The controversy surrounding fluoride’s safety in everyday products like toothpaste and milk ignited in Nigeria following a popular religious leader’s public condemnation of the substance. The cleric, in widely circulated videos, labelled fluoride as poisonous and carcinogenic, prompting concern and confusion among the public. The Association of Community Pharmacists of Nigeria (ACPN) stepped forward to address these claims, clarifying the scientific understanding of fluoride’s effects and emphasizing the importance of distinguishing between regulated use and overexposure. While acknowledging the cleric’s spiritual influence, the ACPN underscored the need to rely on scientific evidence when discussing health matters, emphasizing that the leader’s statements on fluoride were not entirely aligned with scientific consensus.
The ACPN clarified that fluoride, when used within the limits established by regulatory bodies, is not only safe but also beneficial for dental health. They emphasized that the negative health consequences associated with fluoride, such as dental and skeletal fluorosis or thyroid problems, typically arise from prolonged and excessive misuse, not from adhering to recommended guidelines. The association pointed out that many studies linking fluoride to cancer involve scenarios of overexposure, not the regulated amounts found in everyday products like toothpaste. They reiterated the fundamental pharmacological principle that any substance can be harmful if misused, emphasizing the importance of adhering to prescribed dosages and usage guidelines. In the case of fluoride, the safe limit is generally considered to be no more than 5mg per kilogram.
Addressing specific public concerns, the ACPN clarified the presence of fluoride in various products. Cow’s milk, they explained, naturally contains negligible amounts of fluoride, while some plant-based milk alternatives may contain trace amounts either naturally or as additives. However, even in these non-dairy alternatives, it is excessive addition of fluoride, not its mere presence, that poses a potential risk. The ACPN also educated the public about natural sources of fluoride, highlighting its presence in water, soil, certain fruits, salmon, and even breast milk. These natural occurrences underscore the fact that fluoride is a common element and not inherently toxic in regulated quantities.
The association further elaborated on the recommended daily intake of fluoride, specifying 3.7-4.5mg for adults and 0.7-1.3mg for children. This difference in recommended intake explains the existence of age-specific toothpastes, a point the ACPN emphasized. They also highlighted the importance of parental supervision in children’s toothpaste use, advising parents to teach children not to swallow toothpaste while brushing. This practice minimizes the risk of ingesting excessive fluoride and reinforces the importance of responsible product usage. The ACPN’s focus on responsible use underscores the principle that even beneficial substances can become harmful if used improperly.
Looking towards the future of oral care, the ACPN acknowledged the ongoing research into fluoride alternatives. They emphasized the commitment of pharmacists and scientists to explore alternative drug molecules that could offer similar benefits without the risks associated with fluoride overdose. If such alternatives are discovered, the ACPN suggested, significant reforms in oral care practices could follow. However, until such alternatives are proven effective and safe, the ACPN maintained its position that current evidence does not support claims linking fluoride-containing toothpaste or milk to cancer.
The ACPN concluded its statement by urging the public to rely on verified scientific information and cautioned against the spread of misinformation, particularly by individuals lacking expertise in health and science. They reiterated that reputable cancer associations, after extensive research, have debunked claims linking fluoride to cancer. This final appeal emphasized the importance of trusting credible sources and seeking expert advice on health matters, highlighting the potential public health consequences of spreading unsubstantiated claims. The ACPN’s comprehensive response aimed to allay public fears, clarify scientific understanding, and promote responsible product use based on evidence-based information.
