Implementation of the BC Congenital Anomalies Surveillance System (BCCASS)

Yonabeth Nava de Escalante1, Aanu Abayomi2, Anders Erickson2

  • 1Office of the Provincial Health Officer, Ministry of Health, Victoria, British Columbia, Canada. Yonabeth.Nava@gov.bc.ca.

Insights

The BC Congenital Anomalies Surveillance System (BCCASS) enhances monitoring of birth defects in British Columbia. This cost-effective system uses existing data to inform public health policy and preventive measures for congenital anomalies.

Area of Science:

  • Public Health
  • Epidemiology
  • Biostatistics

Background:

  • Congenital anomalies (CAs) contribute significantly to infant mortality and lifelong morbidity.
  • Irregular surveillance of CAs in British Columbia (BC) has hindered effective public health interventions.
  • The Public Health Agency of Canada funded the BC Congenital Anomalies Surveillance System (BCCASS) to address these surveillance gaps.

Purpose of the Study:

  • To establish a robust, population-based surveillance system for congenital anomalies in BC.
  • To leverage existing administrative data for comprehensive CA monitoring.
  • To provide data for policy development, program planning, and evaluation of preventive strategies.

Main Methods:

  • BCCASS is a population-based surveillance system utilizing existing administrative data (vital events, disease status, prescriptions, healthcare utilization).
  • Algorithms are employed to identify specific CA diagnoses, with some requiring validation by a multi-stakeholder Provincial Advisory Committee.
  • The system captures data on maternal residence, risk, and protective factors for association studies.

Main Results:

  • BCCASS provides prevalence and historical trend data for 35 CAs in BC.
  • The system enables association studies linking CAs to environmental hazards and cluster analysis.
  • Data supports understanding the burden of CAs for informed public health decision-making.

Conclusions:

  • BCCASS is a cost-effective and sustainable system for monitoring congenital anomalies in BC.
  • The system is crucial for data-driven policy development and program planning.
  • Strong stakeholder collaboration is essential for the successful implementation and future expansion of BCCASS.
Abstract

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