Michigan Department of Community Health Michigan Department of Community Health Community Water Community Water

Fluoridation Program Fluoridation Program

Susan Deming, RDH, Susan Deming, RDH, RDA, B.S.RDA, B.S.

Education/Fluoridation CoordinatorEducation/Fluoridation CoordinatorMichigan Dept of Community Michigan Dept of Community

HealthHealth

A Bit of History…A Bit of History…

Water fluoridation Water fluoridation has a 60-year has a 60-year history of success- history of success- Started in Grand Started in Grand Rapids in 1945Rapids in 1945

Michigan FactsMichigan Facts

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4

6 1

3

Gogebic

Ontonagon

Houghton

Keweenaw

Iron

Baraga

Marquette

Dickinson

Alger

Delta

Menominee

Schoolcraft

Luce

Mackinac

Chippewa

Cheboygan

Presque Isle

Charlevoix

Antrim OtsegoLeelanau

BenzieGrand

Traverse Kalkaska

Crawford

Oscoda

Alcona

Manistee Wexford Ogemaw

Iosco

Mason Lake Osceola Clare Gladwin

Arenac

Newaygo

Mecosta IsabellaMidland Bay

Huron

Muskegon MontcalmGratiot Saginaw

TuscolaSanilac

St. ClairLapeer

ShiawasseeClintonIoniaKentOttawa

Allegan Barry Eaton InghamLivingston Oakland

Macomb

Van Buren Kalamazoo

CalhounJackson Washtenaw

Wayne

Berrien Cass Hillsdale Lenawee

Monroe

Missaukee

Alpena

Emmet

Genesee

Oceana

St. Joseph

Branch

Detroit

Percentage of Persons Served by MichiganCommunity Fluoridated Water Systems by County

Water Fluoridation Reporting System CDC 2009

0-24% Fluoridated

25-49% Fluoridated

50-74% Fluoridated

75-100% Fluoridated

Improving Maternal and Child Health…achieving key outcomes within a life course context 6-7-10

Key Outcomes:

1. Decrease dental disease across the lifespan through access to optimally fluoridated water a. Increase number of community water systems with optimal levels of community water fluoridation b. Increase well water fluoride level testing c. Monitor safety of fluoride levels in all community water systems

2. Support preventive dental services such as sealants and fluoride, as part of a dental benefits package by third party payors a. Increase awareness of preventive services across the lifespan b. Increase educational efforts in oral health

3. Support scientific evidence and evidence-based practices for oral health policy initiatives and programs a. Provide technical assistance to programs b. Promote and implement goals of the State Oral Health Plan c. Aggregate and evaluate oral health data to improve programs and service outcomes

4. Support dental home development as part of medical home development a. Coordinate development of MDCH definition of dental home b. Increase collaboration with medical home partners

5. Support improving access to dental care across the lifespan to all residents of MI a. Support expanding dental workforce b. Increase number of school based dental clinics c. Increase utilization of nondental healthcare professionals

6. Increase oral disease prevention through school based dental sealant programs a. Support additional funding to increase number of MI children with sealants

The Goal of the MDCH-Oral Health The Goal of the MDCH-Oral Health Community Water Fluoridation Community Water Fluoridation

Program:Program: to promote a quality Community

Water Fluoridation Program through the State of Michigan with the Oral Health Program, Department of Natural Resources and Environment (DNRE) and the Michigan Oral Health Coalition to reduce dental disease in our state.

Michigan Fluoridation Michigan Fluoridation Advisory CommitteeAdvisory Committee

Fluoridation SafetyFluoridation Safety

• Michigan Safe Drinking Water Act Michigan Safe Drinking Water Act

• American Water Works Association American Water Works Association (AWWA)(AWWA)

• National Sanitation Foundation/American National Sanitation Foundation/American National Standards Institute (NSF/ANSI)National Standards Institute (NSF/ANSI)

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

A. Update State A. Update State Fluoridation Plan Fluoridation Plan that implements that implements CDC grant CDC grant requirements and requirements and submit requested submit requested reportsreports

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

B. Monitor fluoride levels on monthly B. Monitor fluoride levels on monthly basis consistent with WFRSbasis consistent with WFRS

Fluoride LevelsFluoride Levels

• Optimal for Optimal for Michigan: 1.0 Michigan: 1.0 ppmppm

• Lowest Optimal: Lowest Optimal: 0.9 ppm 0.9 ppm

• Highest Optimal: Highest Optimal: 1.2 ppm 1.2 ppm

• Split Tolerance: Split Tolerance: +/- .2 +/- .2

Fluoridation AwardsFluoridation Awards

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

C. Track Progress C. Track Progress of Incorporating of Incorporating CDC EARWF CDC EARWF PracticesPractices (DNRE (DNRE equivalent)equivalent)

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

D. New or D. New or Replacement Replacement Equipment to Equipment to Communities Communities Looking to Add Looking to Add FluoridationFluoridation

Name of Community:Award Amount

Allocated:

Award Amount Used:

ALPENA $17,820 $16,907

ESCANABA $1,780 $1,712.48

GLADSTONE $18,000 $16,019.68

GREENVILLE $11,300 $11,300

MARINE CITY $24,800 $23,799.95

MARQUETTE $890 $872.39

MUSKEGON $20,074 $20,074

Total: $94,664 $90,686

2009 Grantees:2009 Grantees:

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

E. Meet Healthy People 2010/2020 goal E. Meet Healthy People 2010/2020 goal of 75% of population on Community of 75% of population on Community Water FluoridationWater Fluoridation

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

F. Education and F. Education and Promotion of Promotion of Community Community Water Water FluoridationFluoridation

State Operator TrainingState Operator Training

CDC Fluoridation CDC Fluoridation TrainingTraining

Welcome To:

Water Fluoridation Principles and PracticesFor Water Facility Operators

Presented byPresented byState Water Fluoridation ProgramState Water Fluoridation Program

Brochures and Fact Brochures and Fact SheetsSheets

Website for CWFWebsite for CWF

Community Water Fluoridation Program Community Water Fluoridation Plan 

2011 Fluoridation Equipment Grant Proposal

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

G. Maintain all G. Maintain all above objectives above objectives through through management and management and at a at a comprehensive comprehensive level that meets level that meets or exceeds or exceeds Healthy People Healthy People objectivesobjectives

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

H. Fluoridation Coordinator with DNREH. Fluoridation Coordinator with DNRE

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

I. Testing of I. Testing of individual wells individual wells for fluoride for fluoride levelslevels

Survey of Health Survey of Health Depts….Depts….

Does this county health department have access to information about naturally occurring fluoride levels in private drinking wells in

your area?

1. Yes

2. No

3. Unsure

Which of the following questions are asked by the public in regards to fluoride in their water? (CHECK ALL THAT APPLY)

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

1. Is fluoride in my drinkingwater safe?

2. What are the fluoridelevels in my drinking water?

3. Other

Are water sample bottles for testing available to the public at your Health Department?

1. Yes

2. No

Awareness CampaignAwareness Campaign

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

J. Study on J. Study on Fluorosis Levels Fluorosis Levels in the Statein the State

Objectives of 2011 CWF Objectives of 2011 CWF Program:Program:

K. EvaluationK. Evaluation

Looking AheadLooking Ahead::

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THANK YOU!!