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The measure passed by an 8-2 vote, but County Mayor Daniella Levine Cava could opt to veto the measure in the next 10 days.
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The office of County Commissioner Roberto Gonzalez, who is also sponsoring the bill, said the measure will come back up at a meeting next month.
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When roll call was taken, commissioners Leo Longworth, Gary Ball and Laura Simpson decided to stick with fluoride. Tanya Tucker and Mayor Trish Burdin-Pfeiffer voted no.
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A subcommittee advanced a package dubbed the "Florida Farm Bill." Targets include "any additive" to water "for health-related purposes” and labeling of plant-based food as meat, milk, poultry and egg.
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While some politicians say fluoridated water is government overreach, medical experts say it's important and effective for the public.
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The county's safety and health committee took no action on fluoridation after the surgeon general's presentation to convince members to end the practice.
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Data from the CDC shows 31 utilities in Florida had annual average fluoride levels that were approximately half the CDC’s recommended level or less for at least a year.
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Lakeland delayed a hearing over the water issue until the Bartow workshop, which presented experts on both sides. Attendees included Surgeon General Dr. Joseph Ladapo, who wants to end fluoridation.
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The measure, introduced in the state House, includes numerous issues related to the state Department of Agriculture. Many local governments have ended fluoridation in recent months.
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Dozens of Florida municipalities have decided to stop adding floride to its drinking water over concerns the practice may affect the cognitive ability of kids.