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HomeMy WebLinkAboutMinutes 02/18/2003 4877 CITY COUNCIL MEETING Port Angeles, Washington February 18, 2003 CALL TO ORDER - Mayor Wiggins called the special meeting of the Port Angeles City Council to order SPECIAL MEETING: at 5:00 p.m. ROLL CALL: Members Present: Mayor Wiggins, Councilmembers Braun, Campbell, Erickson, Headrick, Rogers, and Williams. Members Absent: None. StaffPresenr' Manager Quinn, Attomey Knutson, G. Cutler, D. Dickson, and S. Sperr. ADJOURN TO The meeting adjourned to Executive Session at 5:00 p.m. to discuss a matter of real EXECUTIVE SESSION: estate for approximately 50 minutes. RETURN TO OPEN The meeting returned to Open Session at 5:50 p.m. SESSION: CALL TO ORDER - Mayor Wiggins called the regular meeting of the Port Angeles City Council to order REGULAR MEETING: at 6:00 p.m. Staff Present: Manager Quinn, Attorney Knutson, Clerk Upton, M. Connelly, G. Cutler, D. McKeen, T. Riepe, Y. Ziomkowski, D. Dickson, S. Sperr, S. Johns, S. McLain, and L. Dunbar. Public Present: R. Veenema, R. & J. Mantooth, B. & A. Kennedy, M. Hoffman, S. Kennedy, J. Beitzel, R. LoPresti, E. Kailin, S. Chapman, P. Miller, L. Conners, S. & B. Neff, R. Hanley, J. Cardinal, J. Black, P. Lamoureux, D. Ralston, R. Yamamoto, A. & S. Wilkinson, M. & P. Hannah, T. Price, M. Balkan, T. Haworth, J. Miller, J. Cammack, D. Schanfald, B. Cammack, F. Charles, L. & C. Jacobson, P Boroughs, J. Geren, R. Marschall, M. Lemon, V. Leffers, S. Tharinger, J. Morris, K. Weller, Dr. & Mrs. H. H. Royaltey, C. Tack, C. Greenway, A. Gilson, M. Harrington, E. Turner, S. Garlick, E. Koehler, C. T. Bensen, J. Weller, A. M. Snell, D. Hood, B. Forde, D. Zanon, J. Ude, L. M. Howard, R. Marschall, J. Gloor, R. Luedeke, D. French, and P. McDaniel. PLEDGE OF The Pledge of Allegiance to the Flag was led by Councilman Williams, followed by a ALLEGIANCE: moment of silence for loved ones in harm's way. PUBLIC CEREMONIES, None. PRESENTATIONS AND PROCLAMATIONS: -1- 4878 CITY COUNCIL MEETING February 18, 2003 WORK SESSION: None. LATE ITEMS TO BE Councilman Williams asked that discussion be held on adding a Moment of Silence to PLACED ON THIS OR the Council agenda. This was added as Agenda Item K. 1. FUTURE AGENDAS: Paul Lamoureux, 602 Whidby, read in a recent newspaper article that Ocean Shores is using approximately $5.5 million in hotel/motel taxes for a $10 million complex. He encouraged the Council to support the local committee to see if an agreement can be reached to further community benefit in the form of an additional bed tax. Another newspaper article referenced the usc of treated wood and, uncertain as to the use of treated wood (with arsenic) in the Dream Playground, Mr. Lamoureux urged the placement of signage for public awareness if applicable. Yet another article discussed the issue of stormwater and, in reminding the Council of its previous vote on a stormwater utility, Mr. Lamoureux suggested that the Council plan accordingly on stormwater, being mindful of the impacts of the State stormwater manual. Mr. Lamoureux referenced the completion of the Skills Center scheduled for the end of the year. Noting that a traffic light was included in the CIP for 5th 8~ Race Streets, Mr. Lamoureux proposed that consideration be given to instead installing that traffic light at 8th & "C' Streets because of the added traffic that can be expected in conjunction with the Skills Center and other new businesses in the area. FINANCE: 1. Energy Star Utility Participation Agreement: Energy Star Utility Power Resources Manager Dunbar summarized the agreement offered by the Northwest Participation Agreement Energy Efficiency Alliance for the City's participation in the Energy Star Home Products Program. The City previously participated three times in similar offerings, and this particular offering would provide a $150 rebate for Energy Star rated clothes washers, plus a $50 manufacturer rebate. Coupons will be inserted in utility bills in April and can be redeemed through July. Councilman Campbell moved to approve and authorize the Mayor to sign the Energy Star Home Products "Double Your Savings" Campaign agreement. The motion was seconded by Councilman Braun. Following brief discussion on Bonneville's financial commitment to this program, as well as the Utility Advisory Committee's support of the program, a vote was taken on the motion, which carried unanimously. Amendment No. 3 to 2. Amendment No. 3 to Consultant Agreement, Port Angeles International Consultant Agreement, Gateway: Port Angeles International Gateway Public Works & Utilities Director Cutler reviewed the proposed amendment to the agreement with Merritt + Pardini, inclusive of added design services for traffic signal and signage improvements. He advised the Council that traffic signals downtown and at 1st & Peabody would be upgraded to current requirements. In response to an inquiry from the Mayor, he indicated the new signs wouldbe extended to the entrance to the City. Councilman Braun moved to authorize the Mayor to sign Amendment No. 3 to the agreement with Merritt + Pardini to provide additional engineering design services for traffic signal and signage improvements with the negotiated total added fee not to exceed $61,350.00. The motion was seconded by Councilman Headrick and, following brief discussion, carried unanimously. CONSENT AGENDA: Mayor Wiggins referenced the new checklist in the packet, and Finance Director Ziornkowski indicated the format will be discussed at a meeting of the Finance Committee. Manager Quinn pointed out that payment schedules may be changed to the extent that checks would be cut twice a month as opposed to weekly. Following questions and answers on the checklist and other items noted in the Consent Agenda, Councilman Braun moved to accept the Consent Agenda, to include: 1.) City Council minutes of February 4, 2003; 2.) Council Register - January 31, 2003 - 612,250.02; 3.) Electronic Payments - February 7, 2003 - $1,836,579.00; 4.) Contract Acceptance and Release of Retainage for the Tree Trim Contract - (Project 22.25); 5.) -2- CITY COUNCIL MEET1NG 4879 February 18, 2003 CONSENT AGENDA: Contract Acceptance and Release of Retainage for the 2002 Paving Program (Project (Cont'd) 22-06); and 6.) Out-of State Travel - Exceeds $1500 - Community Development Director. The motion was seconded by Councilman Williams and carried unanimously. CITY COUNCIL Councilmember Rogers reported on attendance at various economic development COMMITTEE meetings, a speech before Soroptimist-Jet Set, and participation in meetings with REPORTS & former Senator Slade Gorton, the Lodging Tax Advisory Committee, the Utility CALENDAR: Advisory Committee, and other telecommumcation events. She co-sponsored a broadband series with the PUD and Sequim, spoke on the radio about opportunities in telecommunications, and participated in a ribbon-cutting ceremony at the Port Angeles Inn. Also, Councilmember Rogers attended the Chamber of Commerce Board meeting held on the UGA extension of utilities and the meeting of the Multi-Cultural Task Force. She had an opportunity to speak with Congressman Norm Dicks, thanking him for appropriations directed to the City for the Carnegie Library, and she also directed comments of appreciation to Senators Murray andCantwell for appropriations to the community. The Council was informed that Tim Smith is following up on notes of appreciation in that regard. Councilman Williams attended a public hearing held on rather short notice regarding revisions to the Washington Administrative Code on water quality standards for surface waters. In reviewing information on the proposal, Councilman Williams indicated there were 105+ pages on the revisions, plus 50-90 pages on economic impacts. The del'tuitions contain references to stormwater management manuals, and Councilman Williams expressed concern with the proposed placement of the revisions in the WACs, as they are tied directly to a codification of the stormwater manuals which, up until now, have been considered reference manuals. The stormwater management manuals are referenced in generic terms and may apply to the State of Washington manual or to locally adopted manuals. The Department of Ecology would be authorized to implement all of the revisions. Although there are some good sections in the revisions relative to the timber industry, Councilman Williams indicated that potential costs to be incurred over a period of 15 years for small businesses of 9.2 people or less would be $40,000 per employeeper year. For large businesses of 212 people, the cost would be $9,600 per employee per year. The deadline for providing input to the State is March 7, and Councilman Williams felt this issue is deserving of comment from the City. In the discussion that followed, it was agreed that staff will provide written comment prior to that deadline. Councilman Williams