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File #: 120187    Version:
Type: Resolution Status: Passed
File created: 5/22/2012 In control: STEERING & RULES COMMITTEE
On agenda: Final action: 7/24/2012
Effective date:    
Title: Substitute resolution relating to reduction of the concentration of fluoride in Milwaukee’s drinking water.
Sponsors: ALD. BOHL
Indexes: DRINKING WATER
Attachments: 1. Community Flouride Study Part 1, 2. Community Flouride Study Part 2, 3. Community Flouride Study Part 3, 4. Community Flouride Study Part 4, 5. E-mail from Wisconsin Dental Association, 6. Tooth Decay Trends in Flouridated Vs Unflouridated Countries, 7. Excitotoxicity: A Possible Central Mechanism in Flouride Neurotoxicity, 8. Building a Database of Developmental Neurotoxicants, 9. Association of Vascular Flouride Uptake with Vascular Calcification and Coronary Artery Disease, 10. Caries and Flurosis Prevalence in Communities with Different Concentrations of Fluoride in the Water, 11. Dental Flourosis Decline After Changes to Supplement and Toothpaste Regimes, 12. Flouride Supplementation for Children- Interim Policy Recommendations, 13. May 27 2012 Press Release from Ald Bohl, 14. May 22 Press Statement from Ald Bohl, 15. National Institute of Health Flouride Study Abstract, 16. Article from Environmental Working Group Re Lowering Flouride Limits, 17. E-mail from Dr. Paul Levine, 18. E-mail from Zeppos and Associates, 19. Letter of Support from President of the Holistic Dentists Association, 20. Letter of Support from League of United Latin American Citizens, 21. Letter of Opposition from AACDP, 22. Article Review- Effects of Fluoride on the Central Nervous System, 23. Letter of Opposition from Dr. Leuthner- MCW, 24. Letter of Opposition from American Academy of Pediatrics, 25. WIAAP Position Statement on Water Fluoridation, 26. American Academy of Pediatric Dentistry Fluoridated Water Policy, 27. Statement from the Milwaukee Health Department, 28. PowerPoint Presented by Ald Bohl, 29. Osmunson Flouride PowerPoint, 30. Whyte Flouride PowerPoint, 31. Connett Flouride PowerPoint, 32. Fluoride in Milwaukee Water Follow-Up, 33. Albuquerque Water Quality Report Follow-Up, 34. FDA Approval of Fluoride in Bottled Water Claim Follow-Up, 35. In Favor-Andrew Young, 36. Hearing Notice List, 37. Consumer Confidence Report, 38. American Academy of Pediatrics, 39. Material Safety Data Sheet, 40. The Science and Practice of Caries Prevention, 41. Memo - Sixteenth Street Community Health Center, 42. WDA-Wisconsin Dental Association, 43. January 7 2011: HHS Proposed recommendation, 44. Dr. Angela M. Lueck's Testimony, 45. Children's Health Alliance of Wisconsin, 46. Testimony of Brian D. Hodgson, DDS, 47. E-mail of Support from Prof Roger Masters, 48. Addtional Information from Dr. Osmunson, 49. American Academy of Pediatrics Policy Statement Breastfeedng and the Use of Human Milk 2005.pdf, 50. Dont't Feed Babies Fluoridated Water Say NYS Health Officials - Medical News Today 2011.pdf, 51. Guidance for Use of Fluorideted Water for Feeding during Infancy - New York State Department of Health 2011.pdf, 52. Know Your Teeth - Academy of General Dentristry 2007.pdf, 53. National Academy Calls for Lowering Fluoride Limits in Tap Water - Environmental Working Group 2006.pdf, 54. Project Update--CDC Community Water Fluoridation, No. 8, Winter 2007.pdf, 55. Fluoride Milwaukee Response
Date Ver.Action ByActionResultTallyAction DetailsMeeting DetailsVideo
8/1/20121 MAYOR SIGNED   Action details Meeting details Not available
7/24/20120 STEERING & RULES COMMITTEE SUBSTITUTED   Action details Meeting details Not available
7/24/20120 COMMON COUNCIL ADOPTEDPass14:0 Action details Meeting details Not available
7/24/20120 STEERING & RULES COMMITTEE SUBSTITUTED

Minutes note: Individuals appearing: Bevan Baker, Commissioner, Health Department Karen Ordinans, Children's Health Alliance of Wisconsin Proposed Substitute A was accepted.
Pass8:0 Action details Meeting details Not available
7/24/20121 STEERING & RULES COMMITTEE RECOMMENDED FOR ADOPTIONPass8:0 Action details Meeting details Not available
7/16/20120 STEERING & RULES COMMITTEE HEARING NOTICES SENT   Action details Meeting details Not available
7/16/20120 STEERING & RULES COMMITTEE HEARING NOTICES SENT   Action details Meeting details Not available
5/31/20120 STEERING & RULES COMMITTEE HELD TO CALL OF THE CHAIR

