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Comparing a state's percentage of fluoridated water with its infant and neonatal death rates reveals that the more-fluoridated states have 9 to 19% greater infant mortality rates than the less-fluoridated states: CDC: "Deaths: Final Data for 2013." Table 22, p. 98. www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf "One third (36%) of infant deaths were due to preterm-related causes". – CDC Prenatal fluoride is a significant risk factor for preterm birth. The work of A.K. Susheela, the leading expert on the connection between fluoride, anemia, and preterm birth is discussed in Chapter 1 of Pregnancy and Fluoride Do Not Mix: "There is now ample scientific evidence to support the fact that ingestion of fluoride prevents biosynthesis of hemoglobin, leading to anemia." Risk of Maternal Death Doubled in Pregnant Women with Anemia – The Lancet Global Health (May 2018) "Excessive fluoride consumption leads to accelerated red blood cell death and Anemia" – Environmental Geochemistry and Health (2016) More Women in the US Die from Pregnancy Complications Than in Any Other Developed Country Preeclampsia and eclampsia are the second leading cause of pregnancy-related deaths for mothers 35 to 44 years old, and the third leading cause for ages 20 to 24. – "Building U.S. Capacity to Review and Prevent Maternal Deaths" (2018) Figure 6 Preeclampsia and dental fluorosis have the same key subcellular mechanism of pathophysiology, as discussed in "Placental Fluorosis," Chapter 2 of the book. See pages 32-33. The CDC's 2017 Preterm Birth page Preterm Birth and African Americans The preterm birth rate among African-American women was about 50% higher than the rate among white women. – CDC The CDC has long known that fluoride's adverse effects disproportionally affect African Americans: "Fluorosis was more severe among non-Hispanic black children than among non-Hispanic white or Mexican-American children." – CDC Dental fluorosis is visible proof of susceptibility to systemic fluoride toxicity. Water Fluoridation: an Environmental Justice Issue Current data show that water fluoridation disproportionately harms low-income and minority communities. In response to this data, a growing number of civil rights advocates have begun calling for a moratorium on fluoridation programs. Mechanism for African American vulnerability to fluoride toxicity Infancy and Fluoride Do Not Mix