Fluoride
MO American St. Joseph
Fluoride occurs naturally in surface and groundwater and is also added to drinking water by many water systems. Read More.
Fluoride has been promoted as a chemical that reduces dental cavities. Yet it is now well-established that fluoride primarily exerts its protective effects through topical mechanisms, such as sodium fluoride in toothpaste and mouthwash. In contrast, long-term ingestion of fluoride in water increases dental fluorosis, which includes mottling, pitting and weakening of the teeth. EPA's maximum legal limit is set at 4 parts per million (ppm) to prevent skeletal fluorosis, a condition where bones become brittle and more susceptible to fractures, although these effects may occur at lower doses.
Even fluoride levels of 0.7 ppm, the amount of fluoride in drinking water recommended by the U.S. Public Health Service, can result in too much fluoride for bottle-fed babies. EWG recommends that caregivers mix baby formula with fluoride-free water. The National Toxicology Program is investigating the potential for low doses of fluoride to alter thyroid function and childhood brain development.
Samples
Samples exceeding legal limit (MCL)
Samples exceeding
health guidelines
Testing results - average by year
| Year | Average result | Samples taken | Detections | Range of results |
|---|---|---|---|---|
| 2013 | N/A | 0 | 0 | N/A |
| 2014 | 0.650 ppm | 13 | 13 | 0.560 ppm - 0.720 ppm |
| 2015 | 0.613 ppm | 12 | 12 | 0.480 ppm - 0.670 ppm |
| 2016 | 0.557 ppm | 12 | 12 | 0.440 ppm - 0.620 ppm |
| 2017 | 0.626 ppm | 13 | 13 | 0.540 ppm - 0.710 ppm |
| 2018 | 0.664 ppm | 12 | 12 | 0.610 ppm - 0.720 ppm |
| 2019 | 0.681 ppm | 12 | 12 | 0.570 ppm - 0.770 ppm |
ppm = parts per million
State and national drinking water standards and health guidelines
EPA Maximum Contaminant
Level (MCL) 4 ppm
ppm = parts per million
All test results
| Date | Lab ID | Result |
|---|---|---|
| 2014-01-06 | 24589701 | 0.630 ppm |
| 2014-02-18 | 24688901 | 0.630 ppm |
| 2014-03-04 | 24970101 | 0.560 ppm |
| 2014-03-04 | 24969401 | 0.570 ppm |
| 2014-04-07 | 25138801 | 0.640 ppm |
| 2014-05-07 | 25588901 | 0.630 ppm |
| 2014-06-02 | 25855801 | 0.650 ppm |
| 2014-07-01 | 26141001 | 0.700 ppm |
| 2014-08-05 | 26544701 | 0.690 ppm |
| 2014-09-02 | 27047401 | 0.720 ppm |
| 2014-10-06 | 27158001 | 0.720 ppm |
| 2014-11-04 | 27378401 | 0.720 ppm |
| 2014-12-20 | 27653701 | 0.590 ppm |
| 2015-01-21 | 27907001 | 0.640 ppm |
| 2015-02-09 | 28151701 | 0.620 ppm |
| 2015-03-03 | 28410601 | 0.600 ppm |
| 2015-04-15 | 28622101 | 0.600 ppm |
| 2015-05-04 | 28882001 | 0.610 ppm |
| 2015-06-01 | 29187301 | 0.610 ppm |
| 2015-07-09 | 29459801 | 0.480 ppm |
| 2015-08-11 | 29799001 | 0.630 ppm |
| 2015-09-01 | 30122601 | 0.670 ppm |
| 2015-10-01 | 30313201 | 0.610 ppm |
| 2015-11-02 | 30645301 | 0.620 ppm |
| 2015-12-03 | 30784601 | 0.660 ppm |
| 2016-01-04 | 30934101 | 0.620 ppm |
| 2016-02-08 | 31261301 | 0.440 ppm |
| 2016-03-07 | 31418201 | 0.550 ppm |
| 2016-04-18 | 31773601 | 0.530 ppm |
| 2016-05-09 | 31961601 | 0.560 ppm |
| 2016-06-06 | 32172301 | 0.570 ppm |
| 2016-07-11 | 32594501 | 0.600 ppm |
| 2016-08-02 | 33014701 | 0.590 ppm |
| 2016-09-07 | 33276501 | 0.590 ppm |
| 2016-10-04 | 33410401 | 0.590 ppm |
| 2016-11-01 | 33702001 | 0.540 ppm |
| 2016-12-08 | 33975201 | 0.500 ppm |
| 2017-01-23 | 34319001 | 0.590 ppm |
| 2017-02-01 | 34564801 | 0.560 ppm |
| 2017-03-01 | 34853801 | 0.540 ppm |
| 2017-03-01 | 34854201 | 0.540 ppm |
| 2017-04-10 | 35118501 | 0.620 ppm |
| 2017-05-11 | 35399901 | 0.610 ppm |
| 2017-06-01 | 35751201 | 0.650 ppm |
| 2017-07-05 | 36138701 | 0.680 ppm |
| 2017-08-10 | 36569501 | 0.630 ppm |
| 2017-09-12 | 36994101 | 0.660 ppm |
| 2017-10-04 | 37226201 | 0.680 ppm |
| 2017-11-09 | 37658901 | 0.710 ppm |
| 2017-12-12 | 37883501 | 0.670 ppm |
| 2018-01-03 | 38142801 | 0.630 ppm |
| 2018-02-01 | 38581701 | 0.640 ppm |
| 2018-03-06 | 38820301 | 0.660 ppm |
| 2018-04-02 | 39049901 | 0.670 ppm |
| 2018-05-02 | 39342401 | 0.630 ppm |
| 2018-06-07 | 39789101 | 0.610 ppm |
| 2018-07-10 | 40291901 | 0.670 ppm |
| 2018-08-08 | 40558001 | 0.680 ppm |
| 2018-09-04 | 40928001 | 0.720 ppm |
| 2018-10-04 | 41286301 | 0.700 ppm |
| 2018-11-13 | 41787801 | 0.690 ppm |
| 2018-12-05 | 42213601 | 0.670 ppm |
| 2019-01-03 | 42525301 | 0.650 ppm |
| 2019-02-06 | 43197201 | 0.620 ppm |
| 2019-03-06 | 43439101 | 0.650 ppm |
| 2019-04-11 | 43596901 | 0.570 ppm |
| 2019-05-09 | 43956601 | 0.600 ppm |
| 2019-06-24 | 45345801 | 0.760 ppm |
| 2019-07-09 | 45228301 | 0.770 ppm |
| 2019-08-14 | 45738201 | 0.750 ppm |
| 2019-09-04 | 46385901 | 0.630 ppm |
| 2019-10-21 | 46954801 | 0.730 ppm |
| 2019-11-05 | 47090401 | 0.730 ppm |
| 2019-12-04 | 47530401 | 0.710 ppm |