1
1,
22 Friday, November 23, 1979
THE DETROIT JEWISH NEWS
Jerusalem Prepares to Fluoridate
cAsn
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By DEBORAH REISMAN
(From Israel Digest)
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Jerusalem's first water
fluoridation system is near
completion, according to Dr.
Moshe Kelman, director of
the Health Ministry's de-
partment of dental health.
The municipal fluorida-
tion system is part of a pilot
plan to improve dental
health in Israel.
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"Crystals of the (tooth)
enamel, when enriched
with fluoride, become more
resistant to decay. Fluoride
accelerates the protection,"
Kelman says. "Fluoridation
has been established for 34
years. As a public health
technique, it is recognized
from Texas to Tashkent."
In the first years after
the establishment of Is-
rael there was no need for
the introduction of such a
dental health care sys-
tem, Kelman noted. Be-
fore Israel implemented
the national water car-
rier system, there was
probably more fluoride
in the water.
"In the 1950s, the major-
ity of Israel's water supply
came from wells. It is a fact
that the deeper the source of
water the more fluoride is
present," he said. Well
water soaks up the fluoride
embedded in natural mate-
rials surrounding the well.
Surface water, such as that
from the Sea of Galilee,
which is filled from Mt.
Hermon, has little fluoride.
Also in the 1950s, "there
was not much tooth decay in
Israel," he said. Sweets did
not proliferate as they do
today, and the sugar con-
sumption pattern was
different. "Americans had
not yet taught the Israelis to
eat candy," Kelman said.
"The Yemenites had not
learned to eat candy, and
the people from concentra-
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tion camps didn't know
what candy was."
Accordingly, it was felt
that additional fluoride was
not needed. "Since then, 25
years have passed, the
world has changed, and so
has Israel. At best, the
fluoride reaches 50 percent
of that required."
Avi Samuel, director of
the Jerusalem water de-
partment, said the op-
timum level of fluorida-
tion is .08 parts-per-
million. At present in
Jerusalem, .04 ppm are
found naturally in the
water, so another .04
must be added.
The municipal fluorida-
tion system has been in-
stalled at Kikar Holland, on
Mt. Herzl. The installation
includes instruments to
check the amount of
fluoride by remote control.
"The system is the most
modern by world
standards," Samuel said.
When the system is com-
pleted, 60 percent of
Jerusalem's water will be
fluoridated.
"It's hard to say how long
it will be before the project
is completed," Samuel con-
tinued, "because a private
company, not the munici-
pality, is doing the con-
struction work. There is
no reason why the installa-
tion couldn't be working in
September," Kelman
noting that the project has
been under discussion and
in the planning stages for
several years.
"Nine years ago, as direc-
tor of dental health for the
Health Ministry, I was in-
vited to take this position.
When I arrived, discussions
began. In 1974, the late Yit-
zhak Sitton, a great pioneer
in water development, who
was head of the Jerusalem
water department before
Samuel, wrote to the minis-
try to suggest fluoridation."
Discussing the overall
dental health picture in
Israel, Dr. Kelman said,
"I sus-pect that the
amount of fluoride has
declined, and coupling
this with the overwhelm-
ing consumption of
sugar, has produced
something like 17 million
rotten teeth." As a result
of the introduction of the
system, there will be a
60-70 percent reduction
of dental cavities, he said.
Fluoride reduces tooth
decay in all age groups, but
is most effective in children.
Until the age of 12, children
are most exposed to tooth
decay, because they have
very little fluoride in their
outer enamel."
"Out of 30,000 children in
Israel, there are 150,000
cavities. In five years after
fluoridation, there will be
100,000 dental cavities in
the same number of chil-
dren, and in 10 years,
30,000 cavities. I would
like to see Israel completely
fluoridated in three-four
years. It is not a financial
problem, we have enough
money for it," Kelman said.
Always keep a record of
data — it indicates you've
been working.
The Jerusalem municipal
water fluoridation system
costs about IL 700,000, (ab-
out $23,300) which works
out to about IL2-3 per capita
(about $.10).
The fluoride to be added
to Jerusalem's water will be
manufactured in Haifa.
"There is absolutely no dif-
ference between natural
and •artificial fluoride,"
Kelman said. "This is an
important point because
people attribute a mystical
significance to things
natural. I know of no plant
in • the world that uses
natural fluoride," he said.
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ORAH
MESSAGE FROM
IRWIN I. COHN:
The Lubavitch Cheder represents the old and the new, the best
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cheder
Once upon a time, there was a cheder•
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real books.
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their stomachs were empty, but
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CO M IN G
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February 10, 1980
Ford Auditorium
everyone loved the cheder.
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