He said Dr Snee is passionate, as a chief executive should be, about wanting to provide equitable health services for everyone in our community, and if water fluoridation is removed from the Hastings water supply greater inequity will follow.
"Community water fluoridation remains the single most cost-effective public health measure there is.
"Numerous studies have shown that if fluoridation is removed communities can only expect to see higher levels of tooth decay and individually we will face significantly higher costs as will the health system in treating that decay."
Mr Tomoana said it was fair and reasonable to expect signs from other organisations to be removed from district health board organised meetings when asked, and if that didn't happen there was justification for removing them.
The letter further read, "Dr Snee's action brings disrepute upon the board as a whole, and the public service in general. Dr Snee has not only shown no remorse, he has barefacedly assumed the 'moral high ground' for his inexcusable actions, repeatedly trying to lay the blame on Fluoride Free Hawke's Bay for his own actions."
Fluoride Free Hastings said they have spoken with police about Dr Snee's offending and also expect a formal public apology from the board and Dr Snee.
"As Dr Snee was on official duties at the time of this incident, you will be aware that the board is liable for the loss caused by its employee in the course of his duties," the letter said.