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Mr. Brian H. Donohoe (Cunninghame, South): Although the Bill is in part to be welcomed by the House, because in many cases a complete overhaul is needed, I am opposed to slipping in the fluoride issue on the basis of an amendment made in the Lords. This issue divides all parties in this House, and as someone who has passionately opposed fluoridation for many years, I want to make my contribution on the basis of some simple aspects of fluoridation.
In the 1970s, when I became chairman of a local health council, there was an enormous debate about the whole question of adding fluoride to the water supply. We rejected the idea, but because we were not democratically elected we passed the issue to the local councils to determine whether they thought it a good thing. The message came back loud and clear that they were opposed to the whole question of fluoridation.
Many arguments have been presented in respect of fluoride, but I have resisted any temptation to wander into the science arguments. I shall stick to the simple argument, which is based on the question of mass medication. I shall explain why I am opposed to mass medication. Problems may be engendered in Scotland by virtue of the declining population. Given that a diminishing number of people are staying in Scotland, who is to say that, in 10 years' time, if such things are allowed to enter the water supply in Scotland, we will not add a substance such as viagra? Who is to say that that option will not be open to us? [Interruption.] Perhaps there are those in this House who think that a great ideaI see that many are smilingbut that could be the basis for mass medication all over again. Similarly, in certain areas of the country where there was a population explosion and schools were overwhelmed, might not bromide be added to the water supply? Who is to say that such things are not possible, if we start talking about adding substances to the water supply that do not actually improve the quality of the water itself?
Reference was made in a previous intervention to certain substances that are added to the water supply, but which all improve the quality of the water. The difference between fluoride and any of those other substances is that fluoride does nothing to the quality of the water.
Dr. Stoate: Does my hon. Friend not accept that the use of fluoride is being proposed to improve people's dental health? Its use is designed to improve the quality of life of children, who otherwise might suffer painful extractions and decaying teeth.
Mr. Donohoe: As I said earlier, I am not willing to go down the road of the sanctity argument. I am advancing the simple argument, which my hon. Friend cannot dispute, that fluoride is not added to the water supply to improve its quality. That is the case that I want to argue.
Mr. Donohoe: I shall move on because I am conscious of the time.
I intervened on the Minister to ask why the Bill makes no mention of local democracy playing its part; indeed, the Government have presented no arguments in that regard. The White Paper "Saving Lives: Our Healthier Nation", which was published on 6 July 1999, states:
On 9 July in another place, the Government introduced an amendment that will oblige all water suppliers and undertakers to fluoridate water supplies at the request of the health authority. Why are we talking about health authorities? What right have health authoritieswhich are in any case appointed by the Government themselvesin this regard? Many years ago, I was a member of a health council and I watched health authorities in action. They are not accountable; they are divorced from the surrounding population. That was why we argued forcefully in the 1970s for the need for local democracy and local accountability. The Government have not dealt with that issue at all in the Bill, and that worries me greatly.
Andy Burnham : My hon. Friend is making an impassioned defence of the importance of democracy in such matters, but if we leave things as they are, these important decisions will be in the hands of plcs. What right do they have to decide whether a community such as Greater Manchester should or should not benefit from fluoridation? Surely such issues should be in the hands of the people, not of plcs. The status quo cannot be defended on any grounds.
Mr. Donohoe: Local authority representatives are democratically elected, and I charge them with this responsibility. I expect the Government, on the basis of the White Paper, to allow local authorities to be the agents that determine whether fluoride is added to the water supply. No one else should be given that job.
Mr. Parmjit Dhanda (Gloucester): Will my hon. Friend give way?
Mr. Donohoe: I cannot because I have little time and I am about to sum up.
I want to conclude by asking the Minister why a particular part of the Bill refers to Scottish Water. As you pointed out in an earlier ruling, Madam Deputy Speaker, it will not cover Scotland, so why does that provision refer to Scottish Water? I want the Minister to answer that question this evening, given that this legislation is not intended to impact on Scotland.
I expect assurances. I want the Government to take on board all the arguments that many people have presented to me in the past few months. As vice-chairman of the all-party group on fluoridation, I have received dozens of requests from people that their voices be heard in this Chamber, which is why I am speaking today. I congratulate the Minister on allowing a free vote, and I am glad that he pointed that out in his statement. For that reason alone, I shall not vote against
the Bill tonight, but I seek assurances that my concerns will be addressed in the Bill, and will become part of the Act.
Mr. Peter Atkinson (Hexham): It is a pleasure to follow the hon. Member for Cunninghame, South (Mr. Donohoe) and his impassioned plea against fluoridation, but the Bill deals with much wider issues. As I feared, fluoridation has dominated the debate, but I believe that all sensible Members should avoid it. We all know that if we say one thing about fluoridation, we will receive a host of letters; if we say something else about it, we will receive a host of letters from elsewhere. I shall therefore avoid the issue in my brief remarks, except to say that in the north-east of England fluoride is found in water as a natural course. In Hartlepool, for instance, the natural supply of fluoride is equal to the amount recommended by the British Dental Association. That is probably why the right hon. Member for Hartlepool (Mr. Mandelson) has such good teeth.
Mr. Butterfill: Is my hon. Friend suggesting that because a substance occurs naturally in certain regions, even though it may be offensive in itself, it should be added to the water everywhere else?
Mr. Atkinson: I am adopting a very liberal position on the matter in not saying whether I am on one side or the other.
I want to return to the question on which the Minister earlier took interventions: the effect of the 12-year limit on transfer licences. It is a serious issue for the extractive industry, the mining industry, evenI learned only todaythe watercress industry and perhaps the bottled water industry. There are nine quarries in my constituency, six of them substantial, making up a multi-million pound business, which provides many jobsdirectly and indirectlyin the rural parts of Northumberland. It is a key industry. Open cast mining is another huge industry with enormous capital investment, but it is very difficult for companies to make the investment unless they are certain that they will receive a licence along with their planning consent.
The Minister said that it was all a question of balance. One quarry in my constituency, the Barrasford quarry, has recently been given a 30-year extension of its rights to extract winstone. The company has spent millions of pounds on a long new road, moving the infrastructure about, and on an enormous number of environmental improvements. It even voluntarily relinquished, because of environmental concerns, certain areas that it had permission to quarry. It is a multi-million pound investment, but the Environment Agency could, at a stroke, eliminate the business if it failed to extend the licence.
It is all very well saying that there should be a presumption for the Environment Agency to extend the licence, but I do not trust the Environment Agency or believe that multi-million pound investments should depend on its whim. During the foot and mouth disaster, which badly affected my constituency, the Environment Agency was one of the least co-operative bodies. We were faced with an enormous quantity of
unburied, unburned animal carcases, but the Environment Agency said that action could not be taken because of the risk to the water supply. It caused a real headache by being over-zealous in administering that viewpoint. I therefore believe that it is wrong to ask large companies to trust the Environment Agency, and I urge the Minister to nail down the problem in Committee and on Report in order to give confidence to the large investors and make it clear to them that it is worth opening a coalmine or a quarry and worth investing in the infrastructure.
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