Should Your City Ban Fluoride? Portland Just Did, Again

Although a growing list of communities (of which Portland is the largest) have banned the addition of fluoride to tap water, such places are doing so against the recommendations of the medical establishment. What's driving the backlash?

1 minute read

May 23, 2013, 7:00 AM PDT

By Jonathan Nettler @nettsj


"Nearly three-quarters of Americans drink fluoride-enriched water, which is universally acknowledged [PDF] to help fight tooth decay," writes Henry Grabar. "The Centers for Disease Control and Prevention call the use of fluoride in water systems, which began in the 1940s, one of the 10 greatest public health achievements of the 20th century."

However, a growing list of communities (125 since 2010) have removed fluoride from their drinking water, driven by "anti-government sentiment" and the opinions of "dubious experts." And this week, Portland voted for the fourth time since 1956 to reject fluoridation. 

"Oregon has one of the highest rates of tooth decay in the nation, and yet, the state's biggest city will remain an outlier, thanks to the remarkable efforts of the anti-fluoride lobby, a non-partisan alliance of paranoiacs," says Grabar.

"It’s as if an Occupy protest, a talk on artisanal cheesemaking, and a Tea Party rally were all accidentally booked at the same hotel ballroom," Marty Smith wrote in the Willamette Week.

Wednesday, May 22, 2013 in The Atlantic Cities

Lake Powell with much of the water evaporated.

Desperate measures: Advocates weigh draining Lake Powell to fill Colorado River

Draining the reservoir could reduce evaporation losses by a couple hundred thousand acre-feet.

October 30, 2026 - Yale Environment 360

A road in north eastern Nebraska with power lines on either side, and grassy fields.

Eastern Nebraska is running out of electricity

Data centers and electrification are straining eastern Nebraska’s grid, throttling economic development.

November 6, 2026 - Grist

A rendering of a mall turned living space. People walk around a green space surrounded by apartments.

Malls are becoming the midtowns of the future

Mall and office park redevelopments are a generational opportunity to create new nodes of urbanity.

October 29, 2026 - Ben Schneider

An Amtrak train pulls into a station in chicago.

Officials claim feds 'rushed' Amtrak environmental review

Amtrak plans to move their Chicago maintenance facility from an industrial area to a residential one.

45 minutes ago - Block Club Chicago

A car drives through a puddle in NYC

NYC breaks ground on anti-flooding infrastructure project

New York City's new system will reduce stormwater flows to local sewers by 90%.

November 9 - Smart Cities Dive

Members of the Smoketown CLT gather for a photo

One Kentucky town’s secret to affordable housing

The Smoketown Community Land Trust has already built seven affordable homes for community members.

November 9 - Reasons to Be Cheerful

FREE Course: Walkable City 1: Why Walkability?

After describing his path towards focusing on walkability as the essence of good planning, Jeff Speck marches through his five principal reasons for making more walkable places.

Reinventing Malls: Planning Alchemy—Turning Gray Fields Into Gold

The course focuses on the opportunities and imperatives that shape reinvention of mall sites.