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U.S. Government Calls for the Phase-out of
Dental Mercury Amalgam...
Guest Article by
Charles G.
Brown, National Counsel
Consumers for Dental Choice
Tuesday,
April 5th, 2011 In an extraordinary
development that will change the global debate about
amalgam, the United States government has announced
that it supports a “phase down, with the goal of
eventual phase out by all Parties, of mercury
amalgam.” This statement – a radical reversal
of its former position that “any change toward
the use of dental amalgam is likely to result in
positive public health outcomes” – is part of
the U.S. government’s submission for the upcoming
third round of negotiations for the world mercury
treaty.*
While couched in diplomatic hedging – remember it is
still early in the negotiations – this new U.S.
position makes three significant breakthroughs for
the mercury-free dentistry movement:
- The U.S. calls for the phase-out of amalgam
ultimately and recommends actions to “phase
down” its use immediately. Incredibly, the
government adopted three actions that the World
Alliance for Mercury-Free Dentistry and
Consumers for Dental Choice proposed at the
negotiating session in Chiba, Japan. Our key
ally, The Mercury Policy Project, laid the
groundwork for this success at a World Health
Organization meeting in 2009!
- The U.S. speaks up for protecting children
and the unborn from amalgam, recommending that
the nations “educat[e] patients and parents
in order to protect children and fetuses.”
- The U.S. stands up for the human right of
every patient and parent to make educated
decisions about amalgam.
What does this mean? Our position – advocating
the phase-out of amalgam – is now the mainstream
because the U.S. government supports it. Who is the
outlier now? It’s the pro-mercury faction,
represented by the World Dental Federation and the
American Dental Association. With the U.S.
continuing its leadership role in this treaty, we
will broadcast the U.S. position to other
governments around the world, encouraging them to
support amalgam “phase downs” leading to phase-outs
not only globally, but within each of their
countries.
We applaud the U.S. government. But tough work lies
ahead. For example, we must demonstrate to the
world that the available alternatives – such as
composites and the adhesive materials used in
atraumatic restorative treatment (“ART”) – can cost
less than amalgam and will increase access to dental
care particularly in developing countries.
For now though, let’s mark this watershed in the
mercury-free dentistry movement: the debate has
shifted from “whether to end amalgam” to “how to
end amalgam.”
-- Charlie
Charles G. Brown
National Counsel, Consumers for Dental Choice
President, World Alliance for Mercury-Free Dentistry
5 April 2011
* The full text of the U.S. submission is
available at
http://www.unep.org/hazardoussubstances/Portals/9/Mercury/Documents/INC3/United%20States.pdf
Here is the excerpt on amalgam:
"We are aware that several delegations
at INC-2 suggested mercury amalgam
should not be included in Annex C,
noting a number of difficulties and
complexities related to this issue. The
United States supports further
consideration of dental amalgam by the
INC such that the agreement is able to
achieve the phase down, with the goal of
eventual phase out by all Parties, of
mercury amalgam upon the development and
availability of affordable, viable
alternatives. To the extent that Annex C
is not structured to accomplish such a
goal, the United States believes that a
number of obligations could be
considered within an appropriate
operative paragraph of the agreement
itself. Such a paragraph could commit
Parties to phase down the use of mercury
amalgam or address mercury releases
through conducting and promoting further
research on alternatives, mandating the
use of separators in dental offices,
promoting and incentivizing prevention
strategies, educating patients and
parents in order to protect children and
fetuses, and training of dental
professionals on the environmental
impacts of mercury in dental amalgams,
and to report on their progress in doing
so to inform the Conference of the
Parties on the progress being made to
phase down amalgam use."
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