so The Canadian Agency for Drugs, Technology and Health (CADTH)
undertook a Health Technology Assesment (HTA) to assess the effectiveness, cost considerations, and safety of CWF ( community water fluoridation) programs.
Ethical issues, implementation considerations, and the potential environmental impact were also assessed.
https://www.cadth.ca/community-water...ogy-assessment
evidence highlights:
https://cadth.ca/sites/default/files...ighlight-e.pdf
Key message:
There is consistent evidence that CWF protects against dental caries in children and adults and leads to improved oral health outcomes with very uncommon and minor side effects, and that CWF programs are cost saving from a societal perspective.
medical bottom line:
There is consistent evidence to support CWF’s benefits in reducing dental caries, and insufficient or no evidence to suggest that it leads to adverse health outcomes.
the financial bottom line:
The CADTH budget impact analysis found that introducing or continuing a CWF program in Canadian municipalities resulted in cost savings compared with not introducing a CWF program or stopping an existing CWF program, under a broad societal perspective.
Implementing CWF programs is cost saving for federal, provincial, territorial,
and private budgets, but often at the expense of municipalities.