15. BURIED SCIENCE, BURIED WORKERS: the fluoride deception by Christopher Bryson from archive.org
BURIED SCIENCE, BURIED WORKERS
185
By February the Kettering Laboratory director had drawn up a game
plan, focusing on the Achilles heel that had tripped up Reynolds
Metals in the Martin trial. The Public Health Service was providing
medical information about the health effects of swallowing fluoride,
via its water-fluoridation safety studies. But the Martin trial had hinged
on the accusation that air pollution had hurt the family, and Kehoe saw
a clear need for fresh human experiments.'
There seems to be no documentary information on the mat-ter of
human safety in relation to such exposure, Kehoe told the TVA's Dr.
Derryberry. "In any case, we are about ready to initiate the
experiments on animals, and while these are in progress, we can design
and construct the facilities for the investigation of human subjects," he
added.
Kehoe pointed to another goal: creating an unassailable medical
orthodoxy that would block scientists from serving as effective expert
witnesses in future court cases. His laboratory s earlier efforts to control
scientific information about fluoride had almost borne fruit in the Martin
trial, he remarked, but the surprise appearance of the Englishman, Dr.
Donald Hunter, had upset the apple cart. Opposing counsel overcame this
obstacle by the importation of an expert who, with some charity, may be
judged to have been susceptible to the thrill of participating in a grandstand
play or, perhaps, of aiding an aggrieved family, wrote Kehoe.'
The only solution was a fresh batch of medical experimentation and
scientific data, so overwhelmingly persuasive, both in itself and its
dissemination, as to render futile any efforts to combat it." The new
Kettering research would pile negative evidence upon negative
evidence, said Kehoe. This would result in such difficulty in finding a
competent and credible expert witness as to thwart the attempts of
counsel to make a case for a potential plaintiff, he added.'
The Kettering foot soldiers were given their marching orders at a
planning session in the fall of 1956. They were under no illusions
about their mandate. The sponsor group is concerned with the
litigation questions that may arise in the future as demonstrated by
those that have occurred in the past, noted the scientists who attended
the meeting, according to the recorded minutes. Its purpose is not
altruistic, they added. The threat of litigation would be their North
Star, guiding research and experiments.
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"The sponsors are interested not only in what happens to persons in the
plant but also in whether they will be sued or not. They are interested
particularly in finding out if the absence of deleterious effects of the
absorption of the fluoride ion can be demonstrated, the minutes record.
Specifically, what industry needed to learn — sixteen years into the
fluoridation of water supplies — was the physiological effects on the
various organ systems of the continued absorption of fluorides. The
scientists noted that something is known about mottled enamel and
skeletal changes but [there is] no information concerning effects on other
organ systems.'"
The Martin ruling had exposed the tip of a very dangerous iceberg,
Kehoe told an invited audience of government dental researchers and
industry lawyers, who had gathered in the Ballroom of the Cincinnati Club
for a Fluoride Symposium in Cincinnati in December 1957. 9 The primary
threat facing industry, Kehoe explained in his opening remarks, was that
workers could use the Martin verdict to buttress lawsuits claiming injury
from exposure to airborne fluoride inside factories. The problem, he went
on, was that the court verdict had set the stage for the greater threat of
claims for illness among employees in the industries in which exposure to
fluoride is greater than that of any group of persons
outside of industry." 70
In the ballroom sat Harold Hodge from the University of Rochester and
Alcoa s Frank Seamans, head of the Fluorine Lawyers Committee. No two
people were in a better position to know the risk from airborne fluoride
pollution. Twenty-five thousand people worked in aluminum smelting
plants in the United States, and tens of thousands toiled in the giant gaseous
diffusion plants at Oak Ridge, Paducah, and Portsmouth."
The presentations were biased in favor of industry. Frank Sea-mans
gave a presentation titled The Medical Aspects of Fluoride Litigation.
While the Director of the National Institute of Dental Research, Francis
Arnold, discussed the Present Status of Dental Research in the Study of
Fluorides, there were no criticisms of water fluoridation; nor were experts
such as Dr. Capps from Chicago or Dr. Hunter from England (both of
whom had testified in the Martin trial on the human health consequences of
industrial fluoride air pollution) in attendance.'
BURIED SCIENCE, BURIED WORKERS
187
The papers were further culled when it came to their publication.
Readers of the American Medical Associations journal Archives of
Industrial Health (edited by Kehoes Harvard friend, Philip Drinker),
never learned of the symposium remarks on fluoride litigation by
Kehoe and Seamans. Nor did they read the paper by D. A. Greenwood
from Utah State University, spelling out the stupendous scale of the
fluoride lawsuits facing U.S. Steel in Utah."
The Symposium was just one front in industry s campaign to shape
a scientific consensus about fluoride. Another was opened that
summer of 1957, when industry committed $179,175 to a new
fluoride research program at the Kettering Laboratory. It was a down
payment on a three-year investigative program that would eventually
cost almost half a million dollars. Air pollution would be the major
focus of the research. The centerpiece would be an experimental
chamber from which forty-two beagle dogs would inhale fine
particles of calcium fluoride dust, for six hours a day, five days a
week. Alcoa s lawyer, Frank Seamans, handled the money for the new
experiment, acting as intermediary between Kehoe, the Fluorine
Lawyers, and the Medical Advisory Committee.
On April 16, 1957, Seamans sent a letter to the Fluorine Lawyers,
titled Re: Kettering Research re Human Beings." He laid out how
much each corporation would contribute. Checks would be sent on a
quarterly basis directly from the companies to the Kettering
Laboratory. U.S. Steel, Alcoa, Kaiser Aluminum, Reynolds Metals,
and Alcan paid the lions share, each putting up $30,535 for the first
year; Olin Revere Metals, Monsanto Chemical, West Vaco Chemi cal,
TV A, and Tennessee Corporation made smaller commitments.
