Surveillance of public water supply fluoridation and municipal indicators: an analysis in the state of Espirito Santo, Brazil

This study investigated the demographic, socioeconomic, and municipal health indicators related to quality of water fluoridation. An ecological was carried out in Espirito Santo state (ES), based on data from Drinking Water Quality Surveillance Information, 2014 2017. The non-parametric Mann-Whitney Spearman tests were applied compare with availability information fluoridation, respectively. Fluoridation calculated define percentage fluoride concentration values each municipality within range optimal level corresponding maximum benefit for preventing dental caries minimum risk occurrence fluorosis. proportion 80% or more samples defined as a compliance criterion. In 2014, 62.8% municipalities had available, 16.7% performed analyses concentration. available increased about 30%, 2017, 3.8% referring fluoride. fluoridation remained high (> 80%) ES almost every year, except 2014. largest population, highest GDP per capita, lowest coverage oral team exhibited greater (p <0.05). child mortality rate showed strong negative correlation findings reinforce importance directing public policies that ensure correct practices monitoring maintaining