride compound to a community water supply to achieve a concentration optimal for dental caries prevention. For these community water systems that add fluoride, PHS now recommends an optimal fluoride concentration of 0.7 milligrams/liter (mg/L). In this guidance, the optimal concentration of fluoride in drinking water is the concentration that provides the best balance of protection from dental caries while limiting the risk of dental fluorosis. The earlier PHS recommendation for fluoride concentrations was based on outdoor air temperature of geographic areas and ranged from 0.7-1.2 mg/L. This updated guidance is intended to apply to community water systems that currently fluoridate or that will initiate fluoridation, and is based on considerations that include: <bullet> Scientific evidence related to the effectiveness of water fluoridation in caries prevention and control across all age groups, <bullet> Fluoride in drinking water as one of several available fluoride sources, <bullet> Trends in the prevalence and severity of dental fluorosis, and <bullet> Current evidence on fluid intake of children across various outdoor air temperatures. 80 FR 24936 https://www.govinfo.gov/app/details/FR-2015-05-01/2015-10201 2015-10201 fr01my15-84 4163-18-P https://www.govinfo.gov/app/details/FR-2015-05-01/2015-10201 https://www.govinfo.gov/content/pkg/FR-2015-05-01/html/2015-10201.htm https://www.govinfo.gov/content/pkg/FR-2015-05-01/pdf/2015-10201.pdf 12 p. 24936 24947 80 FR 24936 Public Health Service Recommendation for Fluoride Concentration in Drinking Water for Prevention of Dental Caries; Federal Register Vol. 80, Issue NOTICE 2015-10201 DEPARTMENT OF HEALTH AND HUMAN SERVICES 4163-18-P 2015-10201

Through this final recommendation, the U.S. Public Health Service (PHS) updates and replaces its 1962 Drinking Water Standards related to community water fluoridation--the controlled addition of a fluoride compound to a community water supply to achieve a concentration optimal for dental caries prevention. For these community water systems that add fluoride, PHS now recommends an optimal fluoride concentration of 0.7 milligrams/liter (mg/L). In this guidance, the optimal concentration of fluoride in drinking water is the concentration that provides the best balance of protection from dental caries while limiting the risk of dental fluorosis. The earlier PHS recommendation for fluoride concentrations was based on outdoor air temperature of geographic areas and ranged from 0.7-1.2 mg/L. This updated guidance is intended to apply to community water systems that currently fluoridate or that will initiate fluoridation, and is based on considerations that include: <bullet> Scientific evidence related to the effectiveness of water fluoridation in caries prevention and control across all age groups, <bullet> Fluoride in drinking water as one of several available fluoride sources, <bullet> Trends in the prevalence and severity of dental fluorosis, and <bullet> Current evidence on fluid intake of children across various outdoor air temperatures.

Barbara F. Gooch, DMD, MPH, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health, 4770 Buford Highway NE., MS F-80, Atlanta, GA 30341-3717; tel. 770-488-6054; fax 770-488-6080; email <BGooch@cdc.gov>. Public Health Service Recommendation for Fluoride Concentration in Drinking Water for Prevention of Dental Caries , BGooch@cdc.gov http://ec.europa.eu/health/scientific_committees/environmental_risks/docs/scher_o_139.pdf http://fluidlaw.org http://oehha.ca.gov/prop65/public_meetings/cic101211synop.html http://water.epa.gov/action/advisories/drinking/fluoride_index.cfm http://water.epa.gov/drink/contaminants/basicinformation/fluoride.cfm http://www.cdc.gov/fluoridation/factsheets/totalwaterintake.htm http://www.cdc.gov/fluoridation/safety/infant_formula.htm http://www.cdc.gov/fluoridation/statistics/2012stats.htm http://www.cdc.gov/nchs/data/databriefs/db104.htm http://www.cdc.gov/nchs/data/databriefs/db53.htm http://www.cdc.gov/nchs/data/series/sr_10/sr10_165.pdf http://www.cdc.gov/nchs/nhanes/nhanes_products.htm http://www.cdc.gov/nohss/fsgrowth.htm http://www.cdc.gov/nohss/FSGrowth_text.htm http://www.cdc.gov/pcd/issues/2005/nov/05_0082.htm http://www.mouthhealthy.org/en/az-topics/f/fluorosis.aspx http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/eh41_statement_efficacy_safety_fluoride.pdf http://www.nsf.org/newsroom_pdf/NSF_Fact_Sheet_on_Fluoridation.pdf http://www.thecommunityguide.org/oral/fluoridation.html http://www.york.ac.uk/inst/crd/CRD_Reports/crdreport18.pdf Vol. 80, no. 84 Office of the Federal Register, National Archives and Records Administration 2015-05-01 continuing daily deposited born digital 436 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2015-05-01 P0b002ee19884ba5f 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr01my15 https://www.govinfo.gov/app/details/FR-2015-05-01 https://www.govinfo.gov/content/pkg/FR-2015-05-01/pdf/FR-2015-05-01.pdf https://www.govinfo.gov/content/pkg/FR-2015-05-01/xml/FR-2015-05-01.xml fdlp 24779 25205 DGPO 2018-02-21 2024-06-02 FR-2015-05-01 machine generated eng FR FR-2015-05-01 80 84