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The Effects Of Pre Natal Alcohol Exposure On The Canadian Health Care System

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Introduction Pre-natal alcohol exposure is an established cause of fetal alcohol spectrum disorder (FASD), which is now recognized as the most common preventable cause of mental impairment in North America (Popova et al., 2013). Individuals with FASD experience a wide range of neurological and psychological disabilities caused by permanent brain alterations (Petrenko et al., 2014). The adverse health outcomes that arise from FASD have lifelong implications and pose a significant burden on the Canadian health care system (Popova et al., 2013). From a public health perspective, FASD presents a unique and complex challenge due to the specialized needs of those diagnosed with FASD, and the complexities of maternal alcohol use. Understanding the status of FASD is a difficult endeavour. Difficulty of screening and diagnosis along with an underreporting of maternal alcohol use have led to prevalence data which is generally assumed to be underestimated (Clarren et al., 2001). National prevalence statistics may be also be subject to an ecological fallacy because the data may not be representative of highly vulnerable subsets of the greater population (ie., Aboriginal people living on reserves in Canada) (Chudley et al. 2005). Understanding the scope and breadth of the problem is a challenge for researchers and public health administrators since a vast number of Canadians spanning across all levels of society are adversely affected.
Health Perspectives The way in which we define

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