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State of Alaska

Complete Health Indicator Report of Water - Fluoridated Drinking Water (HA2020 Leading Health Indicator: 20)

Definition

The percentage of the Alaska population served by community water systems with optimally fluoridated water as compiled by the [http://dhss.alaska.gov/dph/wcfh/Pages/oralhealth/default.aspx Alaska Oral Health Program].

Numerator

Number of Alaskans served by community water systems with optimally fluoridated water as compiled by the [http://dhss.alaska.gov/dph/wcfh/Pages/oralhealth/default.aspx Alaska Oral Health Program].

Denominator

Number of Alaskans served by community water systems as compiled by the [http://dhss.alaska.gov/dph/wcfh/Pages/oralhealth/default.aspx Alaska Oral Health Program].

Why Is This Important?

Community water fluoridation is recognized by the Centers for Disease Control and Prevention as 1 of 10 great public health achievements of the 20th century. Water fluoridation is safe and effective, and the least expensive way to deliver the benefits of fluoride to all residents of a community, regardless of age, educational attainment, or income level. Studies show that water fluoridation reduces tooth decay by about 25 percent over a person's lifetime.^1,2^ Untreated dental caries can lead to incapacitating pain, tooth extraction, and loss of dental function, and may progress to an acute systemic infection.[[br]] [[br]] {{class .SmallerFont 1. Newbrun E. Effectiveness of water fluoridation. J Public Health Dent 1989;49(5):279-289. 2. Brunelle JA, Carlos JP. Recent trends in dental caries in U.S. children and the effect of water fluoridation. J Dent Res 1990;69(Spec Iss):723-727. }}

Healthy People Objective: Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water

U.S. Target: 79.6 percent
State Target: Healthy Alaskans 2020 Target: 58%

Other Objectives

Healthy Alaskans 2020 Indicator 20: Increase the percentage of the population served by community water systems with optimally fluoridated water to 58% by 2020.

How Are We Doing?

In 2016, 49.6% of Alaskans on community water systems had access to what should be optimally fluoridated water (i.e., regulations were in place and only technical difficulties prevented compliance). However, due either to repairs lasting longer than 3 months or consistently lower readings, only 5.3% of Alaskans on community water systems were actually accessing optimally fluoridated water. Both potential and actual levels of fluoridation were down in 2016 from levels in 2005 (67.1% and 57.5%, respectively). The Healthy Alaskans 2020 goal of 58% of Alaskans on community water systems receiving optimally fluoridated water was not been met in 2016 as only 5.3% of Alaskans on community water systems received optimal fluoridation.

How Do We Compare With the U.S.?

In 2014, the most recent data available for the U.S., 74.4% of U.S. population with community water systems should have optimally fluoridated water. In comparison in 2014, only 49.3% of Alaskans in communities with community water systems should have optimally fluoridated water.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Maintain water fluoridation in communities with existing fluoridated community water systems. '''Evidence Base:''' [[br]]The US Community Preventive Services Task Force list water fluoridation as an evidence-based practice to reduce dental decay. '''Source:''' [[br]][http://www.thecommunityguide.org/oral/fluoridation.html The Community Guide] '''Strategy 2:''' [[br]]Provide information and resources that will help communities understand the value of water fluoridation in Alaska. '''Evidence Base:''' [[br]]The Community Preventive Services Task Force notes water fluoridation as an evidence-based practice to reduce dental decay. '''Source:''' [[br]]The Community Guide: [http://www.thecommunityguide.org/oral/fluoridation.html] '''Strategy 3:''' [[br]]Introduce and implement community water fluoridation in communities that are not currently fluoridating their community water systems. '''Evidence Base:''' [[br]]The Community Preventive Services Task Force notes water fluoridation as an evidence-based practice to reduce dental decay. '''Source:''' [[br]][http://www.thecommunityguide.org/oral/fluoridation.html The Community Guide] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_20_Fluoridation.pdf].


