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The CDA Foundation model to fluoridate communities.

Marjorie Stocks1, Howard Pollick

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California has significantly increased public water fluoridation over 20 years, reaching 62.1% of its population. This success stems from a coalition effort, including the California Fluoridation Task Force and Act, with recent gains in San Diego and San Jose.

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Area of Science:

  • Public Health
  • Community Water Fluoridation
  • Health Policy

Background:

  • California's public water fluoridation coverage has expanded substantially over the last two decades.
  • The increase represents a significant public health achievement in the state.
  • Key legislative and organizational efforts have underpinned this expansion.

Purpose of the Study:

  • To detail the process and strategies behind the recent expansion of community water fluoridation in California.
  • To highlight the collaborative efforts that have driven increased access to fluoridated water supplies.
  • To document the progress in specific Californian cities like San Diego and San Jose.

Main Methods:

  • Analysis of public health initiatives and legislative actions supporting water fluoridation.
  • Review of coalition-building strategies involving diverse organizations and individuals.
  • Case study examination of recent fluoridation implementation in San Diego and ongoing efforts in San Jose.

Main Results:

  • Public water supply fluoridation in California increased from 15.7% to 62.1% of the population in 20 years.
  • A broad-based coalition, including the California Fluoridation Task Force (1994) and the California Fluoridation Act (1995), was instrumental.
  • Recent successful implementation in San Diego and ongoing progress in San Jose demonstrate continued expansion.

Conclusions:

  • The expansion of community water fluoridation in California is a result of sustained, collaborative public health efforts.
  • Policy and legislative support, coupled with effective coalition building, are crucial for increasing fluoridation coverage.
  • The documented progress in San Diego and San Jose offers a model for future public health initiatives in water fluoridation.