Fluoridation by Public Water Systems | California State Water Resources Control Board
Fluoridation by Public Water Systems | California State Water Resources Control Board
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Home Share: Facebook Social Network Twitter Social Network Share via Google+ mailto:?subject=Fluoridation by Public Water Systems | California State Water Resources Control Board&body=%0ahttps%3A%2F%2Fwww.waterboards.ca.gov%2Fdrinking_water%2Fcertlic%2Fdrinkingwater%2FFluoridation.html%0a%0a About Us Contact Us Subscribe Settings Menu Search Search this site: Search × Main Menu Home Board Sub Menu Toggle Board Members Current/Upcoming Agenda Past Agendas Past Meeting Minutes Executive Director's Report Adopted Orders Tentative Orders/Documents for Public Comment Plans and Policies Videos Webcasts Programs Sub Menu Toggle AB 304 - Local Agency Oversight for Site Cleanup Administrative Hearings Office Agriculture Beaches & Ocean Cannabis Cultivation Climate Change Conservation Delta Watermaster Drought Information & Updates Emergency Management Program (EMP) Enforcement Financial Assistance Groundwater Human Right to Water Operator Certification Permit / Licensing Petitions SAFER Drinking Water Septic Systems (OWTS) Storage Tanks Storm Water Strategic Plan Water Quality Assessment More Programs . . . 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If you are served by a water system listed below, the water you receive contains fluoride in the optimal amount needed to improve oral health and reduce dental caries (cavities). Your health care provider may ask you about the level of fluoride in your water. If you would like more detailed information on your drinking water quality please read the annual Consumer Confidence Report (CCR) issued by your water provider. Contact your water system for a copy of the current CCR or check your water system's webpage. List of Fully Fluoridated Water Systems - all water is fluoridated Alameda County Alameda County Water District East Bay Municipal Utility District City of Pleasanton Dublin San Ramon Services District City of Hayward Butte County City of Gridley Cal-Water Service Co. (Oroville) Contra Costa County City of Antioch Contra Costa Water District (Bollman) City of Martinez Diablo Water District City of Pittsburg Contra Costa Water District (Randall-Bold) Fresno County City of Coalinga HumboldtCounty Jacoby Creek Co. WD City of Arcata City of Eureka Los Angeles County Golden State WC (Bell, Bell Garden) [p] Golden State WC (Willowbrook) [p] Golden State WC (Florence/Graham) Golden State Water Co. (Norwalk) Golden State WC (Hollydale) Golden State Water Co. (Southwest) City of Torrance Foothill Municipal Water District City of Long Beach City of Lomita City of Los Angeles (LADWP) City of Beverly Hills Liberty Utilities (Lynwood/Rancho Dominguez) Liberty Utilities (Norwalk/Bellflower) Cal-Water Service Co. (Palos Verdes) Marin County Marin Municipal Water District Merced County City of Los Banos City of Merced Orange County Laguna Beach County Water District South Coast Water Dist. (South Coast) South Coast WD (Capistrano Beach) Joint Regional Water Supply Sys. Moulton Niguel Water District El Toro Water District East Orange County WD (Wholesale Zone) Santa Margarita Water District City of Huntington Beach City of Fountain Valley Placer County Placer CWA - (Bianchi Estates) Cal-American Water Co. (West Placer) City of Roseville - West Train Riverside County City of Perris Western MWD - Murrieta Division Western MWD Western MWD (ID A - Rainbow) Sacramento County Sacramento County WA (Mather-Sunrise Sacramento County WA (Arden Park Vista) Sacramento Suburban Water District - Cal-American Water Co. (Suburban) Cal-American Water Co. (Parkway) City of Sacramento Cal-American Water Co. (Arden) San Diego County City of San Diego Vallecitos Water District Carlsbad MWD Fallbrook Public Utility District Olivenhain MWD Rainbow MWDistrict Rincon Del Diablo MWD (ID-1) Ramona Municipal Water District Valley Center Municipal WD Vista Irrigation District Padre Dam Municipal WD San Francisco County San Francisco International Airport San Francisco Public Utility Comm. SFWS Treasure Island San Francisco Regional Water Sys. Presidio of San Francisco San Luis Obispo County City of San Luis Obispo San Mateo County Mid-Peninsula Water District City of Brisbane City of Burlingame Guadalupe Valley MID Cal-Water Service Co. (San Carlos) Cal-Water Service Co. (San Mateo) Skyline County Water District City of Hillsborough City of Menlo Park City of Millbrae Estero MID City of Redwood City City of East Palo Alto North Coast County WD Westborough County WD City of Daly City Santa Barbara County City of Santa Maria Vandenberg Air Force Base Santa Clara County City of Palo Alto Stanford University City of San Jose (NSJ/Alviso) Purissima Hills WD City of Mountain View City of San Jose (Evergreen) Solano County City of Benicia City of Fairfield City of Vallejo City of Vacaville City of Vallejo (Travis AFB WTP) Travis Air Force Base Sonoma County City of Healdsburg Sutter County City of Yuba City Ventura County Solano Verde Mutual