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The debate around whether fluoride should be added to tap water is not new.

The practice, which is aimed at reducing tooth decay, has been ongoing for 60 years.

But since fluoride toothpaste became more widely available around the 1970s, more questions have been raised about whether adding it to the drinking supply is still necessary.

And with Donald Trump’s health secretary pick Robert F Kennedy Jr saying he would ban it, the issue has entered public debate yet again.

Despite RFK being well known for his outlandish views on public health, it seems the fluoridation issue isn’t one that can be totally dismissed.

One study in the US has linked fluoride to a lowering of children’s IQs, while another in the UK has questioned its overall effectiveness when added to water.

So what is fluoride, what do experts say – and what’s the story in the UK?

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What is fluoride and what does it do?

It’s a natural mineral found in rocks, which leaches into soil, rivers and lakes.

It helps dental health by strengthening the tooth enamel, making it more resistant to tooth decay, and also reduces the amount of acid the bacteria on your teeth produce, according to the Oral Health Foundation.

Fluoride is known to be particularly beneficial for children’s teeth, as past studies have suggested ingesting it during the period of tooth development makes the enamel more resistant to later acid attacks and subsequent development of tooth decay.

Dr Kunal Patel, who has been a private and NHS dentist for 15 years, told Sky News the benefit of fluoride is “drilled into” dental students, adding there are “scientifically proven benefits of having fluoride within your oral hygiene regime”.

Fluoride is essentially a passive way of protecting your teeth, he says.

“If you decide not to use fluoride then the technique of brushing your teeth, your flossing and other methods of cleaning have to be that much better,” he adds.

How do we get fluoride?

Almost all water contains some naturally occurring fluoride, but it’s normally not enough to prevent tooth decay.

Some areas do have water supplies where the amount of fluoride is naturally at a high level – a point that will be covered later.

We get trace amounts of fluoride from much of our food and drink, but brewed tea in particular proves a big source because tea plants take up fluoride from soil.

Most toothpastes now contain fluoride to give you extra protection from decay.

When did adding it to the water supply become a thing?

Many oral health experts believe adding fluoride to water – an act known as fluoridation – is the most effective way to widely reduce dental problems, particularly in underprivileged regions.

The practice began in 1945 in Grand Rapids, Michigan, after scientists noticed that people had less tooth decay in areas with naturally higher fluoride levels in the tap water.

It was first added to the water supply in England in 1964, when a pilot scheme was launched in Birmingham.

Over the years it’s been rolled out to about 75% of America’s population, compared to about 10% of England.

The World Health Organization (WHO) estimates some 400 million people in 25 countries are getting artificially fluoridated water, while about 50 million have naturally occurring fluoride at the same level as the artificial schemes.

What is the ideal amount of fluoride in water?

The WHO recommends a maximum level of 1.5mg per litre.

In its guidelines, it says the level is aimed at creating a middle ground where tooth decay is minimised, but the risk of dental fluorosis and skeletal fluorosis is too.

Dental fluorosis is a common cosmetic condition caused by ingesting too much fluoride during tooth development, and can leave white flecks, spots or lines on teeth.

Skeletal fluorosis, a much rarer occurrence, is a chronic metabolic bone and joint disease caused by ingesting large amounts of fluoride.

The UK government aims for fluoride levels of 1mg per litre in drinking water, while the level of fluoride is kept at about 0.7mg per litre in the US.

Potential danger to children’s IQs

Fluoridation has been a contentious subject in the US, with more than 100 lawsuits over the years trying to get rid of it without success, according to the American Fluoridation Society, an advocacy group.

And the anti-fluoride group Fluoride Action Network says more than 150 towns and counties across the US have voted to keep fluoride out of public water systems or to stop adding it.

But the movement against it really gained momentum earlier this year when a US government report concluded that fluoride in drinking water at twice the recommended limit was linked with lower IQ in children.

