FASD 2013 – EPIDEMIOLOGY (E-Book) FASD 2013 – EPIDEMIOLOGY
Current results of the last 5 years from 2008/20009 to 2012 from Australia, Brazil, Germany, France, Ghana, Great Britain, Israel, Japan, Canada, Korea, Columbia, New Zealand, Poland, Romania, Russia, Sweden, Uganda, Uruguay, USA
Prof. Dr. Ekkehart Paditz, MD
Center for applied prevention, Dresden, Germany
In cooperation with
Dr. Anke Rissmann, MD
Magdeburg University Hospital
Monitoring of Congenital Malformations, Saxony-Anhalt
Dorit Götz, Dipl.-Ing.
Monitoring of Congenital Malformations, Saxony-Anhalt
Faculty of Medicine of the University “Otto-von-Guericke”
Foreword by
Dr. James Fitzpatrick, MBBS, B. Sc
Sydney Medical School
Sydney, Australia
Translation: Melissa Dow, Seattle and Dresden
Sales and Design: Bettina Lindner, Dresden
kleanthes, Dresden Germany 2013
Current analysis of FASD epidemiology and the prevalence of maternal alcohol consumption during pregnancy in the last five years from 2008/2009 to 2012 show from an active case search that in elementary schools, at least one child with FASD per class (1:21–25) must be expected (Italy, MAY 2011; Croatia, PETKOVIC 2010).
Population-based studies on the state or federal level reveal a significantly lower frequency (Germany, Paditz 2012; Saxony-Anhalt/Deutschland, GOETZ & RISSMANN 2012 in this volume; Israel, Senecky 2009). Several indicators, such as maternal alcohol consumption in 14% of women from Israel, indicate that the real rate of incidence is higher.
The range of incidence of prenatal alcohol exposure is found in national, cross-regional, or multicenter surveys of between 2.5% in Canada and 54% in Russia (PubMed 949 studies 2008–2012, including 21 studies from 13 countries with such surveys). Mono-centric studies showed similar rates of incidence between 6–29.5% (results from seven countries).
Interviews with women from Australia (Aboriginal), New Zealand (Niue), the USA (Hispanic/ Latina) and Ukraine indicate that prenatal alcohol exposure is not only based on a lack of information about embryo and fetal toxic effects of alcohol, but that questions of self-image and the partnership between men and women contribute significantly to whether a woman enters into the vicious cycle of alcohol consumption or not. In the same way, it
was found in Canada that the risk of maternal alcohol consumption during pregnancy was increased 24-fold with the chronic abdominal pain of Colitis
Ulcerosa. Alcoholism and smoking increased this risk “only” five or twofold, respectively (THAN & JOHNSON 2010).
Epidemiology thus represents an essential tool for the detection of initial conditions at the regional or national level, as well as for the evaluation of the effects of intervention, including the assessment of relevant resources that are required for the care of people with FASD. International comparisons are a contributor, in that the experiences of other countries are taken up, as well as benchmark projects are initiated. Epidemiology relies on well-defined diagnoses. A list of differential diagnostics for FASD with more than 25 relevant diagnoses pointed to the possibility of false positive results. Geneticists from Manchester (UK) found in 8.75% (7/80) of questionable FASD cases, other diagnoses for which existing symptoms could be held responsible
(DOUZGOU 2012). Subtle clinical observations offered similar results in 1957 and 1968 in France in FAS first accounts from ROQUETTE and LEMOINE; also likely, set against the background of France in the 50s and 60s of the 20th century, France exhibited the highest alcohol consumption world-wide, as well as that, in this period, the incidence of congenital syphilis in numerous countries declined significantly.
This volume is intended for physicians, nurses and caretakers, midwives, psychologists, and key persons working in health and education policy, as well as all other interested parties who deals with the subject of FASD and maternal alcohol consumption during pregnancy.
