The Journal of the American Medical Association, Pediatrics published a paper today detailing an association between consuming fluoride in drinking water during pregnancy and decreased IQ in young children. The most cited finding is, “A 1-mg increase in fluoride intake was associated with a 3.66 … lower FSIQ score among boys and girls.” Media coverage on this report currently includes: • Washington Post • National Public Radio • USA Today • Reuters The American Academy of Pediatrics continues to recommend children drink fluoridated tap water. The American Dental Association states it “will continue to evaluate the validity of emerging evidence and research to support the advancement of the health of the public.” Neither the U.S. Centers for Disease Control and Prevention or EPA have issued statements on the paper. If contacted by media or customers, AWWA recommends utilities: • Acknowledge that some people may be concerned by the report. • Reassure consumers of your commitment to safe drinking water and the best available science. • Draw attention to the observations made by the American Academy of Pediatrics and American Dental Association. • Explain that fluoride can be present in drinking water supplies due to a region’s geology. • Point out that excessive levels of fluoride are regulated under the Safe Drinking Water Act (primary standard is 4.0 milligrams per liter and the secondary standard is 2.0 milligrams per liter). • Cite the U.S. Department of Health and Human Services recommendation of 0.7 milligrams per liter as the optimal fluoride level used to guide fluoridation for those water systems that fluoridate. Utilities contacted by media or customers may find the following resources helpful: • National Academies of Sciences Engineering and Medicine – Based on Science • Centers for Disease Control and Prevention – Community Water Fluoridation • AWWA Fluoridation of Public Water Supplies Policy Statement • AWWA Resource page • DrinkTap’s Fluoride In Water page Questions can be directed to Steve Via , AWWA’s director of federal relations.