This is an HTML version of an attachment to the Official Information request 'Discussions on water fluoridation at the Office of the Prime Minister's Chief Scientific Advisor'.


Item 01
From:
s9(2)(a)
To:
Prime Minister"s Chief Science Advisor
Cc:
Susie Meade
Subject:
Re: Fw: Fluoridation Review
Date:
Tuesday, 31 October 2023 3:38:50 pm
Attachments:
image.png
Outlook-OPMCSA-log.png
I think it would be useful to add the paper by Grandjean et al on the maternal Fluoride intake/IQ relationship, which is
here: https://academic.oup.com/eurpub/advance-article/doi/10.1093/eurpub/ckad170/7291347?login=true I note that it contains the
figure below so its conclusions are likely to be very sensitive to the statistical methods applied.
The papers by Meng et al. on osteoarthritis and fluoride exposure  https://link.springer.com/article/10.1007/s10653-023-01742-1 and
Lindsey et al. on paediatric fractures and community
fluoridation https://journals.lww.com/jaaosglobal/fulltext/2023/10000/community_water_fluoridation_and_rate_of_pediatric.1.aspx# are
also interesting and could be added as papers we have looked at, noting that both indicate limitations in their designs and that further
work would be required to draw firm conclusions.
1982
The editorial by Dr Spittle unfortunately is based on a misunderstanding of how Chat GPT works and we should not reference it.
Regards
s9(2)(a)
Act 
Information 
Official 
the 
under 
On 31 October 2023 at 12:07 Prime Minister's Chief Science Advisor <[email address]> wrote:
for consideration to add to the recent papers published section of the web page
Released 



 
 
...... . ... . . . ..... . . ... . . . ... . . . ... . . . ... . . . . ...
 
Professor Dame Juliet A. Gerrard DNZM HonFRSC FRSNZ
Prime Minister’s Chief Science Advisor
Kaitohutohu M tanga P taiao Matua ki te Pirimia
 
 ...... . ... . . . ..... . . ... . . . ... . . . ... . . . ... . . . . ...
 
1982
 
From: PMCSA Info <[email address]>
Sent: Tuesday, 31 October 2023 12:05 pm
To: Prime Minister's Chief Science Advisor <[email address]>; Susie Meade <[email address]>
Act 
Subject: FW: Fluoridation Review
 
 
 
From: 
 
s9(2)(a)
Sent: Tuesday, October 31, 2023 11:57 AM
To: PMCSA Info <[email address]>
Subject: Fwd: Fluoridation Review
Information 
 
 
 Dear Eminent scientists,
 
 
Official 
On behalf of all NZ citizens, I would like to make a request that you all take a few minutes to peruse, digest and reflect on
the information given below.
 
the 
There is a great deal of good research emerging over the last several years that needs close consideration.
If the highest scientific minds in our country refuse to take evidence-based information into account when making
decisions that affect us all, I don't know where else to turn.
 
under 
Warm regards
s9(2)(a)
 
 
Released 
 

Principal Advisor
Office of the Prime Minister’s Chief Science Advisor
Kaitohutohu Mātanga Pūtaiao Matua ki te Pirimia
Office: 1-11 Short Street, Auckland, 1010, New Zealand
Website: www.pmcsa.nz
 
...........................................................................
 
From: s9(2)(a)
 
Sent: Tuesday, October 31, 2023 11:57 AM
To: PMCSA Info <[email address]>
Subject: Fwd: Fluoridation Review
 
 
1982
Dear Eminent scientists,
 
 
On behalf of all NZ citizens, I would like to make a request that you all take a few minutes to peruse, digest and reflect on the
Act 
information given below.
 
There is a great deal of good research emerging over the last several years that needs close consideration.
If the highest scientific minds in our country refuse to take evidence-based information into account when making decisions that
affect us all, I don't know where else to turn.
 
Warm regards
s9(2)(a)
 
Information 

 
 
 
Danish Cohort Data, When Combined With
Mexican And Canadian Studies, Confirm
Official 
Fluoride’s Neurotoxicity At Low Dose
 
The inclusion of research data from over 800 mother-
child pairs in Odense, Denmark, when merged with
the 
data from comparable studies from Mexico and
Canada, has led scientists to conclude that a level of
just 0.45 milligrams of fluoride per liter (mg/l) of
pregnant mother’s urine showed a statistically
significant association between urine-fluoride and
decreased child IQ. Generally, urine fluoride
concentration is similar to the level of fluoride found in
under 
drinking water. The standard for fluoride added to
drinking water supplies is 0.7 mg/l.
 
