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例文: The speaker refutes the reading's argument about the benefits of adding fluoride to pipe water by providing contradictory evidence about pipe water's fluoride's effectiveness in preventing cavities in teeth, killing bacteria, and decreasing bone diseases. First, the speaker points out that the short contact of fluoride with teeth will not enable the fluoride to prevent cavities, as the reading argues. Instead, the water will pass the mouth and teeth quickly and go directly to the stomach. Another argument raised in the lecture is that fluoride could undergo chemical reactions with heavy metals in the pipe, such as lead. This will create toxic substances which will pose serious health threat. In this way fluoride could be even more deadly than bacteria. Although the fluoride, as the reading says, will kill some bacteria, the cure here is worse than the disease. In the end, the speaker maintains that overdose of fluoride will backfire to human bones. Although the reading illustrates that fluoride will improve bone strength, the lecture says overdose will cause serious damage to human bones. Water fluoridation is the controlled addition of fluoride to a public water supply in order to reduce tooth decay.[1] Its use in the U.S. began in the 1940s, following studies of children in a region where water is naturally fluoridated; too much fluoridation causes dental fluorosis, which mottles or stains teeth, but U.S. researchers discovered that moderate fluoridation prevents cavities.[2] Water fluoridation has been contentious for ethical, safety, and efficacy reasons, and only about 5.7% of people worldwide drink fluoridated water.[3] The history of water fluoridation can be divided into three periods. The first (c. 1901–33) was research into the cause of a form of mottled enamel called "Colorado brown stain", which later became known as fluorosis. The second (c. 1933–45) focused on the relationship between fluoride concentrations, fluorosis, and tooth decay. The third period, from 1945 on, focused on adding fluoride to community water supplies.[2] Mechanism Fluoride compounds are found naturally in the ground water in some regions, such as Colorado.[22]. Fluoridation chemicals are typically added to potable water in the form of sodium hexafluorosilicate or hexafluorosilicic acid (also known as hydrofluorosilic acid or fluorosilic acid).[23][24] This acid is largely a byproduct of phosporic acid磷酸 plants which process phosphate rock.[25] Since 2005, reduced phosphate processing has led to an increase in the price of fluorosilic acid, with one community seeing a 105% price increase in the past two years.[26] [edit] Efficacy, effects, and cost-benefit analysis When used appropriately, fluoride use is a safe and effective way to prevent and control dental caries蛀牙, and has contributed to dental health worldwide of both children and adults.[1] The recommended dosage of fluoride for humans from the CDC is 0.7 ppm to 1.2 ppm depending on the average maximum daily air temperature of the area. Fluoridation is intended to reduce tooth decay, with its associated health problems, at a low cost. Fluoridation of the public water supply is the "most equitable, cost-effective, and cost-saving method of delivering fluoride to the community." [27] In 2001, the US Centers for Disease Control and Prevention stated, "Although solid data on the cost-effectiveness of fluoride modalities alone and in combination are needed, this information is scarce."[1] A 1989 workshop on cost effectiveness of caries prevention concluded that water fluoridation is one of the few public health measures that saves more money than it costs to operate.[1] A 2000 comprehensive systematic review of the evidence stated that "it is surprising to find that little high quality research has been undertaken". The review found that fluoridation was associated with a decreased proportion of children with cavities (the range of mean decreases was 5% to 64%, the median 14.6%), and with a decrease in decayed, missing, and filled primary teeth (the range of mean decreases was 0.5 to 4.4 teeth, the median 2.25 teeth). It also found that at a fluoride level of 1 ppm an estimated 12.5% (range 7% to 21.5%) of people would have fluorosis they would find aesthetically concerning, and that there was no clear evidence of other adverse effects.[28] [edit] Possible adverse health effects Negative health effects are generally associated with fluoride intake levels above the commonly recommended dosage, which is accomplished by fluoridating the water at 0.7 – 1.2 mg/L (0.7 for hot climates, 1.2 in cool climates). This was based on the assumption that adults consumes 2 L of water per day,[29]:345 but may have a daily fluoride intake of between 1 – 3 mg/day, as men are recommended to drink 3 liters/day and women 2.2 liters/day.[30] In 1986 the United States Environmental Protection Agency (EPA) established a maximum contaminant level (MCL) for fluoride at a concentration of 4 milligrams per liter (mg/L), which is the legal limit of fluoride allowed in the water. In 2006, a 12-person committee of the US National Research Council (NRC) reviewed the health risks associated with fluoride consumption[29] and unanimously concluded that the maximum contaminant level of 4 mg/L should be lowered. The EPA has yet to act on the NRC's recommendation.[31][32] The limit was previously 1.4 – 2.4 mg/L, but it was raised to 4 mg/L in 1985. |
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