Water systems in four area communities have received Water Fluoridation Quality Awards from the U.S. Centers for Disease Control and Prevention (CDC). The Iowa Department of Public Health announced the recipients which include the cities of Kalona, Riverside, Lone Tree,  and Wapello, including the Wapello Rural Water Association.  Statewide, 108 water systems in total   were recognized by the CDC. Fluoridation is the adjustment of fluoride in drinking water to a level that is effective for preventing tooth decay. The quality awards recognize those communities that achieved excellence in community water fluoridation by maintaining a consistent level of fluoride in drinking water throughout 2019. Community water fluoridation has been recognized by CDC as one of 10 great public health achievements of the 20th Century. CDC recommends water fluoridation as one of the most practical, cost-effective, equitable, and safe measures a community can take to prevent tooth decay and improve oral health.  Organizations that support the fluoridation initiative include the American Cancer Society, American Dental Association, American Medical Association, American Academy of Pediatrics, American Water Works Association, and the Iowa Department of Public Health.