Abstract
In an area which had a high incidence of anencephalus, 3.2 per 1000 births, there was a significant drop to 1.3 per 1000, below the national average of 1.7 to 1.8, among conceptions after 1967. In the northern part of the area this drop was greater in summer than winter conceptions, providing additional evidence of a different process underlying case occurrences in the north of the area from that in the south. In 1957-61 there were significantly more births of anencephalic babies in North Fylde than in South Fylde, but both areas were supplied with soft water. From 1962 to 1969 the water changed from soft to slightly hard. Soft water does not appear to be a primary aetiological factor in anencephalus, but hard water may mitigate the effect of other factors.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Fielding D. W., Smithells R. W. Anencephalus and water hardness in south-west Lancashire. Br J Prev Soc Med. 1971 Nov;25(4):217–219. doi: 10.1136/jech.25.4.217. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leck I. Causation of neural tube defects: clues from epidemiology. Br Med Bull. 1974 May;30(2):158–163. doi: 10.1093/oxfordjournals.bmb.a071187. [DOI] [PubMed] [Google Scholar]
- Lowe C. R., Roberts C. J., Lloyd S. Malformations of central nervous system and softness of local water supplies. Br Med J. 1971 May 15;2(5758):357–361. doi: 10.1136/bmj.2.5758.357. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mambidge K. M., Neldner K. H., Walravens P. A. Letter: Zinc,acrodermatitis enteropathica, and congenital malformations. Lancet. 1975 Mar 8;1(7906):577–578. doi: 10.1016/s0140-6736(75)91601-3. [DOI] [PubMed] [Google Scholar]
- Morton M. S., Elwood P. C., Abernethy M. Trace elements in water and congenital malformations of the central nervous system in South Wales. Br J Prev Soc Med. 1976 Mar;30(1):36–39. doi: 10.1136/jech.30.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smithells R. W., Sheppard S., Schorah C. J., Seller M. J., Nevin N. C., Harris R., Read A. P., Fielding D. W. Possible prevention of neural-tube defects by periconceptional vitamin supplementation. Lancet. 1980 Feb 16;1(8164):339–340. doi: 10.1016/s0140-6736(80)90886-7. [DOI] [PubMed] [Google Scholar]