also attended a meeting of the Peninsula Regional Transportation Planning Organization, where discussion was held on a proposal to place an overpass at Deer Park Road. He noted a proposition by the Legislature to eliminate the Transportation Improvement Board and consolidate it into one board that would be responsible for funding at the State level. Councilman Braun attended a Gateway meeting; he acknowledged the $1.5 million approved by Congress for the parking lid. He also attended a Public Safety meeting, as well as the Real Estate Committee meeting. Councilman Headrick reported on attendance at the Law & Justice Committee meeting where the additional sales tax was discussed. The use of such a tax increase for corrections and/or the communications center was considered at length, and it was agreed that both issues should be placed on the ballot separately. It is recommended that the communications center funding be set for election in September and, if that were to pass, to then place the corrections issue on the next ballot. This is ultimately a decision of the Clallam County Commissioners. Referencing the City Council calendar, Councilmember Rogers announced a meeting of the Community and Economic Development Committee for Friday, February 21, at -3- 4880 CITY COUNCIL MEETING February 18, 2003 CITY COUNCIL 9:30 a.m. Manager Quinn reminded Council that the next meeting of the Utility COMMITTEE Advisory Committee, scheduled for February 24th, has been moved to 12:00 Noon. REPORTS & Brief discussion was held on the Council's trip to Olympia for the AWC Legislative CALENDAR: (Cont'd) Action Conference. ORDINANCES NOT Cable Television Franchise Transfer Ordinance: REQUIRING PUBLIC HEARINGS: Power Resources Manager Dunbar, with the assistance of PowerPoint slides, reviewed for the Council the proposed ordinance consenting to the transfer of ownership of the Cable Television Franchise Cable Television Franchise Ordinance No. 3116 and the Fiber Optic Wide Area Transfer Ordinance Network Use Agreement from Northland Cable Television, Inc., to WaveDivision III, Ordinance No. 3138 LLC, and then subsequently to WaveDivision Holdings, LLC. He informed the Council that, with the acquisition being planned by Wave, nine different franchise areas are included: Port Angeles, Sequim, Camano Island, Stanwood, Lakewood, LaConner, Snohomish County, and Skagit County. Wave's niche is to provide services in under- served markets, to include a variety of cable television services and broadband services. Mr. Dunbar reviewed the qualifications of the members of the management team, and he then summarized in detail the financial qualifications for WaveDivision Holdings. It has been demonstrated that there is sufficient equity capital, as $32.5 million has been contributed to the company's formation. Wells Fargo Bank is providing credit to WaveDivision Holdings in the amount of $37.5 million; the total resources fulfill all of the franchise obligations beyond the Port Angeles franchise. Mr: Dunbar continued that WaveDivision plans to spend over $3 million on the Port Angeles re-build over the next year. WaveDivision has committed to upgrade to a 550 MHz design and will completethe Institutional Network. In addition, they plan to offer advanced telecommunication services including video on demand in real time, as well as three tiers oflntemet access to the community. Mr. Dunbar indicated that, ifWaveDivision does not complete the upgrade or the Institutional Network, there are compliance remedies available. Mr. Dunbar reviewed the details of the remedies, after which he summarized Wave's other plans in such areas as continued support of the Wide Area Network Use Agreement, Peninsula News Network, broadband Intemet services, and telecommunications services. Mr. Dunbar advised the Council of certain requirements of the Transfer Ordinance having to do with a performance bond, insurance, and reimbursement to the City for those expenses incurred due to the transfer of the franchise. Mr. Dunbar expressed the City's appreciation for working with Northland Cable Television for fourteen years. Northland has helped the City meet certain telecommunications goals and has done so above and beyond. He indicated the City is looking forward to working with Wave, as it is likely that Wave will exceed the City's requirements. Discussion followed with Mr. Dunbar answering questions posed by the Council. Councilmember Rogers indicated the Utility Advisory Committee has forwarded its recommendation for adoption of the Transfer Ordinance. Councilman Williams expressed interest in seeing Wave's pricing structure, particularly as it might be compared to satellite costs. pete Grigorieff, Port Angeles Area Manager, approached the podium and thanked the City for working with Northland on the I-Net and also for completion of the project. He indicated he is looking forward to working with the City as they continue with Wave, as Mr. Weed, Chief Executive Officer, plans to enhance and provide new services in the Port Angeles area. Mayor Wiggins read the Ordinance by title, entitled -4- CITY COUNCIL MEETING 4881 February 18, 2003 Cable Television Franchise ORDINANCE NO. 3138 Transfer Ordinance Ordinance No. 3138 AN ORDINANCE of the City of Port Angeles, Washington, (Cont'd) approving the transfer and assignment of the Cable Television Franchise Ordinance No. 3116 to operate a cable television system in the City of Port Angeles and the Fiber Optic Wide Area Network Use Agreement to fast-track construction of a portion of the institutional network by Northland Cable Television, Inc., to WaveDivision III, LLC and the subsequent transfer of control to Wave Division Holdings, LLC. Councilman Williams moved to adopt the Ordinance as read by title. The motion was seconded by Counciimember Rogers and carried unanimously. Break Mayor Wiggins recessed the meeting for a break at 6:55 p.m. The meeting reconvened at 7:05 p.m. PUBLIC I-IEARINGS - Public Hearing on Fluoridating the City Drinking Water Supply: OTHER: Public Works & Utilities Director Cutler informed the Council that this public heanng Fluoridating the City was set to receive public input on the matter of fluoridating the City's drinking water Drinking Water Supply supply. A coalition of medical, dental, and health care professionals initially approached the Utility Advisory Committee, asking that consideration be given to fluoridation. Director Cutler indicated there is a list of speakers who will make presentations on behalf of the coalition, after which public input should be invited. Following the public hearing, he asked that the Council close the hearing or continue it to another meeting and then subsequently provide direction to the staff. Mayor Wiggins invited input from all elected officials present this evening; he reviewed the conduct of the public hearing and informed those present that, upon completion of the hearing, rebuttals of the proponents and the opponents will be accepted. Director Cutler indicated that Mr. Jim Leskinovitch is the spokesman for the coalition, and it is not known if the opponents have anyone in a leadership capacity. Mayor Wiggins opened the public hearing at 7:15 p.m. Jim Leskinovitch, 82 Henry Boyd Road, Port Angeles, a member of the Board of Commissioners for Olympic Medical Center, introduced himself as the spokesman for the coalition asking for fluoridation of the City's water. Members of the group making presentations in the following order were: Betty Schueler, 1009 E. 9th Street, Port Angeles, widow of Dr. Larry Schueler Dr. Robert Kennedy, 214 E. Whidby, Port Angeles, Dentist Dr. Greg Birch, 479 S. Ridge Road, Port Angeles, Dentist Cyndi Newman, 315 Quails Ridge Road, Sequim, Oral Health Coordinating Program Dr. Steve Chapman, 443 W. Ridge Road, Port Angeles, Pediatrician Dr. Scott Kennedy, 136 Old Black Diamond Road, Physician, Port Angeles Dr. Tom Locke, 267 Pike Place, Sequim, Public Health Officer Tim Hockett, 1214 W. 12th Street, Port Angeles, Olympic Community Action John Beitzel, 588 Simdars Road, Olympic Community Action Patty Hannah, 292 View Ridge Drive, Port Angeles, United Way Executive Director Jessica Schreiber, 3161 Green Tree Lane, Port Angeles, Port Angeles School District Resa Yamamoto, 71 Timothy Lane, Sequim, Port Angeles School District Mike Glenn, 1093 Doe Run Road, Sequim, Olympic Medical Center Rhonda LoPresti, 374 Rife Road, Port Angeles, Parent Kate Weller, 1803 E. 4th Street, Port Angeles, Physician Dr. Todd Irwin, 253 Straight View Drive, Port Angeles, Physician Steve Tharinger, 2747 Town Road, Sequim, Clallam County Board of Health -5- 4882 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - The collective testimony of the above individuals, with the use of PowerPoint slides, OTHER: follows. (Cont'd) Approximately 21/2 years ago, the Board of Commissioners of Olympic Medical Center Fluoridating the City passed Resolution 