Read More
 
Relatively Low Fluoride in Drinking Water
Increases Risk of Knee Osteoarthritis (KOA),
Released 
According to New Chinese Study
A case-control study that matched water fluoridation and
urinary fluoride levels with X-ray examinations of affected
patients for over 1,110 residents of Heilongjiang province
found that people exposed to levels of fluoride in water
above 0.88 mg/L showed an increased risk of knee
osteoarthritis (KOA) compared to people whose fluoride
water level was below 0.248 mg/L.

The maximum level of fluoride contamination in drinking
water allowed in China is 1.0 mg/L. In the USA it is 4.0
mg/L, while 0.7 mg/L is deliberately added to many water
supplies as part of fluoridation programs.
 
Read More
 
Community Water Fluoridation Correlated With
Pediatric Fractures
 
Higher levels of community water fluoridation, as recorded1982
by the Centers for Disease Control and Prevention (CDC),
are correlated with higher rates of femur fracture and bone
forearm fracture in a study of over 100,000 patients aged
4 to 10 years as compiled by the national insurance
database PearlDiver, according to a new report from the
Act 
Oregon Health and Science University.
 
Read More
 
Spittle Challenges Use of AI in Queries
Regarding Fluoride Usage And Effects
In a recent editorial, Bruce Spittle, who is retiring as editor
Information 
of the journal Fluoride, argues that the artificial intelligence
program Chat Generative Pre-trained Transformer
(ChatGPT) can’t be properly evaluated if its responses to
questions on fluoride’s usage and side effects are
compared to a “gold standard” that consists of the
American Dental Association’s website.
 
Official 
Read More
 
the 
Mullenix, Burgstahler Interviews on UMASS
Library Site
Newly digitized interviews with Phyllis Mullenix and Albert
Burgstahler made in 1998 that include personal
under 
commentaries on their experiences in the continuing
efforts to stop water fluoridation have been posted on the
CREDO digital site of the Du Bois Library’s Special
Collections and University Archives (SCUA) department at
UMASS Amherst.
 
Read More
 
Released 



 
 
 
Subscribe
Donate
Archived Reviews
 
Fluoride Action Network
North Sutton, New Hampshire
[email address]

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1982
Act 
Information 
Official 
the 
under 
Released 

Item 02
From: Susie Meade <[email address]>
Sent: Tuesday, November 7, 2023 4:28 PM
1982
To: s9(2)(a)
Cc: Prime Minister's Chief Science Advisor <[email address]>
Subject: RE: F papers?
Act 
Thanks
From: s9(2)(a)
 
Sent: Tuesday, November 7, 2023 4:12 PM
To: Susie Meade <[email address]>
Subject: Re: F papers?
Information 
Ones that in my opinion could go on the site noted below.
s9(2)(a)
On Tue, Nov 7, 2023 at 2:39 PM Susie Meade <[email address]> wrote:
Official 
Hi s9(2)(a)
Do any other these meet our requirements to be considered for adding to the “Papers
the 
published since our review” section of the F webpage
15th March 2023: Fluoride exposure and cognitive neurodevelopment: Systematic review and dose-
response meta-analysis. Source;
under 
https://www.sciencedirect.com/science/article/pi /S0013935123000312 YES - meta analysis and
significant numbers

 23rd September 2023: Effects of High-Water Fluoride Exposure on IQ Levels in School-Age
Children: A Cross-Sectional Study in Jiangsu, China. Source:
https://link.springer.com/article/10.1007/s12403-023-00597-2 PROBABLY NOT - only two groups
and smal  numbers

15th September 2023: Fluoride exposure during pregnancy from a community water supply is
Released 
associated with executive function in preschool children: A prospective ecological cohort study.
Source: https://www.sciencedirect.com/science/article/abs/pi /S0048969723029431 NO - Smal
numbers and mixed results
5th October 2023: Dose dependence of prenatal fluoride exposure associations with cognitive
performance at school age in three prospective studies. Source:
https://academic.oup.com/eurpub/advance-article/doi/10.1093/eurpub/ckad170/7291347 YES -
research leader in the area

30th August 2023: Exploration of the SIRT1-mediated BDNF–TrkB signaling pathway in the mechanism
of brain damage and learning and memory effects of fluorosis. Source:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10499441/ NO speculative and in rats
National Toxicology Program - Fluoride: Assessment for Developmental
Neurotoxicity
https://ntp.niehs.nih.gov/whatwestudy/assessments/noncancer/ongoing/fluoride YES - important
source of summary material
 
