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MACDP MapThe tracking system covers the five central counties in the metropolitan Atlanta area: Clayton, Cobb, DeKalb, Fulton, and Gwinnett. Metropolitan Atlanta has an estimated population of 2.9 million and an estimated 50,000 births per year. The population has changed with the growth of Atlanta since the beginning of the study. Atlanta has become more urban and the racial and ethnic make-up has changed over time. Since MACDP began tracking birth defects in Atlanta, the percentage of births to non-whites has risen from 27% to 48%.

The key to the success of MACDP has been its many case sources. A passive tracking system, which relies on voluntary reporting, would miss many birth defects. The specially trained MACDP staff, on the other hand, visits hospitals and clinics throughout the metropolitan Atlanta area to make certain that all births affected by a birth defect are included. MACDP also links with other databases such as birth and death certificates and genetic laboratories. Data linkage among the various databases broadens the information, improves ascertainment, helps prevent counting the same baby with a birth defect twice, and improves the overall quality of the data.

Date: March 11, 2009
Content source: National Center on Birth Defects and Developmental Disabilities

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