315, endorsing the addition of fluoride to the public water systems Drinking Water Supply within OMC's service area. It was hoped that Dr. Larry Schueler, a strong proponent (Cont'd) of fluoridation, could carry the message to Port Angeles, Sequim, and the PUD; however, his untimely death put the issue on hold. Six months ago, a group of health care professionals addressed the means by which the health care of the community could be improved, and it was unanimously decided that a dramatic improvement in oral health could be accomplished almost overnight and very cheaplyby the addition of fluoride to the water. The Council was advised of Dr. Schueler's advocacy for healthy living, and his long, arduous work is exhibited by papers he left on the subject of fluoride and other causes championing health. Excerpts from Dr. Schueler's papers were cited to provide a background of the fluoridation issue, to include the decision to fluoridate water in the City of Forks. The success of that program was discussed, no noted illnesses were demonstrated, and the dental health of the Forks community would indicate its success. The issue of fluoridation was addressed by the Port Angeles City Council in the mid- 1970s, but the issue did not pass. The matter resurfaced in Port Angeles in the early 1990s and, after discussion and debate, it was again dropped. In 2000, Dr. Schueler's notes again generated consideration, resulting in a plethora of articles in the Peninsula Daily News, which brought the issue to debate once again. The Washington State Dental Association and the Washington State Medical Association proposed legislation mandating fluoridation, something that was not successful. However, it is felt that the issue remains pertinent in view of the number of emergency visits at Olympic Medical Center related to the lack of dental health. It was stated that, although some residents are alarmed at the prospect of fluoride poisoning and contamination of the water supply, those fears should be allayed with history from other cities. Input was provided based on a lifetime of professional experience in dentistry in the public health arena. It was noted that naturally fluoridated areas result in great teeth and, lacking that natural benefit, the Council was urged to provide children with the building-block fluoride for their teeth when they are young so they can receive a lifetime benefit. The scenario was portrayed of a child needing emergency care because of poor dental health and the resultant fear of being seen by a dentist as opposed to a child with strong teeth and no fear of seeing a dentist. The decay rate in those areas of the world where fluoride is not used is significantly higher, a fact that also holds tree in Port Angeles. Fears have risen that fluoride is poisonous, harmful to humans, and that it affects allergies, genetics, enzymes, and the like. However, these areas have been studied over and over, and the evidence is overwhelminglyon the side of science that fluoride used in the proper amount is safe for the public and benefits the dental health for all. [At this time, a moment of silence was requested for those servicemen in harm's way, as well as fallen law enforcement officers.] The public heating then continued, with input in the form of pictures and x-rays depicting poor teeth as a result of the lack of fluoride. Detailed descriptions of fluoride as a naturally-occurring element were provided, along with information relative to the benefits of optimally fluoridated water assisting in the body's remineralization process. A reduction of 60% in decay rates has been experienced by those communities with fluoridated water. In controlled doses, at low levels, fluoride has been deemed to be safe according to the American Dental Association, the American Medical Association, the American Health Association, and fifty years of scientific study. This also includes the Washington State Dental Association and all dentists in Port Angeles. It was stated that fluoride does not cause cancer according to the Environmental Protection Agency, the National Cancer Institute, and the American Cancer Society. Fluoride hasbeen determined to be safe -6- CITY COUNCIL MEETING 4883 February 18, 2003 PUBLIC HEARINGS - for bones according to the National Institutes of Health, and it is safe for the OTHER: environment because it is a natural element. A risk with the use of fluoride was (Cont'd) acknowledgedin that mild fluorosis, or white spotting on the teeth, can occur if people continue to take fluoride supplements or eat a lot of toothpaste while the water is Fluoridating the City fluoridated. The coalition has a campaign in place to educate the public to prevent this Drinking Water Supply cosmetic condition from happening. Short-term and long-term studies have been (Cont'd) conducted over fifty years, and compilations of those studies overwhelmingly show fluoride to be effective. From a dental perspective, the protection from fluoride in proper doses can protect for a lifetime, as it makes the enamel strong and resistant to bad eating habits that occur with youth. With the increased usage of bottled water, an increase in decay has been realized because that water is not fluoridated. Fluoride has been determined to be cost effective, and it also helps adults. The potential for a healthcare crisis in five to ten years was identified, as 50-70% of rural dentists will retire by 2013, so the need for fluoride is heightened. Photographic representations of poor teeth were shown to the audience to support the need for fluoride. Input from the perspective of the County's Oral Health Coordinating Program was provided in the form of observations and data gained through various surveys conducted in the area to compare the health of area residents to state and national statistics. In 2001, the Clallam County Smile Survey was conducted with a focus on specific ages of Head Start children on the Olympic Peninsula, and the data gained was disturbing but not surprising. A higher rate of decay was identified for this area, to include the number of incidences of untreated decay. There was a significant number ofpre-cavitated lesions, which are areas that will remineralize with the opportunity to fluoridate. A trend toward emergency dental treatment has been seen more recently, as 90 - 100 people per month have been seen at Olympic Medical Center. Fluoridation is as beneficial for adults as it is for children and, because of an aging population, root surface decay is being seen more and more, something that is decreased with fluoridation. Testimony on behalf of the OMC Medical Staff was offered in support of fluoride, along with narratives of children with such severe decay that they are being sent to Seattle or Bremerton to be put under general anesthesia for tooth extractions. Fluoride was identified as being the best studied health intervention, as there have been over 1,000 studies since the first fluoridation effort in Grand Rapid, Michigan, in 1955. Fluoride is said to reduce cavities in young children by 50 - 70% and, in adults and seniors, the reduction is less but still present. It was stated that fluoride is not a medication, as some insist, but it is a nutrient. Certain studies as to an association with cancer were cited, many of which had no controls for age, gender, or other very important variables. Over 90 medical and dental organizations have endorsed fluoride safety and efficacy, as have many local organizations, businesses, and service clubs. Validation for the use of fluoride has been provided by C. Everett Koop, former Surgeon General, as the single most important commitment a community can make to the oral health of its citizens. The use of fluoride is considered to be a reflection of good public health policy and leadership; the majority of citizens in this country are already partaking of the benefits ofcommunitywater fluoridation. The merits of daily systemic and topical protection were cited in the overall health of the entire population. The upper limit for fluoridation is set far below the level that the EPA has determined to be safe for human fluoride intake, which establishes a wide margin of safety for optimizing fluoride needs. In December, 1997, the EPA published findings that there exists no directly applicable scientific documentationthat medical adverse affects occur with fluoridation under 8 parts per million. What is being requested is a level of fluoride at 1 part per million, and it will help in other areas such as to prevent needless infection, pain, suffering, and loss of teeth. It improves the quality of life and saves a great deal of money spent on dental treatment. The public health perspective was addressed in terms of population-based health care, -7- ~ .......... I[ll- 4884 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - focusing on the health of whole communities and looking for