After the 1783 Laki eruption, excess mortality in Iceland was one-sixth of the population, traditionally explained by famine due to livestock loss. Since 1970, it has been suggested that 1) fluorine poisoning may have contributed to mortality in Iceland and 2) air pollution might have caused excess deaths in both Iceland and Europe. Reviewing contemporary Icelandic demographic data, air pollution simulations, and medical records on fluorosis, we show that evidence for both hypotheses is weak.