Seamans enclosed a variety of documents. They illustrate the key role
the Fluorine Lawyers had in shaping Ketterin gs medical research, and
the importance industry attached to the efforts of the National Institute
of Dental Research and other parties on behalf of public water
fluoridation.
Enclosures were listed by Seamans as follows:
• Letter from Dr. Irwin under date of March 13, 1957,
enclosing a letter from Dr. Leone of the National
Institute of Dental Research dated March 5, 1957.
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CHAPTER FIFTEEN
• A publication entitled Our Children s Teeth. This is the best
collection of material dealing with the association between
fluorides and human beings that I have seen.
■ Lastly, a letter which I am sending to the Medical Advisory
Committee, in which an attempt is made to more specifically
advise just what the lawyers group wishes them to do.
I am sorry that it has taken so long to develop matters to this
point. However, I am glad to say that all parties are now in
complete agreement and that the work can now go forward.
Very truly yours, Frank Seamans."
The crucial inhalation experiments, in which researchers were to
simulate ... occupational exposure to particulate fluoride, began on
October 6, 1958. The forty-two beagles were divided equally into three
groups: a control group that received no fluoride; a second group that
inhaled a small dose, 3.5 mgs of calcium fluoride per cubic meter of air;
and a group that received 35.5 mgs of calcium fluoride per cubic meter.
Kehoe had assembled an expert team of scientists to supervise the dog
experiment, according to Eula Bingham, who became head of the Kettering
Laboratory in the 19705 and later served as President Jimmy Carters head
of the Occupational Safety and Health Administration (OSHA). They
included Robert K. Davis, Klaus L. Stemmer, William P. Jolley, and Edwin
E. Larson. Robert Davis was always the boss," said Bingham. "I really
didn't have much contact with him, but he always seemed to be pretty
substantial, she added. A pathologist, Klaus Stemmer, "was very well
trained in what I would call the old European school of pathology. [He]
came over from Germany after the war," said Bingham. "Larson was a very
fine person when it came to exposure assessment, and he knew how to put a
chamber together so that you could put a dose of whatever the contaminant
was in there by inhalation. It was a very substantial training [Larson had], I
tell you." The results of the
Kettering beagle experiment were startling
— and not at all what the scientists had predicted. It was
anticipated
BURIED SCIENCE, BURIED WORKERS
189
that there would be little or no injury to the lungs of experimental animals,
the report noted, and that the demonstration of the innocuous effects of the
respiratory exposure . . . would pave the way for similar experiments with
human subjects.
But there could be no human experiments now: the fluoride injured
the dogs. Autopsy revealed wounds to their lungs and lymph nodes.
The damage had occurred in both groups of animals that were exposed
to fluoride, with inflamed lesions on the lung surface and a fibrosis,
or a thickening of the lungs, that was so marked in some cases that the
researchers called it emphysema" Unexpected, the researchers said,
"was the injurious effect exerted by calcium fluoride in the lungs and
lymph nodes of the dogs. 16
The corporate sponsors were quickly informed. It seems likely that we
have produced a dust lung using calcium fluoride as the particulate,
Kettering s scientist Albert A. Brust wrote Alcoa s Dudley Irwin in a letter
dated February 10, 1960. The fluoride had wreaked havoc with biological
tissue, the report explained, when the fluoride ion had attacked the lungs
surface. The calcium fluoride had disassociated inside the lung,
transforming the dust into a corrosive acid deep inside the body, the report
stated. Some degree of solvent action was exerted locally, and the fluoride
ion in the resultant solution reacted with the tissue, the report added. The
results also showed that fluoride traveled quickly from the lung into the
blood stream. "These data appear to confirm beyond all question the
efficacy of pulmonary absorption of fluoride, Brust told Irwin."
Frighteningly, long after the dogs had been removed from the
inhalation chamber, dust particles remained lodged in their lungs.
These particles continued to wreak havoc on the body, dissolving and
freeing fluoride ions to mount fresh assaults on the pulmonary tissue,
the report recorded. The results obtained in this experiment are of
more than casual interest, especially to investigators in the fields of
pulmonary physiology and pathology," the Ketter-ing report noted.
The health effects of airborne fluoride should be studied in
workers, the results suggested. They point to the desirability of
conducting systematic investigations of the pulmonary function of
representative groups of industrial employees who are being
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CHAPTER FIFTEEN
subjected to various types and intensities of exposure to particu-late,
inorganic fluorides, the authors wrote.
The Fluorine Lawyers understood the frightening legal and health
implications of the study. The Kettering data pointed an arrow directly at
the heart of key modern industrial enterprises, where the extraordinary
incidence of emphysema in workers potentially dwarfed even the silicosis
crisis of the 19305. 18 The steel, aluminum, phosphate, gasoline refining,
uranium enriching, fluorocarbon, and plastics industries, to name a few,
were especially at risk. The general counsel for the TVA, Charles
McCarthy, wrote to Kehoe on July 9,1962, shortly after he received his
copy of the report. Its findings were clear, he agreed: workers might be at
risk. "The pulmonary findings suggest the need for further investigation of
the pulmonary function of exposed workers," noted
McCarthy. 19
Industry's top lawyers received copies of the Kettering dog study — but
nobody told America's workers, or their doctors. Instead, the research was
buried. Although industry had spent almost half a million dollars on
fluoride research at the Kettering Laboratory following the 1955 Martin
verdict, the fate of the fluoride-breathing beagles was never made public.
The study lay hidden for almost forty years, until, in the course of
researching the topic, I found a copy in a basement archive of the old
Kettering Laboratory at the University of Cincinnati.
I sent it to the toxicologist Phyllis Mullenix and to an air-pollution
expert at the University of California at Irvine, Dr. Robert Phalen. 20 Both
suggested that the nonpublication of the study had hurt American workers
and misshaped the modern debate over air pollution. Dr. Phalen had written
a 1984 book on inhalation experiments and is also a graduate of the
University of Rochester. He took his job studying air pollution in Southern
California on the recommendation of none other than Harold Hodge. After
reading the study, Phalen remarked that he was impressed at the quality of
the forty-year-old research.