ISBN 978-3-942622-13-4 (E-Book/PDF)
ISBN 978-3-942622-10-3 (E-Book/ EPUB)
USD 39,99
37,99 Euro (D)
38,30 Euro (A)
kleanthes, Dresden Germany 2013
Cover FASD2013
[w
Prof. Dr. Ekkehart Paditz, MD
Center for applied prevention, Dresden, Germany
In cooperation with
Dr. Anke Rissmann, MD
Magdeburg University Hospital
Monitoring of Congenital Malformations, Saxony-Anhalt
Dorit Götz, Dipl.-Ing.
Monitoring of Congenital Malformations, Saxony-Anhalt
Faculty of Medicine of the University “Otto-von-Guericke”
Foreword by
Dr. James Fitzpatrick, MBBS, B. Sc
Sydney Medical School
Sydney, Australia
kleanthes, Dresden Germany 2013
Current analysis of FASD epidemiology and
the prevalence of maternal alcohol consumption
during pregnancy in the last five years from
2008/2009 to 2012 show from an active case
search that in elementary schools, at least one child
with FASD per class (1:21–25) must be expected
(Italy, MAY 2011; Croatia, PETKOVIC 2010).
Population-based studies on the state or federal level
reveal a significantly lower frequency (Germany,
Paditz 2012; Saxony-Anhalt/Deutschland, GOETZ
& RISSMANN 2012 in this volume; Israel,
Senecky 2009). Several indicators, such as maternal
alcohol consumption in 14% of women from Israel,
indicate that the real rate of incidence is higher.
The range of incidence of prenatal alcohol exposure
is found in national, cross-regional, or multicenter
surveys of between 2.5% in Canada and
54% in Russia (PubMed 949 studies 2008–2012,
including 21 studies from 13 countries with such
surveys). Mono-centric studies showed similar rates
of incidence between 6–29.5% (results from seven
countries).
Interviews with women from Australia (Aboriginal),
New Zealand (Niue), the USA (Hispanic/
Latina) and Ukraine indicate that prenatal alcohol
exposure is not only based on a lack of information
about embryo and fetal toxic effects of alcohol, but
that questions of self-image and the partnership
between men and women contribute significantly
to whether a woman enters into the vicious cycle
of alcohol consumption or not. In the same way, it
was found in Canada that the risk of maternal alcohol
consumption during pregnancy was increased
24-fold with the chronic abdominal pain of Colitis
Ulcerosa. Alcoholism and smoking increased this
risk “only” five or twofold, respectively (THAN &
JOHNSON 2010).
Epidemiology thus represents an essential tool for
the detection of initial conditions at the regional or
national level, as well as for the evaluation of the
effects of intervention, including the assessment of
relevant resources that are required for the care of
people with FASD. International comparisons are a
contributor, in that the experiences of other countries
are taken up, as well as benchmark projects are
initiated.
Epidemiology relies on well-defined diagnoses. A
list of differential diagnostics for FASD with
more than 25 relevant diagnoses pointed to the
possibility of false positive results. Geneticists from
Manchester (UK) found in 8.75% (7/80) of questionable
FASD cases, other diagnoses for which
existing symptoms could be held responsible
(DOUZGOU 2012). Subtle clinical observations
offered similar results in 1957 and 1968 in France
in FAS first accounts from ROQUETTE and
LEMOINE; also likely, set against the background
of France in the 50s and 60s of the 20th century,
France exhibited the highest alcohol consumption
world-wide, as well as that, in this period, the incidence
of congenital syphilis in numerous countries
declined significantly.
This volume is intended for physicians, nurses and
caretakers, midwives, psychologists, and key persons
working in health and education policy, as
well as all other interested parties who deals with
the subject of FASD and maternal alcohol consumption
during pregnancy.
ISBN 978-3-942622-13-4 (E-Book / PDF)
ISBN 978-3-942622-10-3 (E-Book / EPUB)
kleanthes, Dresden Germany 2013
