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Geopolitics•16 April 2026•

1 min read

US Water Utilities Face Fluoride Shortages Amid Middle East Geopolitical Tensions

Donald Trump's portrait over a map of Iran, oil refineries, barrels, and a rising financial chart in fiery tones.

Key Facts

1Water utilities in Baltimore and Maryland counties reduced fluoride levels from 0.7 mg/L to 0.4 mg/L due to supply shortages.

2Israel is a key supplier of hydrofluorosilicic acid, and exports have been disrupted due to the ongoing conflict.

3The United States is among the world's top five importers of fluorosilicic acid.

Major US water utilities, including those in Baltimore and Maryland, are facing significant shortages of hydrofluorosilicic acid used for water treatment. Utilities have been forced to reduce fluoridation levels from 0.7 mg/L to 0.4 mg/L as supply chains falter. Israel serves as a primary supplier of this essential chemical, and exports have been severely disrupted by the ongoing regional conflict. As one of the world's top five importers of fluorosilicic acid, the United States remains highly vulnerable to geopolitical instability affecting chemical logistics. This shortage underscores critical vulnerabilities in public infrastructure and the reliance on foreign suppliers for essential services. The disruption is expected to impact the operational standards of water utilities and the performance of chemical sector stocks like ICL Group.