· MMWR. Morbidity and mortality weekly report 2008 · public health surveillance report · n=?

Populations receiving optimally fluoridated public drinking water--United States, 1992-2006.

Cited 42 times in the scientific literature.

Level 4 - case-series / case-control

Public health surveillance analysis of administrative data (level assigned by design analogy).

PubMed 18614991 · record verified 2026-08-28

What was done

CDC analyzed water fluoridation data from 1992 to 2006 across all 50 US states and the District of Columbia to evaluate progress toward the Healthy People 2010 target of providing optimally fluoridated water to 75% of residents on community water systems.

What was found

The percentage of the US population served by community water systems receiving optimally fluoridated water increased from 62.1% in 1992 to 65.0% in 2000 and reached 69.2% in 2006. Fluoridation coverage varied substantially by state.

Why it matters

This report tracks national progress and geographic disparities in access to community water fluoridation, a primary population-level strategy for dental caries prevention.

Limits

The abstract provides only aggregate surveillance proportions without raw population denominators, state-specific figures, or direct measures of dental health outcomes. Data accuracy depends on state reporting systems, and private well water users are not captured.

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