Florida Surgeon General Joseph Ladapo recommended against community fluoridation of drinking water, echoing viewpoints similar to those propagated by Robert F. Kennedy, President-elect Donald Trump's pick for the nation's chief health official.
Ladapo's past advice on health issues has been criticized by others in the healthcare arena. His suggestion was rejected by the group representing Florida dentists, who argued that fluoridation is one of the "most effective and affordable public health measures."
"It is clear more research is necessary to address safety and efficacy concerns regarding community water fluoridation," Ladapo said in a written statement. "The previously considered benefit of community water fluoridation does not outweigh the current known risks, especially for special populations like pregnant women and children."
Ladapo estimated that 70% of Florida residents are on community water systems with fluoridated water.
The guidance comes after a decision by the Winter Haven City Commission to stop adding fluoride to its water supply.
"Adding optimal amounts of fluoride into our community water supplies can prevent at least 25% of tooth decay in children and adults," Dr. Jeff Ottley, president of the Florida Dental Association, said in a statement.
The Centers for Disease Control and Prevention named community fluoridation one of the 10 great public health interventions due to its impact on reducing cavities since 1945.
Earlier this year, Ladapo advised parents it was up to them whether to keep their children at home during a measles outbreak, countering usual CDC guidance. His predecessor criticized this advice.
Ladapo also expressed skepticism about Covid-19 vaccines and face masks' efficacy. He made headlines when he refused to wear a mask during a meeting with state Sen. Tina Polsky, who requested it while undergoing cancer treatment.
After Trump was elected again, DeSantis promoted Ladapo as a candidate for heading Health and Human Services (HHS), but Trump chose Kennedy instead. HHS includes agencies like Medicare and Medicaid Services; Trump announced Mehmet Oz would run that agency.
Trump wrote that Oz would "work closely" with RFK Jr., his nominee for Health and Human Services secretary, "to take on the illness industrial complex."
Ladapo noted that fluoride is naturally occurring in various sources including toothpaste and mouthwashes. While evidence shows fluoride strengthens teeth, he highlighted ongoing research into overall exposure impacts.