David Rindal, P.E.David Rindal, P.E.Community Public Water Supply Community Public Water Supply

UnitUnit

2011 Oral Health Summit2011 Oral Health SummitSaint Paul, MNSaint Paul, MN

February 11, 2011February 11, 2011

FluoridationFluoridationMinnesota ImplementationMinnesota Implementation

Community Fluoridation Community Fluoridation GrantsGrants

Intended to increase the number of Minnesotans receiving the Intended to increase the number of Minnesotans receiving the oral health benefits of optimally fluoridated drinking water oral health benefits of optimally fluoridated drinking water (currently 0.9 to 1.5 mg/L fluoride) by:(currently 0.9 to 1.5 mg/L fluoride) by:

o enabling community public water supply (PWS) enabling community public water supply (PWS) fluoridation process optimizationfluoridation process optimization

634 municipal PWSs provide fluoridated water634 municipal PWSs provide fluoridated water aging treatment infrastructureaging treatment infrastructure aging analytical equipmentaging analytical equipment

o assisting with community PWS fluoridation initial assisting with community PWS fluoridation initial implementationimplementation

18 municipal PWSs do not adjust fluoride content18 municipal PWSs do not adjust fluoride content treatment infrastructure absent or non-functioningtreatment infrastructure absent or non-functioning

Funds from Health Resources and Services Administration Funds from Health Resources and Services Administration (HRSA)(HRSA)

Grant obtained by the MDH Oral Health UnitGrant obtained by the MDH Oral Health Unit

Community Fluoridation Community Fluoridation GrantsGrants

Original total $22,500 in federal funds availableOriginal total $22,500 in federal funds available All expenses must be incurred by August 31, 2011All expenses must be incurred by August 31, 2011 Applicants must provide in-kind or matching funds equivalent Applicants must provide in-kind or matching funds equivalent

to 20% of the total project costto 20% of the total project cost Eligible costs:Eligible costs:

o fluoridation process equipmentfluoridation process equipmento fluoride analytical equipmentfluoride analytical equipmento professional engineering servicesprofessional engineering services

Ineligible costs:Ineligible costs:o fluoride chemical supplyfluoride chemical supplyo administrative costsadministrative costso other indirect costsother indirect costs

Community Fluoridation Community Fluoridation GrantsGrants

Award DistributionAward Distribution

PWSPWS PopulatiPopulationon

New New TreatmeTreatme

nt nt EquipmeEquipme

ntnt

ReplacemReplacementent

TreatmenTreatment t

EquipmenEquipmentt

AnalyticAnalytical al

EquipmEquipmentent

EngineeriEngineeringng

TotaTotall

 City A 3900 $0 $2978 $0 $0 $2978

 City B 282 $428 $1923 $0 $0 $2351

4182 $428 $4901 $0 $0 $5329

Second Request for Proposals and award round created to distribute Second Request for Proposals and award round created to distribute remaining $17,171remaining $17,171

Applications due April 14, 2011Applications due April 14, 2011

Award Award RoundRound

TreatmenTreatment t

EquipmeEquipment nt

MaximuMaximumm

Analytical Analytical EquipmenEquipmen

t t MaximumMaximum

EngineeriEngineering ng

MaximumMaximum

Total Total Maximum Maximum

Per Per ApplicantApplicant

ApplicanApplicantsts

1 $6000 $500 $1000 $7500 2

2 $4000 $500 $1000 $5500 -

Fluoridation Regulations 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.”