Thanks
Susie
1982
 
s9(2)(a)
Act 
Information 
Official 
the 
under 
Released 


Item 03
From: Ian Dunwoodie [DPMC] <[email address]>
1982
Sent: Tuesday, November 14, 2023 8:21 AM
To: Susie Meade <[email address]>
Subject: CSA OIA 2023-004:s9(2)(a) Fluoridation of water supplies ...
Act 
Dr Susie Meade
Dear Susie
Just a quick note.
The substantive reply was sent up to PMO for their dispatch in due course.
Information 
And a partial transfer was done to the Ministry of Health last week (just around the MOH
website). More a technical transfer, than a substantive one.
Thanks again for al  your help…it was real y appreciated…s9(2)(a)
Official 
s9(2)(a)
the 
Ian
Ian Dunwoodie
under 
Senior Advisor Ministerial Services
Strategy, Governance and Engagement
Department of the Prime Minister and Cabinet
Telephone (office) +64 4 830 5193
Email   [email address]
Released 
From: Ian Dunwoodie [DPMC] 
Sent: Thursday, 2 November 2023 11:52 am
To: Susie Meade <[email address]>

Subject: FW: OIA - Please respond by 2 November - CSA OIA 2023-004s9(2)(a) Fluoridation of
water supplies ...
 
To: Dr Susie Meade
 
Thank you for the guidance – al  guidance incorporated – and I have taken the next step on the
QA process (currently with Ruth Fairhal , then wil  go to Fiona Il ingsworth , both in the PAG
team). And once through those steps wil  send to Dame Juliet for her consideration/sign out
(then onto Janine Smith).
 
Again, thank you for turning it around so quickly – especial y given your travel situation – real y
appreciated.
1982
 
s9(2)(a)
Act 
 
Ian
 
From: Susie Meade <[email address]> 
Sent: Thursday, 2 November 2023 8:01 am
To: Ian Dunwoodie [DPMC] <[email address]>
Subject: RE: OIA - Please respond by 2 November - CSA OIA 2023-004:s9(2)(a) Fluoridation of
water supplies ...
 
Information 
Some suggested edits to consider attached.
 
s9(2)(a)
 
Kind regards
Official 
Susie
 
 
the 
Dr Susie Meade (she/her)| Principal Advisor | Office of the PM’s Chief Science Advisor | s9(2)(a)
 
 
 
From: Ian Dunwoodie [DPMC] <[email address]> 
under 
Sent: Wednesday, November 1, 2023 11:46 AM
To: Susie Meade <[email address]>
Subject: RE: OIA - Please respond by 2 November - CSA OIA 2023-004:s9(2)(a) Fluoridation of
water supplies ...
 
Thanks. Again, real y appreciated.
Released 
s9(2)(a)
Ian
 
From: Susie Meade <[email address]> 
Sent: Wednesday, 1 November 2023 11:23 am


To: Ian Dunwoodie [DPMC] <[email address]>
Subject: RE: OIA - Please respond by 2 November - CSA OIA 2023-004s9(2)(a) Fluoridation of
water supplies ...
I’l  have some suggested edits to clarify back to you this evening.
Susie
From: Ian Dunwoodie [DPMC] <[email address]> 
Sent: Tuesday, October 31, 2023 11:22 AM
To: Susie Meade <[email address]>
1982
Subject: FW: OIA - Please respond by 2 November - CSA OIA 2023-004:s9(2)(a) Fluoridation of
water supplies ...
Act 
Dr Susie Meade
OPMCSA
Dear Susie
Thank you for your response. s9(2)(a)
 Thank you.
I have attached:
Information 
1.  Draft reply that I have put together (after receiving your input)
2.  Filenote which sets out consultation steps and wil  go as a covernote to the PMO
Also for completeness I have attached a copy of the original request from s9(2)(a)
Official 
I welcome any changes you recommend to the draft reply.
Once you are comfortable with it I wil  consult with the others.
the 
Kind regards s9(2)(a)
Ian
under 
Ian Dunwoodie
Senior Advisor Ministerial Services
Strategy, Governance and Engagement
Department of the Prime Minister and Cabinet
Telephone (office) +64 4 830 5193
Email   [email address]
Released 
From: Susie Meade <[email address]> 

Sent: Monday, 30 October 2023 10:13 pm
To: Ian Dunwoodie [DPMC] <[email address]>
Cc: Prime Minister's Chief Science Advisor <[email address]>
Subject: RE: OIA - Please respond by 2 November - CSA OIA 2023-004:s9(2)(a) Fluoridation of
water supplies ...
 
