The Naples City Council has voted 4-3 to remove fluoride from the city's drinking water, despite ongoing debates about its safety and efficacy. Proponents of fluoride argue that it significantly reduces tooth decay, especially in underserved communities, while opponents, including local cardiologists, claim it poses health risks such as lowered IQ in children and pregnant women. In contrast, Cornwall Council in England is considering adding fluoride to combat rising tooth decay among children, noting that current levels are inadequate. A recent report highlighted that 26.2% of children in Cornwall experience dental decay, prompting the council to support fluoridation as a preventive measure. The contrasting approaches reflect broader national discussions on the health implications of water fluoridation, with some studies linking it to negative cognitive effects. As communities grapple with these decisions, the debate continues over the balance of public health benefits against potential risks.