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Public Health Rep. 1995 Nov-Dec; 110(6): 690–697.
PMCID: PMC1381808

Surveillance for fetal alcohol syndrome in Colorado.

Abstract

The authors performed surveillance for fetal alcohol syndrome with an existing birth defects registry. Fetal alcohol syndrome cases were identified from multiple sources using passive surveillance and from two selected medical sites using enhanced surveillance. Between May 1992 and March 1994, a total of 173 cases were identified, and the medical records of the cases were reviewed to determine whether the cases met a surveillance case definition for fetal alcohol syndrome. Of these cases, 37 (21 percent) met either definite (28) or probable (9) criteria for fetal alcohol syndrome, 76 met possible criteria (44 percent), and 60 (35 percent) were defined as not fetal alcohol syndrome. Enhanced surveillance had the highest sensitivity for definite or probable cases, 31 of 37 (84 percent), followed by hospital discharge data, 14 of 37 (38 percent). The authors also compared birth certificate information for 22 definite or probable cases in children born between 1989 and 1992 to birth certificate information for all Colorado births for that period. The proportion of mothers of children with fetal alcohol syndrome was statistically significantly greater (as determined by exact binomial 95 percent confidence limits) than the proportion of all mothers for the following characteristics: black race (0.23 versus 0.05), unmarried (0.55 versus 0.22), not employed during pregnancy (0.86 versus 0.43), and started prenatal care in the third trimester (0.18 versus 0.04). Surveillance for fetal alcohol syndrome can be accomplished with an existing registry system in combination with additional case finding and verification activities. Through followup investigation of reported cases, data can be gathered on the mothers of children with fetal alcohol syndrome. These data could be used to target fetal alcohol syndrome prevention programs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Abel EL, Sokol RJ. A revised conservative estimate of the incidence of FAS and its economic impact. Alcohol Clin Exp Res. 1991 Jun;15(3):514–524. [PubMed]
  • Bingol N, Schuster C, Fuchs M, Iosub S, Turner G, Stone RK, Gromisch DS. The influence of socioeconomic factors on the occurrence of fetal alcohol syndrome. Adv Alcohol Subst Abuse. 1987 Summer;6(4):105–118. [PubMed]
  • May PA, Hymbaugh KJ, Aase JM, Samet JM. Epidemiology of fetal alcohol syndrome among American Indians of the Southwest. Soc Biol. 1983 Winter;30(4):374–387. [PubMed]
  • Clarren SK, Smith DW. The fetal alcohol syndrome. N Engl J Med. 1978 May 11;298(19):1063–1067. [PubMed]
  • Sokol RJ, Clarren SK. Guidelines for use of terminology describing the impact of prenatal alcohol on the offspring. Alcohol Clin Exp Res. 1989 Aug;13(4):597–598. [PubMed]
  • Clarren SK. Recognition of fetal alcohol syndrome. JAMA. 1981 Jun 19;245(23):2436–2439. [PubMed]
  • Streissguth AP, Aase JM, Clarren SK, Randels SP, LaDue RA, Smith DF. Fetal alcohol syndrome in adolescents and adults. JAMA. 1991 Apr 17;265(15):1961–1967. [PubMed]
  • Fuchs M, Iosub S, Bingol N, Gromisch DS. Palpebral fissure size revisited. J Pediatr. 1980 Jan;96(1):77–78. [PubMed]
  • Hanson JW, Jones KL, Smith DW. Fetal alcohol syndrome. Experience with 41 patients. JAMA. 1976 Apr 5;235(14):1458–1460. [PubMed]
  • Little BB, Snell LM, Rosenfeld CR, Gilstrap LC, 3rd, Gant NF. Failure to recognize fetal alcohol syndrome in newborn infants. Am J Dis Child. 1990 Oct;144(10):1142–1146. [PubMed]
  • Hexter AC, Harris JA, Roeper P, Croen LA, Krueger P, Gant D. Evaluation of the hospital discharge diagnoses index and the birth certificate as sources of information on birth defects. Public Health Rep. 1990 May-Jun;105(3):296–307. [PMC free article] [PubMed]
  • Wilson PJ, Scott RV, Briggs FH, Ince SE, Quinton BA, Headings VE. Characteristics of parental response to fetal alcohol syndrome. Birth Defects Orig Artic Ser. 1984;20(6):187–191. [PubMed]
  • Abel EL. Characteristics of mothers of fetal alcohol syndrome children. Neurobehav Toxicol Teratol. 1982 Jan-Feb;4(1):3–4. [PubMed]
  • Pierog S, Chandavasu O, Wexler I. The fetal alcohol syndrome: some maternal characteristics. Int J Gynaecol Obstet. 1979 Mar-Apr;16(5):412–415. [PubMed]
  • Abel EL. Fetal alcohol syndrome in families. Neurotoxicol Teratol. 1988 Jan-Feb;10(1):1–2. [PubMed]

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