Fluoride Action Network

State Fluoride Database

Read the latest fluoride news from your state; find out if your town is fluoridated, see if any communities have recently rejected fluoridation, learn if your state has a law that mandates fluoridation, and other fluoride-related information.


Water Fluoridation Status:

    201849.6% – ranked #44 among the states (100% fluoridated is ranked #1)
    2014:  49.5%
  • To see if your town is fluoridated, click here.
  • To learn when your town was fluoridated, and which fluoridation chemical it uses, click here.

Latest News:

  • To see the latest news on fluoride developments in Alaska, click here.
  • To see an updated list of Alaska professionals calling for an end to fluoridation, click here.


• 2020: Levels of Fluoride in the State’s Drinking Water and Fluoridation Status.

Fluoridated Cities and towns in Alaska noted by Michael Dolan in his November 2021 Fluoridation Review:

Counties without water fluoridation: Aleutians East, Aleutians West, Bristol Bay, Denali Borough, Haines Borough, Juneau Borough, Kenai Peninsula, Ketchikan Gateway, Lake and Peninsula Borough, Matanuska-Susitna, Pribilof Island, Prince of Wales-Outer Ketchika, Skagway-Hoonah-Angoo, Valdez-Cordova, Wade Hampton Census and Yakutat County.

Counties with some water fluoridation:
Anchorage Borough, fluoridated: Alaska Brands WTS, Anchorage, Girdwood, Joint Base Elmendorf-Richardson Air Force Base; non-fluoridated: the other 114 public water systems.
Bethel Census Area, fluoridated: Bethel City Subdivision, Bethel Heights, Bethel Water Haulers, Toksook Bay; non-fluoridated: the other 67 public water systems.
Dillingham Census Area, fluoridated: Kanakanak Hospital; non-fluoridated: the other 15 public water systems.
Fairbanks North Star, fluoridated: Eielson Air Force Base; non-fluoridated: the other 49 public water systems.
Kodiak Island, fluoridated: US Coast Guard Base; non-fluoridated: the other 10 public water systems.
Nome Census Area, fluoridated: Anvil Mountain Correctional Center, Moonlight Water Del. Nome, Nome; non-fluoridated: the other 17 public water systems.
North Slope Borough, fluoridated: Barrow, Water Services (unclear who this is); non-fluoridated: the other 18 public water systems.
Northwest Artic, fluoridated: Buckland, Kotzebue; non-fluoridated: the other 12 public water systems.
Sitka Borough, fluoridated: Sitka; non-fluoridated: Starrigavan Campgound.
Southeast Fairbanks, fluoridated: Fort Greely; non-fluoridated: 16 other public water systems.
Wrangell-Petersburg, fluoridated: Petersburg; non-fluoridated: Wrangell and four other public water systems.
Yukon-Koyukuk Census Area, fluoridated: Ft. Yukon; non-fluoridated: 31 other public water systems.

1969 Natural Fluoride Content of Community Water Supplies – Online here

“A survey to determine the number and location of community water supplies contain­ing dentally significant concentrations of naturally occurring fluorides was made in early 1969 by the State Dental Directors at the request of the U.S. Public Health Service. This publication presents the results of this survey and serves to update a similar document published in 1959.1 The 1959 publication included all communities reporting at least one water source with a natural fluoride concentration of 0. 7 parts per million (ppm) 2 or higher. This publication differs in that it lists all communities whose water supplies were reported to have a natural fluoride concentration of 0. 7 ppm or more regardless of the concentration of the various sources of water. This sur­vey attempted to identify public water systems in the United States which naturally contain the minimum fluoride concentration recommended by the Public Health Serv­ice as optimal for protection against dental caries.
“The optimum concentration of fluorides in community water supplies depends upon the annual average of maximum daily air temperatures in the individual community . According to Public Health Service Drinking Water Standards, 1962, the recommended concentrations are shown in Table 1…”

Water fluoridation accidents:

  • MAY 1992 — Hooper Bay: One man dies, one man is airlifted to hospital in critical condition and 260 are poisoned. It is the largest reported fluoridation accident to date. Symptoms include “nausea, vomiting, abdominal pain, diarrhea, loss of appetite, headache, weakness, itching, numbness or tingling of an extremity, shortness of breath (and) fatigue.” (SOURCE: News Tribune 1992 | Gessner 1994)

Alaska’s fluoridation law:

  • The State of Alaska does not mandate fluoridation.  AK does require the daily sampling and monitoring requirements for fluoride concentrations in water supplies and reporting of results to the Department of Environmental Conservation.  Local governments control fluoridation policy in AK.  City councils can begin or discontinue fluoridation at their discretion, or by a referendum vote.  Each community’s fluoridation ordinance is unique.  To learn more about these fluoridation ordinances, click here.

