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Neural tube defects in Jamaica following Hurricane Gilbert

E.M.W. Duff and E.S. Cooper

American Journal of Public Health, 1994, vol. 84, issue 3, 473-476

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 μg/day) than did the control subjects (254 μg/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.

Date: 1994
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1994:84:3:473-476_9

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