"It was a very good study," Phalen said. "It was state of the art. I am
amazed at how good a job they did. The scientists conclusions were blunt.
It is likely that American workers have inhaled too much fluoride in the
workplace for several decades, Phalen told
BURIED SCIENCE, BURIED WORKERS 191
me. This study is sufficiently strong to cause a reconsideration of the
industrial standard, he said.
Thats a staggering statement. Many hundreds of thousands of women
and men have breathed fluoride in their workplaces since the Kettering
study was conducted. Had the threshold for unsafe exposure been set too
loosely because the dog research was not published? Occupational
standards for workplace exposure to chemicals in the United States are
guided by an influential private group known as the American Conference
of Government and Industry Hygienists (ACGIH). The group s scientists
set what is known as a Threshold Limit Value (TLV) for different
chemicals, which is then used by regulatory agencies in setting legal
exposure standards, Phalen explained.'
The people who set standards in industry, said Phalen, review
everything they can get their hands on, and then they say, What shall we
recommend for dusty air in industry for fluoride?' for example. Phalen is
baffled at how ACGIH could have left the nation's industrial fluoride
standard unchanged since 1946 — if it had seen the Kettering beagle study.
As I look at the level that is set today, 2.5 milligrams per cubic meter, it
sure looks to me like if [ ACGIH] had access to this April 13, 1962 study,
they would have recommended a lower level.
Phalen was especially startled to learn that today federal regulatory
agencies, such as the U.S. Agency for Toxic Substances and Disease
Registry (ATSDR), cannot locate any published animal stud ies on fluoride
dust inhalation to cite for the current occupational standard. 22 "I tend to not
be a conspiracy-type person," Phalen said, "I was surprised when they said
there had been no studies. Why this study wasnt published, I dont know.
Did the standard-setters have access to the Kettering data? I contacted
Dr. Lisa Brosseau at the University of Minnesota; she heads ACGIH's
standard-setting committee. The beagle study had not been listed as one of
the documents ACGIH scientists had consulted in setting the current
fluoride TLV. 23 And Dr. Brosseau did not know if past ACGIH review
committees had seen the Ketter-ing study. However, she explained, if the
1962 research is not listed on ACGIH s current TLV report for fluoride,
then it had not been used in its most recent review. We will only list those
things that
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CHAPTER FIFTEEN
we did use, Brosseau said. 21 "It is very possible that we didnt see it," she
added.
According to the toxicologist Phyllis Mullenix, the fact that the
Kettering data were never published, or made available, is a crime against
American workers — with profound health consequences for the rest of the
nation. The buried data points at a clear cause-and-effect relationship
between an industrial pollutant and an injury widely seen in factories and
the general population, according to the scientist. That study is key, said
Mullenix, because it directly links fluoride with emphysema. And that is
mind-boggling in terms of public health, because no one has ever made that
connection.
Suppressing the 1962 study was a gross dereliction of scientific
responsibility, says Mullenix, a medical cover-up that has lulled doctors
and federal regulators to sleep for forty years. I regard it as absolutely
being hidden, she said. It was a good study; the results were clear. The
memos that went along with it certainly stated that it should be followed
up."
Thousands of men and women are stalked by fluoride in the modern
workplace yet blinkered to its toxic potential, according to Mullenix. In
1998 she met former aluminum workers from Washington State whose
health had been ruined by fluoride. These men are between thirty and fifty
years old and have replaced knees and shoulders; they have leukemias,
thyroid problems, and soft tissue diseases. I've never seen such a bunch of
young pathetic people with such health problems. I just dont see the
outrage. They are just putting them out as old men, and bringing in younger
men, over and over again," she said. "Fluoride has impacted the work span
of many of our workers, and this is in aluminum factories, petroleum
companies, brick, tanneries, steel, glass, plastics, and fluorinated plastics
manufacturers. I think that it has had a big impact on our industries that we
are not recognizing.'
Eating Country Ham
PERHAPS THE FLUORIDE workers most badly treated have been the
women and men who won the battle of the cold war, who did our dirty
work, laboring in the satanic mills that were Americas nuclear bomb
factories. Since 1949, an estimated 600,000 worked in
BURIED SCIENCE, BURIED WORKERS
193
government atomic plants, with tens of thousands more employed by
private industrial corporations who built the bomb during the early
years of the Manhattan Project. But while the U.S. spent an estimated
$5.5 trillion to build nuclear weapons, we hid the health risks of
working in those factories, denied workers additional hazardous pay,
and then fought those very same men and women in court if they
became injured or ill and filed for compensation. 26
The government told these workers that they had no illnesses,
noted Clinton-era Energy Secretary Bill Richardson. "These were
heroes and heroines of the Cold War that built our weapons . . . and we
turned our backs on them.
Paducah Joe Harding was one of those workers, toiling in the
Kentucky fluoride gaseous-diffusion plant from 1952 until 1971 —
when he was fired, without insurance, disability, or benefits.' A voice
in the wilderness, Harding fought to tell the world that the United
States' nuclear-bomb plants were poisoning their workers. In 1950 one
of the federal plutonium injectors, Dr. Joseph Hamilton, had worried
that proposals to use U.S. prisoners in more human radiation
experiments had a little of the Buchenwald touch. Joe Harding had a
similar thought. In a letter written shortly before his death in 1980, and
entered into the Congressional Record twenty years later, Harding
wrote to the Department of Energy about the nations nuclear weapons
program: It seems that Union Carbide Nuclear Co., all other
Corporations that are involved, AEC, Department of Energy, Federal
Security, FBI, Justice Department, etc, can do as they please, trample
on the public and not be touched, Harding noted. He concluded, The
Germans had a name for this kind of setup. They called it Nazism.'
