No, fluoridation is not associated with leading causes of death

We are all going to die but fluoridation isn’t killing us.

Oh, dear – the local anti-fluoridation people are at it again. More cases of fiddling statistics  – and yet again the guilty party is the US anti-fluoridation activist Karen Favazza Spencer. She should really take some advice about statistics.

Although I suspect she doesn’t care – she is just once again cherry picking in an attempt to paint a bad picture of community water fluoridation.

In this case, she claims the death rates for the leading causes of death in the USA are up to 30% higher in the more fluoridated states than in the less fluoridated ones. And here is her cherry-picked table to “prove it.

Her conclusions are wrong, of course. Look at what we find if we use the data for all the states instead of a few selected ones,  and look at it for signs of any correlation between fluoridation extent and death rates? The data is readily available.

I have done this and found a statistically significant correlation in only one case – cancer. Here is that data and the regression line accounts for about 10% of the variance in cancer rate. Obviously, other factors are involved.

But, wait – there is more. As I explained in my last post Anti-fluoridationists exploit infant deaths by fiddling statistics such statistically significant associations often disappear when other important factors are included in the regression analysis.

So let’s look at what happens when we include mean state elevation in the statistical analysis. As I explained last time there is an association between fluoridation extent and mean state elevation which means that fluoridation is often acting as a proxy for elevation in statistical analyses. Multiple regressions including both fluoridation extent and mean state elevation picks this up.

This table shows the results of such multiple regressions.

Table: Association of death cause with fluoridation extent and mean state elevation. Results from a multiple regression

Fluoridation 2014

p value

Mean altitude

p value

Amount of variance accounted for (%)
Heart disease 0.542 NS 0.007 ** 19.7
Cancer 0.363 NS <0.001*** 38.6
Stroke 0.955 NS 0.180 NS 4.4
Alzheimer’s 0.274 NS 0.834 NS 3.3
Diabetes 0.955 NS 0.445 NS 1.4
Kidney disease 0.441 NS 0.017* 16.3

What does that tell us? Well, the apparent association of cancer death rates with fluoridation is false – it disappears when altitude is included.

None of the death rates for any of the causes of death had a statistically significant association with fluoridation. But heart disease, cancer, and kidney disease were significantly associated with altitude. These associations accounted for from 16% to 39% of the variances in the death rates. The role of mean state altitude may have something to do with the size of cities or possibly improved health at higher elevations (the death rates declined with elevation for all causes considered).

I can only finish with the same words of warning I used last time:

“So, once again the lesson is – never take at face value the claims made by anti-fluoridation activists – no matter how “sciency” their information looks or what data they invoke to “prove” them.

Always check such claims for yourself.”

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