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Water fluoridation and hip fracture

In a recent article in THE JOURNAL, Jacobsen et al (1) demonstrated a positive ecologic association between hip fracture discharge rates in the United States and fluoride content in water supplies. In a similar study, we recently reported the ecological association of discharge rates for hip fracture and water fluoride levels in 39 county districts in England. (2) Our study was performed in response to the suggestion that fluoridation of water might serve to stem the rising tide of hip fracture