factors that protect and OTHER: improve health, as well as things that may threaten health. The highest value is placed (Cont'd) on the prevention of illness, as opposed to waiting until a preventable disease has actually occurred. From a public health perspective, fluoridation of drinking water Fluoridating the City systems is public health in its purest form; it is a disease preventing intervention and Drinking Water Supply health promotion, and it works best when instituted on a community-wide basis. Three (Cont'd) key issues were addressed in the form of proven safety, effectiveness, and leadership, and those issues as relate to fluoridation were reviewed in detail, all of which were in support of fluoridation in the interest of the public health. Leadership is about making decisions based on facts, not on fears, and the facts support the use of a healthier community through fluoridation. Testimony on behalf of Olympic Community Action was submitted, relating to the mission of the agency to address the causes and affects of poverty and the effort to bring quality of life to people who might not otherwise have it. The Oral Health Care Program serves over 1,000 people every year with hygiene and dental services. On behalf of low income people, the appeal was submitted for the City to take the measures necessary to fluoridate the water as soon as possible. It is the poor who feel the heaviest impact of the current dental care status quo, as low income people cannot afford to access dental care that others may take for granted. It was felt that the cheapest solution for emergent dental problems is extraction, but the wisest solution is to prevent these problems from happening at all by fluoridating the water. A letter in support of fluoridation from the Board of Olympic Community Action was read into the record. An endorsement of fluoridation was also offered on behalf of the Board of Directors of United Way, particularly as it relates to United Way's initiative of Healthy Communities, an effort to get to the cause of health issues affecting the community. Fluoridation is a means by which the root cause of a major health problem can be addressed. While United Way was concentrating on the fluoridation issue, a public opinion research firm, Moore Information, was conducting a survey of 250 people, 70% of whom supported the City Council taking action to fluoridate the City's water supply. An endorsement passed by the Port Angeles School Board in February, 2003, supporting fluoridation, was read into the record. Reference was made to a 50-year study comparing tooth decay in a fluoridated city in New York to a non-fluoridated city, also inNew York. Direct communication from the health researcher who was the principle author indicated that individuals using the results of the study as an argument against fluoridation is a good example of the blatant and distorted use of conclusions from one of many studies in the anti-fluoridation web site. The data in the cited study has been poorly misrepresented. In the legal realm in determining the admissibility of evidence, the Fry Test is applied to scientific evidence that must be accepted in the relevant scientific community. It can be concluded that many of the opposition's commentaries are outside the mainstream scientific community. The Council was again urged to adopt the proposal for fluoridation and accept the generous grant of $200,000+ from the Washington Dental Health Foundation. Nursing input on behalf of the School District was related to the Council, supported by narrative pertinent to students who experience severe and painful dental problems while trying to function in school. The Olympic Medical Center was represented with input relative to a health crisis in Clallam County, which includes dental care in the range of 100 visits per month. Patients presenting themselves in great pain often require immediate and costly intervention, often requiring follow-up in oral surgery to resolve a serious health problem. The average charge for each visit is $400, which amounts to nearly $36,000 monthly and $430,000 annually, nearly all of which is unrecoverable by the hospital and can be considered a waste of scarce communityhealth dollars. In terms of cost, the -8- CITY COUNCIL MEETING 4885 February 18, 2003 PUBLIC HEARINGS - alternative to not fluoridating the water is spiraling costs in health care. The Centers OTHER: for Disease Contxol has listed fluoridation of the water as one of the ten greatest public (Cont'd) health achievements in the 20th Century. Fluoridating the City Testimony then was offered by two mothers, one ofwhom was a physician, speaking Drinking Water Supply on behalf of their children, stating there was a preponderance of evidence in support (Cont'd) of fluoridation. Although mothers do their best to be certain their children eat properly and don't drink too much pop, it was stated that the best thing the Council could do is to fluoridate the water. It was pointed out that the experts who have reviewed all of the information should be trusted in making the recommendation for fluoridation. Information relative to a $260,000 grant offered by the Washington Dental Service Foundation was provided to the Council. Funds provided by the Foundation are dedicated toward preventing dental disease, promoting access to dental care, and building the capacity of dental, medical and human services programs in communities throughout the State. The Foundation has funded fluoridation programs in Yakima, Pasco, and most recently in Puyallup and Pierce County. The funds from this grant can be used in Port Angeles for equipment purchase, installation, building design, and renovation and water additives for the first years of operation, whichever is deemed necessary and helpful to the City. The Foundation has offered this grant as a result of the overwhelming need identified in the community to prevent oral health disease, as fluoridation has been said to be one of the most progressive steps that can be taken to make all citizens healthier. The Council was urged to accept these funds in order to accomplish the fluoridation of the community water supply. Remarks submitted on behalf of the Clallam County Board of Health involved a reading into the record of a Resolution passed in support of fluoridation, after which the coalition submitted concluding statements. A brief question and answer period followed, with members of the Council posing questions on studies cited, whether the City of Forks has experienced any negative impacts to fluoride, why European countries do not use fluoride, and whether any cities that have used fluoride have then taken it out. At this time, Mayor Wiggins invited further input from public officials who may be in the audience. Walt Schubert, Mayor of the City of Sequim, encouraged the Council to move forward with fluoridation. He shared his plan to bring this matter before the Sequim City Council, as this issue can be considered a nationalproblem, not just one specific to Port Angeles. Mike Doherty, Clallam County Commissioner, shared stories related to dental problems he experienced in his youth; he urged the Council to proceed with fluoridation. In view of the number of speakers already heard in the last two hours and noting there are several more speakers, Councilman Williams moved to schedule a continuation of the matter to next Tuesday so that the information presented this evening can be absorbed in preparation for a decision next Tuesday, February 25, 2003, which should be timely for any grant proposal. The motion died for lack of a second. Manager Quinn, in seeking clarification for the remainder of the hearing and the intention to time the individual speakers, inquired as to whether there was a spokesman for those opposing fluoridation. Dr. Lee Jacobson stepped forward as spokesman for the opposition, and the following joined together in testifying against fluoride: Dr. Lee Jacobson, 3822 Canyonedge Drive, Port Angeles, Chiropractor Christine Jacobson, 3822 Canyonedge Drive, Port Angeles, Social Services Dr. Crystal Tack, 344 House Road, Sequim, Naturopathic Physician -9- 4886 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - Diane Hood, 2992 River Road, Sequim OTHER: Dr. Eloise Kailin, 771 Old Blyn Highway, Sequim, Physician (Cont'd) Dr. Runar Johnson, 173 Token Lane, Sequim, Dentist Fluoridating the City It was stated that the Council was being asked to make a decision based on research and Drinking Water Supply anecdotal evidence, and the issue of forced medication was questioned. There is a (Cont'd) point of doing something for people as opposed to doing something to people. It was felt that the other side of the matter must be presented, as there are many people in the community who do not want fluoride added to the water. It is realized there is a health crisis, but the solution offered is missing the target, as