http://www.cnr.it/ontology/cnr/individuo/prodotto/ID327274

Primary Prevention of Congenital Anomalies: Recommendable, Feasible and Achievable (Articolo in rivista)

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Primary Prevention of Congenital Anomalies: Recommendable, Feasible and Achievable (Articolo in rivista) (literal)

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Domenica ,Taruscio; Alberto, Mantovani; Pietro, Carbone; Ingeborg ,Barisic; Fabrizio, Bianchi; Ester, Garne ; Vera, Nelen; AmandaJulie, Neville; Diana, Wellesley ; Helen, Dolk (2015)
Primary Prevention of Congenital Anomalies: Recommendable, Feasible and Achievable
in Public health genomics (Online); Karger, Basel (Swaziland)
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Domenica ,Taruscio; Alberto, Mantovani; Pietro, Carbone; Ingeborg ,Barisic; Fabrizio, Bianchi; Ester, Garne ; Vera, Nelen; AmandaJulie, Neville; Diana, Wellesley ; Helen, Dolk (literal)

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National Center for Rare Diseases, Department of Food Safety and Veterinary Public Health, Istituto Superiore di Sanità, Rome , Unit of Epidemiology, IFC CNR (Tuscany Registry of Birth Defects), Pisa , IMER Registry (Emilia Romagna Registry of Birth Defects), Ferrara , Italy; Children's University Hospital of Zagreb, Clinical Hospital Center Sisters of Mercy, Zagreb , Croatia; Hospital Lillebælt, Kolding , Denmark; Provincial Institute for Hygiene, Antwerp , Belgium; h Faculty of Medicine, University Hospitals Southampton and Wessex Clinical Genetics Service, Southampton , WHO Collaborating Centre for the Surveillance of Congenital Anomalies, University of Ulster, Ulster , UK (literal)

Titolo

Primary Prevention of Congenital Anomalies: Recommendable, Feasible and Achievable (literal)

Abstract

Primary prevention of congenital anomalies was identified as an important action in the field of rare diseases by the European Commission in 2008, but it was not included in the Council Recommendation on an action in the field of rare diseases in 2009. However, primary prevention of congenital anomalies is feasible because scientific evidence points to several risk factors (e.g., obesity, infectious and toxic agents) and protective factors (e.g., folic acid supplementation and glycemic control in diabetic women). Evidence-based community actions targeting fertile women can be envisaged, such as risk-benefit evaluation protocols on therapies for chronic diseases, vaccination policies, regulations on workplace and environmental exposures as well as the empowerment of women in their lifestyle choices. A primary prevention plan can identify priority targets, exploit and integrate ongoing actions and optimize the use of resources, thus reducing the health burden for the new generation. The EUROCAT-EUROPLAN recommendations for the primary prevention of congenital anomalies endorsed in 2013 by the European Union Committee of Experts on Rare Diseases present an array of feasible and evidence-based measures from which national plans can adopt and implement actions based on country priorities. Primary prevention of congenital anomalies can be achieved here and now and should be an integral part of national plans on rare diseases. (literal)

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