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. 2023 Oct 5;7(10):e22.00221. doi: 10.5435/JAAOSGlobal-D-22-00221

Table 2.

Average Percent of State Receiving Fluoridated Water (%) and Average Fluoride Level (mg/L) For Each State and Fracture Type

State Average Percentage of State Receiving Fluoridated Water (2010–2020), % Average Fluoride Level (mg/L) SCHF Fracture Rate per 100,000 Children Aged 4–10 yrs BBFFx Fracture Rate per 100,000 Children Aged 4–10 yrs FFx Fracture Rate per 100,000 Children Aged 4–10
Alabama 78.48 0.56 4.79 12.86 0.30
Alaska 51.05 0.39 4.43 7.06 0.00
Arizona 57.63 21.37 29.81 3.72
Arkansas 76.45 0.60 5.32 11.01 0.48
California 61.15 0.42 4.47 5.28 0.33
Colorado 73.58 0.65 12.27 18.24 1.25
Connecticut 90.03 0.63 7.70 9.23 0.57
District of Columbia 96.00 7.64 8.42 0.00
Delaware 88.82 0.55 5.93 16.92 1.36
Florida 77.82 0.55 17.34 26.34 1.86
Georgia 95.15 0.66 14.40 25.91 1.92
Hawaii 10.25 14.06 8.51 0.00
Idaho 32.30 3.83 6.54 0.00
Illinois 98.57 0.70 11.38 17.14 1.10
Indiana 93.83 0.67 18.09 29.32 2.50
Iowa 91.23 0.69 17.48 35.14 2.05
Kansas 64.85 0.53 11.43 17.47 1.01
Kentucky 99.88 0.70 23.29 38.66 2.13
Louisiana 41.58 0.43 13.51 23.96 2.56
Maine 79.30 0.56 18.03 27.10 2.37
Maryland 95.70 14.90 33.59 1.61
Massachusetts 64.08 0.44 5.56 9.56 0.62
Michigan 90.33 0.64 23.35 34.23 3.61
Minnesota 98.80 0.69 7.61 14.65 1.56
Mississippi 59.37 0.51 6.92 15.36 0.97
Missouri 76.27 0.55 9.03 19.02 1.36
Montana 31.85 4.56 7.17 0.00
Nebraska 71.67 0.59 12.73 25.57 1.32
Nevada 74.42 0.60 9.23 17.30 1.10
New Hampshire 45.82 0.45 4.86 11.95 0.00
New Jersey 14.93 17.17 28.39 2.26
New Mexico 76.92 16.85 29.09 2.07
New York 72.10 14.61 23.09 1.99
North Carolina 87.63 6.41 13.07 0.84
North Dakota 96.52 0.67 11.52 19.25 0.00
Ohio 91.72 26.54 39.44 4.23
Oklahoma 67.08 14.07 23.49 1.56
Oregon 23.85 19.05 25.60 2.39
Pennsylvania 55.68 11.86 20.67 2.27
Rhode Island 84.02 0.59 4.58 7.68 0.00
South Carolina 91.58 0.70 18.03 34.91 3.80
South Dakota 93.85 20.00 32.57 2.68
Tennessee 89.23 0.63 20.65 27.30 2.62
Texas 75.05 0.60 21.94 21.51 2.32
Utah 48.73 5.61 12.14 0.65
Vermont 56.28 0.00 3.29 0.00
Virginia 95.93 0.70 10.80 24.48 1.63
Washington 64.17 0.60 15.52 20.82 1.80
West Virginia 90.98 20.25 41.21 2.96
Wisconsin 88.08 13.54 21.28 1.95
Wyoming 51.22 8.37 13.31 0.00

BBFFx = both bone forearm fracture, FFx = femur fracture, SCHF = supracondylar humerus fracture.