much of the water is used for washing dishes, washing the car, and the like. Drug facts from a box of toothpaste were read into the record, and those facts set forth warnings that medical help mustbe sought or the Poison Control Center must be contacted if any of the toothpaste is swallowed. Baby formula cannot contain fluoride, and many individuals with health problems don't need fluoridated water. It was suggested that, in order to hit the target, fluoridated water could be provided in grocery stores or in other ways. Fluoride is available in people's diets, in Coca Cola, and in Wheaties. It was reiterated that fluoride is forced medication without people's consent and knowledge. It is incumbent on all of us to teach our children how to eat properly and how to care for their teeth. Further input expressed that fluoride is not the solution for the crisis at hand. Following a great deal of research, it was realized there are many studies against the use of fluoridation, all written by eminent professors, doctors, dentists, and scientists. It was stated that fluoride is not safe, effective, ethical, progressive, or healthy. It was clarified that naturally occurring fluoride is not what is being considered but, rather, sodium silico fluoride, which is a waste product coming from the fertilizer industry, containing lead and arsenic. These dangerous elements are cumulative in the body, they are toxic, and only 50% can be excreted. It was suggested that a solution could be instituted, similar to that in Europe, involving an active effort toward education with the hiring of additional social workers. A journal of dental research has suggested that fluoride won't work alone, that the public needs to practice proper dental hygiene and needs to be educated on dental care. Children from poor or low income homes need to have an opportunity for access to dentists in town. The Council was asked to study this issue very hard. It was pointed out that the Chief of Dentists in Auckland, New Zealand, was the largest proponent of fluoridation for years and, in studying the situation at large throughout the world, he changed his mind about fluoridation in 1997. This article, written by John Calhoun, was suggested as reading material on the matter of fluoride. A naturopathic perspective was then offered where patients have complained about chlorine in bath water causing reactions. To that end, it was pointed out that, even if one doesn't drink the water, the body is still absorbing the fluoride. Upstream medicine involves looking at the whole picture, and it was felt that emotional, intimidating tactic s should be avoided, as everyone present is interested in the well-being of the community. The proposal was submitted that, between now and next week, perhaps representatives from both sides of the issue could sit down with all of the studies, ad&ess the holistic well-being of the community, and review the studies in depth. It was noted that studies written can be countered with other data, such as indications that hip fractures in fluoridated communities increase three-fold. Other studies indicate that hip fractures decrease, so it is incumbent on everyone to ask the right questions in order to determine the true facts. The inquiry was made as to whether anyone has asked the question about increased hypothyroidism in fluoridated communities;hypothyroidism is epidemic and the cause is unknown. Could it be that chlorine and fluorine, competing for iodine in the body, are the cause? Many questions haven't beenasked yet and, of course, everyone wants their children to have healthy teeth. Other testimony indicated that diet is the key, not fluoride, to healthy teeth. Studies have indicated that, in countries where diets are more basic and people eat less - 10- CITY COUNCIL MEETING 4887 February 18, 2003 PUBLIC HEARINGS - processed food and refined sugar, the teeth are in excellent condition. Reference was OTHER: made to a recent letter in the newspaper from parents of two Port Angeles students, (Cont'd) stating that students in elementary and middle schools get sugar as rewards. This area has a majority of seniors and, with fluoride stored in the bones, older people experience Fluoridating the City bone disease, damage to kidneys, as well as the nervous system, blood, circulatory Drinking Water Supply system, and other organs. There are higher incidents of hip fractures in fluoridated (Cont'd) areas, and current dental research shows that any fluoride benefit comes from a topical application as opposed to drinking the fluoridated water, something that has been confirmed by the Canadian Dental Association. The Association has recommended brushing with fluoridated toothpaste twice a day with no other added exposure to fluoride. The Council was urged to do its own research, as there are many impressive studies against fluoridation, backed by as many as 14 Nobel Prize winners. It was further pointed out that the Director of Public Works in Forks has stated there is no statistical data to prove fluoride has resulted in a lower number of cavities among the residents of Forks. Most of the fluoridated water will be wasted through flushing, industry, watering lawns, washing autos, and bathing. Not only will individuals be absorbing the fluoride, the land will be an absorbent as well. Additionally, fluoride is very hard on pipes, and examples of infrastructure problems in other communities were cited. The Council was encouraged to engage in a full debate on this issue, as tooth decay will not stop because of fluoride. Information has been building since the 1980s when studies were generated but mishandled, as ages were not matched properly. When giving fluoride to children, the emergence time is different, so the studies must be properly and accurately conducted. It was pointed out that the City of Forks is not visibly benefitting from fluoride, as the study conducted in 2000 by the County's Oral Health Coordinating Programrevealed that 27.3% of the Forks children were described as being rampant with decay despite fluoridation. The question was posed as to how differences can be explained for those children having rampant decay in non- fluoridated areas, such as 20% in Sequim, 19.3% at Mount Angeles View, and 24% at Hamilton Middle School. Many areas experiencing high rates of tooth decay will not be touched by Port Angeles water. Citations of certain publications were made in support of not fluoridating water ingested by newborns and further restricting ingestion for those children from 3 - 6 years of age. The Council was asked as to whether it had reviewed specific studies in other countries on the subject of fluoride, one of which showed an increase in cavities with those children using fluoride tablets. Careful review of the fluoride to be used must be required; a copy of the Materials Safety Data Sheet must be obtained, as the material used is not what is naturally present in water. It is either available as an acid or a salt, it is corrosive, and it comes along with contaminants of lead and arsenic. The matter of hip fractures was referenced; many national studies show a relationship with the number of fractures and high fluoride drinking water communities, both natural and artificial as compared to low fluoride areas. A nexus between a coincidence is not proof of cause and affect. Also cited were the number of women on fluoride with osteoporosis; the incidences have increased. Animal studies show that fluorosis is well documented; bone fragility has increased to make it a serious question. People with bad kidneys are impacted by fluoride, as only half of the fluoride taken into the body is expelled, and the remainder is stored in soft tissue which has a significant impact. Apacket of information was distributed to the Council, covering many of the issues being debated this evening. Input from a dentist indicated long-term membership in the dental community, as well as the International Organization of Oral Medicine and Toxicology, which is a health organization as opposed to a medical organization. Many of the original studies on fluoride have again been reviewed, as those studies stated no difference between fluoridated and non-fluoridated groups. Recent studies in the southwest have shown, in communities with fluoridated and non-fluoridated children, that Hispanics have an increase in tooth decay which was due to no one teaching them how to brush, floss, or eat properly. The World Health Organization has mandated fluoride in all third world -11- 4888 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - countries for years; the result has been that many of those countries have taken fluoride OTHER: out of the water supply as decay rates are much higher. This can be attributed to poor (Cont'd) home care, lack of toothbrushes, poor diet, and fluoride is inhibiting and causing tooth decay. In addition, the amount of