Engineering and Administrative Recommendations for Water Fluoridation, 1995

In April and September 1993, CDC convened two advisory workshops to review
and revise fluoridation recommendations. Since 1979, CDC has developed
guidelines and/or recommendations for managers of fluoridated public water
systems. This report summarizes the results of these two workshops and consolidates and updates CDC’s previous recommendations. Implementation of
these recommendations should contribute to the achievement of continuous
levels of optimally fluoridated drinking water for the U.S. population, minimize
potential fluoride overfeeds (i.e., any fluoride level that is greater than the recommended control range of the water system), and contribute to the safe
operation of all fluoridated water systems. The report delineates specific recommendations related to the engineering aspects of water fluoridation, including administration, monitoring and surveillance, technical requirements, and safety procedures. The recommendations address water fluoridation for both community public water supply systems and school public water supply systems.