SlideShare ist ein Scribd-Unternehmen logo
1 von 1
Downloaden Sie, um offline zu lesen
-----Original Message-----
From: Susan Astley [mailto:astley@...]
Sent: Friday, September 03, 2010 11:23 AM
Subject: Re: Drinking for Two
Dear all,
The conclusions drawn by Kelly et 2009 Intnl J Epi are unfortunate and
short-sighted.
Here are some sobering statistics from our clinic (no pun intended).
Among 160 individuals diagnosed with FAS/PFAS using the 4-Digit Code:
here are the CNS functional outcomes (CNS Ranks: 1 normal,2 mod impaired,3
severely impaired) by age category.
CNS 0-3yr 4-5 6-10 11-15 15-19
Rank
1 70% 33% 6% 3% 0%
2 13% 11% 13% 10% 0%
3 17% 56% 82% 86% 100%
total N 46 27 55 29 3
The point here is that even kids with full FAS can look 'pretty good'
under the age of 3yrs. Only 17% of 0-3yr olds met our criteria for severe
dysfunction. But the prevalence of severe dysfunction increases
dramatically in the older age groups. Clearly, ones ability to assess the
full impact of alcohol on brain function in birth to 3 is limited.
When Kelly et al report kids 0-3yrs are not at increased risk for cogn/beh
deficits after light prenatal exposure to alcohol (1-2 drinks/week), one
has to wonder what these kids will look like at age 10?
While the AVERAGE reported drinking during pregnancy for FAS/PFAS in our
clinic is 8 drinks/occasion, 5 days per week, that average reflects a very
broad range. We have a child with full FAS whose reported exposure was 1
glass of wine daily for just the first trimester. We have another whose
reported exposure was 1-2 drinks once a month. We have yet another whose
mother was told by her doctor to drink during pregnancy to reduce stress
(this was 30 years ago). She followed doctors orders, reportedly drank 2
glasses of wine daily and gave birth to a child with full FAS. So were
these birth mothers not telling the truth? Or were these fetuses especially
vulnerable to the adverse impact of alcohol? We will never know. Thus I
remain deeply concerned when professionals imply 1-2 drinks per occasion
is 'safe'. Safe for whom? Safe for all? Tell that to the birth mothers
above whose children were born with full FAS. Better yet, tell that to the
individuals born with FAS.
Susan
__________________________________________________
Susan J. Astley, Ph.D.
Professor of Epidemiology/Pediatrics
Director, WA State FAS Diagnostic & Prevention Network
Vice-Chair, Faculty Senate
Center on Human Development & Disability Phone (206) 598-0555
Room 459, Box 357920 FAX (206) 598-7815
University of Washington FASDPN website: fasdpn.org
Seattle, WA 98195-7920
"The above email may contain patient identifiable or confidential
information. Because email is not secure, please be aware of associated
risks of email transmission. If you are a patient, communicating to a UW
Medicine Provider via email implies your agreement to email communication;
see http://www.uwmedicine.org/Global/Compliance/EmailRisk.htm
The information is intended for the individual named above. If you are not
the intended recipient, any disclosure, copying, distribution or use of
the contents of this information is prohibited. Please notify the sender
by reply email, and then destroy all copies of the message and any
attachments. See our Notice of Privacy Practices at www.uwmedicine.org."

Weitere ähnliche Inhalte

Andere mochten auch

IINI2004 SOS Strategi for sosiale medier
IINI2004 SOS Strategi for sosiale medierIINI2004 SOS Strategi for sosiale medier
IINI2004 SOS Strategi for sosiale medierantonare
 
Entering into the UAE Final Copy (2)
Entering into the UAE Final Copy (2)Entering into the UAE Final Copy (2)
Entering into the UAE Final Copy (2)Alex Wong
 
Conversaciones con cioran
Conversaciones con cioranConversaciones con cioran
Conversaciones con cioranRamón Mendoza
 
CFD Analysis and Fabrication of Aluminium Cenosphere Composites
CFD Analysis and Fabrication of Aluminium Cenosphere  CompositesCFD Analysis and Fabrication of Aluminium Cenosphere  Composites
CFD Analysis and Fabrication of Aluminium Cenosphere CompositesIJMER
 
Untitled Presentation
Untitled PresentationUntitled Presentation
Untitled PresentationAkm Mamun
 
CV_Akram_Malak_Eng
CV_Akram_Malak_EngCV_Akram_Malak_Eng
CV_Akram_Malak_EngAkram Malak
 