Of special interest:

  • March 2010: The Fairbanks Fluoride Task Force recommended that fluoridation be ended. “Primarily because (1) the ground water used for Fairbanks public water contains an average of 0.3 ppm fluoride, and (2) higher concentrations of fluoride put non-nursing infants at risk…” Read full report.
  • May 1992: An overfeed of fluoride into one of two public water systems serving Hooper Bay in Alaska caused an outbreak of acute fluoride poisoning and the death of a 41-year-old man. – See report

Data on oral health:

  • 2013 – Alaska Tribal Health System Oral Health. By Mary E. Williard, DDS, Director, Department of Oral Health Promotion; Director, Dental Health Aide Therapist Educational Program. Alaska Native Tribal Health Consortium. This report promotes fluoridation and gives no information on the rate of dental fluorosis.
  • According to the report, Oral Health; Healthy Alaskans 2010 (no mention on dental fluorosis):

… There is relatively little information available on Alaska’s incidence of caries.A 1989 study of 3-5 year old children enrolled in Alaska’s Head Start Program found 55 percent of children screened had untreated dental decay, found evidence of baby-bottle tooth decay (early childhood caries) in 25 percent of Native children and 4 percent of non-Native children, and 20 percent of all teeth in these children had evidence of past or present caries.
… Low-income individuals also have a higher incidence of dental decay.
… Preliminary data from the 1999 Indian Health Service Oral Health Survey indicates the Alaska Native dental clinic user population has more than twice as many decayed or filled teeth as non-Natives. The current situation in rural Alaskan villages is similar to the situation faced in the United States prior to World War II. Historically, a number of studies documented the low decay rates in Native populations in Alaska. The traditional diet of Natives in most of Alaska was rich in protein and fats and very low in sugars and other fermentable carbohydrates. Studies conducted since the 1920s have documented the relationship between dental decay and increased ingestion of refined sugar and other carbohydrates in the Native population.

Alaska’s caries experience rates (evidence of past or present dental decay) are higher than the national baseline of 52%, with 65 percent of Alaskan third grade children with caries experience at the time of the assessments. Higher dental decay rates were seen in third graders from racial/ethnic minority groups. High dental decay rates in Alaska Native children have been noted in previous Indian Health Service dental assessments, however the 2004 third-grade dental assessments in Alaska found similar caries experience rates in third-grade Asian and Native Hawaiian/Pacific Islander racial/ethnic groups (See Figure 1). About the same percentage of Alaska third-graders had untreated decay at the time of the dental assessment, 28%, as the national baseline for 6-8 year olds (29%). Similar patterns were seen in terms of untreated dental decay in Alaskan third-graders with higher rates in third-graders from racial/ethnic minorities (See Figure 2). Untreated decay was found in 43.5% of Alaska Native children; rates were higher for Asian third-graders (49.5%) and Native Hawaiian/Pacific Islander third-graders (52.4%).

  • Undated. Alaska Oral Health Assessment. Summary Report 2004-2005. By the State of Alaska, Department of Health and Social Services, Division of Public Health, Oral Health Program. No mention of dental fluorosis.
  • Undated. 13.  Oral Health.  Healthy Alaskans 2010 – Volume I.
    A 2 paragraph description of dental fluorosis is given.
  • 2007. Alaska Oral Health Plan: 2008-2012. By BJ Whistler. Women’s, Children’s and Family Health, Division of Public Health, Alaska Department of Health and Social Services. Funding for the State Oral Health Plan was provided by the U.S. Centers for Disease Control and Prevention through the Chronic Disease Prevention and Health Promotion Programs Cooperative Agreement (U58/CCU022905). No mention of dental fluorosis.
    “White Spot Lesions” is mentioned on page 12:
    “Develop or identify education materials for parental/caregiver recognition of early enamel caries, ‘white spot lesions’, in relation to early childhood caries and prevention efforts.”
  • 2012. Alaska Oral Health Plan 2012-2016. Alaska Department of Health and Social Services. July. Funding for the State Oral Health Plan was provided by the U.S. Centers for Disease Control and Prevention through the Chronic Disease Prevention and Health Promotion Programs Cooperative Agreement (U58/CCU022905). No mention of dental fluorosis.
    –“White Spot Lesions” is mentioned on page 35 using the same language as above.
  • 2013. Alaska Oral Health Surveillance System. Oral Health Program, Department of Health and Social Services. November 1. Supported by a cooperative agreement with the U.S. Centers for Disease Control and Prevention.
    — Dental fluorosis mentioned once on page 12: “Rates of dental fluorosis, a cosmetic condition in tooth enamel, may increase if fluoride levels in the drinking water are chronically in excess of optimal fluoride levels.”


If you live in AK and want to get the fluoride out of your water contact Doug Yates, FAN’s Alaska state coordinator.


Community Population
(as of July 2012)
Palmer 8,400 October 25, 2011
Fairbanks 32,000 June 6, 2011
Juneau 32,000 October 2007
Kodiak 6,000 July 12, 1996
Ketchikan 8,000 October 2, 1991


In 2008, Alaska ranked #44 out of 48 states for Hydrogen fluoride emissions (33,106 pounds). The following data comes from EPA’s Toxic Release Inventory (TRI) for Hydrogen Fluoride releases. “Total releases” includes both water and air pollution. It’s important to note, however, that not all industries or sources that release fluoride into the environment are included in the TRI.

Toxic Release Inventory for Hydrogen Fluoride

Rank = compared to all 790 facilities in the U.S. for release of HF in 2014

for 2014
Facility 2014
All Releases
All Releases
ALASKA TOTAL: 34,935 37,884 40,173
2008 Releases
(in pounds)
Type of Industry Name of Industry

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