Harding died of cancer the same morning a Swedish TV crew
arrived for an interview. At the end weeping sores marched across Joe
Harding s body. He struggled to breathe. His stomach and two feet of
his intestines had been removed. Bony outgrowths — classic symptoms
of extreme fluoride poisoning — sprouted painfully from Harding s
palms and joints. The Department of Energy lawyers fought Joe
Harding until the end, at one point blaming his sickness on a
combination of smoking cigarettes and eating country ham. 30 After
Harding died, the government battled his widow, Clara, in court.'
1 94
CHAPTER FIFTEEN
Pressured by union groups and shamed by an ocean of tears, Congress
finally enacted legislation in October 2000 that set up a mechanism for
compensation of up to $150,000 per injured atomic worker." But the
Energy Employees Occupational Illness Compensation Act largely
sidestepped the issue of fluoride poisoning. Although a federal study of
former bomb-program workers health found that respiratory diseases and
mental disorders were widespread in the Oak Ridge K-25
gaseous-diffusion plant, there was no mention of a medical link to fluoride,
at least for the purposes of worker compensation." (Remember, the buried
Kettering dog study had specifically linked fluoride to such serious lung
problems, while Kaj Roholm and Harold Hodge had each suspected
fluorides role in central-nervous-system disorders, a link confirmed in
animals by the laboratory studies of Dr. Phyllis Mullenix at the Forsyth
Dental Center in the early 1990s. n I am not aware of any [nuclear worker]
cases that have successfully been compensated for fluoride exposures, said
Dr. Ekaterina Mallevskia, a scientist at the Department of Energy-funded
Worker Health Protection Program at Queens College in New York, which
helps to diagnose the illness of former atomic workers. We did not pay any
particular attention to fluoride; we are concentrating on asbestos, radiation,
uranium, plutonium. Fluoride was good for workers, the scientist even
suggested, unconsciously mouthing a role written for her a generation
earlier by Harold Hodge, Robert Kehoe, and Edward Bernays. It is more
like an insufficient supply than an overexposure. Thats why it was initially
added to toothpaste, Mallevskia explained."
"No one has ever asked that question"
ITS NOT JUST workers who are getting hurt by a chemical they never
suspected. The Kettering study on beagle dogs is very likely a smoking
gun, linking fluoride to the extraordinary toll taken by air pollution in the
general population, according to Phyllis Mul-lenix. Air pollution causes
the early deaths of an estimated sixty thousand people in the United States
each year — thats 4 percent of all U.S. deaths, and a hundred times the total
number of deaths caused by all the other pollutants the EPA regulates."
Thirty thousand of these deaths from air pollution are attributed to
emissions
BURIED SCIENCE, BURIED WORKERS
95
from electric power plants, which contain fluoride. Countless thou-
sands of additional Americans suffer from other illnesses linked to air
pollution, including heart attacks, lung cancer, and breathing disorders
such as bronchitis and asthma. 37 Air pollution especially hurts children
and inner city residents.'
Mullenix once worked as an air-pollution consultant for industry.
For eleven years during the 1970s and 1980s she helped the American
Petroleum Institute (API) — the oil companies lobbying group — battle
new federal air pollution standards. She had advised corporations such
as Monsanto, Amoco, 3-M, Boise Cascade and Mobil Oil, jetting
around the country, staying in fabulous hotels, all expenses paid. It
was mind-boggling the amount of money that went into it," says
Mullenix.
Her specialty was ozone. In the late 1970s the EPA used the Clean
Air Act to order a reduction in ozone levels. Industry s lawyers fought
back, opposing the new standards and arguing that EPA had the facts
wrong. On industry s behalf Mullenix attacked EPAs scientific
justification for the proposed ozone policy changes, the so-called
criteria document. It was a shoddy piece of scientific material, she
recalls. Every time EPA came out with another criteria document, I
would look for the errors and compare it back to the [scientific]
literature. That is what I did for over ten years. Mullenix used her
training as a toxicologist to fight what she saw as the EPA s inadequate
scientific basis for its attack on ozone pollution.
The efforts to regulate ozone had a fundamental scientific weakness,
Mullenix remarked. Laboratory experiments with pure ozone were
unable to replicate the many serious injuries and health effects
associated with air pollution, she stated. Study after study, year after
year, it was extremely difficult to link ozone with asthma, ozone with
emphysema. It just didnt match. That is one of the reasons that I could
work for industry.
During her years working for industry, fluoride was never discussed,
she told me. "At the time, I didn't know anything about fluoride," she
added. "Never, ever was fluoride mentioned as a cause of respiratory
distress.
Had the nonpublication of the 1962 Kettering study thrown a
generation of scientists off the scent of a key villain, responsible, at
least in part, for air pollution s terrible health toll?
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CHAPTER FIFTEEN
"This study, the dog study, I think might have at least triggered some
investigators to look at fluorine-containing compounds as a suspect, said
Robert Phalen, of the University of California. Instead, most experts today
habitually ignore fluoride s role in air pollution. Whether something like
fluoride contributes more than its share, because of an additional irritancy?
I would say no one has ever asked that question," he added.
It is a startling oversight, because there is a much greater quantity of
fluoride in our air than we once knew. In 1998 the Clinton administration
forced several key industries to report the volumes of toxic chemicals they
were spilling into the environment. Previously the EPA had allowed
industrial sectors, such as the electric utilities and the mining and chemical
wholesalers, to avoid reporting that data. The updated information was
shocking. Overnight the amount of reported toxic pollution in the United
States soared by 300 percent. Estimate of Toxic Chemicals Is Tripled,
headlined the New York Times. 39
Even more dramatic was the increase in the amount of hydrogen fluoride
gas that industry now admitted was being spilled into the nations air.
Before the new requirements industry reported that 15 million pounds of
HF pollution escaped into the air each year. When the additional industries
were added, however, that figure rocketed to almost 78 million pounds, an
increase of over 500 percent. 40 Of the almost 63 million pounds of
additional HF, 53 million pounds (or 84 percent) came from electric power
companies, and most of that came from the burning of coal.