You don't often get email from [email address]. Learn why this is important
Kia ora Ian,
 
Responses below:
1) This work was commissioned by PM Ardern and was released in June 2021, we have 1982
not been commissioned to further refresh it.
2) We have not undertaken an analysis of the report.
3) We have not undertaken an analysis of the papers listed.
Act 
4) The last update for the Fluoridation report on our website was undertaken in Oct 2021,
before this date. The last update noted on the webpage was 18 April 2023; This was to add
a section ‘papers published since our review’ and there was a single paper added there,
which is not referred to in the OIA. 
3) The last update (Oct 2021) of the Fluoridation report on our website was undertaken
before this date.
4) OPMCSA has not provided specific advice to community members in fluoridated areas;
this responsibility falls to the Ministry of Health and / or associated agencies.
FYI attached is our internal version control document which summarises the edits from the
Information 
release in June 2021.
Happy to chat if that is helpful. s9(2)(a)
 
Ng  mihi
Susie
 
Official 
Dr Susie Meade (she/her)| Principal Advisor | Office of the PM’s Chief Science Advisor |s9(2)(a)
 
the 
From: Ian Dunwoodie [DPMC] <[email address]> 
Sent: Monday, October 30, 2023 11:39 AM
To: Susie Meade <[email address]>
Subject: FW: OIA - Please respond by 2 November - CSA OIA 2023-004:s9(2)(a) Fluoridation of
water supplies ... under 
 
To: Dr Susie Meade (she/her)| Principal Advisor | Office of the PM’s Chief Science Advisor
 
Dear Susie
 
Just following up the email below that I sent last week.
 
Released 
I have just joined the DPMC Ministerial Services team, and sent you this OIA Commissioning
email.
 
I hadn’t heard from you, and so left a voice message with you Friday. 
 
This morning talking to my colleague Anna Whiskin …she said I should have sent it to this address
at Auckland University …sorry about that


May I refer you to the email below… and could you just let me know when you see this email?
Thanks
Ian
Ian Dunwoodie
Senior Advisor Ministerial Services
Strategy, Governance and Engagement
1982
Department of the Prime Minister and Cabinet
Telephone (office) +64 4 830 5193
Email   [email address]
Act 
From: Ian Dunwoodie [DPMC] 
Information 
Sent: Thursday, 26 October 2023 11:32 am
To: Susie Meade [DPMC] <[email address]>
Subject: OIA - Please respond by 2 November - CSA OIA 2023-004s9(2)(a) Fluoridation of water
supplies ...
Official 
To: Dr Susie Meade (she/her)| Principal Advisor | Office of the PM’s Chief Science Advisor
Dear Susie
the 
I have just joined the Ministerial Services team here at DPMC, and I have been asked to work
with you in drafting this OIA response.
Here, immediately below, is a copy of the FYI letter I sent to the PMO (see the chain below,
under 
including your email)
The request is about fluoridation of water supplies and impacts on general health and children's
IQ. The parts are:
1.  The Office of the Prime minister’s Chief Science Advisor’s analysis of the National
Toxicology Program (NTP) Report September 2022 in relation to the fluoridation of
Released 
water and the reduction in IQ of children, considering that the peer review of this
report has been completed by the Board of Scientific Counselors Working Group (BCS
WG) in May 2023, and that the report has been submitted to the NTP Director Dr Rick
Woychik, PhD.
2.  The Office of the Prime minister’s Chief Science Advisor’s analysis of any further

scientific papers related to fluoride causing a reduction in children’s IQ, released since
the Director General’s directive to fluoridate water supplies in July 2022 ….
 
3.  Any further advice that has been added to the Prime Minister’s Chief Science Advisors
website, or Manatu Hauora’s website since the July 2022 directive, to update the
public on the new scientific reports since 2021, related to fluoride in water and the
reduction in children’s IQ.
 
4.  Any specific advice prepared by Manatu Hauora or your office for circulation to
community members in fluoridated areas, about the potential health impacts of
fluoride on general health, in particular:
1982
• advice about the additive effects of the consumption of fluoride from other
sources including dietary and lifestyle choices,
• advice to the parents of bottle-fed babies,
Act 
• advice to those with thyroid or other medical conditions such as poor kidney
function
 
We are considering how to deal with the response, and would welcome your thoughts and
guidance.
 
To that end, and referring to the OIA request itself:
 
Information 
Part 1
 
Is there any analysis that is available as official information? If so, what approach do you
recommend in regard to its release?
 