sugar intake was cited as being party to tooth decay, Fluoridating the City and those who achieve proper diet and dental care will experience healthy teeth even Drinking Water Supply without fluoride. It was emphasized that fluoride stops the body from producing (Cont'd) energy, and that it should be applied topically for greater benefit. At this time, Mayor Wiggins inquired of the Council as to how long it wished to accept testimony. Councilman Headrick noted that the proponents had spoken for 1 hour and 40 minutes, and he expressed the desire to give the opposition equal time. Councilman Williams, in referencing a suggestion submitted previously by Dr. Tack to further review the studies, moved to conduct a special meeting next Tuesday and to reconvene, after having had an opportunity to analyze what has been provided in pro and con arguments and what has been provided unsorted thus far, to make a determination at 7:00 p.m. on fluoridation and, further, that the decision not be made this evening. The motion died for lack of a second. Break Mayor Wiggins recessed the meeting for a break at 9:35 p.m. The meeting reconvened at 9:45 p.m. Councilman Williams shared information from the most recent Association of Washington Cities Legislative Bulletin with regard to proposed legislation that would require an election on the decision to fluoridate water. A hearing is being held on this proposal in Olympia on February 19. Attendees wanting to submit individual testimony then stepped to the podium. Frances Charles, speaking on behalf of the Lower Elwha Klallam Tribe only, indicated that the Tribe did, at one time, have fluoride in the water system. As a parent, she was supportive of fluoride; however, the Tribe had to discontinue fluoridation becauseof the cost factor. They are now again looking into fluoridation because of changing regulations for testing of drinking water. Many of her family members reside in Port Angeles and, for those who were exposed to the fluoride from the Tribe's water system, the teeth were outstanding. Many of their youth now have opportunity for access to quality dental care, in spite of poverty and unemployment within the Tribe. Mike Lemon, 160 Kaiser Place, Sequim, addressed the Council by stating that tooth decay is not a water-borne disease and should not be combated by a method that detracts from the safety of the water. The treatment must increase, never decrease, the safety of the water for its users, and the addition of fluoride will act on the bodies of consumers. When artificially added to water, fluoride is hazardous, highly toxic, cumulative in its effects, and is intended to remain in undiminished potency. Mr. Lemon summarized the well-documented corrosive affects of fluoride on the infrastructure of communities, as well as residences. He questioned the City's ability to control the amount of fluoride in view of the pressure that must be maintained in the system, and the fact that some of the waterwould constitute an overdose. He further questioned whether $10,000 per year would cover maintenance, operations, engineers, technicians, equipment, and increased breakdowns. He questioned the need to fluoridate in consideration of those who would benefit in comparison to the number of people exposed, as well as the areas in which the fluoridated water would be used for other purposes. He further spoke in opposition to the use of fluoride, noting that lack of education, "bottle rot", and diet are the reasons for decay. Bob Forde, P. O. Box 3457, Sequim, indicated he did not disagree that fluoride probably helps children's teeth; however, for government to add a substance to the water under the guise of a health benefit is simply wrong. Mr. Forde felt that, if that - 12- CITY COUNCIL MEETING 4889 February 18, 2003 PUBLIC HEARINGS - premise were correct, then others could argue for a mandate of other supplements to OTHER: the water if their case were strong enough. He noted the Council has been chided on (Cont'd) the virtues of leadership, and he felt that leadership means courage. He asked if the Council has the courage to say that fluoride treatment should be done by individuals Fluoridating the City for individuals, not mass fluoridation by government, as forcing all users to use Drinking Water Supply fluoridated water is not in keeping with the concepts of a free people. Mr. Forde (Cont'd) indicated that medicine and science have their place, which he respects, but when they cross the line into political activism and force government to do for other people what they want to have done is incorrect in a free society. If the medical and dental community are so concerned, then they should take it upon themselves to attack that problem and not have a mass water supply fluoridated. Dick French, 319 W. 7th, Port Angeles, has a daughter raised in Port Angeles who doesn't have any cavities. He spoke in opposition to fluoridation. Ann Gilson, 1111 Olympus Avenue, Port Angeles, observed that everyone has a bias, and a medical professional has a bias toward medical solutions to medical problems. Ms. Gilson, being a librarian, felt that knowledge is the solution to problems. As a citizen, she did not wish to be a guinea pig and would prefer that she take care of her own health. Indicating she has perfect teeth, this should be an individual issue and the public should not be medicated against its will. It appeared to Ms. Gilson that anything applied to cause a medical affect is a medicine, and she was opposed to that effort. She asked the Council to leave them alone - let the people who want fluoride, get it. Ron Luedeke, 2028 W. 5t~, Port Angeles, indicated this is a great country because of individual freedom and rights, which are important and should be pursued down through state and local government. He felt this issue is not an either / or situation and, in preserving personal freedom, suggested that the dental health problem can be addressed separately. He and his children took fluoride; it appears that it worked and, if that's the case, then fluoride should be used as a safe and viable option as determined by the experts. However, Mr. Luedeke felt fluoride doesn't need to be put in the water at everyone's expense. Having experienced severe health problems at an early age, Mr. Luedeke spoke of ultimately being diagnosed as having an environmental toxicity overload, something that is sufferedby many individuals. Because of sensitivities such as this, Mr. Luedeke suggested that the Council consider attacking the dental problem with another approach, as he felt the issue should be placed before the voters with the requirement ora super majority vote. He felt the solution might rest in seeking funding for the purchase of fluoride tablets. He stressed the importance of not gambling with the public's health by adding chemicals to the water and food supply that may be better controlled some other way. Darlene Schanfald, P. O. Box 2002, Sequim, read the Council a list of what the medical community, scientists, and government have backed and what is now known as being sad experiments: hormone replacement, thalidomide, chlorine, silver fillings, asbestos, agent orange, and even some of the psychological theories that were put out about child upbringing. Ms. Schanfald indicated that many of these decisions are purely political, and many studies should be viewed in terms of who provided the funding for the studies. In working with government decisions, one must consider whether the scientists were really allowed to put their opinions out, whether they were fired, transferred, and the like. She indicated she has not seen any numbers, for instance, on how many people in the community who are voters really want fluoridation. Ms. Schanfald emphasized that the whole system must be viewed to see how any one medication or addition will affect the whole body. She suggested that writers of the different studies should argue to the public why certain results are showing and indicated this is not the time to approve fluoridation. Rick Marschall, 162 South Barr Road, Port Angeles, a naturopathic physician, indicated that he taught his children proper diet and dental care and, as a result, they - 13- 4890 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - have very few cavities. Dr. Marschall felt somewhat ambushed, as the medical and OTHER: dental community prepared a great presentation. If those in opposition were given (Cont'd) more time, he felt some good data could be put together in a similar presentation offering a perspective that is quite different from what the Council has seen this Fluoridating the City evening. Concerned with the addition of fluoride to the water, Dr. Marschall felt very Drinking Water Supply frustrated and unhappy. (Cont'd) Dr. Crystal Tack, who had spoken earlier, asked how many of the children really drink the water. Noting that she stopped drinking the water