Fluoridation Minnesota Implementation David Rindal, P.E. Community Public Water Supply Unit 2011 Oral Health Summit Saint Paul, MN February 11, 2011

Community Fluoridation Grants Intended to increase the number of Minnesotans receiving the oral health benefits of optimally fluoridated drinking water (currently 0.9 to 1.5 mg/L fluoride) by: enabling community public water supply (PWS) fluoridation process optimization 634 municipal PWSs provide fluoridated water aging treatment infrastructure aging analytical equipment assisting with community PWS fluoridation initial implementation 18 municipal PWSs do not adjust fluoride content treatment infrastructure absent or non-functioning Funds from Health Resources and Services Administration (HRSA) Grant obtained by the MDH Oral Health Unit

Community Fluoridation Grants Original total $22,500 in federal funds available All expenses must be incurred by August 31, 2011 Applicants must provide in-kind or matching funds equivalent to 20% of the total project cost Eligible costs: fluoridation process equipment fluoride analytical equipment professional engineering services Ineligible costs: fluoride chemical supply administrative costs other indirect costs

Community Fluoridation Grants Award Distribution PWS Population New Treatment Equipment Replacement Treatment Equipment Analytical Equipment Engineering Total  City A 3900 $0 $2978  City B 282 $428 $1923 $2351 4182 $4901 $5329 Second Request for Proposals and award round created to distribute remaining $17,171 Applications due April 14, 2011 Award Round Treatment Equipment Maximum Analytical Equipment Maximum Engineering Maximum Total Maximum Per Applicant Applicants 1 $6000 $500 $1000 $7500 2 $4000 $5500 -

Fluoridation Regulations U.S. Department of Health and Human Services (HHS) proposed new recommended single national optimal fluoride concentration (0.7 mg/L) U.S. EPA announced new scientific evaluation of fluoride and review of existing maximum contaminant level (4.0 mg/L) Community Fluoridation Grant second RFP includes modified requirement: “Funded pumps should have the capability to achieve optimal fluoride content (0.9 to 1.5 mg/L) while allowing for the possible need for turn-down to a concentration between 0.6 and 1.0 mg/L.”