Aaren D.F. Brown nuc
Aaren D.F. Brown nucAaren D.F. Brown nuc
Aaren D.F. Brown nucAaren Brown
 
Hide email address in sourc...
Hide email address in sourc...Hide email address in sourc...
Hide email address in sourc...chaitanya535
 
Bits of Wise Words
Bits of Wise WordsBits of Wise Words
Bits of Wise WordsOH TEIK BIN
 
iPhone Dev Camp Keynote
iPhone Dev Camp  KeynoteiPhone Dev Camp  Keynote
iPhone Dev Camp Keynotetristan.woo
 

Andere mochten auch (16)

IINI2004 SOS Strategi for sosiale medier
IINI2004 SOS Strategi for sosiale medierIINI2004 SOS Strategi for sosiale medier
IINI2004 SOS Strategi for sosiale medier
 
Entering into the UAE Final Copy (2)
Entering into the UAE Final Copy (2)Entering into the UAE Final Copy (2)
Entering into the UAE Final Copy (2)
 
Career Scientist
Career ScientistCareer Scientist
Career Scientist
 
Visual CV
Visual CVVisual CV
Visual CV
 
D. Ballanti - La definizione dei Fabbisogni Standard
D. Ballanti - La definizione dei Fabbisogni StandardD. Ballanti - La definizione dei Fabbisogni Standard
D. Ballanti - La definizione dei Fabbisogni Standard
 
Conversaciones con cioran
Conversaciones con cioranConversaciones con cioran
Conversaciones con cioran
 
Abuse Perl
Abuse PerlAbuse Perl
Abuse Perl
 
Doubters
DoubtersDoubters
Doubters
 
CFD Analysis and Fabrication of Aluminium Cenosphere Composites
CFD Analysis and Fabrication of Aluminium Cenosphere  CompositesCFD Analysis and Fabrication of Aluminium Cenosphere  Composites
CFD Analysis and Fabrication of Aluminium Cenosphere Composites
 
Untitled Presentation
Untitled PresentationUntitled Presentation
Untitled Presentation
 
CV_Akram_Malak_Eng
CV_Akram_Malak_EngCV_Akram_Malak_Eng
CV_Akram_Malak_Eng
 
Aaren D.F. Brown nuc
Aaren D.F. Brown nucAaren D.F. Brown nuc
Aaren D.F. Brown nuc
 
Hide email address in sourc...
Hide email address in sourc...Hide email address in sourc...
Hide email address in sourc...
 
Amelita
AmelitaAmelita
Amelita
 
Bits of Wise Words
Bits of Wise WordsBits of Wise Words
Bits of Wise Words
 
iPhone Dev Camp Keynote
iPhone Dev Camp  KeynoteiPhone Dev Camp  Keynote
iPhone Dev Camp Keynote
 

Ähnlich wie Astley re kelly study

Fas @ street level conference. november 24 and 25th, 2003 in toronto.
Fas @ street level conference.  november 24 and 25th, 2003 in toronto. Fas @ street level conference.  november 24 and 25th, 2003 in toronto.
Fas @ street level conference. november 24 and 25th, 2003 in toronto. BARRY STANLEY 2 fasd
 
Incidence and Prevalence of FAS and ARND
Incidence and Prevalence of FAS and ARNDIncidence and Prevalence of FAS and ARND
Incidence and Prevalence of FAS and ARNDBARRY STANLEY 2 fasd
 
Essay On Osteogenesis Imperfecta
Essay On Osteogenesis ImperfectaEssay On Osteogenesis Imperfecta
Essay On Osteogenesis ImperfectaChristina Boetel
 
2018 fas @ street level conference. november 24 and 25th, 2003 in toronto.
2018 fas @ street level conference.  november 24 and 25th, 2003 in toronto. 2018 fas @ street level conference.  november 24 and 25th, 2003 in toronto.
2018 fas @ street level conference. november 24 and 25th, 2003 in toronto. BARRY STANLEY 2 fasd
 
FASD and Mental Illness: Correlations.
FASD and Mental Illness: Correlations. FASD and Mental Illness: Correlations.
FASD and Mental Illness: Correlations. BARRY STANLEY 2 fasd
 
104676280 case-study-brain-tumor-final
104676280 case-study-brain-tumor-final104676280 case-study-brain-tumor-final
104676280 case-study-brain-tumor-finalhomeworkping7
 
Understanding the brain final project - fas
Understanding the brain   final project - fasUnderstanding the brain   final project - fas
Understanding the brain final project - fasPursuing own interests!
 