because it didn't taste good, she resorted to bottled water. She wondered how many children drink pop, because the water doesn't taste good. With the addition of fluoride, she queried if even more children would stop drinking water. Citing a severe problem with depression in this geographical area, Dr. Tack cited a natural lithium found in water in Ashland, Oregon. She cited other additives that could be put in water, but she emphasized that adding one piece of what the public is deficient in won't solve the problem. Encouraging more extensive research and discourse on the matter, she expressed an interest in knowing why all of the European countries decided not to have fluoride any longer. Jesse Wilson, 1025 W. 11~h Street, Port Angeles, generated brief discussion as to how much water one must drink per day in order to obtain the minimum fluoride requirement. Dr. Scott Kennedy indicated that normal habits should be maintained in terms of 6 - 8 glasses of water per day. Mr. Wilson wished to make the point that few people drink that much water, especially children. Christine Jacobson, who had addressed the Council earlier, felt it would be unfortunate for the issue of fluoride to divide the community. Coming from Switzerland, Mrs. Jacobson cited differences between countries where the effort is made to f'md solutions to problems. She expressed concern for the children in the community and indicated interest in volunteering time to establish a group for home visits to educate children about proper dental hygiene in an effort to resolve this problem. Jim Maynard, 41 Vista Lane, Sequim, shared information about his dental history as a younger person in Port Angeles. Mr. Maynard indicated he was present this evening for Dr. Larry Schueler and his commitment to improving health in the community. His quest for fluoride was very simple - he felt it unfair for people, especially children, to suffer. So he pursued the troth about fluoride with his heart and his intellect. Like the medical professionals today, there were no monetary rewards for his time and effort. Mr. Maynard felt Dr. Schueler's devotion to this cause was relevant to this moment in time. He asked if the Council would use fear as the guide in making the decision or a careful examination of the facts as presented by a majority of medical professionals. Dr. Mike Maxwell, 3215 So. Laurel Street, Port Angeles, indicated that the vast majority has overwhelming and convincing evidence with a very cogent and thorough summary of the same arguments that have been used for the past 30 years. There is nothing new or startling with the issues introduced; however, the opposition would maintain that many studies were conducted with political intrigue and conspiracy. All sides have been reviewed and re-evaluated, and the conclusions reached were in favor of fluoridation. It is not expected that this Council should have to reinvent the wheel and to again debate the research with the same conclusions being reached. Dr. Maxwell felt that the weight of the evidence will always hold tree that fluoride is safe, effective, and the right thing to do. Joan Gloor, 826 Black Diamond Road, Port Angeles, directed a question to Dr. Locke as to the source of the fluoride. Dr. Locke indicated there are different commercial products that can be added to water, and those that are approved to meet the purity standards generally are the ones that are used in water systems. Ms. Gloor urged Dr. Locke to obtain the answers, as the public should know the source and the associated analysis. Dr. Locke further explained that the earth is the source, but Ms. Gloor felt - 14- CITY COUNCIL MEETING 4891 February 18, 2003 PUBLIC HEARINGS - that toxic sodium fluoride is what is being referenced for addition to the water. Dr. OTHER: Locke further explained the element, and Ms. Gloor emphasized the need to know (Cont'd) where the fluoride will be purchased. Fluoridating the City Dick Goodman, 1703 Melody Circle, Port Angeles, felt there is a preponderance of Drinking Water Supply community and civic leaders and doctors interested inthis issue. A great majority of (Cont'd) the people not present this evening can't afford fluoride tablets, aren't aware of fluoride tablets, and they feed their children junk food. These are people who would likely benefit from what has been called forced medication; otherwise, the children won't have a chance to have their teeth fixed. Mr. Goodman felt this is a chance to do a good service for the community by approving fluoridation. Dr. Gene Turner, 3928 Mount Angeles Road, Port Angeles, posed a hypothetical question related to what if this meeting were on the matter of adding chlorine to the water supply - chlorine that is extremely toxic. He noted that chlorine has been in water much longer than fluoride, but everyone realizes that chlorine has saved billions of lives in the country and wherever it is used. If a bottle of fluoride tablets were ingested, at the most one would get is an upset stomach with some abdominal cramps and maybe some diarrhea. Dr. Turner has witnessed this with children, and he has not heard of anything worse happening on a one-time basis. He pointed out one must have faith in what they hear, and he noted that Dr. Locke has been trained in the ability to assess and analyze studies, and everyone must have faith in Dr. Locke's position on fluoride. Dr. Turner indicated that anecdotal evidence and anecdotal experience is fraught with many, many hazards. Those who are in a position of influence, but only through anecdotal experience, have swayed and influenced people into some ways of living and doing things that have been quite drastic. He reiterated the importance of having faith to rely on those trained to analyze the information that is available. Dr. Dirk Gouge, 1069 Tamarack Lane, an orthopedic surgeon, advised the Council that, as far as the orthopedic literature is concerned, there is no benefit or detriment to fluoride in the water at the levels being discussed. There is no higher risk of hip fracture or other bone diseases. Rose Marschall, 162 South Barr Road, Port Angeles, pointed out this is a freedom of health and freedom of choice issue. She noted the importance of what was said previously in that the children do not drink the water, especially 6 - 8 glasses. Children are more likely to drink milk and juice, so the solution may not be as evident. Funding to obtain fluoride tablets is a more realistic approach, according to Mrs. Marschall. Jim Cammack, 401 Maple Grove Road, Port Angeles, responded to suggestions to purchase fluoride tablets and distribute them to the public. Mr. Cammack indicated that, as a pharmacist, he took on the responsibility of distributing fluoride tablets after the failure of the public vote on fluoride several years ago. The free fluoride program was endorsed by the doctors and dentists but, in viewing past data, he noted this was being done at a fairly high cost, and only one in ten children are taking advantage of being able to have the fluoride tablets free of charge. Now, faced with the opportunity for a $200,000+ grant, Mr. Cammack felt it important to buy the necessary equipment in order to fluoridate the water. He urged the Council to pass the program. Mayor Wiggins offered time for comments of rebuttal. Dr. Steve Chapman indicated there are over fifty years of proven experience on the safety and efficacy with fluoride. He wouldn't support this if he thought the citizens were being used as guinea pigs. He agreed with some commentaries provided by the opponents, particularly the fact that diet is important, drinking less pop is important, brushing is very important, and access to care is very important. What is being asked of the Council is to take advantage of a grant that has been offered to do what they know is safe and effective, to improve the dental health of children and adults in Port - 15- 4892 CITY COUNCIL MEETING February 18, 2003 PUBLIC HEARINGS - Angeles. For those who choose to not take advantage of the benefits of fluoride, Dr. OTHER: Chapman indicated there are reverse osmosis filters that are available for home use. (Cont'd) He strongly urged the Council to add fluoride to the water for the good of all. Fluoridating the City Dr. Greg Birch briefly discussed the good gained by free fluoride tablets being Drinking Water Supply distributed, and he shared information relative to the benefits also gained through (Cont'd) systemic fluoride where that benefit is completely through the enamel. He strongly encouraged the Council to help with fluoridation, agreeing that diet plays a strong role in dental health. Education does not appear to be enough, so he reiterated the need for fluoride. Christine Jacobson returned to the podium, taking issue with topical versus systemic fluoridation. She inquired about bathing in fluoridated water and the level of absorption, feeling that many