Fluoride in the water
Grand Rapids, Michigan, 1945: first city to add fluoride to its water supply.
It works on everyone in the city, whether or not they brush, floss, or have a dentist.
CDC, Community Water Fluoridation
The inventions that saved more lives than any medicine
47
Today it's about 79. Where did 30 extra years come from?
Most of it did not come from hospitals. It came from things you never think about.
CDC National Center for Health Statistics
Grand Rapids, Michigan, 1945: first city to add fluoride to its water supply.
It works on everyone in the city, whether or not they brush, floss, or have a dentist.
CDC, Community Water Fluoridation
Required in new cars from 1968. New York passed the first law requiring you to actually wear one in 1984.
The safety belt was not the invention. The law was.
NHTSA; CDC MMWR, Ten Great Public Health Achievements 1900 to 1999
1964: the Surgeon General's report linked smoking to lung cancer. It was front-page news.
There was no drug and no surgery. A report, then warning labels, taxes, and ad bans did the work.
CDC; Holford et al. 2014, JAMA
Smallpox killed an estimated 300 million people in the 20th century. Last natural case: 1977. Declared gone: 1980.
Polio in the U.S., 1952: about 21,000 kids paralyzed in one year. Vaccine in 1955. Zero U.S. cases since 1979.
Smallpox is the only human disease ever eradicated. The tools were a vaccine and decades of coordinated case tracking.
WHO; CDC Pink Book
London, 1854. John Snow maps cholera deaths, finds they cluster around one pump on Broad Street, and has the handle removed.
U.S. cities start filtering and chlorinating water around 1908. Typhoid deaths fall from ~30 per 100,000 to almost zero by 1950.
Cutler & Miller 2005, Demography
That is what public health does. It changes the environment so the healthy choice is the default.
EPA; Falcaro et al. 2021, The Lancet
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