THE SENATE                           S.C.R. NO.            S.D. 1
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            

                    SENATE  CONCURRENT


 1        WHEREAS, tooth decay is a dental disease that is
 2   preventable; and
 4        WHEREAS, the prevention of tooth decay is a public health
 5   issue; and
 7        WHEREAS, the only sure means of preventing or reducing
 8   tooth decay for the general public is through fluoridation of
 9   the water; and
11        WHEREAS, fluoridation of water in Hawaii was considered by
12   the legislature in 1987, but did not result in legislation; and
14        WHEREAS, in 1987, then Director of Health John Lewin
15   testified before the Senate Committee on Ways and Means that
16   there was "overwhelming evidence" that water fluoridation was
17   beneficial "and especially benefits children and the poor",
18   according to an article appearing in the Honolulu Star-Bulletin
19   on March 8, 1987; and
21        WHEREAS, John Lewin changed his opinion after a federal
22   study linked fluoride with bone cancer, saying he was not sure
23   the tooth decay-fighting chemical should be added to Hawaii's
24   drinking water, according to an article appearing in the
25   Honolulu Advertiser on February 9, 1990; and
27        WHEREAS, most major American health organizations,
28   including the United States Public Health Service, the American
29   Dental Association, and the American Medical Association, have
30   endorsed fluoridation, according to an article appearing in the
31   Honolulu Star-Bulletin on December 16, 1990; and
33        WHEREAS, the Dental Health Division of the Department of
34   Health supports fluoridation of drinking water as being safe
35   and effective, and as being used in every state and on military
36   bases in Hawaii; and

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                                  S.C.R. NO.            S.D. 1

 2        WHEREAS, before legislation is adopted to require
 3   fluoridation of Hawaii's drinking water, a study should be
 4   conducted by the Legislative Reference Bureau during the
 5   interim period following the 1999 Regular Session, to:
 7        (1)  Explore the safety, effectiveness, costs,
 8             implementation, installation of equipment, and
 9             maintenance requirements of water fluoridation; and
11        (2)  Make recommendations on appropriate legislation,
12             including whether fluoridation should be required of
13             all county drinking water systems or left to the
14             discretion of each county;
16   now, therefore,
18        BE IT RESOLVED by the Senate of the Twentieth Legislature
19   of the State of Hawaii, Regular Session of 1999, the House of
20   Representatives concurring, that the Legislative Reference
21   Bureau is requested to study the issue of fluoridation of
22   Hawaii's drinking water; and
24        BE IT FURTHER RESOLVED that the Legislative Reference
25   Bureau consult on this study with the Department of Health,
26   Hawaii Dental Association, Hawaii Academy of Pediatrics,
27   National Kidney Foundation, and the School of Public Health of
28   the University of Hawaii, and other interested organizations
29   which may be helpful in this study; and
31        BE IT FURTHER RESOLVED that the Legislative Reference
32   Bureau report its findings and recommendations to the Senate
33   prior to the convening of the Regular Session of 2000; and
35        BE IT FURTHER RESOLVED that certified copies of this
36   Concurrent Resolution be transmitted to the Director of the
37   Legislative Reference Bureau, Department of Health, Hawaii
38   Dental Association, Hawaii Academy of Pediatrics, National
39   Kidney Foundation, and the University of Hawaii School of
40   Public Health.