Neural tube defects in Jamaica following Hurricane Gilbert.

Abstract:

:An increased incidence of obvious live-birth neural tube defects (i.e., spina bifida cystica and encephalocele) occurred in Jamaica 11 to 18 months after Hurricane Gilbert. The conceptions of the affected babies coincided with a rise in megaloblastic change in sickle cell patients, suggesting a wide-spread drop in dietary folate intake. A detailed history was taken from each of the 17 affected mothers (case subjects) and 51 unaffected mothers (matched control subjects). The case subjects reported a significantly lower mean intake of dietary folate in the periconceptional period (154 micrograms/day) than did the control subjects (254 micrograms/day). The temporary increase in neural tube defects was associated with a diet comparatively low in folate in the periconceptional period, suggesting the dietary level of folate that fails to protect against neural tube defects under natural conditions.

journal_name

Am J Public Health

authors

Duff EM,Cooper ES

doi

10.2105/ajph.84.3.473

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

473-6

issue

3

eissn

0090-0036

issn

1541-0048

journal_volume

84

pub_type

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