Part 2
Official 
 
Likewise, is there any analysis available ? Do you recommend an approach in regard to its
the 
release?
 
Part 3 (limb relating to PMCSA )
 
Is there any information that has been added to the website since July 2022 ? If so, do you have
under 
any thoughts about the approach (for example, would it practical to itemise these additions?). Or
is it suffice, simply to refer the requestor back to the website?
 
Part 4 (limb relating to PMCSA )
 
Is there any specific advice? Again, if so, do you have any suggestions on how this is dealt with?
 
Released 
 
MOH Limbs for Part 3 & Part 4
 
MoH received the same OIA request on 22/10/2023. MoH has confirmed that we can refer to
their response on those parts relating to MoH
 
 
Sorry, but we are working to a tight timeframe and there are a number of people are involved in



the sign out process. We need to get the draft cleared by everyone (and there are several tiers)
by 13 November.  Are you able to provide input by 2 November?   Please let me know if the
timeframe is too tight?
Thanks
Ian
Ian Dunwoodie
Senior Adviser Ministerial Services
Strategy, Governance and Engagement
Department of the Prime Minister and Cabinet
1982
E    [email address]
Act 
From: Ian Dunwoodie [DPMC] 
Sent: Thursday, 26 October 2023 9:05 am
To: s9(2)(a) [Office of the Prime Minister]
Subject: OIA - CSA OIA 2023-004:s9(2)(a)  Fluoridation of water supplies ...
Information 
IN-CONFIDENCE
To : s9(2)(a)
PMO
Hello s9(2)(a)
Official 
For your information. The Prime Minister’s Chief Science Officer (PMCSO) has received the OIA
relating to Fluoridation of Water (s9(2)(a)
 dated 22 October 2023) – copy of the OIA
the 
request attached.
The draft reply is due with you 3 November 2023.
It has been al ocated to me.
DPMC will work with the PMCSO Office to draft a response.
Kind regards
under 
Ian
Ian Dunwoodie
Senior Adviser Ministerial Services
Strategy, Governance and Engagement
Department of the Prime Minister and Cabinet
E    [email address]
Released 
From: Susie Meade <[email address]> 
Sent: Monday, 23 October 2023 7:29 pm

To: Information [DPMC] <[email address]>
Subject: FW: Official Information Request
 
Kia ora,
 
We have received an OIA as outlined below. Happy to discuss.
 
Likely best to connect via email until 6 November as I’m travelling overseas until then.
 
Ng  mihi
Susie
 
1982
 
Dr Susie Meade (she/her)| Principal Advisor | Office of the PM’s Chief Science Advisor |s9(2)(a)
 
Act 
 
 
From: Susie Meade <[email address]> 
Sent: Monday, October 23, 2023 7:13 PM
To: s9(2)(a)
Subject: RE: Official Information Request
 
Kia oras9(2)
Information 
 
( )
On behalf of the Office of the Prime Minister's Chief Science Advisor (PMSCA), thank you for your
request under the Official Information Act 1982 which was received on 22 October 2023, copied
below.
 
The work completed by the PMCSA fal s within the responsibility of the Office of the Prime
Official 
Minister (PMO). A response wil  be provided by PMO in accordance with the Act (please see the
Office of the Ombudsman Website for more details - http://www.ombudsman.parliament.nz/).
the 
 
Ng  mihi,
Susie
 
 
under 
From: s9(2)(a)
 
Sent: Sunday, October 22, 2023 1:28 PM
To: PMCSA Info <[email address]>
Subject: Official Information Request
 
Dear Sir/Madam,
 
Released 
Please find attached my Official Information Request regarding fluoridation of water supplies and
impacts on general health and children's IQ. I understand that this request should be made
within 20 working days of receipt of this request.
 
If you do not normal y deal with official information requests, or you need advice on dealing 
with this request, guidance is available from the Ombudsman at 
www.ombudsman.parliament.nz

 
Please let me know if you require any further information, and I thank you for your time and
consideration of this request.
 
Yours sincerely,
s9(2)(a)
 
1982
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Act 
 
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necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
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Information 
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necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
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received this message in error, please destroy the email and notify the sender immediately.
 
Official 
The information contained in this email message is for the attention of the intended recipient only and is not
necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
the intended recipient you must not disclose, copy or distribute this message or the information in it. If you have
received this message in error, please destroy the email and notify the sender immediately.
the 
 
The information contained in this email message is for the attention of the intended recipient only and is not
necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
under 
the intended recipient you must not disclose, copy or distribute this message or the information in it. If you have
received this message in error, please destroy the email and notify the sender immediately.
 
