Department of Health and Human Services
Centers for Disease Control and Prevention
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Engineering and OperationsActivities include—
Water Fluoridation Training Programs
Engineering and Administrative Recommendations for Water Fluoridation
Fluoride Proficiency Testing Program
Water Fluoridation Reporting System
Program Updates
Technical Assistance to State Programs CDC provides technical assistance to state programs regarding engineering support, facility management, and operational support and also provides responses to public health-related questions on community water fluoridation. CDC serves as a resource to other federal government agencies, state programs, and professional organizations and associations. Awards for Outstanding Fluoridation Efforts
Water Facility Operator Fluoridation Poster CDC has prepared state-specific resource posters for use by water facility operators. The poster provides important information to water treatment facilities using dry additives or fluorosilicic acid, including the following:
To obtain a poster for your water facility, please contact the state drinking water administrator or the oral health program for your state.
The American Water Works Association* (AWWA) is the principal organization of water systems, operators of treatment facilities, engineers, and others affiliated with the drinking water industry. AWWA Manual of Practice #4, Water Fluoridation, Principles and Practices* (2004), Fifth Edition is a useful reference on the design and operation of water fluoridation systems. The World Health Organization’s 2005 publication, Nutrients in Drinking Water* identifies fluoride as a beneficial nutrient and includes information on water fluoridation. * Links to non-Federal organizations are
provided solely as a service to our users. Links do not constitute an
endorsement of any organization by CDC or the Federal Government, and none
should be inferred. The CDC is not responsible for the content of the individual
organization Web pages found at this link.
Page last reviewed: November 3, 2008 |
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CDC provides water fluoridation training designed to
build the capability of state fluoridation programs and to help water
treatment professionals develop and refine their skills related to
operations. Courses include a 3-day annual training on the Principles
and Practice of Water Fluoridation and a newly developed 6-hour water
plant operator training course template designed for use by state fluoridation
programs. More information on these
training programs may be found at the CDC-sponsored training page.
My Water's Fluoride (MWF)
helps consumers in participating states to learn basic information
about their water system, including the number of people served by the
system and the target fluoridation level. Information for MWF is provided on
a voluntary basis by states that participate in the Water Fluoridation
Reporting System (WFRS). More than 39 state health departments and two tribal organizations
currently participate in My
Water's Fluoride. 
Engineering and Administrative Recommendations for Water
Fluoridation, 1995. MMWR, September 29, 1995;44(RR–13):1–40 (
CDC's Division of Oral Health operates a Water Fluoride Laboratory Proficiency Testing
(PT) Program
that state reference laboratories can use to verify the accuracy of
their measurement of fluoride in drinking water. This system helps to
assure the quality of fluoridated water being provided through water
systems throughout the United States. The results of this program are
provided directly to the participating laboratories and state oral
health programs. 
The
Water Fluoridation Reporting System (WFRS) is the main tool used by CDC to help state and tribal water
fluoridation programs. WFRS also is the basis for national reports on
the percentage of the U.S. population receiving fluoridated drinking
water. State and tribal officials approved by the state dental director
or a tribal authority can participate in this password-protected system,
entering state fluoridation data, and printing operational reports. 
CDC recognizes water systems that achieve optimal fluoridation levels
for all 12 months each year with the annual Quality Award. Water systems
that adjust the water fluoride level within the optimum range in a sustained
manner are eligible for this award if their state documents the performance
in the CDC Water Fluoridation Reporting System.
