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Fetal Alcohol Spectrum Disorders
Fetal Alcohol Spectrum Disorders


Tracking Fetal Alcohol Syndrome

The reported prevalence rates of FAS vary widely depending on the population studied and the surveillance methods used. CDC studies show FAS prevalence rates ranging from 0.2 to 1.5 per 1,000 live births in different areas of the United States. Other prenatal alcohol-related conditions, such as alcohol-related neurodevelopmental disorder (ARND) and alcohol-related birth defects (ARBD), are believed to occur approximately three times as often as FAS.

Population-based surveillance of FAS is important to document the magnitude of the problem and to monitor trends in the occurrence of this preventable birth defect. In 1997, the Centers for Disease Control and Prevention (CDC) established or enhanced statewide, population-based surveillance of fetal alcohol syndrome (FAS).
 

Purposes of FAS Surveillance Network:

The specific purposes of the population-based Fetal Alcohol Syndrome Surveillance Network (FASSNet) initiative and the cooperative agreements were to:

  • Enhance an existing system or develop and implement a new system that uses a multiple-source surveillance methodology to enable researchers to determine the prevalence of FAS within a geographically defined area (statewide, multiple states, or regions within a state);
  • Improve the capacity to ascertain true cases of FAS and generate population-based surveillance data;
  • Establish relations with facilities or programs where FAS is likely to be diagnosed or children with FAS receive services, such as high-risk newborn registries, special diagnostic units, special education programs, special needs registries, and other programs or settings for children with developmental disabilities;
  • Evaluate the completeness of the surveillance system methodology, the system's ability to generate a prevalence rate for FAS, and the potential for monitoring trends; and
  • Implement health-care provider training and education on FAS to improve case ascertainment, referral and case-management practices, and prevention activities.

FASSNet Sites:

FASSNet projects were in five states. Click on a state listed below to learn more about its program. This cooperative agreement ended in 2003.
 

DISCLAIMER: Links to organizations outside of CDC are included for information only. CDC has no control over the information at these sites. Views and opinions of these organizations are not necessarily those of CDC, the Department of Health and Human Services (HHS), or the U.S. Public Health Service (PHS).

FASSNet links to the pdf formatted documents Adobe reader symbolmedical provider education materials and a Adobe reader symbolcharting tool to enhance FAS case ascertainment and improve the surveillance of FAS. 

Documents bearing the Adobe reader symbol  logo are in the Portable Document Format (PDF) and require the Adobe Acrobat Reader for proper viewing. 

Visit  http://www.adobe.com/ to get a free  copy of Adobe Reader.

FASSNet Findings:

FASSNet data indicate that many children continue to be affected by maternal alcohol use during pregnancy. The rate of FAS in children born during the three year time period from 1995 through 1997 in four of the FASSNet states (Alaska, Arizona, Colorado, and New York) ranged from 0.3 to 1.5 per 1,000 live births and varied by race/ethnicity.
 

Related Publications:

Fox DJ, Druschel CM. Estimating prevalence of fetal alcohol syndrome (FAS): Effectiveness of a passive birth defects registry system. Birth Defects Research (Part A) 2003;67:604-608. [Abstract]

Meaney FJ, Miller LA, FASSNet Team. A comparison of Fetal Alcohol Syndrome Surveillance Network and birth defects surveillance methodology in determining prevalence rates of fetal alcohol syndrome. Birth Defects Research (Part A) 2003;67:819-821. [Abstract]

Centers for Disease Control and Prevention. Fetal alcohol syndrome --- Alaska, Arizona, Colorado, and New York, 1995--1997. MMWR Morbidity and Mortality Weekly Report 2002;51:433-435. [Full Text]

Hymbaugh K, Miller LA, Druschel CM, Podvin DW, Meaney J, Boyle CA, FASSNet Team. A multiple source methodology for the surveillance of fetal alcohol syndrome – the Fetal Alcohol Syndrome Surveillance Network (FASSNet). Teratology 2002;66:S41-S49. [Abstract]

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Date: December 05, 2006
Content source: National Center on Birth Defects and Developmental Disabilities

 

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Quick Links
Tool Kit CoverFASD Prevention Tool Kit for Women's Health Care Providers
[Click here for more information]  

K-12 Curriculum: Available from NOFAS

Podcasts on alcohol use and pregnancy available in English and Spanish

State data on alcohol consumption rates among women of childbearing age in 2005 and 2006

Read about the Science Ambassador Program and available lesson plans on FAS for middle and high school classrooms

FAS Guidelines for Referral and Diagnosis
Click here to view or download the Guidelines. [PDF document]
Find out how to order copies

Surgeon General's Advisory on Alcohol Use in Pregnancy [PDF document]

Curricula on FASDs and how to access appropriate services for those with FASDs and their families
 

Pregnancy Information: How to be healthy before, during, and after pregnancy.
Click here to go to CDC's pregnancy information
 
 
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Contact Info

Fetal Alcohol Syndrome
NCBDDD, CDC
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Email: cdcinfo@cdc.gov

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We are not able to answer personal medical questions. Please see your health care provider concerning appropriate care, treatment, or other medical advice.
 

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