celebrity with fetal alcohol syndromecelebrity with fetal alcohol syndrome

Broadening CDC's FASD prevention efforts to include both alcohol SBI and CHOICES provides the opportunity to offer both brief and extended intervention options to women of reproductive age as appropriate, and to address risky alcohol use within the broader context of women's health. Severe: All three facial features ranked independently as severe (lip ranked at 4 or 5, philtrum ranked at 4 or 5, and PFL two or more standard deviations below average). Structural impairments may include microcephaly (small head size) of two or more standard deviations below the average, or other abnormalities in brain structure (e.g., agenesis of the corpus callosum, cerebellar hypoplasia). Fetal tissues are quite different from adult tissues in function and purpose. The effects of FAS include mental retardation, malformations of the skeletal system and major organ systems (specifically the heart and brain), inhibited growth, central . Washington State Fetal Alcohol Spectrum Disorder Interagency Work Group (FASD IAWG) In 1995 the Washington State Legislature unanimously passed Substitute Senate Bill 5688. resulting in RCW 70.96A.500 Fetal Alcohol Screening and Assessment Services.This legislation directed the Department of Social and Health Services (), Office of the Superintendent of Public Instruction (), the Department of . 1. she is intelligent linguistically 2. she was awkward and had few friends in high school and still is confused . This syndrome is the leading avoidable cause of abnormality and developmental specials needs in newborns. Business, Economics, and Finance . (1996). More specifically, fetal alcohol syndrome (FAS) is the most involved diagnosis, used when several physical and developmental disabilities are present (see Facts about FASDs). [25], The key of FASD can vary between individuals exposed to alcohol during pregnancy. [14] 3.6% of pregnant American women met criteria for an alcohol use disorder in a 2001 epidemiological study. [85] In Australia, only 12% of Australian health professionals are aware of the diagnostics and symptoms of FASD. [2], Thus, other FASD conditions are partial expressions of FAS. ), writing, poetry, Participation in non-impact sport or physical fitness activities, Spinal muscular atrophy with lower extremity predominance (SMALED), This page was last edited on 27 February 2023, at 05:48. [2][20][27][30], Neurological problems are expressed as either hard signs, or diagnosable disorders, such as epilepsy or other seizure disorders, or soft signs. [15] Alcohol crosses the bloodbrain barrier and both directly and indirectly affects a developing fetus. Celebrities with fetal alcohol syndrome / 02/14/2020 . Fetal alcohol syndrome can directly damage the central nervous system, resulting in structural and neurological deficiencies. [30] As a result, diagnosis of the severity of FASD relies on protocols of observation of the child's physiology and behavior rather than maternal self-reporting. [23] The term fetal alcohol syndrome was first used in 1973. For other uses, see, Congenital malformation due to substance exposure, Alcohol-related neurodevelopmental disorder. Conceiving risk, bearing responsibility: Fetal alcohol syndrome & the diagnosis of moral disorder. Perhaps she started the trend? Growth measurements must be adjusted for parental height, gestational age (for a premature infant), and other postnatal insults (e.g., poor nutrition), although birth height and weight are the preferred measurements. [1] Symptoms can include an abnormal appearance, short height, low body weight, small head size, poor coordination, behavioral problems, learning difficulties, and problems with hearing and sight. In the context of FASD, neurological impairments are caused by prenatal alcohol exposure which causes general neurological damage to the central nervous system (CNS), the peripheral nervous system, or the autonomic nervous system. As, ONTD Original: Five celebrities who drank or smoked while pregnant. [101] The Washington and Nantes findings were confirmed by a research group in Gothenburg, Sweden in 1979. This has resulted in differing and evolving nomenclature for other conditions across the spectrum of FASD, which may account for such a wide variety of terminology. [20] The "4-Digit Diagnostic Code" and CDC guidelines allow for a positive CNS finding in any of the three areas for any FASD diagnosis, but functional anomalies must measure at two standard deviations or worse in three or more functional domains for a diagnosis of FAS, PFAS, and ARND. Early diagnosis, early job skills training and sheltered living situations are needed for patients with FAS to prevent the onset of secondary psychopathology. Born and formed in New Orleans, LA, Ashlee is an absolute music junkie and self-proclaimed foodie who loves all things music, entertainment, and culture. [60] Advocacy activities are conducted by an advocate (for example, a family member, friend, or case manager) and fall into three basic categories. [42] The examination revealed extensive brain damage, including microcephaly, migration anomalies, callosal dysgenesis, and a massive neuroglial, leptomeningeal heterotopia covering the left hemisphere. These deficiencies can cause several issues as the person develops into a child and adult. [57] Smith (1981) described FAE as an "extremely important concept" to highlight the debilitating effects of brain damage, regardless of the