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The county commission's 5-1 vote comes after it learned its fluoridation system has been broken since 2021, and no fluoride has been actively added since then.
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Commissioners voted to bring an ordinance on removing fluoride from the water supply at a later date. The county must also consider repairing the current fluoridation system.
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The topic is on the agenda for Tuesday's meeting. If commissioners vote to follow the guidance of Florida's surgeon general, Manatee would join more than a dozen other local governments to end the practice.