The EPA is studying how the fine particles in air pollution can cause
human injury. Does this hydrogen fluoride gas bind with those tiny carbon
particles in the atmosphere, contributing to the health damage seen from
such particles? What are the synergistic health effects on humans of
fluoride and sulfur compounds? ( Fluoride dramatically increases the
toxicity of sulfur compounds on vegetation and animals, according to
recent studies in Russia and work performed by the Atomic Energy
Commission.)"
"You have a good point," said scientist Maria Constantini from the
Health Effects Institute (HRI), a shared project of EPA and industry to
fund air pollution research. HRI has never funded a fluoride study, she
said. Why is it not being measured? People
BURIED SCIENCE, BURIED WORKERS
197
just sometimes look for what they think is there and not for new
things.
HF [hydrogen fluoride] should be looked at, she added. It could
be coating some of the particles and ... it could be more likely to go
down into the deep lung because the particle is carried down in the
lung. If it has properties that are toxic properties, depending on the
dose, obviously it could be of concern.
The befuddlement of todays air pollution experts is staggering,
given the toll of destruction that fluoride has wrought throughout the
twentieth century. 42 Fluoride has been the nation s most damaging air
pollutant, and almost certainly its most expensive. From 1957 to 1968,
fluoride was responsible for more damage claims than all twenty other
major air pollutants combined, according to former U.S. National
Academy of Sciences fluoride expert Edward Groth. 4, The U.S.
Department of Agriculture reported in 1970 that " airborne fluorides
have caused more worldwide damage to domestic animals that any
other pollutant." 44 And in 1982, L. H. Wein-stein of Cornell
University s Boyce Thompson Institute reported, There has been more
litigation on alleged damage to agriculture by fluoride than all other
pollutants combined ... of the major airborne pollutants, inorganic
fluoride [is] clearly the most toxic, he added.
Weinstein noted fluoride s extreme toxicity to vegetation. While
ozone or sulfur dioxide hurt plants at a threshold level of 0.05 parts per
million, hydrogen fluoride gas produced lesions on some plant leaves
at concentrations of one part per billion, according to Wein-stein 46
(That suggests fluoride can be up to 50 times more toxic than sulfur
dioxide or ozone.)
Despite this manifest chemical danger and extraordinary legal
expense — or perhaps because of it — federal regulators have long
turned their backs on fluoride air pollution. In 1957, the same year
Judge Denman issued his devastating legal ruling of human harm in
the Martin case, Washington abruptly terminated monitoring of
fluoride levels in the nation s air. 47
That decision came none too soon. Industry's hunger for fluoride
grew more voracious in the years following the Martin trial. Hydrogen
fluoride use alone more than tripled from 1957 through 1974, from 123
thousand tons to 375 thousand tons. 48 By the end of
198
CHAPTER FIFTEEN
the 196os industry was discharging 150 thousand metric tons of fluoride
pollution directly into the nations air. 40
There is little doubt that the federal decision to end air monitoring
helped industry. The feared tsunami wave of fluoride litigation from
workers and communities did not break, as industry worried it might,
following the Martin verdict. 50 And despite several expensive lawsuits
during the 196os, according to Keith Taylor, an attorney who represented
industry in alleged fluoride pollution cases, "We were all comfortable.
There were no crises. 61
Federal aid for fluoride polluters continued. In the early 1970s the EPA
elected not to include the chemical on a bad-boy list of so-called criteria air
pollutants that are hazardous to human health. Chemicals such as sulfur
dioxide, although more voluminous, yet which are only a fraction as toxic
as the hydrogen fluoride gas in air pollution, were included on the list.
Instead, fluoride was categorized in the new Clean Air Act as a welfare
pollutant, blamed primarily for economic damage, such as injuring crops,
rather than human health effects — a chemical favoritism that allowed
individual states a permissive flexibility to set emission standards for them-
selves, instead of adhering to one federal policy. 62 This ruling was based
largely on a 1971 National Academy of Sciences report that concluded
fluorides presented no direct hazard to human health. According to the
logic of the National Academy, cattle were felled, glass was etched, and
crops were decimated by a chemical that in similar doses failed to injure
people. It was all a grisly farce, of course, a cruel dictate that flew, quite
literally, in the face of the sick Americans who lived near fluoride-spewing
industrial plants, and of the lessons learned from the Martin trial. Closer to
the truth was the observation of top EPA air pollution expert D. F. Walters:
fluoride was so toxic a chemical that some form of environmental damage
was inevitable, and industries therefore needed the freedom to pollute.
Mandating "standards stringent enough to insure complete protection
against any welfare effects may require closure of major sources of fluoride
emissions." 53
The Kettering Laboratory's long-ago suppression of the dog study
helped to perpetuate a cover-up of fluoride s potential for harm as an air
pollutant, says Phyllis Mullenix. You have a study back in 1962 that says
fluoride caused emphysema and there are no studies
The Mellon Institute for Industrial Research in Pittsburgh, founded by leading Alcoa
stockholder Andrew W. Mellon, which assisted industry in fighting lawsuits alleging air
pollution. CARNEGIE LIBRARY OF PITTSBURGH
MELLON INSTITUTE OF INDUSTRIAL RESEARCH
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GERALD J COX
Gerald |. Cox. a researcher at the Mellon Institute who had worked on a
fellowship from Alcoa and who, in 1939. made the first suggestion that
fluoride be added to public water supplies, mellon institute collection,
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Cwtlll fcniM Srataa Effaota.
Oal. IWfart u «*xna, 3. 3. -ocIami offlaa,
ca* tU«a. T«—
Tha ArM aaglnaar, M aalao n «uui Ana* M.T. )
la aa — bltaa oX • projoaad
• HUM u tliaaa a/atac arraota
MM ;tl6 a; ba ra a
aa axataa arr«ct alu. -wall)
au4 laailtuea aa tf.a inn an lag—a
■ . Xt Inm a»at likaij tLat tha T aocyoa—t rattar
• T la baa oauaattT* f««V>r.
