ʻO ka pane a IAOMT i ka National Toxicology Program's (NTP) Board of Scientific Counselors (BSC)

IAOMT Oral Comments for NTP BSC

Aloha ʻoe, ʻo wau ʻo Kauka Jack Kall, he kauka niho hoʻomaʻamaʻa no 46 mau makahiki. ʻO wau ka Luna Hoʻokele o ka Papa Hoʻokele o ka International Academy of Oral Medicine and Toxicology, a i ʻole IAOMT. He hui waiwai ʻole mākou i hoʻokumu ʻia ma 1984.

ʻO kā mākou mau lālā 1500 he mau niho, kauka a me nā mea noiʻi e noiʻi a kamaʻilio palekana i nā lapaʻau e pili ana i ka ʻepekema e hāpai i ke olakino kino holoʻokoʻa. ʻO kā mākou motto ʻo "Show Me The Science".

ʻO ka hapa nui o kā mākou Academy e kālele ana i ka toxicology o nā mea i hoʻohana ʻia i ka dentistry. ʻO mākou ka hui nui loa i hoʻolaʻa i kēia. Ua kālele nui mākou i ʻekolu mau mea ʻawaʻawa i hoʻohana mau ʻia i ka dentistry:

1. ʻO ka mercury, kahi neurotoxin, hoʻohana ʻia i nā hoʻopiha amalgam
2. ʻO ka bisphenol A, he mea hoʻopilikia endocrine, i hoʻohana ʻia i nā sealants a me nā hoʻopihapiha hoʻopihapiha
3. ʻO ka fluoride i hoʻohana ʻia i ka holoi ʻana, toothpaste, varnish, cements a me nā mea hoʻopiha

Hoʻokomo pololei ʻia kēia mau mea a pau i ka waha. Hoʻohui ʻia, hoʻohana ʻia ka fluoride i nā ʻano o ka ingestion pololei ma ke ʻano o ka wai inu fluoridated, paʻakai fluoridated, a me nā mea hoʻohui fluoride.

No nā makahiki he 30 ke kākoʻo nei kā mākou hui i ka noiʻi e pili ana i ka ʻawaʻawa o ka fluoride. Ua hoihoi nui mākou a hopohopo nui e pili ana i nā haʻawina i paʻi ʻia e pili ana i ka neurotoxicity o ka fluoride a no laila ke kākoʻo nei i ka loiloi ʻōnaehana o ka NTP.

Ua minamina mākou no ka ho'āʻo ʻana o nā makemake niho e hoʻoikaika i ka fluoridation i loko o ke aupuni pekelala a ma waho hoʻi e hoʻoikaika i nā ʻike a ka NTP, ʻaʻole i hoʻokumu ʻia ma ka ʻepekema, akā i ka hoʻāʻo ʻana e pale i kā lākou kulekele no ka hoʻolaha ʻana i ka wai fluoridation.

He aha nā ʻike nui o ka NTP?

1. Ke kākoʻo nei nā hōʻike epidemiological kanaka i ka hopena o ka "kūpono haʻahaʻa" ʻo ka fluoride he neurotoxin hoʻomohala. (BSC WG hōʻike ʻaoʻao 342)
2. ʻAʻole i loaʻa ka paepae hōʻike palekana no ka hopena o ka fluoride ma ka IQ. (BSC WG hōʻike ʻaoʻao 87, 326, 327, 632, 703, 704)
3. ʻO kēlā hōʻike fluoride i ʻike ʻia e nā wahine hāpai a me nā keiki ma US i kēia lā i loko o ka laulā kahi i loaʻa ai i nā haʻawina kanaka ka emi ʻana o ka IQ. (BSC WG hōʻike ʻaoʻao 25, 26)

Hāʻawi ka hōʻike i nā kikoʻī nui ma luna o 150 mau haʻawina kanaka i ʻike ʻia he kūpono.

Ua hoʻohana ka hōʻike i nā ala paʻa, i hoʻokumu mua ʻia e loiloi i ka maikaʻi o nā haʻawina pākahi.

Ua ʻae ka IAOMT i nā hopena NTP.

Manaʻo mākou ua paʻi ʻia ka monograph ma kona lā i manaʻo ʻia e hoʻokuʻu ai i ka lehulehu o Mei 18, 2022. ʻO nā hoʻoponopono hou a NTP i hana ʻia ma hope o ke kāohi ʻia ʻana e nā māhele hoʻolaha fluoridation i loko o HHS, a ʻaʻole e hoʻololi nā hoʻoponopono i manaʻo ʻia e ka hui hana BSC ʻike nui. ʻAʻole kūpono nā lohi hou i ka haʻi ʻana i ka hōʻike hope loa.

Manaʻo ka IAOMT e kākoʻo ka BSC i ka hoʻoikaika nui a ka poʻe loea ʻepekema NTP i hoʻokomo i kēia loiloi ʻōnaehana. Ua ʻae mākou me nā hoa loiloi waho i hāʻawi i kēia mau manaʻo:

"ʻO ka mea āu i hana ai he kūlana kiʻekiʻe"

"He maikaʻi loa ka ʻikepili ponoʻī, a ua hoʻopuka pono ʻoe i nā ʻōlelo"

"Hana maikaʻi!"