The information contained in this email message is for the attention of the intended recipient only and is not
necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
the intended recipient you must not disclose, copy or distribute this message or the information in it. If you have
received this message in error, please destroy the email and notify the sender immediately.
Released 
 
The information contained in this email message is for the attention of the intended recipient only and is not
necessarily the official view or communication of the Department of the Prime Minister and Cabinet. If you are not
the intended recipient you must not disclose, copy or distribute this message or the information in it. If you have
received this message in error, please destroy the email and notify the sender immediately.
 

Item 04
From:
Susie Meade
To:
s9(2)(a)
Subject:
RE: Fluoridation Review
Date:
Monday, 11 December 2023 10:00:00 am
Attachments:
image002.png
Thank you for sharing the link with our office.
Susie
From: s9(2)(a)
 
Sent: Friday, December 8, 2023 6:16 PM
To: Susie Meade <[email address]>
Subject: Re: Fluoridation Review
Hi again Susie
1982
I didn't add the link.
Apologies.
Act 
s9(2)(a)
https://www.youtube.com/watch?v=_I2RbqBFsVE
On Tue, Nov 21, 2023 at 3:23 PM Susie Meade <[email address]> wrote:
Hi s9(2)(a)
In 2021, our office did an evidence update on water fluoridation, looking at evidence published since the Royal Society Te
Ap rangi report in 2014.
https://www.pmcsa.ac.nz/topics/fluoridation-an-update-on-evidence/
Kind regards
Information 
Susie
From:s9(2)(a)
 
Sent: Tuesday, November 21, 2023 3:21 PM
To: Susie Meade <[email address]>
Official 
Subject: RE: Fluoridation Review
Hi Susie
the 
What work was that?
Thanks
s9(2)(a)
under 
Sent from my Verizon, Samsung Galaxy smartphone
-------- Original message --------
From: Susie Meade <[email address]>
Date: 11/21/23 13:32 (GMT+12:00)
To s9(2)(a)
Subject: RE: Fluoridation Review
Released 
Kia ora s9(2)(a)
Thank you for sharing these papers. We haven’t been commissioned to do further work on Fluoride since our previous work was
complete in 2021.
Kind regards
Susie
... ......... ..... ......... .... ......... .......... .... ......... ....
Dr Susie Meade (she/her)

Principal Advisor
Office of the Prime Minister’s Chief Science Advisor
Kaitohutohu M tanga P taiao Matua ki te Pirimia
Office: 1-11 Short Street, Auckland, 1010, New Zealand
Website: www.pmcsa.nz
 
... ......... ..... ......... .... ......... .......... .... ......... ....
 
From: s9(2)(a)
 
Sent: Tuesday, October 31, 2023 11:57 AM
To: PMCSA Info <[email address]>
Subject: Fwd: Fluoridation Review
 
 
1982
Dear Eminent scientists,
 
 
On behalf of al  NZ citizens, I would like to make a request that you al  take a few minutes to peruse, digest and reflect on the
Act 
information given below.
 
There is a great deal of good research emerging over the last several years that needs close consideration.
If the highest scientific minds in our country refuse to take evidence-based information into account when making decisions that
affect us al , I don't know where else to turn.
 
Warm regards
s9(2)(a)
 
Information 
 
 
 
Danish Cohort Data, When Combined With
Mexican And Canadian Studies, Confirm
Official 
Fluoride’s Neurotoxicity At Low Dose
 
The inclusion of research data from over 800 mother-
child pairs in Odense, Denmark, when merged with
the 
data from comparable studies from Mexico and
Canada, has led scientists to conclude that a level of
just 0.45 milligrams of fluoride per liter (mg/l) of
pregnant mother’s urine showed a statistically
significant association between urine-fluoride and
decreased child IQ. Generally, urine fluoride
concentration is similar to the level of fluoride found in
under 
drinking water. The standard for fluoride added to
drinking water supplies is 0.7 mg/l.
 
Read More
 
Relatively Low Fluoride in Drinking Water
Increases Risk of Knee Osteoarthritis (KOA),
Released 
According to New Chinese Study
A case-control study that matched water fluoridation and
urinary fluoride levels with X-ray examinations of affected
patients for over 1,110 residents of Heilongjiang province
found that people exposed to levels of fluoride in water
above 0.88 mg/L showed an increased risk of knee
osteoarthritis (KOA) compared to people whose fluoride
water level was below 0.248 mg/L.

