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State of Alaska

Important Facts for 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% 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 2017, 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). When accounting for systems with repairs lasting longer than 3 months or consistently lower readings, 42.0% of Alaskans on community water systems were actually accessing optimally fluoridated water. The lower percentage of Alaskans on community water systems with access to optimally fluoridated water seen in 2015 and 2016 were the result of one or more systems being down for repairs during those years. Both potential and actual levels of fluoridation in 2017 are still below the 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 2017 as only 42.0% 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].
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 Wed, 26 June 2019 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: Thu, 15 Nov 2018 09:52:31 AKST
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 Wed, 26 June 2019 4:48:07 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: Thu, 15 Nov 2018 09:52:31 AKST