Utah has become the first state to ban fluoride from its drinking water. Ajax9, Getty Images
Utah has become the first U.S. state to enact legislation that prohibits the addition of fluoride to its public drinking water. Republican Governor Spencer Cox signed the bill on Thursday, and it will take effect on May 7.
The move marks a significant shift in U.S. public health policy. While fluoride naturally occurs in water, rocks, soil, and plants, public health officials have promoted its addition to drinking water since the 1940s to help prevent tooth decay. This new law reverses that trend, making Utah the first state to fully opt out of fluoridation.
Fluoride has been added to community water systems since 1945, when Grand Rapids, Michigan, became the first U.S. city to do so. Over the decades, the optimal level was adjusted to 0.7 milligrams per liter. Studies consistently found fluoride reduced tooth decay by up to 30%, especially when used alongside dental hygiene products.
Despite that, fluoride banned laws have gained traction in several conservative-led states. Utah’s decision comes amid renewed skepticism about public health mandates and government involvement in health-related decisions.
Governor Cox stated that only 43.6% of Utah residents currently receive fluoridated water and noted no substantial differences in oral health between those who do and those who don’t. He previously likened fluoridation to being “medicated” by the government.
The new law allows pharmacists to prescribe fluoride tablets, giving residents a choice in how they consume the mineral.
Utah’s law could trigger a ripple effect. Lawmakers in states like North Dakota, Montana, and Tennessee have introduced similar bills. Fluoride banned movements have grown as part of broader anti-mandate and personal liberty campaigns.
High-profile figures like Robert F. Kennedy Jr. have amplified skepticism, calling for the removal of fluoride despite widespread scientific consensus that it is safe. Kennedy’s claims are not supported by mainstream medical authorities, including the CDC and American Dental Association.
Opponents of water fluoridation often cite potential risks such as cancer, lower IQ, and bone issues. However, major studies from the National Cancer Institute and the CDC have found no conclusive evidence linking fluoride to those conditions when consumed at recommended levels.
The CDC maintains that combining fluoridated water with brushing and flossing offers the best defense against tooth decay. They argue that while dental products help, water fluoridation ensures population-wide benefits, especially for children and underserved communities.
Supporters of the fluoride banned bill argue that with fluoride available in toothpaste and mouthwash, public water fluoridation is outdated and unnecessary. They call for more precise methods of delivery, such as prescription supplements.
As Utah leads the way, all eyes are on whether other states will follow its controversial stance. The fluoride debate, once thought settled, has clearly re-emerged as a flashpoint in America’s culture wars over public health and personal freedom.
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