Fetal alcohol spectrum disorder in Israel: increased prevalence in an at-risk population

Ariel Tenenbaum1, Pnina Hertz, Talia Dor

  • 1Medical Unit for Adoption and Foster Care, Department of Pediatrics, Hadassah University Medical Center, Mount Scopus Campus, Jerusalem, Israel. tene@hadassah.org.il

Insights

This study found 15% of high-risk children in Israel showed signs of fetal alcohol spectrum disorder (FASD) or were at risk. Early diagnosis and intervention are crucial for affected children.

Area of Science:

  • Pediatrics
  • Public Health
  • Neurodevelopmental Disorders

Background:

  • Maternal alcohol consumption during pregnancy can cause fetal alcohol spectrum disorder (FASD) in offspring.
  • FASD prevalence in Israel is not well-established, with few diagnosed cases.
  • Systematic evaluation of FASD in high-risk populations is needed.

Purpose of the Study:

  • To assess the prevalence of FASD and identify children at risk in a specific high-risk group.
  • To evaluate foster and adopted children under two years old for FASD manifestations.
  • To gather data on maternal alcohol and illicit drug use during pregnancy.

Main Methods:

  • Prospective evaluation of 100 Israeli children under two years old.
  • Inclusion criteria: candidates for domestic adoption or in foster care.
  • Data collection included clinical FASD assessment and parental substance use history.

Main Results:

  • Two children diagnosed with fetal alcohol syndrome (FAS); two with partial FAS.
  • Eleven additional children were identified as at risk for FASD.
  • Eight children had mothers with reported alcohol consumption during pregnancy.

Conclusions:

  • 15% of the evaluated high-risk children exhibited FASD or were at risk.
  • Findings suggest a higher FASD prevalence in Israel than previously assumed.
  • Under-diagnosis of FASD hinders access to necessary interventions for affected children.
Abstract

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