Water Co. Academy Mutual Water Co. Brandeis Bardin Institute Ventura CWWD No. 17 (Bell Canyon) City of Port Hueneme Cal-Water Service Co. (Westlake) City of Thousand Oaks Ventura CWWD No. 8 (Simi Valley) Channel Islands Beach CSD Cal-American WC (Village District) Oak Park Water Service Calleguas MWD Lake Sherwood CSD Cal-American WC (Las Posas Estates) Point Mugu Naval Base Port Hueneme Naval Base USN - Camarillo Housing Port Hueneme Water Agency Yolo County City of West Sacramento Yuba County Beale Air Force Base Water Systems Providing a Mixture of Fluoridated and Non-Fluoridated Water If your system is listed below the water you receive is a mixture of water from more than one source so that the water contains just a portion of the fluoride needed to improve oral health and reduce dental caries (cavities). Your water supply contains some fluoride that has been added but less than the ideal amount needed to improve oral health. Your health care provider or dentist may ask you about whether your water supply contains any added fluoride. You should contact your water system for more information. Contra Costa Golden State Water Co. (Bay Point) City of Brentwood Fresno City of Fresno Los Angeles Bellflower Somerset Mutual WC Golden State Water Co. (Claremont) City of Glendora Suburban Water Sys. (Glendora) Cal-American WC (Baldwin Hills) Suburban Water Sys. (La Mirada) Orchard Dale Water District City of Paramount City of Covina Cal-American Water Co. (San Marino) Golden State Water Co. (San Dimas) City of Sierra Madre City of Signal Hill Walnut Park Mutual Water Co. Suburban Water Sys (Whittier) City of Burbank Suburban Water Sys. (Covina Knolls) Suburban Water Sys. (San Jose) La Habra Heights County WD Golden State WC (So. San Gabriel) City of Lakewood City of Inglewood City of Pasadena Valley Water Co. City of Norwalk Las Flores Water Co. City of Santa Monica Cal-Water Service Co. (Dominguez) Cal-Water SC (East Los Angeles) City of Hawthorne City of Commerce Cal-Water SC (City of Montebello) Cal-Water SC (Hermosa/Redondo) Rowland Water District City of Santa Fe Springs Napa City of American Canyon Orange City of Newport Beach City of Anaheim City of Brea City of Buena Park Mesa WD [p] (Name change) City of Fullerton City of La Habra Golden State Water Co. (West Orange-Cypress) City of Orange City of San Juan Capistrano Golden State Water Co. (Placentia) of San Clemente Yorba Linda Water District City of Santa Ana City of Seal Beach City of Tustin Golden State WC (Cowan Heights) City of Garden Grove City of Westminster East Orange County WD (Retail Zone) Golden State Water Co. (Yorba Linda) Irvine Ranch Water District Trabuco Canyon Water District City of La Palma Sacramento Sacramento County WA (Laguna/Vineyard) San Diego Yuima Municipal WD (IDA) Yuima Municipal WD Lakeside Water District City of Oceanside Olivenhain Municipal WD Otay Water District Ventura Thermic Mutual Water Co. City of Oxnard Pleasant Valley Mutual Water Co. Ventura CWWD No. 19 (Somis) Ventura CWWD No. 1 (Moorpark) City of Camarillo Crestview Mutual Water Co. Golden State WC (Simi Valley) Camrosa Water District 2016 Fluoridation Data 2016 Fluoridation Table Additional Historic Fluoridation Data 2014-2015 Fluoridation Table 2013 Fluoridation Table 2012 Fluoridation Table 2011 Fluoridation Table 2010 Fluoridation Table 2009 Fluoridation Table 2008 Fluoridation Table Fluoridation - April 2015 Revision to Optimal Fluoride Level The U.S. Department of Health and Human Services Agency (HHS) is recommending that water systems practicing fluoridation adjust their fluoride content to 0.7 mg/L (parts per million), as opposed to the previous temperature-dependent optimal levels ranging from 0.7 mg/L to 1.2 mg/L. There is no change regarding federal health officials' strong and long-standing support regarding the value of fluoridation of drinking water. Detailed information on the basis for this change is available via the Centers for Disease Control and Prevention's (CDC's) website. The change in the optimal level is a result of recent scientific evidence in four areas on the subject: The effectiveness of fluoridation on dental caries prevention and control for all age groups. The availability of fluoride through other sources Trends in the prevalence and severity of dental fluorosis Fluid intake by children across various ambient air temperatures. This optimal target goal is aimed at providing the benefits of fluoridation while minimizing the chance that children develop dental fluorosis, a typically mild condition that causes a discoloration of teeth. To reflect CDC’s recommendation, DDW will be consulting with public water systems practicing fluoridation regarding amendments to their individual public water supply permits to reference the CDC's recommended optimal level of 0.7 mg/L. The recommended optimal level of 0.7 mg/L currently corresponds with the existing California Water Fluoridation Standards control range of 0.6 mg/L to 1.2 mg/L. Public water systems are advised of the following: Public water systems practicing fluoridation are advised that they may immediately implement the CDC’s