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Epigraphs Note on Terminology Acknowledgments Introduction

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the people working in the atomic energy plants that might be exposed to<br />

fluoride.”<br />

16. “Memorandum to Major J. L. Ferry, Manhattan District Oak Ridge, from<br />

Capt. B. J. Mears, July 5, 1945, subject, Visit to E. I. DuP<strong>on</strong>t de Nemours &<br />

Co.” “Preparati<strong>on</strong> of the IBM cards will be d<strong>on</strong>e by Dr. Evans [DuP<strong>on</strong>t] after<br />

he has received his new equipment and the operators have been instructed<br />

by Mr. M. Wantman [Rochester]. . . . The results of the statistical survey will<br />

be available <strong>on</strong>ly to the Medical Secti<strong>on</strong> of the Manhattan District,” Md 701,<br />

Medical Attendance, Box 54, Accessi<strong>on</strong> #4nn 326-85-005, Atlanta FRC, RG<br />

326.<br />

17. Whether fluoride damaged kidneys, and whether fluoride in urine would<br />

therefore be a good measurement of occupati<strong>on</strong>al fluoride exposure, was<br />

key informati<strong>on</strong> sought by the bomb program. (Extra fluoride was stored in<br />

the b<strong>on</strong>es of those injured patients, the government scientists found.) AEC<br />

No. UR-38, 1948, Quarterly Technical Report. Also cited in Kettering Lab<br />

unpublished report, “Annual Report of Observati<strong>on</strong>s <strong>on</strong> Fluorides. October<br />

25, 1954.” Kettering did similar experiments <strong>on</strong> patients with damaged<br />

kidneys, according to this report.<br />

18. Special Report 454, “Report <strong>on</strong> the Work of the Pharmacology Divisi<strong>on</strong>,”<br />

included in summarized subsecti<strong>on</strong> “The Toxicology of Special Materials,”<br />

via Joel Griffiths.<br />

19. Roholm to Col. J. P. Hubbard, Public Health Secti<strong>on</strong>, Dagmarhus, July 20,<br />

1945. Hubbard is probably an Allied occupati<strong>on</strong> official. The letter is in the<br />

files of the Rockefeller Archive, Folder 2102, Box 310, RF RG2 713. Roholm<br />

explained that he wanted to rec<strong>on</strong>tact H. T. Dean at the Nati<strong>on</strong>al Institute<br />

of Health and Margaret C. Smith at the University of Ariz<strong>on</strong>a, who had<br />

discovered that fluoride causes dental mottling.<br />

20. Roholm to Frank J. McClure (U.S. Nati<strong>on</strong>al Institutes of Dental Research),<br />

June 13, 1946. On Roholm’s attitudes toward American health care: Danish<br />

newspaper clipping in Roholm family scrapbook, translated by daughterin-law<br />

Karin Roholm. Pers<strong>on</strong>al meeting in New York, May 2001.<br />

21. “Fluorine interferes with the normal calcificati<strong>on</strong> of the teeth during the<br />

process of their formati<strong>on</strong>,” the U.S. Department of Agriculture claimed in<br />

1939, “so that affected teeth, in additi<strong>on</strong> to being unusually discolored and<br />

ugly in appearance, are structurally weak and deteriorate early in life. For<br />

this reas<strong>on</strong>, it is especially important that fluorine be avoided during the<br />

period of tooth formati<strong>on</strong>, that is from birth to the age of 12 years . . . this<br />

dental disease is found when water c<strong>on</strong>taining even as little as 1 part per<br />

milli<strong>on</strong> is used.” Yearbook of Agriculture (1939), p. 212.<br />

“Fluorides are general protoplasmic pois<strong>on</strong>s,” the American Medical<br />

Associati<strong>on</strong> warned in 1943, “probably because of their capacity to modify<br />

the metabolism of cells by changing the permeability of the cell membrane<br />

and by inhibiting certain enzyme systems. . . . The sources of fluorine intoxicati<strong>on</strong><br />

are drinking water c<strong>on</strong>taining 1 part per milli<strong>on</strong> or more of fluorine.<br />

. . . Another source of fluorine intoxicati<strong>on</strong> is from the fluorides used in the

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