The maximum level of fluoride contamination in drinking
water allowed in China is 1.0 mg/L. In the USA it is 4.0
mg/L, while 0.7 mg/L is deliberately added to many water
supplies as part of fluoridation programs.
 
Read More
 
Community Water Fluoridation Correlated With
Pediatric Fractures
 
Higher levels of community water fluoridation, as recorded1982
by the Centers for Disease Control and Prevention (CDC),
are correlated with higher rates of femur fracture and bone
forearm fracture in a study of over 100,000 patients aged
4 to 10 years as compiled by the national insurance
database PearlDiver, according to a new report from the
Act 
Oregon Health and Science University.
 
Read More
 
Spittle Challenges Use of AI in Queries
Regarding Fluoride Usage And Effects
In a recent editorial, Bruce Spittle, who is retiring as editor
Information 
of the journal Fluoride, argues that the artificial intelligence
program Chat Generative Pre-trained Transformer
(ChatGPT) can’t be properly evaluated if its responses to
questions on fluoride’s usage and side effects are
compared to a “gold standard” that consists of the
American Dental Association’s website.
 
Official 
Read More
 
the 
Mullenix, Burgstahler Interviews on UMASS
Library Site
Newly digitized interviews with Phyllis Mul enix and Albert
Burgstahler made in 1998 that include personal
under 
commentaries on their experiences in the continuing
efforts to stop water fluoridation have been posted on the
CREDO digital site of the Du Bois Library’s Special
Collections and University Archives (SCUA) department at
UMASS Amherst.
 
Read More
 
Released 
 
 
 
Subscribe
Donate
Archived Reviews
 
Fluoride Action Network
North Sutton, New Hampshire
[email address]

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1982
Act 
Information 
Official 
the 
under 
Released 

Item 05
From:
Ian Town
To:
Prime Minister"s Chief Science Advisor; Hayden Glass [DPMC]; Ben McBride [DPMC
Cc:
s9(2)(a)
 Susie Meade;s9(2)(a)
Subject:
RE: fluoride
Date:
Thursday, 8 February 2024 8:36:02 am
Good morning and thnaks for this Juliet
Yes we have a watching brief here at MoH and expect things to bubble up fairly frequently. The
much delayed technical report has opened the door to litigation and there are number of
regulars we hear from in NZ. We wil  do some more systematic work in the coming weeks.
1982
Regards
Ian
Act 
From: Prime Minister's Chief Science Advisor <[email address]> 
Sent: Wednesday, 7 February 2024 9:57 pm
To: Hayden Glass [DPMC] <[email address]>; Ben McBride [DPMC
<[email address]>
Cc: Ian Town <[email address]>; s9(2)(a)
 Susie Meade
<[email address]>
Subject: fluoride
Information 
Hi Hayden and Ben
Useful note here on the up and coming US court case re fluoride: 
Official 
https://www.science.org/content/article/does-fluoride-drinking-water-lower-iq-question-
the 
looms-large-court-battle
FYI, we wrote this public facing explainer piece at Jacinda's request a while ago: Fluoridation:
under 
an evidence update | Office of the Prime Minister's Chief Science Advisor
(pmcsa.ac.nz).  It was an update on the original review by Sir Peter.  In it we traverse
the issue of bottle fed infants who are undoubtedly the most exposed group (and one
for whom there is a relatively simple option to use bottled water to make up formula if
parents are concerned).
We get regular requests to update the review from various individuals, but are not
Released 
resourced to regularly update this work.  MoH has the watching brief (copying Ian). 
We have included a section at the very end of our website entitled 'Select papers
brought to our attention since our review' to respond to the various requests, and
s9(2)(a)  cc-ed keeps an eye on the topic.
I anticipate that the correspondence  will increase as the court case advances.  I am

sure s9(2)(a)  will be available to support in an informal capacity on this issue, if this is
helpful once I am no longer in the role.
 
cheers
 
Juliet
 
 
 
 
 
1982
 
Act 
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Official 
the 
under 
Released 


Item 06
From: Prime Minister's Chief Science Advisor <[email address]>
1982
Sent: Monday, May 27, 2024 4:15 PM
To: s9(2)(a)
 Susie Meade <[email address]>
Subject: RE: Fluoride study?
Act 
I think park that decision for the incoming.  Because if we do they will say “What about …?”
the other serum type studies that we may not have seen as in scope
...... ......... .......... .......... ......... .......... .......... ....
Professor Dame Juliet A. Gerrard DNZM HonFRSC FRSNZ
Prime Minister’s Chief Science Advisor
Information 
Kaitohutohu M tanga P taiao Matua ki te Pirimia
...... ......... .......... .......... ......... .......... .......... ....
From: s9(2)(a)
 
