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Many countries around the world have natural fluoride in their groundwater (much of Europe), use other dietary sources for fluoride (salt), or have a significant dietary component that naturally contains fluoride (tea).

What makes water fluoridation good public health policy isn’t that we do it blindly; it’s that it gets balanced against demographic and geographic factors that don’t necessary apply everywhere else in the world.



> Many countries around the world have natural fluoride in their groundwater (much of Europe)

This seems to refute your claim about Europe:

https://www.nature.com/articles/s41467-022-31940-x/figures/1

However, another study seems to indicate Germany is particularly at risk in Europe of high fluoride concentrations: https://www.sciencedirect.com/science/article/pii/S167498712...


That map shows regions exceeding 1.5mg/L, i.e. over twice the amount that the US and other countries place in their municipal water supplies. It’s not a map of places with suitable concentrations of fluoride in groundwater; it shows excess amounts.

To my understanding, both Switzerland and Germany have around 1.0mg/L fluoride in much of their groundwater. This puts them firmly above municipal levels in the US, but below what your map shows.




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