Minutes note: Individuals appearing: Ald. Jim Bohl, 5th District Dr. Paul Connett, Ph.D, Flouride Action Network Dr. Yolanda Whyte, M.D. Dr. Bill Osmunson, DDS, Washington Action for Safe Water Dr. David Simone, DDS Dr. Steve Carini, DDS Dr. Joanne Aponte, naturopathic practitioner Dr. Kristen Reynolds, M.D., Assistant Professor, UW School of Medicine and Public Health Rosanne Lindsay, MSHS, naturopathic practitioner Dr. Margaret Ruocco, M.D. Carrie Lewis, Superintendent, Milwaukee Water Works Speakers in opposition: Rachel Gallagher, Milwaukee Public Schools Michael Donohoo, DDS Dr. Earnestine Willis, M.D., MPH, Medical College of Wisconsin Warren LeMay, DDS, Chief Dental Officer, State Department of Health Services Frederick Eichmiller, DDS, WDA, Delta Dental Brian Hodgson, DDS, Marquette School of Dentistry Alexandra Eichenbaum, Wisconsin Oral Health Coalition Thomas Gregory, citizen Jason Jarzembowski, DDS, Children's Hospital of Wisconsin Kathleen Dufek-Maier, dental hygienist John Moser, DDS Matt Crespin, Children's Health Alliance of Wisconsin Speakers in support: Erik Rasmussen, citizen Speaker: Chris Scerpella, citizen Ald. Bohl moves to amend the resolution to instruct MWW to reduce the level of flouridation to 0.7. The motion was superceded by a motion to hold the file to the call of the Chair by Ald. Witkowski.
Pass5:2 Action details Meeting details Not available
5/29/20120 STEERING & RULES COMMITTEE HEARING NOTICES SENT   Action details Meeting details Not available
5/29/20120 STEERING & RULES COMMITTEE HEARING NOTICES SENT   Action details Meeting details Not available
5/29/20120 STEERING & RULES COMMITTEE HEARING NOTICES SENT   Action details Meeting details Not available
5/22/20120 COMMON COUNCIL ASSIGNED TO   Action details Meeting details Not available
Number
120187
Version
SUBSTITUTE 1
Reference
 
Sponsor
ALD. BOHL, DUDZIK, ZIELINSKI, KOVAC, PEREZ, BAUMAN, WADE, DAVIS, MURPHY AND HAMILTON
Title
Substitute resolution relating to reduction of the concentration of fluoride in Milwaukee's drinking water.
Analysis
This resolution directs the Milwaukee Water Works to reduce the concentration of fluoride in Milwaukee's drinking water to a maximum of 0.7 mg/L, or to the new level recommended by the U.S. Department of Health and Human Services.  
 
This resolution also directs Milwaukee Water Works and the Health Department to provide infant advisory notices to inform citizens of the potential risk fluoridated water poses to babies under 6 months of age.  An advisory notice shall be distributed with annual water quality reports, posted on Milwaukee Water Works and Health Department websites, posted at all Health Department facilities , and provided to citizens receiving well maternal and infant home visits by Health Department staff.
Body
Whereas, Fluoride is added to Milwaukee municipal drinking water to a final concentration of 1.1 milligrams per Liter (mg/L); and
 
Whereas, The U.S. Department of Health and Human Services (HHS) is expected to officially recommend in the near future that the fluoride concentration in municipal water systems should be 0.7 mg/L; and
 
Whereas, The Health Department supports the reduction of fluoride to a maximum of 0.7 mg/L in anticipation of the HHS recommendation; and
 
Whereas, The Milwaukee Water Works' fluoride addition system meets the requirements of the Wisconsin Department of Natural Resources for chemical feeder-setting requirements, storage tank sizing, time limits for chemical storage, and chemical measurements and monitoring programs; now, therefore, be it
 
Resolved, By the Common Council of the City of Milwaukee, that the Milwaukee Water Works is directed to reduce the fluoride concentration in the drinking water supply to a maximum of 0.7 mg/L, or to the level recommended by HHS; and, be it
 
Further Resolved, That the Milwaukee Water Works shall inform the Wisconsin Department of Natural Resources of this change; and, be it
 
Further Resolved, The Milwaukee Water Works and the Health Department are directed to provide an infant advisory notice to inform citizens of the potential risk fluoridated water poses to babies under 6 months of age; and, be it
 
Further Resolved, The infant advisory notice shall include the following statement:
 
"The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of a child's life, followed by continued breastfeeding as complementary foods are introduced, for optimal short- and long-term health advantages.  Go to <http://pediatrics.aappublications.org/content/129/3/e827.full> for more information.
 
As of (City Clerk to insert date) City of Milwaukee water is fluoridated at a level of 0.7 mg/L.  According to the Centers for Disease Control (CDC), for infants up to 6 months of age, if tap water is fluoridated or has substantial natural fluoride (0.7 mg/L or higher) and is being used to dilute infant formula, a parent may consider using a low-fluoride alternative water source.  Bottled water known to be low in fluoride is labeled as purified, deionized, demineralized, distilled, or prepared by reverse osmosis.  Ready-to-feed (no-mix) infant formula typically has little fluoride and may be preferable at least some of the time.  
 
If breastfeeding is not possible, parents should consult a pediatrician about an appropriate infant formula option.  Parents should be aware that there may be an increased chance of mild dental fluorosis if the child is exclusively consuming infant formula reconstituted with fluoridated water.  Dental fluorosis is a term that covers a range of visible changes to the enamel surface of the tooth.  Go to <http://www.cdc.gov/fluoridation/safety/infant_formula.htm> for more information on dental fluorosis and <http://www.cdc.gov/fluoridation/safety/infant_formula.htm> for more information on  the use of fluoridated drinking water in infant formula."
 
;and, be it
 
Further Resolved, The initial distribution of this infant advisory notice shall be distributed with quarterly municipal services bill, and thereafter, shall be distributed with annual water quality reports; and, be it
 
Further Resolved, Infant advisory notices shall be posted on Milwaukee Water Works and Health Department websites, and at all Health Department facilities, and shall be provided to citizens receiving well maternal and infant home visits by Health Department staff.
 
 
Requestor
 
Drafter
LRB137347-2.4
Amy E. Hefter
7/24/2012