recommended optimal level of 0.7 mg/L and control range of 0.6 ppm to 1.2 ppm. DDW District Offices will issue a letter to each public water system practicing fluoridation by the end of May 2015 and initiate the water supply permit amendment process soon after. DDW will be developing amendments to the California Code of Regulations to incorporate the new CDC recommendation. Water system practicing fluoridation may contact the local DDW District Office with questions regarding the addition of fluoride to the water supply or the maintenance of optimum fluoride concentrations in the water delivered to customers. Tooth decay is the number one chronic condition for children. It may result in pain, poor nutrition, and dysfunctional speech, as well as a lack of concentration, poor appearance, low self-esteem and absenteeism. Optimally fluoridated water is the single most cost-effective strategy that a community can take to improve the oral health of its residents. Studies consistently show that water fluoridation reduces tooth decay by 20 to 40 percent. The recommendations of HHS resulted from an updated review of the various current sources of fluoride, including water fluoridation. Providing the optimal level of fluoride protects the dental health of people of all ages, not just children. CDPH Office of Oral Health Centers for Disease Control and Prevention - Fluoridation Centers for Disease Control and Prevention - Oral Health American Dental Association* DDW is responsible for regulating the activities of fluoridating public water systems in California. This responsibility includes assuring water fluoridation is conducted in a safe and effective manner. Public water systems must obtain a permit from DDW to fluoridate their drinking water supplies and must monitor the fluoride levels in their water system on a daily basis. The operational and monitoring information is also reported to DDW. For copies of the reporting requirements and reporting forms, click on the links below. Fluoridation and Infant Formula Concerns have been raised about the use of fluoridated drinking water in infant formula. For more information on this topic, click on the links below. Infant formula - Centers for Disease Control and Prevention Infant formula - American Dental Association* Fluoridation Management The fluoridation of public water systems in California by two of its organizations: DDW provides technical and engineering expertise to public water systems for permitting and operating fluoridation systems. DDW is the regulatory agency and responsible for assuring fluoridation systems are optimally fluoridating the water supplies to provide dental health benefits. The Office of Oral Health (OOH) within the Chronic Disease Control Branch, provides scientific, technical, and health related expertise to communities interested in fluoridating their drinking water supplies. OOH is also responsible for securing funds to purchase and install fluoridation equipment for public water systems. Fluoridation Monitoring and Reporting Reporting Requirements and Reporting Forms Required Reporting Where there are two, choose the correct report form to use Monthly Distribution Monitoring Monthly Distribution Monitoring - Single Fluoridation Treatment System OR Monthly Distribution Monitoring - Two or more Fluoridation Treatment Systems Year-to-Date Distribution Summary Year-to-Date Distribution - All Fluoridation Treatment Systems Monthly Treatment Summary Monthly Treatment Monitoring OR Monthly Treatment Monitoring - SATURATOR Systems only Yearly Treatment Summary Yearly Treatment Summary Report - All Fluoridation Treatment Systems Optimal Fluoride Control Range Calculation (Done Annually) Optimal Fluoride Control Range Worksheet Annual Cost Summary Annual Cost Summary Report - All Fluoridation Treatment Systems Voluntary Fluoridation (Only for systems that purchase fluoridated water but do not supplement with additional fluoride) Voluntary Distribution Monthly Monitoring Report AND Voluntary Year-To-Date Distribution Monitoring Report (Page last updated 9/30/20) Drinking Water Resources California Laboratory Intake Portal (CLIP) Contaminants in Drinking Water Consolidation and Extension of Service COVID-19 Drinking Water Cyanobacteria/Cyanotoxins in Drinking Water Consumer Confidence Reports (CCRs) DRINC Portal Drinking Water Branch Districts Drinking Water Supply Service Area Lookup Tool Drinking Water Watch Database Electronic Annual Reports (EAR) Environmental Laboratory Accreditation Program (ELAP) Funding for Public Water Systems Information for Public Water Systems Operator Certification - Drinking Water Permits PFAS: Per- and Polyfluoroalkyl Substances Public Water System Monitoring Schedules Public Safety Power Shutoff and Wildfire Info Regulations and Statutes Residential Water Treatment Devices Safe Drinking Water Plan for California SAFER Drinking Water Water Quality Data Water Recycling Water is a precious resource in California, and maintaining its quality is of utmost importance to safeguard the health of the public and the environment. 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