1. Slaoa) ton »lta t&aaa JC*.jouiia« la acaaatlal. it
■ Hi ba na a aaa arj to <ao« 1a aaveaaa wtat _»nial aTfooia
:xa/ Mm kfM axpooura, IT aer/aaa era to ba noaarlr bm>
boat at. Tfcla 4a laaartaat mi ouljr to (rataat a *I*aa la-
AlTlabaU, baft Um to eraraut a caoruaac teruu from lajui»
las ataaaa ba- laaaropari;- parfosalas ala autiaa.
4. Tula lati»r la balaj roatad bora taa «m iaala«>r,
— «l M a c ^uara ana, beat aaamal ci ale.*,. t^t«i or taa ta->
faraaaiaa aa b lUaa- a bora aa/ »a laalaataa b/
tar baa Dlatrlab
tal. I DLSTSIBOTICII ^ * * * y ' /(
Oaillaa - plaint raaaaxaa Cpjr 1 ft, 2' -vWdraaaaa.
anjaat-< m ana afreeba 0/ * % - %J7^C^7m\¥^
pajJB)
Manhattan Project document warning that fluoride (coded "F") rather than uranium
(coded "T") likely caused central-nervous-system injury in nuclear workers.
NATIONAL ARCHIVES
University of Rochester's Strong Memorial Hospital, c. 1946. where plutonium was
ed into patients in military experiments that were partly orchestrated by Dr. Harold C.
. EDWARD G. MINER LIBRARY ARCHIVES, SCHOOL OF MEDICINE AND DENTISTRY,
IVERSITY OF ROCHESTER
Dr. Harold C. Hodge, senior
toxicologist for the Manhattan
Project, and America's leading
scientific promoter of water
fluoridation during the cold
war. 1 adr
lames B. Conant, president of Harvard
University, chemist, and senior government
official in the Manhattan Project to make
the atomic bomb. c. paul bishop,
COURTESY PAUL BISHOP IR.
ra, Pennsylvania, site of the nation's most notorious air pollution disaster,
kh lulled two dozen people and sickened thousands in October 1948.
TIONAL LIBRARY OF MEDICINE
Toxic Fumes Believed
Cause of 19 Deaths;
Hundreds Stricken
LM of It 4**d in Donora tmeg •ad aWfarw. P*ft 2
Mr ASA ATWATKB. PHIakargh PnM Mall Wrltrr
dAnora. Nov. 1— The heavy pall of fog which
brought mysterious death to 19 elderly persons here thii
week end has begun to drift away.
Two separate investigations are under way to stalk
the silent killer ''which is believed to be a toxic poison
in the fog
The deadly fag struck first Friday night when
hundred* of persons; — m — II. I asthma luffrren — ex pen -
' enced difficulty in breathing
Pittsburg Press
November 2, 19
WXATMCH— ^air »m4 eOarriM* •
VOLUME 6S. No. 130 ••
Slat* or f fnorgency Dec/ored —
Smog-Born Plague
Kills 17 in Donora;
Hospitals Overcrowded
Doctors llama 4 Days of Fog Plus Plant
Fumai; Hundreds Laava Town for Safety
DONORA, Oct. 30 (8peci*J)_A sUte of emergency
was declared in Donora today as a mysterious smof-
bom plague brought death to 17.
4 without sleep and the Red Class. 1
ind other rroupi co-operated to art
hospital In the town Community
Ho s pit als were Jammed to overflowing. Twelve oeraont
News of the air pollution disaster which took place in Donora,
Pennsylvania over Halloween, 194*.
dipSadllcr.chcmic.il nmtwhtlM who blamed fluoride pollution for the Donora disaster,
i represented New lersey farmers in WWII era fluoride pollution claims against the
L attan Project, trai-uf sadtler
Chemist Says Fluorine Gas
Caused 19 Smog Deaths
Pi-..*.' Dl „ tt j f g| p 0 || 0|(w(|
' In Report to Donora Council on Tragody
Fluorine gas — not sulphur fume* — ru the poison In
Philip Sadtler blames fluorine for the IXinora deaths
Aluminum (*mt|Ktmj uFAmrrira
ALUMINUM »CSrA»CM LABONATOMIKS
•<■ • • - - i
Dacaabar 30. 1
Dr. ItUlaa r. Aaha
gattariaa Laboratory
Dh tiara it j of CiKihiU
Cincinnati 19, Ohla
Doar Dr. Aaha:
•• hara Jaat coaslatad low analytical aort
anion hu haaa dlin—lll rfth DrTT«U*7 A. Irwin, fed l oil
Director of AJoalnan Coapany of Aaarlca. Dr. Irwin hu
■W«Ud that I tranaail tha nmlli of oar analysis to joa.
For jour inforaatioa, tha rsaulta of Mr «ilnli ara balsa
tranaalttod only to 700 Kid to Dr. Irwia Sola raoalsina. »
cow 0? UU« laltar.
. I. Raanay, StLoiifli^»t^ r n^a£toTtoiplUl,
Barton, Psoaayltania, not to as loag tlaaaa ana blood
- dlad during too pariod of U>
ral axaaiaation of tha laag
nta nn praasBt, anaT
Dr. 0
laahlngt .
froa tha body of Rika Doruca
troubla at Doaora* la aada a (a
tlaaaa la ordar to daUrain* afiat ala
tha raaulta aara aora or laaa of a ganaral aatara
l h ow ad tha praaanca of a graat satyr alaaaatf
.as In lew ooaoaatratloa.