The report, based on an analysis of previously published research, said it reached its conclusion “with moderate confidence”.

It cited a 2019 study, published in the well-respected journal JAMA Pediatrics, which found that IQ levels were slightly lower in three and four-year-old children whose mothers had higher measures of fluoride in their urine when they were pregnant.

A federal judge in California used the report to order the nation’s Environmental Protection Agency (EPA) to strengthen its regulations on fluoridation in September, saying the current levels were posing an unreasonable risk to children.

The judge stressed that he was not concluding with certainty that fluoridated water endangered public health, but rather that it poses a risk.

Questions over fluoride’s effectiveness

In the UK, while the government is reviewing plans to raise fluoride levels for millions and roll it out into more areas of England, a major review has suggested fluoridation may only have a “modest” benefit.

Academics at Manchester, Dundee and Aberdeen universities compared 157 studies looking at the effect of fluoridation on the dental health of communities.

When the government began adding fluoride to tap water, it reduced the number of decayed, missing or filled teeth by two whole teeth on average among children with their baby teeth, researchers said.

However, once fluoride toothpaste became widely available, that number declined.

Now, it is equivalent to a reduction of a “quarter of a tooth” that is decayed, missing or filled, on average.

“Water fluoridation is only having a modest benefit on dental caries, and those benefits may take years to be realised,” said Professor Anne-Marie Glenny, of the University of Manchester, who co-authored the paper.

Could it actually be scrapped in the US?

Mr Kennedy Jr has claimed Mr Trump will push to remove fluoride from drinking water on his first day in office, referring to it as “industrial waste” in a statement on X.

He also claimed fluoride was associated with arthritis, bone fractures, bone cancer, neurodevelopmental disorders and thyroid disease.

While there have been studies regarding some of those claims, none of them have been conclusive.

After the comments, Mr Trump told Sky News’ US partner NBC News that while he had not spoken to his health secretary pick about trying to scrap fluoride yet, “it sounds OK to me. You know it’s possible”.

The decision on whether or not add fluoride to water is ultimately made by state and local health authorities, so Mr Trump’s government can only advise them to stop it.

‘It’s about risk vs benefit’

Stephen Peckham, professor of health policy at the University of Kent, previously led a study on fluoridation’s potential links to hypothyroidism – an underactive thyroid – and is now part of a research team investigating whether it could be causing IQ issues within the UK’s population.

He tells Sky News he accepts fluoride can be beneficial, but adds it is not a necessity, especially in water.

“We know that ingested fluoride is not an effective way of preventing tooth decay,” he says. “If you want to have fluoride, put it on your toothbrush and clean your teeth with it. It needs to be applied to the tooth and not swallowed.”

He says that while the benefit is limited, the children’s IQ study carried out in the US highlights a need for caution.

“What we do know is that ingesting fluoride does have a neurologic, neurotoxic effect. What’s less certain is at what level of fluoride that begins.

“The judge is saying, well, in that case, shouldn’t we be more careful? And limit in particular pregnant women’s access to fluoridated water or consumption of fluoridated water.

“And your maximum of fluoride depends on how much you drink. So if you drink more, you get more.”

It’s about the “balance of risk and benefit”, he says.

“But if there’s not much benefit, should you have any risk? The answer is no, you shouldn’t.”

‘Stick to the most deprived regions’

Dr Kunal Patel, who owns six private dental clinics in Surrey, including one for children only, says fluoridation was “great in a time where there was less education and less access to fluoride in toothpaste”.

He adds that before the IQ study came out, he would have been happy to see fluoride being added to any area in the UK because he’d have thought “anyone could benefit” without there being any negative effects.

Now, he says, he thinks it’s best to be “selective” and limit fluoridating water “to the areas that are suffering, where it’s more rural or more deprived”.

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He gives the North West as an example, saying he recently did a charity event there to promote dental health among young people, and it was “shocking” to see how many of them did not even own a toothbrush.

He says it’s a “good idea” to expand to similar areas of the UK where dental health is low – but thinks it would be an even better idea to provide toothpaste to schools in such areas and increase their education regarding how best to look after their teeth.

“I think education is the way forward more so than fluoridated water.”

A Department of Health and Social Care spokesperson told Sky News: “The number one reason children aged six to 10 end up in hospital is to have their rotting teeth pulled out.

“Water fluoridation at levels permitted in this country is a safe and effective public health measure that reduces tooth decay.

“Prevention is always better than cure, and this government is committed to helping people stay healthy and keeping kids out of hospital.”

Is your water being fluoridated?

About 330,000 people live in areas of England with naturally occurring fluoride in drinking water, while around 5.8 million people get an artificial supply put in theirs.

It means some 10% of people in England live in areas where fluoride is added to the water, mainly in the West Midlands and the North East.

There is no fluoridation in Wales, Scotland or Northern Ireland.

Here is the full list of areas receiving artificial fluoridation in England, according to the British Fluoridation Society:

  • Cumbria – 120,000
  • Cheshire – 137,000
  • Tyneside – 643,000
  • Northumbria – 101,000
  • County Durham – 85,000
  • Humberside – 136,000
  • Lincolnshire – 250,000
  • Nottinghamshire – 287,000
  • Derbyshire – 43,000
  • Birmingham – 1,000,000
  • Solihull – 200,000
  • Coventry – 300,000
  • Sandwell – 300,000
  • Dudley – 305,000
  • Walsall – 253,000
  • Wolverhampton – 236,000
  • Staffordshire – 497,000
  • Shropshire – 22,000
  • Warwickshire – 431,000
  • Worcestershire – 253,000
  • Bedfordshire – 198,000

And here is the list of areas getting the “optimal” amount of fluoride naturally:

  • Hartlepool, County Durham – 89,000
  • Easington, County Durham – 47,000
  • Uttoxeter, Staffordshire – 13,000
  • Redbridge, London Borough – 180,000

Where else could fluoride be added to water?

The Conservative government introduced proposals to expand fluoridation schemes across the North East “because of the significant and long-standing inequalities in the region” when it comes to dental health.

A public consultation on the plans was launched in June and closed in July. Since Sir Keir Starmer’s Labour government won the election, it has not been clear whether the plans are still being pursued.

These are the areas the government proposed extending the fluoride supply to:

  • Darlington
  • Durham
  • Gateshead
  • Hartlepool
  • Middlesbrough
  • Newcastle
  • Northumberland
  • North Tyneside
  • Redcar and Cleveland
  • South Tyneside
  • Stockton
  • Sunderland

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It’s not ‘traditional’ wildfire season – so why have the California fires spread so quickly?

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It's not 'traditional' wildfire season - so why have the California fires spread so quickly?

A real-life drama is unfolding just outside Hollywood. Ferocious wildfires have ballooned at an “alarming speed”, in just a matter of hours. Why?

What caused the California wildfires?

There are currently three wildfires torching southern California. The causes of all three are still being investigated.

The majority (85%) of all forest fires across the United States are started by humans, either deliberately or accidentally, according to the US Forest Service.

But there is a difference between what ignites a wildfire and what allows it to spread.

However these fires were sparked, other factors have fuelled them, making them spread quickly and leaving people less time to prepare or flee.

The main culprit so far is the Santa Ana winds.

Follow live: Malibu residents told to get ready to flee

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LA residents face ‘long and scary night ahead’

What are Santa Ana winds?

So-called Santa Ana winds are extreme, dry winds that are common in LA in colder winter months.

The California Department of Forestry and Fire Protection warned strong Santa Ana winds and low humidity are whipping up “extreme wildfire risks”.

Winds have already topped 60mph and could reach 100mph in mountains and foothills – including in areas that have barely had any rain for months.

It has been too windy to launch firefighting aircraft, further hampering efforts to tackle the blazes.

These north-easterly winds blow from the interior of Southern California towards the coast, picking up speed as they squeeze through mountain ranges that border the urban area around the coast.

They blow in the opposite direction to the normal onshore flow that carries moist air from the Pacific Ocean into the area.

The lack of humidity in the air parches vegetation, making it more flammable once a fire is started.

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Wildfires spread as state of emergency declared

The ‘atmospheric blow-dryer’ effect

The winds create an “atmospheric blow-dryer” effect that will “dry things out even further”, said Daniel Swain, a climate scientist at University of California, Los Angeles (UCLA).

The longer the extreme wind persists, the drier the vegetation will become, he said.

“So some of the strongest winds will be at the beginning of the event, but some of the driest vegetation will actually come at the end, and so the reality is that there’s going to be a very long period of high fire risk.”

What role has climate change played?

California governor Gavin Newsom said fire season has become “year-round in the state of California” despite the state not “traditionally” seeing fires at this time of year – apparently alluding to the impact of climate change.

Scientists will need time to assess the role of climate change in these fires, which could range from drying out the land to actually decreasing wind speeds.

But broadly we know that climate change is increasing the hot, dry weather in the US that parches vegetation, thereby creating the fuel for wildfires – that’s according to scientists at World Weather Attribution.

But human activities, such as forest management and ignition sources, are also important factors that dictate how a fire spreads, WWA said.

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A U.S flag flies as fire engulfs a structure while the Palisades Fire burns during a windstorm on the west side of Los Angeles, California.
Pic: Reuters
Image:
Pic: Reuters

Southern California has experienced a particularly hot summer, followed by almost no rain during what should be the wet season, said Professor Alex Hall, also from UCLA.

“And all of this comes on the heels of two very rainy years, which means there is plenty of fuel for potential wildfires.

“These intense winds have the potential to turn a small spark into a conflagration that eats up thousands of acres with alarming speed – a dynamic that is only intensifying with the warmer temperatures of a changing climate.”

The flames from a fire that broke out yesterday evening near a nature reserve in the inland foothills northeast of LA spread so quickly that staff at a care home had to push residents in wheelchairs and hospital beds down the street to a car park.

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LA wildfire site is one of most exclusive suburbs – but it’s in the grips of one of mother nature’s terrifying levellers

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LA wildfire site is one of most exclusive suburbs - but it's in the grips of one of mother nature's terrifying levellers

Pacific Palisades is one of Los Angeles’s most expensive and exclusive suburbs, home to film stars and billionaires.

The broad boulevards are framed by palm trees and gated mansions with swimming pools.

But it’s in the grips of one of mother nature’s terrifying levellers, a firestorm which is ripping through community after community, raging and unremitting.

Follow live: 30,000 told to flee

Firefighters battle the Palisades Fire as it burns multiple structures in the Pacific Palisades neighborhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Ethan Swope)
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Pic: AP

A firefighter jumps over a fence while fighting the Palisades Fire in the Pacific Palisades neighbourhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Ethan Swope)
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A firefighter jumps over a fence while fighting the Palisades Fire. Pic: AP

A billowing cloud of black smoke loomed over the main shopping street with its fancy restaurants and designer shops, threatening to destroy what many here consider to be their slice of paradise.

It is a reminder of the destructive power of this sort of weather.

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Martha Kelner reports from Pacific Palisades

Reza, a lifelong resident of Pacific Palisades, was evacuating with what belongings he could fit in his SUV.

“This is surreal, this is unbelievable,” he said.

Reza, a lifelong resident of Pacific Palisades, was evacuating with what belongings he could fit in his SUV.
Image:
Reza, a lifelong resident of Pacific Palisades, was evacuating with what belongings he could fit in his SUV.

“I’ve lived here all my life but this is like nothing I’ve ever seen before. This is the worst of the worst.

“I’ve never seen it with these winds, we just keep praying that the direction changes. But if the direction changes it’s to the detriment of somebody else, that’s the horrible part about it all.”

Firefighters hose down flames as the Palisades Fire destroys a residence in the Pacific Palisades neighborhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Etienne Laurent)
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Pic: AP

A residence burns as a firefighter battles the Palisades Fire in the Pacific Palisades neighborhood of Los Angeles Tuesday, Jan. 7, 2025. (AP Photo/Eugene Garcia)
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Pic: AP

A residence burns as the Palisades Fire advances in the Pacific Palisades neighborhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Ethan Swope)
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Pic: AP

January is not normally wildfire season, but these are not ordinary circumstances, the blazes being propelled by the strongest winds in southern California for more than a decade, fuelled by drought conditions.

Authorities are warning that the winds will grow stronger overnight, meaning that conditions will likely worsen before they get better.

Police and the fire department went door to door, urging people to evacuate or risk losing their lives.

On the main road out of town, there was gridlock traffic, with some abandoning their cars to flee on foot.

Firefighters battle the advancing Palisades Fire in the Pacific Palisades neighborhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Etienne Laurent)
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Pic: AP

On Mount Holyoake Avenue, Liz Lerner, an 84-year-old with congestive heart failure, was on her driveway and visibly panicked.

“I don’t drive, and I’m by myself,” she said.

“I have no relatives, I’m 100% alone and I don’t know what to do. My father built this house in 1949, this is my family home and this is the end. I’ve never seen anything like this.”

On Mount Holyoake Avenue, Liz Lerner, an 84 year old with congestive heart failure, was on her driveway and visibly panicked.
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Liz Lerner, an 84 year old with congestive heart failure, was on her driveway and visibly panicked

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Around the corner, another man was hosing down his multi-million dollar home in a bid to save his property from the fire bounding towards it from a nearby canyon.

“I can’t decide whether to evacuate or stay and carry on hosing down my house,” he said.

“It’s hard to know which way the flames are heading.”

A firefighter makes a stand in front of the advancing Palisades Fire in the Pacific Palisades neighborhood of Los Angeles, Tuesday, Jan. 7, 2025. (AP Photo/Etienne Laurent)
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Pic: AP

Other blazes were breaking out across LA with firefighting planes grounded because of winds which are growing stronger by the hour.

More homes, neighbourhoods and lives are under threat from this perfect and petrifying storm.

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Why does Trump want Greenland and the Panama Canal?

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Why does Trump want Greenland and the Panama Canal?

Since winning re-election, president-elect Donald Trump has expressed an interest in acquiring Greenland and the Panama Canal.

Speaking at a news conference on Tuesday, Mr Trump said he could not assure reporters that military or economic coercion would not be used to try and gain control of both areas.

“I can say this, we need them for economic security,” he said.

The two locations, which are nowhere near each other geographically, pose different interests to the incoming president.

But his desire to seize them both has caused immense backlash.

Why does Trump want Greenland?

Greenland is the world’s largest island and a semiautonomous territory of Denmark. With a population of 57,000, it has been part of Denmark for 600 years.

It is also a founding member of NATO and is home to a large US military base.

Straddling the Arctic circle between the US, Russia and Europe, the island offers a unique geopolitical advantage, that America has eyed for more than 150 years.

FILE - A view of the village of Kangaamiut in Greenland, Wednesday, July 3, 2024. (Ida Marie Odgaard/Ritzau Scanpix via AP, File)
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The village of Kangaamiut in Greenland. Pic: AP

It’s even more valuable as the Arctic opens up more to shipping and trade.

The idea of purchasing Greenland is not a new idea for Mr Trump, as it came up during his first term in office. But he has since reiterated the benefit it could have for America’s national security.

Donald Trump Jr. visits Nuuk, Greenland, on Tuesday, January 7, 2025. Donald Trump Jr. is on a private visit to Greenland. Emil Stach/Ritzau Scanpix/via REUTERS ATTENTION EDITORS - THIS IMAGE WAS PROVIDED BY A THIRD PARTY. DENMARK OUT. NO COMMERCIAL OR EDITORIAL SALES IN DENMARK.
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Donald Trump Jr visits Nuuk, Greenland. Pic: Emil Stach/Ritzau Scanpix/Reuters

Donald Trump Jr. visits Nuuk, Greenland, on Tuesday, January 7, 2025. Donald Trump Jr. is on a private visit to Greenland. Emil Stach/Ritzau Scanpix/via REUTERS ATTENTION EDITORS - THIS IMAGE WAS PROVIDED BY A THIRD PARTY. DENMARK OUT. NO COMMERCIAL OR EDITORIAL SALES IN DENMARK.
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Pic: Emil Stach/Ritzau Scanpix/Reuters

“We need greater national security purposes,” Mr Trump said. “I’ve been told that for a long time, long before I even ran.

“People really don’t even know that Denmark has any legal right to it, but if they do, they should give it up because we need it for national security.”

Mr Trump’s claim to the island coincided with a visit by his son, Donald Trump Jr, who was in Greenland filming for a documentary, Sky News US partner network, NBC News said.

Analysis: Trump’s threats could be a make-or-break test for NATO

Greenland map

Rich in natural resources

As well as its location, Greenland holds rich deposits of various natural resources.

Locked inside the island are valuable rare earth minerals needed for telecommunications, as well as uranium, billions of untapped barrels of oil and a vast supply of natural gas that used to be inaccessible but is becoming less so.

Many of the same minerals are currently mostly supplied by China, so other countries such as the US are interested in tapping into available resources closer to home.

A front-row seat to the climate crisis

More than the oil, gas or minerals, Greenland has a lot of ice – and provides a front-row seat to the globe’s climate crisis.

If that ice melts, it would reshape coastlines across the globe and has the potential to dramatically shift weather patterns.

FILE - Two groups from the Poseidon Expeditions tour company look at a glacier in the Scoresby Sund, on Sept. 7, 2023, in Greenland. (AP Photo/Chris Szagola, File)
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A glacier in Greenland. Pic: AP

In fact, Greenland holds enough ice that if it all melts, the world’s seas would rise by 24ft (7.4m).

Greenland also influences hurricane and winter storm activity. Because of its mountains of ice, it has the power to change patterns in the jet stream, which brings storms across the globe and dictates daily weather.

Often, especially in winter, a blocking system of high pressure off Greenland causes Arctic air to plunge to the west and east, sweeping across North America and Europe, winter weather expert Judah Cohen told the Associated Press.

What effect could this have on the UK?

British politician and security expert, Mike Martin, explained on X that the seas between Greenland and the UK – which has Iceland in the middle – are “utterly vital” for NATO.

He explained that during the Cold War, the UK would often have 50 ships stationed in the area to look after the Greenland-Iceland-UK (GIUK) gap – which is the “only sensible route” that the Russian northern fleet has to get into the Atlantic Ocean.

Both the UK and Denmark continue to have a shared security interest in the gap.

The UK government website states that as part of the UK’s Arctic Policy Framework, it will continue to develop military capability in collaboration with Denmark, to allow it to operate in the region and in order to safeguard UK interests and those of its allies.

However, if overtaken by the US, this collaboration could be affected.

‘Greenland is not for sale’

Addressing Mr Trump’s comments in an interview with Danish broadcaster TV2, Danish Prime Minister Mette Frederiksen said she did not believe the US would use military or economic power to secure control over Greenland.

“Greenland is not for sale,” Ms Frederiksen said, adding: “We need to stay calm and stick to our principles.”

Referring to the US as Denmark’s “most important and closest ally” she said she welcomed the US taking a greater interest in the Arctic region, but said it would have to be done in a way that is “respectful of the Greenlandic people”.

Denmark Prime Minister Mette Frederiksen talks as she walks through the COP29 U.N. Climate Summit, Tuesday, Nov. 12, 2024, in Baku, Azerbaijan. (AP Photo/Peter Dejong)
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Denmark Prime Minister Mette Frederiksen said ‘Greenland is not for sale’. Pic: AP

In the past, Greenland’s Prime Minister Mute Egede has called for independence from Denmark, but said he has no interest in the island nation becoming part of the US.

While Aaja Chemnitz, a Greenlandic member of the Danish parliament, added: “Most people don’t want it.

“I think some people find it quite disrespectful. And the way it has been done, and just the fact that you’re saying that you can buy another country.”

FILED - 15 January 2024, Denmark, Kopenhagen: M'te B. Egede, Head of Government of Greenland, stands during a visit by King Frederik X to the parliament in the Danish capital the day after the Danish change of throne. Photo by: Steffen Trumpf/picture-alliance/dpa/AP Images
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Mute Egede, head of the government of Greenland. Pic: AP

French foreign minister Jean-Noel Barrot also weighed in on the matter, saying on Wednesday that the European Union would not let “other nations of the world attack its sovereign borders, whoever they are”.

“If you’re asking me whether I think the United States will invade Greenland, my answer is no. But have we entered into
a period of time when it is survival of the fittest? Then my answer is yes,” Mr Barrot said.

Why does Trump want the Panama Canal?

The Panama Canal is a waterway that connects the Caribbean Sea with the Pacific Ocean. It acts as a shortcut route, saving time and costs for transporting goods, according to the Embassy of Panama website.

Under the Jimmy Carter administration, control of the canal was handed from the US to Panama in 1979, with the US ending its joint partnership in controlling the strategic waterway in 1999.

FILE - A cargo ship traverses the Agua Clara Locks of the Panama Canal in Colon, Panama, Sept. 2, 2024. (AP Photo/Matias Delacroix, File)
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A cargo ship on the Panama Canal. Pic: AP

It is now administered by the Panama Canal Authority, an autonomous government entity, although a Hong Kong-based contractor operates two ports connected to it, NBC reported.

Mr Trump has claimed that the US is being treated unfairly when it is “overcharged” higher rates for its ships to sail the canal than those of other countries.

Panama Canal map

He claimed that Panama is in “violation” of a deal with the US and that “China is basically taking it over”.

“We gave the Panama Canal to Panama. We didn’t give it to China,” Mr Trump said on Tuesday. “They’ve abused that gift.”

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Trump takes dig at Jimmy Carter on Panama Canal

Panamanian President Jose Raul Mulino denied in a video statement last month that China has influence over the canal and shot down the idea of the US taking back authority over it.

“Every square meter of the canal belongs to Panama and will continue to be so,” he said.

The Panama Canal's Madden Dam stands in Alajuela Lake in Colon, Panama, Monday, Sept. 2, 2024. (AP Photo/Matias Delacroix)
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The Panama Canal’s Madden Dam. Pic: AP

Could Trump actually do it?

The incoming president has offered few details on how he might carry out his plans to grow the US footprint, even as he promised throughout the news conference to return the country to a “golden age” of improved national security and “common sense”.

If Greenland becomes independent, it could choose to become associated with the US.

One option could be to form a so-called “free association” pact with America, similar to the status of Pacific island nations Marshall Islands, Micronesia and Palau.

Mr Trump has also suggested he would impose tariffs on Denmark if it resists his offer to purchase the island.

This could make things difficult for Danish companies, particularly drugmakers like Novo Nordisk, which sells the weight loss drug Wegovy and the type 2 diabetes medicine Ozempic, according to investment magazine Barron’s.

Eswar Prasad, a professor of trade policy at Cornell University, told the magazine that the Trump administration could tailor specific tariffs to target products made by Danish companies regardless of where they are manufactured.

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