Politico ta ba da rahoton cewa RFK, Jr. na shirin hana fluoridation, kuma aikin ya riga ya fara. Kafofin yada labarai da yawa sun sake maimaita wannan labarin, amma duk da haka babu daya daga cikinsu da ya bincika shaidar.
A cewar CDC, ƙara fluoridation ga samar da ruwa na daga cikin manyan nasarori goma na kiwon lafiyar jama'a na karni na 20.
"Tsabar ginshiƙi don rigakafin ramuka a cikin Amurka Hanya ce mai amfani, mai tsada, kuma mai adalci ga al'ummomi don inganta lafiyar bakin mazaunansu ba tare da la'akari da shekaru, ilimi, ko kudin shiga ba."
CDC ta bayyana cewa ruwa mai ƙarfi yana kiyaye haƙora ƙarfi kuma yana rage cavities da kusan 25% a cikin yara da manya.
Don tabbatar da wannan bayanin, CDC tana nufin karatu biyu. Na farko, shine a meta-bincike na 20 karatu. Nazarin goma sha ɗaya yayi nazarin tasirin fluoride na kai-ko na asibiti, kuma daga cikin tara da suka yi nazarin tasirin fluorid na ruwa ba su da RCTs, kuma duk sun kasance nazarin sassan. Hakanan, bita, wanda ba tsari bane, ya haɗa da manya kuma babu yara. Ƙarshen ya iyakance ga ba da shawarar fluoride yadda ya kamata ya hana caries a cikin manya na kowane zamani.
Nazarin na biyu shine Cochrane review. Musamman ma, yawancin karatu (71%) an gudanar da su kafin 1975, lokacin da aka gabatar da man goge baki na fluoride.
Binciken ya ƙare cewa ƙananan shaidun zamani suna kimanta tasirin fluorid na ruwa a cikin hana caries. Halin lura da karatun, babban haɗari na son zuciya, da rashin daidaituwa ga salon rayuwa na yau da kullum yana iyakance amincewa ga girman ƙididdigar sakamako.
Bita ya ci gaba da cewa rashin isassun bayanai ya wanzu don tantance ko ƙaddamar da shirin samar da ruwa yana canza matakan caries a duk matsayin tattalin arzikin zamantakewa. Babu wani binciken da ya cika ka'idojin haɗawa na bita da ya bincika tasirin fluorid na ruwa wajen hana caries a cikin manya.
RFK, Jr. ya ce zai ba da shawara ga gundumomin ruwa ta hanyar amfani da sinadarin fluorid wanda har yanzu kimiyya da yawa suka ce har yanzu ana bukatar yin nazarin aminci. RFK, Jr. ya ɗauki fluoride a matsayin sharar masana'antu. Ya kuma yi tunanin hukuncin kotun tarayya zai iya hanzarta kawo karshen sinadarin fluoridation a Amurka.
Wani alkali ya umarci Hukumar Kare Muhalli ta Amurka (EPA) ta gudanar da tantance hadarin. Alkali Edward Chen ya gano cewa fluoridation na iya haifar da lalacewar ci gaba da rage IQ a cikin yara a matakan da aka samu a cikin ruwan sha.
Bayan wannan hukuncin, na'urorin ruwa guda huɗu, gami da mai ba da sabis na Salt Lake City, sun daina ko dakatar da fluorid saboda hukuncin.
A ofishin TTE, mun nemo sabbin shaidun da aka buga a cikin shekaru goma da suka gabata, gami da sake dubawa 32. Kalma na taka tsantsan: ma'aikatan da suka yi yawa a ofishin TTE a halin yanzu sun kasa tantance cikakken shaidar.
Dental Caries
Bita na 2021 na bincike goma akan Brazilian alƙarya ya ruwaito cewa ruwa fluoridation yadda ya kamata yana hana caries hakori a cikin yara kasa da shekaru 13, ko da tare da tartsatsi amfani da fluoridated man goge baki. Ƙarin bita na fluoride don 'yan ƙasa da shekaru biyar sun ba da rahoton shaidar da ke tallafawa fluoride na baka kari don rigakafin caries yana da iyaka kuma bai dace ba.
