Abstract

PIP: This article discusses the importance of fluoridation of the water supply in South Africa, as a racially and socioeconomically equitable contribution to health, and for building a healthy nation. Costs of fluoridation amount to under R1/person/year, which is 18 times cheaper than toothpaste and 61 times cheaper than filling a tooth cavity. The dental profession and health professionals are faced with the challenge of informing elected officials and the total population about improving community oral health through fluoridation. Many people are confused about the effectiveness of water fluoridation. The health care establishment can be charged with negligence for not informing the public about the benefits of fluoridation as a safe public health measure that is effective and economical. A recent survey found that under 25% of the survey population had heard or read about water fluoridation. Among those with knowledge of fluoridation, almost 60% learned from mass media reports. Only 25% could identify the purpose of fluoridation, and 40% associated fluoridation with water purification. Only 13% opposed fluoridation for reducing tooth decay. It is suggested that fluoridation be introduced through legislative and administrative action at the national, provincial, and local levels. Collaboration should occur in related sectors. Section 37 of the Health Act No. 63 (1977) authorizes the Minister of Health to establish regulations on fluoridation of public water supplies. The new National Health Bill also provides for water fluoridation. Many governmental bodies approve of fluoridation.