Centre for Climate Change Economics and Policy Working Paper No. 147 Grantham Research Institute on Climate Change and the Environment Working Paper No. 127 The Centre for Climate Change Economics and Policy (CCCEP) was established by the University of Leeds and the London School of Economics and Political Science in 2008 to advance public and private action on climate change through innovative, rigorous research. The Centre is funded by the UK Economic and Social Research Council and has five inter-linked research programmes: 1. Developing climate science and economics 2. Climate change governance for a new global deal 3. Adaptation to climate change and human development 4. Governments, markets and climate change mitigation 5. The Munich Re Programme-Evaluating the economics of climate risks and opportunities in the insurance sector More information about the Centre for Climate Change Economics and Policy can be found at: http://www.cccep.ac.uk. The Grantham Research Institute on Climate Change and the Environment was established by the London School of Economics and Political Science in 2008 to bring together international expertise on economics, finance, geography, the environment, international development and political economy to create a worldleading centre for policy-relevant research and training in climate change and the environment. The Institute is funded by the Grantham Foundation for the Protection of the Environment and the Global Green Growth Institute, and has five research programmes: 1. Global response strategies 2. Green growth 3. Practical aspects of climate policy 4. Adaptation and development 5. Resource security More information about the Grantham Research Institute on Climate Change and the Environment can be found at: http://www.lse.ac.uk/grantham. This working paper is intended to stimulate discussion within the research community and among users of research, and its content may have been submitted for publication in academic journals. It has been reviewed by at least one internal referee before publication. The views expressed in this paper represent those of the author(s) and do not necessarily represent those of the host institutions or funders.

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This paper estimates the prevalence and severity of dental fluorosis among participants in the first wave of The Aguascalientes Longitudinal Study of Child Development (EDNA). The analytical sample includes 1052 children in 100 public elementary schools. Dental fluorosis is determined using the Modified Dean’s Index. There is a 43% general dental fluorosis prevalence, and the estimated Community Fluorosis Index is 0.99. Five municipalities report average groundwater fluoride concentrations above the official Mexican guideline value of 1.5 mg/L. In those municipalities, there is a 50% average dental fluorosis prevalence. An ordered logistic regression analysis indicates that obesity in participants increases the likelihood of suffering more severe dental fluorosis symptoms compared with normal-weight participants (OR = 1.62, p < 0.05). Households consuming tap water are more likely to have children suffering more severe dental fluorosis symptoms (OR = 1.63, p < 0.05). Children aged 8 years are more likely to present more severe dental fluorosis symptoms than their peers aged 7 years (OR = 1.37, p < 0.05). Dental fluorosis will persist as a public health problem in Aguascalientes State unless appropriate technologies for fluoride removal from water are installed and operated.