Tha aaapla
ta, iaclBdiag aoaa
aa aada our usual
rsaaal axtrsa»ly
au fluorine at 1
lnlaraet to 70a L
aaa laaarsarl Id 1 11
body fluid. Bafora
bow that wKao tha aaapla aaa aaat to aa, it
quid anion Bar or any aot bn»e baaa •zoaat 1
ashing tha lanf . ileaj reacted froB this ' i
several tiaaa. Tola r aanwfl aa auoh llaald
liquid and squeezed sereral tiaaa. Thla raaorad aa auoh liquid
aa poasibls.W all of tha liquid aqaaaaad oat. aa Ball aa that
r eal i s i n g la tha bottle, aaa earafulla ashed and toatad. lowerer,
tha aah of thia liquid aaa ao ertrwaaly loa that aa did aot aara
to aire tha siopad epecuagranhic aaat aaoaaaary
enough aaapla <
to taat for fluorine
At that particular tiaa, aa did aat da
anything alto tha aaapla of blood, bac.ua t aa laamad that tha
bod/ oT tha aaa bad baan aabalaad bafora axolalaa of tha tlaaaa.
left
U/*Vas
Blood test secretly performed
by the Aluminum Company
of America on one of the
Donora dead, showing high
level of fluorine in blood.
MEDICAL HERITAGE CENTER,
UNIVERSITY OF CINCINNATI
NdTatlllal ..
»rlc acir.t . UBpajSuraTni!*.
aaa to you.
I traat roe will find thla isfaraaUoa of aaa*
»ery truly jour..
m. ». anwiin, dhiaf 1
nc/>
Copy: Dr.
. ''""HTM. Chi af
Analyticsl Dlilslea
ALBJOBOJ OOBMUrj Of ANDUCA
Alu.Ua. haaaarak Uaaratartaa
Dsdley A. Irala, MtUbargh
Dr. George L \\'aldlx>it, internationally renowned allergist and physician who
early warned America to the dangers of smoking, and of the potential dangers
of even small amounts of fluoride, Elizabeth ramsey
Kettering Laboratory at the University of Nicholas C. Leone, Chief of Medical
Cincinnati, and leading defender of industry Investigations at the National Institute
in fluoride pollution lawsuits, university q ( Research during the i<«os.
OF CINCINNATI. ACADEMIC INFORMATION NATIONAL INSTITUTE OF DENTAL AND
AND COMMUNICATIONS, CINCINNATI CRANIOFACIAL RESEARCH
MEDICAL HERITAGE CENTER
The Reynolds Metals
Company aluminum
reduction plant at
Akwesasnc, New York.
HENRY LICKERS
Mohawk child at the
Akwesasne reservation in
New York, with evidence of
fluoride-poisoned teeth.
PROFESSOR LENNART KROOK
National
FLUORIDATION NEWS
National Fluoridation Sews, a newspaper edited by George and Edith Waldbott. which
connected the vigorous antifluoridation movement during the 1960s and 1970s.
ff Forsyth Dental Center
^News
RESEARCH INSTITUTE
SCHOOL FOR DENTAL HYCJENIST5
DENTAL INFIRMARY
New Forsyth
Toxicology Dept.
Dr. Phyllis Mulknix tuts been appointed by
Dr. John W. Hein. Director of Fonyth. lo
head the department of toxicology In an
nouncinf the appointment. Dr. Hein Mated
"Societal concerns are becoming justi-
fiably aroused over the long term implications
of traces of toxins in the environment. As a
major center of dental science, we at Forsyth
beueve our institution has a special obligation
to answer these concerns by a reexamination
and reassessment of the long range toxicity of
substances of particular interest to dentistry,
a* for example, the fluoride ion. mercury (in
dental fillings), nitrous oxide (for anesthesia),
non precious metal substitutes for gold and
many others. But, beyond our interest in
the toxicity of specific materials used in den-
tistry, it is our desire to advance methodology
for delecting toxicity. Dr. Mullen ix has evolv-
ed a new technique which indicates a much
more sensitive test than the traditional means
of the letting of compounds causing toxic ef-
fects on the nervous system. It measures
in animal behavior rather than
in structure. Application of this
i to nitrous oxide, long considered the
safest of general anesthetics, has revealed that
this agent can cause damage at certain timet
during the gestation period in rodents which
arc only revealed as behavioral changes when
adulthood is reached. The far-reaching im-
plications of this research are obvious."
Dr. MuDenix received her Ph.D. from the
University of Kansas Medical C enter and a a
former Fellow in Toxicology of Johm
Hopkins School of Hygiene and Public
Health Dr. Mullenix holds many consulting
appointments lo government and industry
and is a faculty member of the Department of
Psychiatry of the Harvard Medical School.
Dr. Hein also stated that he had the add*
pleasure of announcing the appointment of
Dr. Harold C. Hodge, internationally
known loxkologist. as Research Affiliate in
the Department of Toxicology. Dr. Hodge,
considered by his colleagues as the dean P
modern toxicology, was the founder of f
Society of Toxicology and served as its pn
dent in 1961. Dr. Hodge has held many i
port ant academic and scientific appoint m
including Professor of Pharmacology
Toxicology, the University of Ro
School of Medicine and Dentistry, Pi
of Pharmacology. University of Califo
San Francisco, and Professor of Ea
vironmental Toxicology, University
California. Irvine. While professor
Rochester. Dr. Hodge headed the P™
of Pharmacology and Toxicology. I
ten Project and Atomic Energy Project.
Hodge is also the author of several texts t
toxicology and numerous scientific pi
have been contributed by him to the i
macological and toxicologtcal literature.
i 1
Forsyth Dental
Center News,
spring 1984.
announcing
appointments of
Phyllis Mullenix
and Harold Ho
FORSYTH DENTAL
CENTER
Dr /*>fto Sfw/lrmi. rrrral'i hrtd of tonytk '« TajKnlait Drpartmrnl. mill (It Dr.
HmvM C Hod*. Knrmnk AJfihlt m Taarofccr anrf tr) fonyltt I Dmrtor. Dr. John »
BURIED SCIENCE, BURIED WORKERS
199
after that? Mullenix said. "I mean that is a complete dodging of a very
important factor that should be looked at. There was no repeat study,
no follow-up on fluoride. . . . That is completely the opposite of what
happened with ozone, she said. Everything was blamed on ozone.
Everything went into [studying] nitrous oxides, or sulfur oxides."