"Ua unuhi ʻia nā ʻike…"

Mai ka nānā pono ʻana i nā hōʻike e pili ana i ka hui ʻana ma waena o ka fluoride a me ka ʻāʻī niho (nā niho), ua hoʻoholo ka IAOMT ua hoʻonui nui ʻia ka maikaʻi no ke kūlana olakino waha o kēia lā. Ua ʻike nā ʻāina me ka fluoridation a me ka poʻe ʻole i ka emi nui o ka pala niho i nā makahiki he 50 i hala iho nei, e like me ka hōʻike ʻana ma kēia pakuhi ma muli o ka ʻikepili WHO:

ʻO ka hoʻāʻo hou ʻana o ka fluoridation kaiaulu nui loa, i hana ʻia ma ʻEnelani, loaʻa kahi ʻokoʻa o 0.2 cavities i kēlā me kēia keiki i nā niho pēpē. ʻAʻole loaʻa ka pōmaikaʻi koʻikoʻi ma nā niho paʻa. Ua kauoha ʻia ke aʻo ʻana e Public Health England, ka mea hoʻolaha nui o ka fluoridation ma ʻEnelani. Akā naʻe, ua hoʻoholo nā mea kākau o ke aʻo ʻana he "ʻoi aku ka liʻiliʻi o nā pōmaikaʻi ma mua o ka noiʻi mua i manaʻo ʻia" a ʻo ka fluoridation ʻaʻole i hōʻemi i ka like ʻole o ke olakino niho ma waena o nā keiki ʻilihune a waiwai.

ʻOiai ke ʻae nei ka US CDC ʻaʻohe mea hōʻike e hāʻawi ana ka fluoride prenatal i ka makuahine hāpai a i ka pēpē ma mua o ka hū ʻana o nā niho. ʻO kēia nā manawa i hōʻike ʻia kahi i ikaika loa ai nā hōʻike no ka neurotoxicity hoʻomohala.

Pono e noʻonoʻo ʻia kahi pōhaku kihi o ke kulekele olakino lehulehu i ʻike ʻia ʻo ke kumu mālama. Hoʻokumu ʻia ke kumu kumu o kēia kulekele ma luna o ka hoʻohiki lapaʻau kahiko e "mua, mai hana ʻino." Eia nō naʻe, kākoʻo maoli ʻia ka hoʻohana ʻana i kēia manawa o ka ʻōlelo hoʻomalu e ka ʻaelike honua.

I Ianuali 1998, ma kahi ʻaha kūkā honua e pili ana i nā ʻepekema, nā loio, nā mea hana kulekele, a me nā mea hoʻokele kaiapuni mai ʻAmelika Hui Pū ʻIa, Kanada a me ʻEulopa, ua pūlima ʻia kahi ʻōlelo i hoʻopaʻa ʻia a kapa ʻia ʻo "Wingspread Statement on the Precautionary Principle." ʻO ka ʻōlelo aʻo e hāʻawi ʻia: "I ka wā e hoʻoulu ai kahi hana i nā mea hoʻoweliweli i ke olakino kanaka a i ʻole ke kaiapuni, pono e mālama ʻia nā hana e mālama ai inā ʻaʻole i hoʻokumu pono ʻia kekahi mau kumu a me nā pilina pili i ka ʻepekema. Ma kēia pōʻaiapili, ʻo ka mea kākoʻo o kahi hana, ʻaʻole i ka lehulehu, e lawe i ke kaumaha o ka hōʻoia.

ʻAʻole ia he mea kupanaha, ua pili ka pono no ka hoʻohana pono ʻana i ka loina mālama i ka hoʻohana ʻana i ka fluoride. Nā mea kākau o kahi ʻatikala 2006 i kapa ʻia "He aha ke ʻano o ka Precautionary Principle mean for Evidence-Based Dentistry?" Ua manaʻo ʻo ia i ka pono e helu i nā hōʻike kumulative mai nā kumu fluoride āpau a me nā ʻano like ʻole o ka heluna kanaka, me ka ʻōlelo pū ʻana e hiki i nā mea kūʻai ke hiki i nā pae fluoridation "maikaʻi" me ka inu ʻole i ka wai fluoridated. Eia kekahi, ua ʻōlelo nā mea noiʻi o kahi loiloi i paʻi ʻia ma 2014 i ke kuleana no ka hoʻohana ʻana i ka fluoride, a ua lawe lākou i kēia manaʻo i hoʻokahi ʻanuʻu i ka wā i manaʻo ai lākou i ko mākou ʻike i kēia mau lā no nā caries niho "e hoʻemi i nā hana nui e hiki mai ana. ka fluoride i ka pale ʻana i nā caries.

Hoʻopau wau me ke kūlana o ka IAOMT ma ka fluoride:

“I ka hōʻuluʻulu manaʻo, hāʻawi ʻia i ka helu kiʻekiʻe o nā kumu fluoride a me ka piʻi ʻana o ka lawe ʻana i ka fluoride i ka heluna kanaka ʻAmelika, ka mea i piʻi nui mai ka hoʻomaka ʻana o ka fluoridation wai i ka makahiki 1940, ua lilo ia i mea pono e hōʻemi a hana i ka hoʻopau ʻana i nā kumu fluoride hiki ke pale ʻia. ʻike ʻia, me ka fluoridation wai, fluoride i loaʻa nā mea niho, a me nā huahana fluoridated ʻē aʻe.