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. 2015 Nov 24;351:h5949. doi: 10.1136/bmj.h5949

Table 1.

 Total and live birth prevalence of neutral tube defects in study population, European Surveillance of Congenital Anomalies (EUROCAT), 1991-2011

Place Time period Total births Total live births Neural tube defects* Anencephaly Spina bifida
No Prevalence per 10 000 births No Prevalence per 10 000 births No Prevalence per 10 000 births
Austria, Styria 1991-2009 216 196 215 388 166 7.68 40 1.85 98 4.53
Belgium, Antwerp 1991-2011 337 862 336 481 283 8.38 100 2.96 156 4.62
Belgium, Hainaut 1991-2011 263 703 262 493 247 9.37 82 3.11 135 5.12
Czech Republic 2000-09 1 029 247 1 026 352 769 7.47 245 2.38 410 3.98
Croatia, Zagreb 1991-2010 131 525 130 913 63 4.79 18 1.37 36 2.74
Denmark, Odense 1991-2011 115 846 115 231 127 10.96 44 3.80 68 5.87
Finland 1993-2010 1 070 940 1 066 986 928 8.67 314 2.93 436 4.07
France, Paris 1991-2011 666 353 660 950 801 12.02 347 5.21 331 4.97
Germany, Mainz† 1991-2011 71 627 71 343 134 18.72 28 3.91 85 11.87
Germany, Saxony-Anhalt 1991-2011 289 124 287 850 258 8.93 67 2.32 151 5.22
Hungary 1998-2010 1 260 719 1 254 111 847 6.72 256 2.03 498 3.95
Ireland, Cork and Kerry 1996-2010 131 168 130 443 159 12.13 65 4.96 83 6.33
Ireland, Dublin 1991-2011 470 231 467 901 411 8.74 149 3.17 201 4.28
Ireland, south east 1997-2011 101 348 101 269 97 9.58 30 2.96 63 6.22
Italy, Emilia Romagna 1991-2011 656 637 654 627 350 5.33 109 1.66 202 3.08
Italy, Tuscany 1991-2011 558 669 556 582 313 5.60 108 1.93 163 2.92
Malta 1991-2010 88 573 88 202 97 10.95 25 2.82 56 6.32
Netherlands, northern 1991-2011 401 404 399 055 338 8.42 108 2.69 197 4.91
Norway 1999-2011 775 060 769 293 718 9.27 282 3.64 360 4.65
Poland, Wielkopolska 1999-2010 440 163 437 966 407 9.25 71 1.61 290 6.59
Portugal, southern 1991-2010 316 853 315 491 150 4.73 62 1.96 76 2.40
Spain, Basque Country 1991-2010 361 416 359 810 356 9.85 189 5.23 141 3.90
Switzerland, Vaud 1991-2011 159 273 158 617 162 10.17 62 3.89 74 4.65
United Kingdom, East Midlands and South Yorkshire 1998-2011 922 288 916 786 1012 10.97 426 4.62 480 5.21
UK, northern England 2000-2011 382 973 380 843 522 13.63 214 5.59 251 6.56
UK, Thames Valley 1991-2011 291 827 290 307 337 11.55 155 5.31 156 5.35
UK, Wales 1998-2011 466 358 463 941 703 15.08 278 5.96 330 7.08
UK, Wessex 1994-2011 492 629 490 436 598 12.14 288 5.85 249 5.06
Total (95% CI) 1991-2011 12 470 012 12 409 667 11 353 9.105 (8.94 to 9.27) 4162 3.34 (3.24 to 3.44) 5776 4.63 (4.51 to 4.75)

*Total number comprises cases of anencephaly, spina bifida, and encephalocele.

†Higher prevalence of neural tube defects (NTD), specifically spina bifida, has been consistent observation in Mainz; substantial fluctuations in prevalence of NTD in Mainz occurred over time, however (as in other registries), and no evidence was found that lack of clear downward trend in prevalence of NTD in overall data could be explained by any changes in Mainz.