Intended for healthcare professionals

Rapid response to:

Analysis Controversy

Adding fluoride to water supplies

BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39318.562951.BE (Published 04 October 2007) Cite this as: BMJ 2007;335:699

Rapid Response:

Fluoridation and aluminium

I was surprised that no mention was made of the role that fluoride plays in increasing human exposure to aluminium via gastrointestinal absorption? Aluminium binds fluoride with great avidity and fluoride in drinking water will both facilitate the gastrointestinal absorption of aluminium which is coincidentally present in drinking water but more importantly it will increase the absorption of aluminium from ingested foodstuffs and other beverages. Fluoridation of the potable water supply will lead to higher human body burdens of aluminium. Whether a higher body burden of aluminium should be avoided is, of course, another debate.

Competing interests: None declared

Competing interests: No competing interests

13 October 2007
Christopher Exley
Reader
Keele University ST5 5BG