|
Fluoride Action Network July
10, 2001
Fluoridation vs. Informed Consent
by Michael Connett
One of the problems with fluoridation of public
water is that it violates a key tenet of medical ethics - the principle
of informed consent.
Informed
consent, according to the University of Washington's School
of Medicine,
"is the process by which a fully informed
patient can participate in choices about her health care. It originates
from the legal and ethical right the patient has to direct
what happens to her body and from the ethical duty of the
physician to involve the patient in her health care."
With water fluoridation, however,
entire communities are being forced to take a medicine, whether
they want it or not. "The voluntary consent of the human subject"
which the writers of the Nuremberg
Code saw as "absolutely essential" to protect citizens
against medical abuse, is unfortunately not seen as essential in
the case of fluoridation.
In the case of fluoridation, a person has the de facto right to
force their neighbor to take a particular medication, regardless
of whether that neighbor wishes to take it. For instance, when 52%
of San Antonians voted "yes" to fluoridation, the 48%
of San Antonians who voted "no" consequently lost their
right to informed consent. (As it stands today, nearly half of San
Antonio's population will be denied the right "to participate
in choices about [their] health care" and denied the right
"to direct what happens to [their] body.") The situation
in San Antonio is by no means unique.
Promoters of water fluoridation praise it as being
the best means to "maximize patient compliance" (Brunelle
& Carlos, 1990, pg. 727); but in so doing they forget that communities
or city councils should not be in a position to enforce "patient
compliance" on anyone. Especially when such an inexpensive
alternative (fluoridated toothpaste) is so readily available for
those who want fluoride. And even more so when such alternatives
(fluoridated toothpaste) apply the fluoride topically to the teeth.
(According to the CDC, fluoride's benefits "primarily are topical.")
In their defense of adding medicine to public water supplies, fluoridation
promoters often make the argument that fluoride is not a medicine,
that it is simply a beneficial nutrient.
If this were the case, however, people would not
need a prescription in order to receive a fluoride supplement. As
it currently stands, if one wishes to receive a 1 milligram dose
of fluoride every day via a pill (which is the dose of fluoride
that fluoridation is intended to deliver) one needs to receive a
prescription by a doctor or dentist. However, if one receives 1
milligram of fluoride a day through their drinking water (where
dose-control is far worse than with a pill) no prescription is required.
Such an act of turning the water supply into a
prescription drug, where no prescription is required, is not something
which should be taken lightly - as noted recently by last years
Nobel Laureate in Medicine, Dr.
Arvid Carlsson.
Fluoride supplements come with detailed instructions
and warnings concerning how the patient should use the drug and
what side effects to look out for (see below).
When reviewing these instructions and warnings, the discrepancy
in medical standards and care that exists between city council's
adding fluoride to everyone's water - versus a doctor making individualized
prescriptions to individual patients, becomes clear.
As Dr. Peter Mansfield, Director of Templegarth
Trust, has stated:
"No physician in his right senses would
prescribe for a person he has never met, whose medical history
he does not know, a substance which is intended to create bodily
change, with the advice: 'Take as much as you like, but you will
take it for the rest of your life because some children suffer
from tooth decay. ' It is a preposterous notion."
Mansfield's view - that it is inappropriate
to use the water supply as a vehicle with which to deliver medicine
to a portion of the community - is a view that is shared by the
vast majority of western Europe, with countries such as France,
Germany, Netherlands, Belgium, Sweden, Denmark, and Austria rejecting
fluoridation decades ago, in large part, due to the problems of
"compulsion medication." ( Read
recent letters from these government's explaining their position.)
Unfortunately, however, the ever obvious fact that
fluoridation undermines people's right to consent is all but ignored
by the US dental/medical community.
Excerpts from
medical instructions for drugs designed to deliver 1 Mg of Fluoride
per day.
Sodium Fluoride (Systemic)
 
