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January 30, 2002

Hawaii Earns a B- for Oral Health on National Report Card

The U.S. can hardly flash a toothy grin since earning an uninspiring C on a national report card released this week by the advocacy group Oral Health America. The nation received its lowest grades in areas concerning prevention and access to care, showing that basic oral health is still not a high enough priority for policymakers. Hawaii, Connecticut, Iowa and Utah scored the highest grade of a B-, with Hawaii leading the nation by scoring the highest cumulative average of any state.

Health Director Bruce Anderson said, "Hawaii’s relatively good grade is a testament to the hard work of public and private sectors working together to improve oral health in our community. Despite this good showing, we still have strides to make towards assuring that Hawaii remains a leader in oral health. We can make further progress by increasing the utilization of proven, cost-effective prevention measures and by working to ensure that more people receive dental care on a regular basis."

In the national report, Hawaii placed well in most categories in contrast with other states and the District of Columbia. Hawaii ranked first in Overall cumulative oral health score, and in Proportion of elderly covered by dental insurance (58.7 percent). Hawaii ranked third in Dentist to population ratio, with a dentist density of 1 for every 1,287 residents. The state also ranked sixth in Access to care for Medicaid eligible children (33.3 percent) and fifth in Dental care utilization in the past year (74.7 percent). Hawaii ranked lowest in the nation in the Use of smokeless tobacco (3.8 percent) and in the Proportion of adults who have lost all their teeth (15.9 percent).

The National Oral Health Report Card also highlighted Hawaii among only ten states, where less than 50 percent of residents benefit from receiving optimally fluoridated drinking water. Currently, only 13 percent of Hawaii residents have access to fluoridated drinking water.

According to Dr. Anderson, "While Hawaii did well, the National Report Card did not consider rates of dental disease among children. Hawaii continues to have a very high rate of tooth decay, which is costly for families and our taxpayers, who support programs like Medicaid which pay for dental care for about 10 percent of Hawaii residents. Given our high rates of tooth decay, we're fortunate to also have a large dentist population in Hawaii. However, we'd rather prevent tooth decay than continue to focus on treating the disease. Bringing fluoridation to Hawaii would significantly lower the need and expense of dental treatment for the whole community."

Oral Health America is the nation’s premier, fully independent organization dedicated to improving oral health. The report card was funded in part by a generous grant from The Robert Wood Johnson Foundation. Full report card results are available by visiting www.oralhealthamerica.org.

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