individuals cannot afford a filtering system. Mrs. Jacobson stated that fluoride is not an essential nutrient, as was previously stated. She encouraged the Council to conduct more research. Dr. Lee Jacobson felt that everyone has the best of intentions, but he felt there areno medical interventions without side effects. He asked that a survey be included inthe City utility bills to determine the level of interest in fluoridation. There being no further testimony, Mayor Wiggins closed the public hearing at 10:55 p.m. Councilman Braun opened discussion by referencing his personal experience with cavities as a young child. His daughter, a nutritionist in Hawaii, indicated Hawaii has the distinction of having the worse teeth in the nation. A study conducted has indicated an increase in better health care of teeth for those using fluoridated water. There was such an outcry from the opposition, plus a lack of funds, that the fluoride was removed. Councilman Braun then moved that this Council approve fluoride for the City of Port Angeles, along with the fact that the Washington Dental Service Foundation is prepared to offer the City of Port Angeles $260,000 to assist with the cost of equipment purchase and installation for the fluoridation materials during the year of 2003. The motion was seconded by Councilman Headrick. Councilman Braun asked to add language that the fluoridation would be implemented when the monies are forthcoming, to install the equipment on the existing water system of Port Angeles. Councilman Headrick seconded the motion as amended. Councilman Williams read a statement into the record: "After 50 years of experience, study, and debate, we have no national policy that requires the addition of fluoride to public water systems. This state does not have a mandated water quality standard which demands universal introduction of fluoride on which our population can predictably gauge their daily fluoride intake with a degree of certainty regardless of where they draw their water from the tap. I have a position on fluoride - it is first to do no harm, and second it is to do the greatest good for the most people. It is apparent that if misused, fluoride can cause harm. The question then becomes at what point does the public good served by the reasonable expectation that chlorine or buffering agents or even fluoride added to our public water supply outweigh the risks that selected individuals may react to additives which become a generally accepted practice for a functioning society in an urban environment. I find it a sorry indictment of our health care system that people must seek emergency room care for what is a preventable disease. But, if required to vote on this issue tonight, I will vote no. That vote will not accurately reflect my acceptance or rejection of the premise that fluoridating our public water supply would produce generally acceptable and long-term whole health benefits to our community. I have made a simple, reasonable request - a one week delay for us to truly demonstrate to our community that we have received and will thoroughly consider the comments and materials we've received tonight. I make that request as one who commits to a yes or no answer next week once I have the opportunity to - 16- CITY COUNCIL MEETING 4893 February 18, 2003 PUBLIC HEARINGS - review and digest what has been presented. I've been asked to separate the wheat from OTHER: the chaff- I have no preconceived notions on my course of action even though I've (Cont'd) spent the past two weeks reviewing both sides of this issue. This is the most important decision I'm likely to make as a Councilmember. I can give you an answer next week. Fluoridating the City Saying that is not the tactic of an obstructionist. Without that opportunity you will Drinking Water Supply force me to vote no out of what I feel is my obligation to those who have taken the time (Cont'd) to attend this hearing." Councilman Campbell commented on the motion, stating he has read everything available on both sides of the issue. He felt he was well-informed about the issues, and he understood the decision about to be made. In addition, he looks at the vast majority of health professionals who openly and aggressively advocate the fluoridation of municipal water supplies as the people he relies on for medical advice and has for the past thirty years or more. To say they are all wrong bothers him immensely. Councilman Campbell has further looked at the experience in Forks and, having read many of the horror stories about fluoridation, he would have expected to find at least some examples of those kinds of experiences in that community. But there haven't been any such examples. Finally, coming to his own personal experiences, he grew up in an era when dental technology was not as advanced as today and, further, the economics of his family were such that they couldn't afford much anyway. Contrasting that with his sons being raised in another area with elevated levels of fluoride, their teeth have been perfect. He felt that he should ask for the same thing for the children of Port Angeles, and the correct decision would be for approval of the motion. Councilmember Rogers thanked everyone who came out this evening. Corning from a fluoridated community, she assumed Port Angeles was fluoridated, which it was not. Having researched this matter for several months, she came prepared tonight. Everything she heard this evening she has heard before, but she does not take this decision lightly. Because she is an elected official, she continues to check and balance the role of government, being a constant advocate of personal rights, of the role of the private sector, and the role of community service. The most important decision she can make as an elected official is to step forward with the courage to accept accountability for the decision made in supporting fluoride for the betterment of the community. Councilmember Erickson spoke in support of fluoridation, stating that Dr. Locke correctly stated this has been the longest scientific study in history. Also, Dr. Maxwell indicated that nothing new has been offered; this debate has been conducted since the early 1950s. Communities across the nation have decided to adjust the levels of fluoride in their water and there seems to be no ill effect. The role of government must be balanced in this issues. Councilman Headrick indicated that the Council has had a great deal of material to review over the last 2 - 3 months; he noted that afterreviewing all of the information against fluoride, he studied an American Dental Association publication where it appeared the ADA has heard these same arguments against fluoridation for some period of time. The answer to every suggestion or issue raised by the opposition was addressed by the ADA. Councilman Headrick, after reviewing all of the issues, has heard nothing different this evening. He felt it to be Council's responsibility to make decisions for the public in spite of the fear expressed by the opposition. Often times, when people don't know what to do, they do nothing. Mayor Wiggins indicated he was first introduced to the issue by Dr. Larry Schueler, and he would be voting in favor of the motion as the benefits of an involved family don't always accrue to everyone, which is very unfortunate. A vote was taken on the motion, which carried 6 - 1, with Councilman Williams voting in opposition. RESOLUTIONS: None. - 17- 4894 CITY COUNCIL MEETING February 18, 2003 OTHER Moment of Silence: Councilman Williams had suggested that a Moment of Silence be CONSIDERATIONS: added to each Council agenda, as there are many circumstances where a respectful moment of silence is appropriate. After brief discussion, the Council agreed by Moment of Silence consensus that it is preferred to keep this type of gesture spontaneous. PUBLIC HEARINGS - None. QUASI-JUDICIAL: INFORMATION: Homeland Security: Manager Quinn indicated that, due to the lateness of the hour, the presentation from Chiefs McKeen and Riepe would be deferred to the next Council Homeland Security meeting. Councilmember Rogers asked that it be placed on the agenda early in the meeting. Brief discussion was held on travel arrangements for the AWC meeting tomorrow. Councilman Williams referenced the Planning Commission minutes, Condition No. 11 for the Graving Yard, having to do with the applicant making material improvements to public access, screening, aesthetics, and separation barriers. He indicated that Director Collins contacted him and assured him this condition didn't mean that the Department of Transportation had to put fences and trees in place at a cost of hundreds of thousands of dollars. He expressed the hope that this was true, and Manager Quinn indicated the City's interpretation is that there is a desire for simple landscaping. EXECUTIVE None. SESSION: ADJOURNMENT: The meeting was adjourned at 11:25 p.m. -18-