The Relationship Between Law Enforcement And Citizens And...
The Relationship Between Law Enforcement And Citizens And...The Relationship Between Law Enforcement And Citizens And...
The Relationship Between Law Enforcement And Citizens And...Kimberly Yang
 
Beverley Raphael-presentation
Beverley Raphael-presentationBeverley Raphael-presentation
Beverley Raphael-presentationmhcc
 
Protecting future children_from_in-utero
Protecting future children_from_in-uteroProtecting future children_from_in-utero
Protecting future children_from_in-uteroBARRY STANLEY 2 fasd
 
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...Planning for Hope
 
Nur415 - Shaken Baby Syndrome
Nur415 - Shaken Baby SyndromeNur415 - Shaken Baby Syndrome
Nur415 - Shaken Baby SyndromeKristen Vital
 
What are the Pitfalls of Ignoring a Patient’s Family History
What are the Pitfalls of Ignoring a Patient’s Family HistoryWhat are the Pitfalls of Ignoring a Patient’s Family History
What are the Pitfalls of Ignoring a Patient’s Family Historykanew396
 

Ähnlich wie Astley re kelly study (20)

Fas @ street level conference. november 24 and 25th, 2003 in toronto.
Fas @ street level conference.  november 24 and 25th, 2003 in toronto. Fas @ street level conference.  november 24 and 25th, 2003 in toronto.
Fas @ street level conference. november 24 and 25th, 2003 in toronto.
 
Incidence and Prevalence of FAS and ARND
Incidence and Prevalence of FAS and ARNDIncidence and Prevalence of FAS and ARND
Incidence and Prevalence of FAS and ARND
 
Essay On Fetal Alcohol Syndrome
Essay On Fetal Alcohol SyndromeEssay On Fetal Alcohol Syndrome
Essay On Fetal Alcohol Syndrome
 
Essay On Osteogenesis Imperfecta
Essay On Osteogenesis ImperfectaEssay On Osteogenesis Imperfecta
Essay On Osteogenesis Imperfecta
 
Essay About Fetal Alcohol Syndrome
Essay About Fetal Alcohol SyndromeEssay About Fetal Alcohol Syndrome
Essay About Fetal Alcohol Syndrome
 
2018 fas @ street level conference. november 24 and 25th, 2003 in toronto.
2018 fas @ street level conference.  november 24 and 25th, 2003 in toronto. 2018 fas @ street level conference.  november 24 and 25th, 2003 in toronto.
2018 fas @ street level conference. november 24 and 25th, 2003 in toronto.
 
FASD and Mental Illness: Correlations.
FASD and Mental Illness: Correlations. FASD and Mental Illness: Correlations.
FASD and Mental Illness: Correlations.
 
Rat Brain Case Study
Rat Brain Case StudyRat Brain Case Study
Rat Brain Case Study
 
104676280 case-study-brain-tumor-final
104676280 case-study-brain-tumor-final104676280 case-study-brain-tumor-final
104676280 case-study-brain-tumor-final
 
Understanding the brain final project - fas
Understanding the brain   final project - fasUnderstanding the brain   final project - fas
Understanding the brain final project - fas
 
Fetal Alcohol Syndrome Case Study
Fetal Alcohol Syndrome Case StudyFetal Alcohol Syndrome Case Study
Fetal Alcohol Syndrome Case Study
 
The Relationship Between Law Enforcement And Citizens And...
The Relationship Between Law Enforcement And Citizens And...The Relationship Between Law Enforcement And Citizens And...
The Relationship Between Law Enforcement And Citizens And...
 
3.1.5 prof anne kavanagh
3.1.5 prof anne kavanagh3.1.5 prof anne kavanagh
3.1.5 prof anne kavanagh
 
Beverley Raphael-presentation
Beverley Raphael-presentationBeverley Raphael-presentation
Beverley Raphael-presentation
 
Protecting future children_from_in-utero
Protecting future children_from_in-uteroProtecting future children_from_in-utero
Protecting future children_from_in-utero
 
What is ACEs and Why is it Important?
What is ACEs and Why is it Important?What is ACEs and Why is it Important?
What is ACEs and Why is it Important?
 
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...
FTD Researchers, Primary Care Physicians, Neurologists to print for newly dia...
 
