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Miami-Dade Mayor Vetoes Plan to Remove Fluoride From Drinking Water

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Miami-Dade Mayor Vetoes Plan to Remove Fluoride From Drinking Water

The mayor of Miami-Dade County on Friday said she vetoed legislation that would remove fluoride from the drinking water in Florida’s most populous county, pushing back on a growing campaign against the mineral used to prevent cavities.

The veto by Mayor Daniella Levine Cava, a Democrat, comes at a moment when critics of adding fluoride to the water supply have a newly powerful ally: Robert F. Kennedy Jr., President Trump’s health secretary, who this week called for states to ban fluoride in drinking water. Utah recently became the first state to outlaw adding fluoride to public water, and several other states, including Florida, are considering similar action.

“The science is very clear,” Ms. Levine Cava said at a news conference on Friday. She added, “ending fluoridation could have real and lasting harm, especially for children and families who cannot afford regular dental care.”

The Miami-Dade Board of County Commissioners, a nonpartisan body, approved the measure to ban fluoride on April 1 in an 8 to 2 vote, with three commissioners absent. Nine votes are needed to override the mayor’s veto if all 13 commissioners are present, and it is unclear whether there will be enough support. The next scheduled board meeting is on May 6.

Six commissioners are Republican, including Kevin Marino Cabrera, an ally of Mr. Trump’s who will soon depart to become the country’s ambassador to Panama. Ms. Levine Cava is now the state’s highest-ranking elected Democrat, with Republicans having swept every other countywide elected office in Miami-Dade — including sheriff and elections supervisor — last year.

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At the news conference on Friday, Ms. Levine Cava, flanked by dentists and doctors in their white medical coats, cited research supporting her decision.

“I’m doing what I believe is the correct thing to do in the interest of the community’s health, and I stand with our dental and medical experts,” she said.

Commissioner Roberto J. Gonzalez, who sponsored the legislation, accused Ms. Levine Cava of “acting like a typical politician, relying on partisan pollsters and tired talking points, while putting people’s health at risk.”

In a statement on Friday, he called on his colleagues on the commission to override the veto.

The measure would require Miami-Dade to stop adding fluoride to the water supply within 30 days. Ms. Levine Cava said she and her office were closely following efforts in the Florida Legislature to pass a similar ban at the state level.

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Many experts have warned that removing fluoride from drinking water would be detrimental to oral health, and particularly cavity prevention. The Centers for Disease Control and Prevention has called fluoridation one of the “10 greatest public health achievements of the 20th century.”

But wariness about fluoride has taken on new life in recent years, especially after the coronavirus pandemic eroded trust in public health interventions. Opponents say they want to protect bodily autonomy and have raised concerns about the possible cognitive effects in children.

They point to a recent review paper, where an analysis of 74 studies conducted by researchers with the National Institutes of Health found that there was a connection between lower I.Q. scores in children with high levels of childhood or prenatal fluoride exposure. (The levels studied were twice as high as those recommended by the C.D.C., and some research has found no link.)

Ms. Levine Cava’s veto puts her at odds with Mr. Kennedy and other fluoride skeptics in the Trump administration, as well as with Gov. Ron DeSantis, a Republican, and his appointed surgeon general, Dr. Joseph A. Ladapo, who has been traveling around the state to speak against fluoridated water.

“Do we want forced medication or do we want people to be able to choose medication?” Mr. DeSantis said recently. “When you are forcing it into the water supply, that’s not really giving people a choice.”

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Ahead of the mayor’s announcement, Dr. Ladapo, who has also called for a halt to using Covid vaccines, publicly urged Miami-Dade residents to ask the mayor to support the fluoride ban. “I’ll never understand how anyone feels entitled to add drugs to the water that other people drink,” he said.

Fluoride was first introduced to a city’s water supply in 1945 and began to become common practice across the country in the following decades. Studies show a direct correlation between fluoridation and an improvement in oral health.

“The growing distrust of credible, time-tested, evidence-based science is disheartening,” Dr. Brett Kessler, the president of the American Dental Association, said in a statement this week. “When government officials, like Secretary Kennedy, stand behind the commentary of misinformation and distrust peer-reviewed research, it is injurious to public health.”

Fluoridating water has been debated for years, in part because experts say that excessive exposure to fluoride over a long period can cause health problems. Federally mandated levels have lowered over the years, including after a recent court order.

On Monday, Lee Zeldin, the head of the Environmental Protection Agency, announced a decision to “expeditiously review new scientific information on potential health risks of fluoride in drinking water.”

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“Without prejudging any outcomes, when this evaluation is completed, we will have an updated foundational scientific evaluation,” Mr. Zeldin said in a statement. He credited Mr. Kennedy for having “long been at the forefront of this issue.”

At a Miami-Dade commission meeting in April, most people who spoke during the public comment portion were against fluoridation. Days after the meeting, Ms. Levine Cava held a round-table discussion with doctors, dentists and others in the community that focused on its benefits.

Nearly 20 other cities and county governments in Florida have voted to remove fluoride from their water supplies since the November election. Among those, Miami-Dade County, with about 2.7 million people, is by far the largest. A bill under debate in the Florida Legislature would bar local municipalities from adding fluoride to water.

Miami-Dade’s politics have shifted sharply to the right in recent years, reflecting Florida’s transformation from a battleground state into one that votes reliably Republican. In November, Mr. Trump became the first Republican presidential candidate to win the county since 1988.

Patricia Mazzei contributed reporting

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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Little-known prescription pill is helping Americans drink less alcohol

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Little-known prescription pill is helping Americans drink less alcohol

NEWYou can now listen to Fox News articles!

Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.

In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.

POPULAR WEIGHT-LOSS DRUGS COULD TAKE THE EDGE OFF YOUR ALCOHOL BUZZ, STUDY FINDS

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How it works

Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)

“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.

HIGHER STROKE RISK LINKED TO CONSUMING CERTAIN AMOUNT OF ALCOHOL, STUDY FINDS

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”

Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder. 

“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.

FIRST-OF-ITS-KIND FENTANYL VACCINE TARGETS OVERDOSES BEFORE THEY START

“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”

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The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added. 

“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”

Side effects

Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

These effects are generally mild and may improve as the body adjusts to the medication.

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)

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In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.

“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.

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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.

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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.

“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.

More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)

“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”

Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.

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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.

Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.

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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.

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They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.

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Brain Health Challenge: Try the MIND Diet

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Brain Health Challenge: Try the MIND Diet

Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.

Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.

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So what foods are best for your brain?

In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.

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Based on these findings, the researchers developed the MIND diet.

Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.

Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.

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Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.

Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.

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Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.

You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.

Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.

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