In January 1990, a short letter was sent to the editor of the international medical journal, Pediatrics, to alert its readers that the standard, highly quoted paper by Singer and Ophaug on fluoride intake by infants, published in 1979 in the same journal, required revision/correction in order to protect one group of infants from receiving substantial overdoses of fluoride. This group comprises infants who are fed almost entirely on powdered formula which is reconstituted with fluoridated water.The letter was based on the well‐established pediatric guidelines of water intake by infants and the fundamental toxicological principle of protecting groups at highest risk. It did not question the fluoridation of public water supplies. Nevertheless, the letter, together with a response to it by Ophaug, was rejected by the editor of Pediatrics, “due to a large backlog of articles.”; Following a protest, the letter was reviewed by three referees, two of whom conceded its main point, but was still not published.In the present paper, the original, previously unpublished letter on fluoride intake by infants is first reproduced verbatim, and then the comments of the referees and editors are reported and examined. It is concluded that the most plausible explanation for the rejection of the letter is that it might assist the anti‐fluoridation movement. Another possible contributing explanation is that publication of the letter might reduce the status of the scholars who had defended the previous position and might be perceived to diminish the status of the journal.