(Unlike the case with fluoride, where the source of the effluent is often
obvious and unique, suing a particular factory or industry for use of
these more ubiquitous pollutants is much more difficult)"
The Clean Air Act let industry off the hook: federal laws would not
protect citizens living near fluoride emitting factories. The aluminum
industry was an especially big winner. In 1958 for example, Reynolds
Metals — fresh from its defeat in the Martin trial — opened a new
aluminum plant near the ancestral Native American farming
community of Akwesasne on St. Regis Island in the Gulf of St.
Lawrence, which is situated on the border between New York and
Canada. Akwesasne is a Mohawk Indian word meaning "land where
the partridge drums." Those partridges soon fell silent, however, as
Reynolds's fluoride filled the air.
By the early 1960s a drumbeat of protest was sounding. Mohawk
farmers reported that honeybees and grasshoppers had disappeared
from the area, while sick cattle and etched car windows were found
downwind from the Reynolds's plant. Although Reynolds was acutely
aware of the dangers from fluoride — after all, the company had just
received Robert Kehoe's 1962 report on the poisoned beagle dogs —
Reynolds did not share the information with the Native Americans,
according to the Mohawk biologist Henry Lickers." "For 17 years we
allowed Reynolds Metals to come onto the island to look at the
problem. And for 17 years they collected data ... never insinuating
there was anything wrong with our cattle," Lickers remarked."
The aluminum industry helped to drive a chemical stake through an
ancient culture that had lived in harmony with the earth, said Lickers.
The concept of Peace, the concept of the Great Law — all of those
things knit our people together in a strong union. [But] when you
poison the environment, the fiber of the community comes apart. Into
that void now comes the non-traditional economies — gambling,
smuggling — because people no longer can depend upon
the old economies.
200
CHAPTER FIFTEEN
Evidence that fluoride might be hurting local children at Akwe-sasne
was discovered on a 1978 visit to a Mohawk school by the scientist
Bertram Carnow of the University of Illinois School of Public Health. He
found a range of health problems on St. Regis Island similar to those that
had frequently been linked to fluoride elsewhere. (The complaints echo
almost exactly the injuries to Paul Martins daughter, for example.) "At the
school," Carnows team reported, "teachers stated that ... the Island children
were more irritable and hyperactive and appeared to be suffering from a
considerable amount of chronic fatigue. They seemed to be tired all of the
time. Additionally, some had complained of aching in the legs, particularly
the muscles, and in one case, the son of one of the teachers had so much
pain in his feet that he frequently had difficulty in sleeping. Several
teachers mentioned poor handwriting as a problem. They felt that in
several cases that this might be due to the presence of a tremor. A number
of children apparently had rashes, which were noted by one of the teachers.
Respiratory infections were frequent and one of the children had developed
a goiter."
Among the Akwesasne Mohawks, Carnow concluded, "There would
appear to be significant numbers of people with abnormalities of the
muscular, skeletal, nervous, and hematologic systems. In addition, there
appears to be a large number at high risk because of diabetes and high
blood pressure."
In 198o, threatened by Carnows findings, the Canadian and American
governments intervened and arranged for a second team of scientists to
visit the tribe for a more in-depth study." Although the report subsequently
issued by Dr. Irvine Selikoff of the Mount Sinai School of Medicine in
New York was not able to conclusively fix the blame on fluoride for local
health problems — a determination that eventually helped to undercut the
$150 million lawsuit against Reynolds — at least one scientist believes that
the Akwesasne verdict has not yet been fully rendered. 59 Phyllis Mullenix
is now regularly visiting Akwesasne to advise Mohawk health care
providers on the possible relationship between environmental pollution and
their sick patients. "A lot of these people have lung problems, asthma,
breathing problems — they are all on puffers [inhalers]," she says. Mullenix
notes that, while Dr. Selikoff s team found serious breathing difficulties
and lung problems in the Mohawks, his scientists
BURIED SCIENCE, BURIED WORKERS
201
were never shown the Kettering Laboratory's fluoride inhalation
study, which connects fluoride to lung damage at low doses, and
which Reynolds Metals had helped pay for.
Such missing medical evidence has left scientists, doctors, and Native
Americans alike in the dark about fluorides health effects and has shaped
an environment where chronic sickness has been blamed, not on fluoride,
but on the Indians themselves. "It is bizarre," Mullen ix remarked. "This
population has been so sick for so long. They said, We are Indian — yeah,
we are all diabetic, we are all fat, we all have thyroid problems.' They have
been told that for so long. A population has accepted illness as a way of
life."
What befell the Indians at Akwesasne may have befallen us all.
Federal regulators were watching the situation at Akwesasne in early
198os very closely. A ruling that the Indians had been hurt by fluoride
would have increased pressure on the EPA to list fluoride as a
hazardous "criteria" air pollutant under the Clean Air Act, and
required federal policing of fluoride across the entire country." Instead,
the Selikoff team's failure to conclusively link fluoride to Mohawk
sickness once again helped what some environmentalists call "the
protected pollutant" to wriggle out from under EPA scrutiny.
But had Selikoff seen the 1962 Kettering study on the beagles, and the
strength of its link between fluoride and lung damage, he might have been
forced to rule differently on Akwesasne — and federal regu lators might
have been forced to look anew at fluoride air pollution across the rest of the
country. "The changes that Selikoff was seeing in the reduced lung
capacity of Akwesasne residents] would have made sense," notes Phyllis
Mullenix. "His conclusions, in respect to pulmonary function [and its
cause-and-effect relationship with inhaled fluoride] would have had to be
totally different."
A new focus by the EPA, aggressively targeting fluoride in air
pollution, might even make good economic sense, argued the Uni-
versity of California's Robert Phalen, by allowing industry to be more
selective in filtering out harmful air poisons. "You can't just turn off all
air pollutants, because we will all starve," he said. "You have got to
identify the more toxic components and control them in a pin-point
fashion. It's like food — do you ban food? No, you say salmonella is a
problem and you control it."
Hurricane Creek
The People Rule
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