Mandatory fortification with folic acid for the prevention of neural tube defects: a case study of Australia and New Zealand

Author:

Thurston Lyall,Borman Barry,Bower Carol

Abstract

Abstract Purpose To present a case study of the considerations of mandatory fortification with folic acid in Australia and New Zealand. Methods Review of published reports and consumer advocacy views. Results Australia and New Zealand jointly approved mandatory fortification of flour with folic acid to prevent neural tube defects in 2007. Fortification was fully implemented in Australia in 2009 and has resulted in reduction in NTD. At the last minute, industry lobbying led to the New Zealand government not proceeding with fortification. With continued consumer advocacy, mounting scientific evidence, and a change of government, approval was given in 2021 for mandatory fortification of flour with folic acid. Conclusion In large part as a response to consumer pressure, New Zealand has now joined with Australia (and around 70 other countries) in fortifying flour with folic acid for the prevention of NTD.

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical),General Medicine,Pediatrics, Perinatology and Child Health

Reference33 articles.

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3. Chan A, Robertson EF, Haan EA, Keane RJ, Ranieri E, Carney A (1993) Prevalence of neural tube defects in South Australia 1966–1991: effectiveness and impact of prenatal diagnosis. BMJ 307:703–706

4. International clearinghouse for birth defects surveillance and research annual report 2007 (2007) The International Centre on Birth Defects, Roma, Italy

5. Czeizel AE, Dudas I (1992) Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. New Engl J Med 327:1832–1835

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