After Florida’s surgeon general came to Polk County Friday to urge cities and counties statewide to quit adding fluoride to drinking water, a majority of Lakeland’s city commissioners said they would need to learn more before they could vote on the issue. One said he would like to end fluoridation, and one said he is learning toward making the change.

The newly revived national debate about adding fluoride to drinking water to prevent tooth decay came to Winter Haven Friday when Florida Surgeon General Joseph Ladapo stood in front of the city’s water treatment plant and called fluoridation a “public health malpractice.” He urged “every county in Florida to stop adding fluoride to their community water systems.”

“We encourage municipalities and counties to look at the guidance to make the decision that is in the best interest of your communities here in Florida, of your local communities,” Ladapo said. “This is something that has been defended for a long time, and it is a public health malpractice to continue doing it.”

Lakeland and fluoridation: Lakeland spokesman Kevin Cook said the city began adding fluoride to the drinking water in 1981, with the City Commission approving the measure in a roll-call vote.

“The practice of the addition of fluoride to the public drinking has been questioned over the years, but the benefit of prevention of dental caries has been the main reason to continue the practice of fluoride addition,” Cook said.

Lakeland currently adds fluoride at a level of 0.7 milligrams per liter, which is the amount recommended by the U.S. Public Health Service. The World Health Organization has set a “safe limit” for fluoride in drinking water of 1.5 milligrams per liter.

Cook said the city lowered the amount in about 2008 from 0.8 milligrams per liter, the previous recommended level, because of updated public health guidance.

Lakeland city commissioners

In an informal survey Friday afternoon, most Lakeland city commissioners said they would need more information before making a decision on any formal requests to remove fluoride from the city’s drinking water. Bill Read said he would like to end the practice, and Guy LaLonde Jr. said he leans toward eliminating fluoride. Their comments: