While the DeKalb Utility District (DUD) has voted to exclude fluoridation of water produced at their new water treatment plant, the Tennessee Department of Health (TDOH) has sent a letter to local physicians in support of the fluoridation process. While the DUD board reportedly voted unanimously against including the fluoridation process, notices were mailed out with the utility’s monthly bills beforehand. DUD officials said only four customers returned opinions, and all were against fluoridation.