Nur415 - Shaken Baby Syndrome
Nur415 - Shaken Baby SyndromeNur415 - Shaken Baby Syndrome
Nur415 - Shaken Baby Syndrome
 
What are the Pitfalls of Ignoring a Patient’s Family History
What are the Pitfalls of Ignoring a Patient’s Family HistoryWhat are the Pitfalls of Ignoring a Patient’s Family History
What are the Pitfalls of Ignoring a Patient’s Family History
 
Fetal Alcohol Syndrome Research Paper
Fetal Alcohol Syndrome Research PaperFetal Alcohol Syndrome Research Paper
Fetal Alcohol Syndrome Research Paper
 

Mehr von ebredberg

Fasd assessment
Fasd assessmentFasd assessment
Fasd assessmentebredberg
 
From astley correspondence2
From astley correspondence2From astley correspondence2
From astley correspondence2ebredberg
 
Ir kw contacts updated august 2010
Ir kw contacts updated august 2010Ir kw contacts updated august 2010
Ir kw contacts updated august 2010ebredberg
 
Ir kw contacts updated august 2010
Ir kw contacts updated august 2010Ir kw contacts updated august 2010
Ir kw contacts updated august 2010ebredberg
 
Neuroscience commentary final
Neuroscience commentary finalNeuroscience commentary final
Neuroscience commentary finalebredberg
 
Course Outline
Course OutlineCourse Outline
Course Outlineebredberg
 
CYSN Framework For Action
CYSN Framework For Action CYSN Framework For Action
CYSN Framework For Action ebredberg
 
ASBC FEAT Hewko Interpretation
ASBC FEAT Hewko InterpretationASBC FEAT Hewko Interpretation
ASBC FEAT Hewko Interpretationebredberg
 
Judge Koenigsberg Re Hewkov Bc 11 03 06 1
Judge Koenigsberg Re Hewkov Bc 11 03 06 1Judge Koenigsberg Re Hewkov Bc 11 03 06 1
Judge Koenigsberg Re Hewkov Bc 11 03 06 1ebredberg
 
Getting to Yes, Chapter 1
Getting to Yes, Chapter 1Getting to Yes, Chapter 1
Getting to Yes, Chapter 1ebredberg
 
Supporting Meaningful Collaboration with Parents
Supporting Meaningful Collaboration with ParentsSupporting Meaningful Collaboration with Parents
Supporting Meaningful Collaboration with Parentsebredberg
 
Science Research
Science ResearchScience Research
Science Researchebredberg
 
Gifted (Maurice)
Gifted (Maurice)Gifted (Maurice)
Gifted (Maurice)ebredberg
 
Class 8 Vis and Hearing
Class 8 Vis and HearingClass 8 Vis and Hearing
Class 8 Vis and Hearingebredberg
 
Class 6 (Behaviour And Mh)
Class 6 (Behaviour And Mh)Class 6 (Behaviour And Mh)
Class 6 (Behaviour And Mh)ebredberg
 
Class 7 (Asd)
Class 7 (Asd)Class 7 (Asd)
Class 7 (Asd)ebredberg
 
Class 5 (Fasd Ppt)
Class 5 (Fasd Ppt)Class 5 (Fasd Ppt)
Class 5 (Fasd Ppt)ebredberg
 

Mehr von ebredberg (20)

Fasd assessment
Fasd assessmentFasd assessment
Fasd assessment
 
From astley correspondence2
From astley correspondence2From astley correspondence2
From astley correspondence2
 
Ir kw contacts updated august 2010
Ir kw contacts updated august 2010Ir kw contacts updated august 2010
Ir kw contacts updated august 2010
 
Ir kw contacts updated august 2010
Ir kw contacts updated august 2010Ir kw contacts updated august 2010
Ir kw contacts updated august 2010
 
Science
ScienceScience
Science
 
Neuroscience commentary final
Neuroscience commentary finalNeuroscience commentary final
Neuroscience commentary final
 
Course Outline
Course OutlineCourse Outline
Course Outline
 
CYSN Framework For Action
CYSN Framework For Action CYSN Framework For Action
CYSN Framework For Action
 
ASBC FEAT Hewko Interpretation
ASBC FEAT Hewko InterpretationASBC FEAT Hewko Interpretation
ASBC FEAT Hewko Interpretation
 
Judge Koenigsberg Re Hewkov Bc 11 03 06 1
Judge Koenigsberg Re Hewkov Bc 11 03 06 1Judge Koenigsberg Re Hewkov Bc 11 03 06 1
Judge Koenigsberg Re Hewkov Bc 11 03 06 1
 