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:




Graphical Data Views

Percentage of the population served by community water systems with optimally fluoridated water, all Alaskans and U.S., 2000-2020

::chart - missing::

Alaska ComparisonsYearPercentage with optimally fluoridated water
Record Count: 34
All Alaskans200055.2%
All Alaskans2001**
All Alaskans200257.3%
All Alaskans2003**
All Alaskans200457.5%
All Alaskans200557.5%
All Alaskans200663.7%
All Alaskans200759.8%
All Alaskans200860.0%
All Alaskans200958.3%
All Alaskans201054.8%
All Alaskans201144.6%
All Alaskans201244.2%
All Alaskans201345.7%
All Alaskans201443.4%
All Alaskans20158.1%
All Alaskans20165.3%
U.S.200065.0%
U.S.2001**
U.S.200267.4%
U.S.2003**
U.S.200468.7%
U.S.2005**
U.S.200669.2%
U.S.2007**
U.S.200872.4%
U.S.2009**
U.S.201073.9%
U.S.2011**
U.S.201274.6%
U.S.2013**
U.S.201474.4%
U.S.2015**
U.S.2016**

Data Notes

** Data not available. Alaska data do not include populations from communities that technically indicate they are fluoridating but are well below optimal either for being down too much during a given year or consistently low readings for more than 3 months in the year. Upon formal notification that a community made a decision to no longer fluoridate (e.g., Juneau, Hoonah, Craig, Palmer, Fairbanks, McGrath in the past), they are dropped as fluoridating systems in the Water Fluoridation Reporting System and CDC would not include those populations in their reported percentages. U.S. data from the Water Fluoridation Reporting System are using populations on systems that are fluoridating and "should be optimal" - that way it is showing general trends but not necessarily adjusting state by state when a system has been down for portions of the year due to repairs or other factors.

Data Sources

  • Alaska Oral Health Program
  • National Oral Health Surveillance System


Percentage of the population served by community water systems with should be optimally fluoridated water, all Alaskans and U.S., 2005-2016

::chart - missing::

Alaska ComparisonsYearPercentage of population with potential for optimally fluoridated water
Record Count: 24
All Alaskans200567.1%
All Alaskans200667.4%
All Alaskans200763.2%
All Alaskans200862.9%
All Alaskans200963.0%
All Alaskans201062.8%
All Alaskans201154.2%
All Alaskans201252.9%
All Alaskans201349.4%
All Alaskans201449.3%
All Alaskans201549.6%
All Alaskans201649.6%
U.S.2005**
U.S.200669.2%
U.S.2007**
U.S.200872.4%
U.S.2009**
U.S.201073.9%
U.S.2011**
U.S.201274.6%
U.S.2013**
U.S.201474.4%
U.S.2015**
U.S.2016**

Data Notes

** = Data not available. Alaska data are based upon community water systems that have the potential for providing optimally fluoridate water through local regulations but may not due to technical reasons of repairs or low readings. U.S. data from the Water Fluoridation Reporting System are using populations on systems that are fluoridating and "should be optimal" - that way it is showing general trends but not necessarily adjusting state by state when a system has been down for portions of the year due to repairs or other factors.

References and Community Resources

'''References:''' 1. Newbrun E. Effectiveness of water fluoridation. J Public Health Dent 1989;49(5):279-289. 2. Brunelle JA, Carlos JP. Recent trends in dental caries in U.S. children and the effect of water fluoridation. J Dent Res 1990;69(Spec Iss):723-727. '''Resources:''' Alaska Oral Health Program. Section of Women's, Children's, and Family Health. Division of Public Health. Alaska Department of Health and Social Services. [http://dhss.alaska.gov/dph/wcfh/Pages/oralhealth/default.aspx]. Data & Statistics | Community Water Fluoridation | Division of Oral Health | CDC. [https://www.cdc.gov/fluoridation/statistics/index.htm].

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 08/14/2017, Published on 08/14/2017
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 20 November 2017 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 14 Aug 2017 13:03:35 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 20 November 2017 8:28:56 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 14 Aug 2017 13:03:35 AKDT