http://my.webmd.com/content/asset/uspdi.202527
 
http://www.nlm.nih.gov/medlineplus/druginfo/sodium
fluoridesystemic202527.html
Brand Names:
In the U.S. -- Fluoritab, Fluorodex, Flura,
Flura-Drops, Flura-Loz, Karidium, Luride, Luride Lozi-Tabs, Luride-SF
Lozi-Tabs, Pediaflor, Pharmaflur, Pharmaflur 1.1, Pharmaflur df,
Phos-Flur
In Canada-- Flozenges, Fluor-A-Day, Fluoritabs, Fluorosol,
Karidium, PDF, Pedi-Dent, Solu-Flur
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine
must be weighed against the good it will do. This is a decision you and your health care professional
will make. For sodium fluoride,
the following should be considered:
Allergies --Tell your health care professional
if you are allergic to any other substances, such as foods, preservatives,
or dyes...
Children --Problems in children have not been reported
with intake of normal daily recommended amounts. Doses
of sodium fluoride that are too large or are taken for a long time
may cause bone problems and
teeth discoloration in children.
Older adults --Problems in older adults have not
been reported with intake of normal daily recommended amounts.
Older people are more likely to have joint pain, kidney
problems, or stomach ulcers which may be made worse by taking large
doses of sodium fluoride. You should check with
your health care professional.
Other medical problems --The presence of other medical problems may affect
the use of sodium fluoride. Make sure you tell your
health care professional if you have any other medical problems,
especially:
* Brown, white, or black discoloration of teeth or
* Joint pain or
* Kidney problems (severe) or
* Stomach ulcer
--Sodium fluoride may make these conditions worse
Proper Use of This Medicine
Take this medicine only as directed by your health care professional
. Do not take more of it and do not take it more
often than ordered. Taking too much
fluoride over a period of time may cause unwanted effects.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted
effects. Although not all of these side effects may occur, if they
do occur they may need medical attention.
Check with your health care professional
as soon as possible if any of the following side effects occur:
Sores in mouth and on lips (rare)...
Check with your health care professional as soon as possible if
the following side effects occur, as some may be early symptoms
of possible chronic overdose:
Pain and aching of bones; stiffness; white,
brown, or black discoloration of teeth--occur only during periods
of tooth development in children
Other side effects not listed above may also occur in some individuals.
If you notice any other effects, check with your healthcare professional.
MULTIVIDREN-F SOFTAB Tablets
(fluoride with multivitamins)
Physicians' Desk
Reference - 1993, pg. 2376

CONTRADINDICATIONS
Patients living in areas where the drinking water is fluoridated
at a concentration of greater than 0.7 ppm and
those persons with a known sensitivity to fluoride ***should
not take*** MULTIVIDREN-F.
ADVERSE REACTIONS
In hypersensitive individuals,
fluorides occasionally cause skin eruptions such as atopic dermatitis,
eczema or urticaria. Gastric distress, headache and weakness have
also been reported. These hypersensitivity
reactions usually disappear promptly after discontinuation of the
fluoride. In rare cases, a delay in the eruption
of teeth has been reported.


http://www.harcourthealth.com/genrxfree/Top_200_
1999/Drugs/n2244.HTM
Sodium Fluoride
Brand Name: Luride Pediaflor
Side Effects
Tell your doctor about any side effects that happen to you.
Expected Side Effects
* Trouble with bowel movements
* Feeling sick to your stomach
* Increase in amount of saliva
Rare/Severe Side Effects
* Tooth problems
Seek immediate medical attention if any of these side effects happen
to you.
* Vomiting
Do take this medicine exactly as your doctor tells you to.
Do
* Do take this medicine exactly as your doctor tells you to.
* Do talk to your doctor or pharmacist if you have any questions
or concerns about this medicine.
* Do tell your doctor if you have had a reaction to this medicine
or any other medicine.
Don't
* Don't take more than one dose at a time.
* Don't increase the amount of the dose unless directed by your
doctor.
Medication instructions for
SODIUM FLUORIDE

Department of Veteran
Affairs
www.va.gov/visn10/CincyMedSheets/SodiumFluoride.htm
POSSIBLE SIDE EFFECTS OF THIS MEDICINE
Stop taking this medicine and tell your doctor or dentist right
away if you notice any of these possible side effects...
Pain or aching of bones; stiffness; white, brown,
or black discoloration of teeth |