Hukumar Lafiya Ta Duniyar rahotanni Shan fluoride yana da tasirin amfani guda biyu - a rage yawan abubuwan caries na hakori - da kuma mummunan tasiri - a haifar da enamel hakori da fluorosis na kwarangwal bayan tsawan tsayi mai tsayi.
Cutarwa mai yuwuwa
Reviews sun hada da kima na hakori fluorosis, wanda ke shafar mutane na kowane zamani, tare da mafi girman yaduwa a ƙasa da shekaru 11. A gaba review ya ruwaito cewa a cikin masu shekaru 6-18, a matakin ruwa na fluoride na kasa da kashi 0.7 a kowace miliyan, ciwon hakori ya faru a cikin 13% (95% CI: 7.5-18%) na yara. Sama da sassa biyu a kowace miliyan haƙoran haƙora ya ƙaru zuwa 98% (95% CI: 96-100%). A wasu yankuna, adadin fluoride a cikin ruwa yana wakiltar lafiyar jama'a matsala kamar yadda ya zarce matakan ƙa'ida na ƙasa da ƙasa.
Reviews kuma kimanta wata ƙungiya tare da hypothyroidism da kuma hankalin yara. Game da raunin jijiyoyin jiki, Shaidar ba ta da tushe, kuma marubutan sun yi kira ga nazarin cututtukan cututtuka don samar da ƙarin shaida game da yiwuwar haɗin gwiwa. Kira ga shaidar da aka maimaita don tabbatar da ko akwai haɗin gwiwa tare da Karaya na hip Hadarin
Hakanan sake dubawa sun kimanta yuwuwar alaƙa tare da haɓaka karfin jini, tarayya da kullum koda cuta, da haɗarin kamuwa da fluoride a ciki ruwan karkashin kasa da kuma tasirinsa a kan aminci da samar da abinci da amfanin gonaki.
Tasirin Dakatar da Fluoride
Wani bita na tsari, gami da nazarin zane-zane guda shida, ya nuna cewa fluorosis mai mahimmanci rage biyo bayan ko dai rage yawan ƙwayar fluoride ko kuma dakatar da ƙara fluoride a cikin ruwa.
Binciken na yau da kullun na binciken 15 da aka gano hanyoyin la'akari don ƙirƙira karatun dakatar da ruwa na al'umma. Waɗannan karatun za su ba da izinin ƙima game da tasirin dainawa akan caries hakori da tasirin rage cutarwa.
Don haka, Ina Wannan Ya Bar RFK, Jr.?
Hattara da saurin hukunta duk wanda yayi tambaya. masana za su ɗauka cewa an gwada fluoride da kyau, ta tabbata ko kuma yana rage yawan caries, kuma ba shi da wata alaƙa da wata cutarwa-duk ba tare da la'akari da shaidar ba. Bugu da ƙari kuma, an rasa gardamar lokacin da mutumin da ya gabatar da tambayoyi game da bayyanar da lafiyar jiki ana kiransa mai ƙaryatãwa.
RFK, Jr. yayi daidai yayi tambayoyi game da shiga tsakani dangane da shaidar da zata koma 1930s. A halin yanzu, an sami karuwar damuwa game da cutarwa da ƙananan shaidun zamani waɗanda ke kimanta tasirin fluorid na ruwa don hana caries. Don haka, dakatar da fluoride a cikin mahallin kimantawar cututtukan cuta bai yi nisa ba.
Tsofaffin ma'abota gizari guda biyu ne suka rubuta wannan sakon wadanda suke tsaftace hakora a kai a kai, kuma suna yawan aiki da rashin siyasa.
An sake bugawa daga marubucin Mayarwa
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Carl Heneghan darekta ne na Cibiyar Nazarin Shaida ta Magunguna da GP. Masanin ilimin cututtuka na asibiti, yana nazarin marasa lafiya da ke samun kulawa daga likitocin, musamman ma wadanda ke da matsalolin gama gari, tare da manufar inganta tushen shaidar da ake amfani da su a aikin asibiti.
Duba dukkan posts
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Tom Jefferson babban mai koyarwa ne a Jami'ar Oxford, tsohon mai bincike a Cibiyar Nordic Cochrane kuma tsohon mai kula da kimiyya don samar da rahotannin HTA game da marasa magunguna na Agenas, Hukumar Kula da Lafiya ta Yanki ta Italiya.
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