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Neural Tube Defects Case Study

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Case Study 16: Preventing Neural Tube Defects in Chile

Abstract
Neural tube defects (NTDs) are the second most common congenital malformation to congenital heart disease and affected 400 babies in Chile annually before a fortification legislation was passed to use fortified flour with folic acid. This fortification reduced spina bifida by 51% and anencephaly by 46% (Levine, 2007). Team One will share answers to questions about this study and research of the problem. The globally astute nurse can provide education and become an advocate to continue to reduce these congenital birth defects through improving the health of women and children and thus all humanity.

Case Study Sixteen: Preventing Neural Tube Defects in Chile

Despite efforts to reduce neural tube defects, more than 300,000 children are born with neural tube defects annually (CDC, 2012). In Chile, fortification with folate reduced birth defects. Public and private partnerships are necessary for the success of ventures to improve healthcare. Fortification with folate in the diet can be replicated, but must be attune to cultural diet and nutrition habits. Global education is a critical link to success in combating disease and especially with neural tube defects. Once leaders are aware and efforts can focus on problems for education, intervention and evaluation, global health can be improved and the sustainability of our people and planet can continue.
Question 1: Characterize the public-private partnership that was key to the success of Chile’s fortification intervention.
In 2000 Chile undertook the task of reducing Neural Tube Defects (NTDs) and reducing the social and economic costs associated with this birth defect. It was well known from research programs in other countries that neural tube defects were primarily caused by low levels of

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