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2107 LEGISLATIVE ASSEMBLY Thursday 2 June 2011 __________ The Speaker (The Hon. Shelley Elizabeth Hancock) took the chair at 10.00 a.m. The Speaker read the Prayer and acknowledgement of country. BUSINESS OF THE HOUSE Suspension of Standing and Sessional Orders: Precedence of Business Motion by Mr Brad Hazzard agreed to: That standing and sessional orders be suspended for general business to take precedence of the Address in Reply for the remainder of the autumn sittings. BUSINESS OF THE HOUSE Suspension of Standing and Sessional Orders: Inaugural Speeches Motion by Mr Brad Hazzard agreed to: That the business before the House be interrupted at 11.30 a.m. to permit the presentation of inaugural speeches by the members for Coogee and Monaro. WATER FLUORIDATION Mr JOHN WILLIAMS (Murray-Darling) [10.06 a.m.]: I move: That this House requests that the Public Water Supplies Act 1957 be amended to give local water authorities the ultimate power to make decisions concerning the addition of fluoride to public water within their locality. It is my duty as a member of Parliament to advise the House of some of the objections that I have received from communities in my electorate in regard to the fluoridation of water. When this motion was listed on the Business Paper prior to the election I promised I would raise this matter in the House on behalf of the community of Balranald, which is concerned about different aspects of water fluoridation. That concern has been driven primarily by internet-generated reports, which members in my community believe are a credible reason to cease the fluoridation of water supplies. I have indicated to them that I do not support their view. However, today I will do my duty as a member of Parliament, bring this matter to the attention of the House and provide clear evidence why water fluoridation is an important health provision. I have delayed debate on this motion to enable the member for Blue Mountains to contribute to it. The SPEAKER: Order! The member for Mount Druitt will come to order. Mr JOHN WILLIAMS: Many members would be aware that the member for Blue Mountains has spent much of her working life as a dentist and obviously will have strong views about and firsthand knowledge of the benefits of fluoridation. Although 97 per cent of the electorates in New South Wales currently engage in the fluoridation of water supplies, at some point they are challenged by people presenting them with information that has been sourced from the internet, which they believe is credible and scientifically based because someone has put his or her name to it and acknowledged that he or she is qualified to hold such an opinion. For some time health professionals have stressed the importance of inoculating children against disease. I have no doubt that they will stress also the importance of water fluoridation. Many internet campaigns have identified the source of naturally occurring fluoride in our water supplies which has had an effect on the health of our communities. They have acknowledged that the removal from our water supplies of such naturally occurring fluoride would reduce health risks in our communities. Scientific evidence supporting water fluoridation dates back as far as the 1950s. Reputable scientific health and 2108 LEGISLATIVE ASSEMBLY 2 June 2011 health-related professional organisations throughout the world have recognised the importance of water fluoridation due to the oral health and economic benefits it confers. These organisations have separately endorsed fluoridation of drinking water as a desirable public health policy based on numerous scientific studies carried out throughout the world. In Australia this includes the National Health and Medical Research Council, the Australian Dental Association, the Australian Medical Association, the Public Health Association of Australia, the Cancer Council, Diabetes Australia, the Australian Academy of Science, the Australian Centre for Human Health Risk Assessment, Osteoporosis Australia, Arthritis Australia, Alzheimer's Australia and the Australian Academy of Paediatric Dentistry. Internationally this includes the World Health Organization, the United States Public Health Service, the Centers for Disease Control and Prevention, the International Association of Dental Research, the FDI World Dental Federation, the Royal College of Surgeons, United Kingdom and the Royal College of Physicians, United Kingdom. In 2010 the World Health Organization reiterated its support for the extension of water fluoridation programs and said: Water fluoridation is one of the most cost-effective public health measures to improve dental health and reduce inequities through benefiting disadvantaged populations. In 2008 the Centers for Disease Control and Prevention in the United States of America released data that showed that almost 70 per cent, or approximately 210 million people in the United States with reticulated water supplies, had water fluoridation. The Centers for Disease Control and Prevention called for a further extension of water fluoridation in those States with lower coverage levels. In 2007 the Australian National Health and Medical Research Council conducted a systematic review and released a public statement entitled, "The efficacy and safety of fluoridation 2007". The recommendation made by the National Health and Medical Research Council, after examining all the studies on water fluoridation, is as follows: Fluoridation of drinking water remains the most effective and socially equitable means of achieving community wide exposure to the caries prevention effects of fluoride. It is recommended that water be fluoridated in the target range of 0.6 to 1.1 milligrams per litre, depending on the climate, to balance reduction of dental caries and occurrence of dental fluorosis. There was also no negative health impact from optimal water fluoridation at 1 milligram per litre. In November 2006 researchers from the World Health Organization, the World Dental Federation and the International Association for Dental Research met at the Global Consultation on Oral Health Through Fluoride. Those researchers said: Taking account of the scientific evidence, as well as several World Health Organisation World Health Assembly resolutions and other technical reports, the experts reaffirmed the efficiency, cost-effectiveness and safety of the daily use of optimal fluoride. In 2006 Australia's Research Centre for Population Oral Health reported the conclusion of the consensus Workshop on the Use of Fluorides in Australia and stated: Water fluoridation should be continued as it remains an effective, efficient, socially equitable and safe population approach to the prevention of caries in Australia and water fluoridation should be extended to as many people as possible living in non-fluoridated areas of Australia. The 2004 United States surgeon general's statement on community water fluoridation is as follows: Since the 1950s each US Public Health Service Surgeon General has committed his or her support for community water fluoridation. In 2004 Richard H Carmona joined previous Surgeons General in acknowledging the continuing public health role for community water fluoridation in enhancing the oral health of all Americans. In 1999 the Centers for Disease Control and Prevention rated water fluoridation as one of the top 10 public health measures for the twentieth century, alongside the eradication of poliomyelitis and smallpox. It is evident that credible health bodies throughout the world have a similar opinion about the fluoridation of water. For me, it is more about allowing someone to have his or her say. This has gone on for too long in communities that are opposed to fluoridation. None of the claims that has been made on the internet are based on any scientific evidence. Since raising the matter in this House, I have received a firm written commitment from the Chief Health Officer that no community would be forced to upgrade its water processing and distribution systems to include fluoride. [Time expired.] Dr ANDREW McDONALD (Macquarie Fields) [10.16 a.m.]: I thank the member Murray-Darling for moving this motion and appreciate his reasons for doing so. All members have to represent their constituents without fear or favour, even though they might not agree with the views that have been expressed. 2 June 2011 LEGISLATIVE ASSEMBLY 2109 I would like to hear what the member for Blue Mountains has to say about this important issue as she knows much more about fluoridation than I do. I extend best regards to the Balranald community. Last year I visited the Balranald multipurpose service and was very impressed by the town and its new multipurpose service. Fluoridation, which was first introduced in 1945 in Grand Rapids, Michigan, is simply an adjustment of public water supplies to the optimal fluoride level—which is 0.7 to 1.2 parts per million. Fluoridation was originally noticed when areas with high fluoride content were found to have less dental caries than areas with low fluoride content. There is absolutely no doubt in any of the scientific literature that community water fluoridation is the single most effective public health measure to prevent tooth decay. Public water fluoridation reduces dental caries by 20 to 40 per cent, even in areas with other widespread fluoride sources, such as fluoride toothpaste. This motion is a Trojan horse because it hides the fact that, if it were successful, it could have significant adverse effects on public health. As a result of opposition
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