Official 
Sent: Monday, May 27, 2024 4:00 PM
To: Susie Meade <[email address]>
Cc: Prime Minister's Chief Science Advisor <[email address]>
the 
Subject: Re: Fluoride study?
Susie,
Yes, I saw that on the slack. I guess we could but 1) it is maternal serum fluoride
under 
levels not drinking water (and no information on source of fluoride), 2) small sample
and 3) the self reporting of early child behaviour from parents of a vague quality of
behavior of which only a few points were significant. So I don't like the paper and
don't see it tipping the dial much for or against fluoridation but then people will go
"What about..." if we leave it out.
G
Released 
On Mon, May 27, 2024 at 3:03 PM Susie Meade <[email address]>
wrote:
Hi s9(2)(a)

A paper to consider for inclusion in our “Select papers brought to our attention
since our review section”.
Published 20 May 2024
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2818858?
guestAccessKey=7cdc6a8e-b267-4016-9996-6190fbf490d5
 
S
s9(2)(a)
1982
Act 
Information 
Official 
the 
under 
Released 

Item 07
From:
s9(2)(a)
To:
Juliet Gerrard
Cc:
Susie Meade; s9(2)(a)
Subject:
RE: Media request: Fact Check on Fluoride in water lowering children"s IQs
Date:
Tuesday, 16 July 2024 3:18:09 pm
You don't often get email from s9(2)(a)
 Learn why this is important
Thank you so much! I really appreciate it!
N.
1982
From: Juliet Gerrard <[email address]> 
Sent: Tuesday, July 16, 2024 2:11 PM
To: s9(2)(a)
@royalsociety.org.nz>
Act 
Cc: Susie Meade <[email address]>; s9(2)(a)
Subject: RE: Media request: Fact Check on Fluoride in water lowering children's IQs
Kia ora Nancy
Copying s9(2)(a) who was the person in my team who kept on top of these details.  He is
happy to have a look at it for you.
Information 

Professor Dame Juliet A. Gerrard DNZM HonFRSC FRSNZ
School of Biological Sciences and School of Chemical Sciences
University of Auckland | Waipapa Taumata RauOfficial 
From: s9(2)(a)
@royalsociety.org.nz> 
the 
Sent: Tuesday, July 16, 2024 12:00 PM
To: Juliet Gerrard <[email address]>
Cc: Susie Meade <[email address]>
Subject: Media request: Fact Check on Fluoride in water lowering children's IQs
under 
You don't often get email froms9(2)(a)
. Learn why this is important
Kia ora Juliet
I hope you are well! We’ve had this request for fact checking about a fluoride post on
Facebook for misinformation (which I was pleased to receive).
Released 
I reached out to s9(2)(a)
 who was our expert on our past report, but he said he has
been so involved with Covid over the last few years that he isn’t up to date on fluoride so he
suggested I contact you, given the PMCSA’s more recent report on fluoride. Could you
respond to these questions or nominate someone to do?  Thanks so much,
Ng  mihi

s9(2)(a)
 
 
From: s9(2)(a)
 
Sent: Friday, July 12, 2024 3:35 PM
To: s9(2)(a)
@royalsociety.org.nz>; enquiries
<[email address]>
Subject: Media request: Fact Check on Fluoride in water lowering children's IQs
1982
  s9(2)(a)
Hi
 
Act 
I'm getting in touch from AAP FactCheck, based in Australia.
We're a third-party fact-checking partner with Meta working to mitigate
misinformation in Australia, New Zealand and the Pacific Islands.
We're looking into a claim in Facebook posts that fluoride in drinking water lowers
children's IQs and specifically that this 2022 US draft report proves this. 
Information 
I'm seeking expert comment on the claim and was wondering if the Royal Society
itself or someone from within would be able to answer the following questions over
email?
 
Official 
1. Is there any problems with using the 2022 NTP draft report to 'prove' fluoride in
water lowers children's IQs?the 
2. Is there any link between a lower IQ and water fluoridation at normal or WHO
recommended levels?
3. Should people be concerned about adverse effects of fluoride in drinking water in
places like New Zealand? 
under 
 
Thanks very much in advance for your time.
Regards,
s9(2)(a)
Released 
s9(2)(a)
 www.aap.com.au
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