Getting to Yes, Chapter 1
Getting to Yes, Chapter 1Getting to Yes, Chapter 1
Getting to Yes, Chapter 1
 
Supporting Meaningful Collaboration with Parents
Supporting Meaningful Collaboration with ParentsSupporting Meaningful Collaboration with Parents
Supporting Meaningful Collaboration with Parents
 
Science Research
Science ResearchScience Research
Science Research
 
Groups
Groups Groups
Groups
 
Gifted (Maurice)
Gifted (Maurice)Gifted (Maurice)
Gifted (Maurice)
 
Fred's IEP
Fred's IEPFred's IEP
Fred's IEP
 
Class 8 Vis and Hearing
Class 8 Vis and HearingClass 8 Vis and Hearing
Class 8 Vis and Hearing
 
Class 6 (Behaviour And Mh)
Class 6 (Behaviour And Mh)Class 6 (Behaviour And Mh)
Class 6 (Behaviour And Mh)
 
Class 7 (Asd)
Class 7 (Asd)Class 7 (Asd)
Class 7 (Asd)
 
Class 5 (Fasd Ppt)
Class 5 (Fasd Ppt)Class 5 (Fasd Ppt)
Class 5 (Fasd Ppt)
 

Astley re kelly study

  • 1. -----Original Message----- From: Susan Astley [mailto:astley@...] Sent: Friday, September 03, 2010 11:23 AM Subject: Re: Drinking for Two Dear all, The conclusions drawn by Kelly et 2009 Intnl J Epi are unfortunate and short-sighted. Here are some sobering statistics from our clinic (no pun intended). Among 160 individuals diagnosed with FAS/PFAS using the 4-Digit Code: here are the CNS functional outcomes (CNS Ranks: 1 normal,2 mod impaired,3 severely impaired) by age category. CNS 0-3yr 4-5 6-10 11-15 15-19 Rank 1 70% 33% 6% 3% 0% 2 13% 11% 13% 10% 0% 3 17% 56% 82% 86% 100% total N 46 27 55 29 3 The point here is that even kids with full FAS can look 'pretty good' under the age of 3yrs. Only 17% of 0-3yr olds met our criteria for severe dysfunction. But the prevalence of severe dysfunction increases dramatically in the older age groups. Clearly, ones ability to assess the full impact of alcohol on brain function in birth to 3 is limited. When Kelly et al report kids 0-3yrs are not at increased risk for cogn/beh deficits after light prenatal exposure to alcohol (1-2 drinks/week), one has to wonder what these kids will look like at age 10? While the AVERAGE reported drinking during pregnancy for FAS/PFAS in our clinic is 8 drinks/occasion, 5 days per week, that average reflects a very broad range. We have a child with full FAS whose reported exposure was 1 glass of wine daily for just the first trimester. We have another whose reported exposure was 1-2 drinks once a month. We have yet another whose mother was told by her doctor to drink during pregnancy to reduce stress (this was 30 years ago). She followed doctors orders, reportedly drank 2 glasses of wine daily and gave birth to a child with full FAS. So were these birth mothers not telling the truth? Or were these fetuses especially vulnerable to the adverse impact of alcohol? We will never know. Thus I remain deeply concerned when professionals imply 1-2 drinks per occasion is 'safe'. Safe for whom? Safe for all? Tell that to the birth mothers above whose children were born with full FAS. Better yet, tell that to the individuals born with FAS. Susan __________________________________________________ Susan J. Astley, Ph.D. Professor of Epidemiology/Pediatrics Director, WA State FAS Diagnostic & Prevention Network Vice-Chair, Faculty Senate Center on Human Development & Disability Phone (206) 598-0555 Room 459, Box 357920 FAX (206) 598-7815 University of Washington FASDPN website: fasdpn.org Seattle, WA 98195-7920 "The above email may contain patient identifiable or confidential information. Because email is not secure, please be aware of associated risks of email transmission. If you are a patient, communicating to a UW Medicine Provider via email implies your agreement to email communication; see http://www.uwmedicine.org/Global/Compliance/EmailRisk.htm The information is intended for the individual named above. If you are not the intended recipient, any disclosure, copying, distribution or use of the contents of this information is prohibited. Please notify the sender by reply email, and then destroy all copies of the message and any attachments. See our Notice of Privacy Practices at www.uwmedicine.org."