Fluoride management guidance
Rolling revision of the WHO Guidelines for Drinking-water Quality
Fluoride management guidance is included in the plan of work of the rolling revision of the WHO Guidelines for Drinking-water Quality.
Adverse health effects, including dental and skeletal fluorosis, are associated with excess fluoride in drinking-water.
Management guidance document on fluoride.
Progress to date
This document was recommended by the 1995 Coordinating Committee, and this objective was adopted by the 1996 Chemical Working Group meeting. A draft was reviewed by the 1998 Working Group meeting, and recommendations were made for finalization. It was released as a draft for comment in August 1999 with a deadline for comment of the end of March 2000. At the Chemical Aspects Working Group meeting (Tokyo, 2002), the group was informed that the monograph was being finalized, and there was considerable discussion on various aspects of the draft, including a suggestion that the monograph should not mix discussion on the beneficial use of fluoride with adverse health effects to prevent controversy. The monograph was not discussed at the Guidelines for Drinking-water Quality Working Group meeting (Geneva, 2004). The document is in editing and layout (2005). A presentation to the Working Groups of the WHO Oral Health Programme on the importance of fluoridation was made in 2005.