growth or facial features. Varies depending on the individual, the level of alcohol exposure, and quality of living and educational arrangements. [70], There is some controversy surrounding the "zero-tolerance" approach taken by many countries when it comes to alcohol consumption during pregnancy. National Institute on Alcohol Abuse and Alcoholism, International Statistical Classification of Diseases and Related Health Problems, Environmental toxicants and fetal development, "Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis", "Neurobehavioural outcomes of children with fetal alcohol spectrum disorders: A Canadian perspective", "Prevalence of Fetal Alcohol Spectrum Disorders in 4 US Communities", "Hospitalizations and mortality among patients with fetal alcohol spectrum disorders: a prospective study", "Fetal alcohol spectrum disorders: an overview", "FASD Fact #1: FASD = Fetal Alcohol Spectrum Disorder", "Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure", "Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorders (FASD) conditions and interventions", Swedish Agency for Health Technology Assessment and Assessment of Social Services, "Epidemiology of substance use in reproductive-age women", "A 2005 Message to Women from the U.S. Morbidity and Mortality Weekly Report, 64(3), 54-57. FAS is the most serious condition physicians group under the heading of Fetal . Such individuals may be misdiagnosed with primary mental health disorders such as ADHD or oppositional defiance disorder without appreciation that brain damage is the underlying cause of these disorders, which requires a different treatment paradigm than typical mental health disorders. Essentially, even though growth deficiency and/or FAS facial features may be mild or nonexistent in other FASD conditions, yet clinically significant brain damage of the central nervous system is present. (2015). The full picture of FAS usually occurs in babies born to alcoholic mothers, or to those who drink regularly or binge-drink. Fetal alcohol spectrum disorder, or FASD, covers a range of impairments from severe, such as Karli's fetal alcohol syndrome, to mild. There is evidence supporting the father before conception can cause FAS through long term epigenetic mutation of the father's sperm as well during conception. People still cite him as one of the most influential singers of the 20th century.". [20][39] While functional abnormalities are the behavioral and cognitive expressions of the FASD disability, CNS damage can be assessed in three areas: structural, neurological, and functional impairments. (2000). [47], Fetal Alcohol Syndrome occurs when a fetus is exposed to alcohol during conception. 5.Famous People With Fetal Alcohol Syndrome - pressroomvip.online; 6.10 Celebrities You May Not Know Were Affected By Fetal Alcohol 7.Celebrities with Birth Defects - Ranker; 8.FASDs: My Story | CDC; 9.This Is What It's Like To Suffer From Fetal Alcohol Syndrome | SELF Acetaldehyde, the main ethanol metabolite, can compete with retinaldehyde and prevent its oxidation to retinoic acid.[55]. Fetal Alcohol Syndrome. RELATED: EXCLUSIVE: Kathryn Dennis Cocaine Use Out of Control, Cops Called After Son Runs Into Street! South Carolina court records, show that Thomas Ravenelclaimed Saint was formerly diagnosed with FAS due to Kathryns excessive drug and alcohol consumption while he was in utero. Thomas says that Saint took speech and occupational therapy for years to help combat his delays, but he is still falling behind at school., At Saints school, his teacher created Mom and Dadfolders filled with worksheets to be completed daily in an effort to catch Saint up to his peers. [85] In Victoria, there have been no registered FASD related births for indigenous Australians, but the rate for the general population in Victoria is 0.010.03 per 1000 births. Bernie Sanders is an American politician and activist who has served as Vermont's junior senator since 2007. Alcohol is a teratogen (causes birth defects) and there is no known safe amount of alcohol to consume while pregnant and there is no known safe time during pregnancy to consume alcohol to prevent birth defects such as FASD. Central nervous system damage is present at the same level as FAS. She died at 41. On the contrary, clinical and animal studies have identified a broad spectrum of pathways through which maternal alcohol can negatively affect the outcome of a pregnancy. You notice the time, 11:20, as you have been studying at the time and he spoke to you on the phone. It is also broadly categorized as fetal alcohol spectrum disorders (FASD) due to the fact that the fetus may not show all the features and the broad spectrum of effects on the . "I couldn't find anything where he blamed her," Trachtenberg says. Fetal alcohol syndrome occurs when substances ingested by the mother during pregnancy reach the fetus through the placenta. [47][50], Despite intense research efforts, the exact mechanism for the development of FAS or FASD is unknown. Prenatal alcohol exposure, which is classified as a teratogen, can damage the brain across a continuum of gross to subtle impairments, depending on the amount, timing, and frequency of the exposure as well as genetic predispositions of the fetus and mother. FAS interferes with normal development,[75] which may cause stages to be delayed, skipped, or immaturely developed. In this issue of the journal, consensus criteria for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in people who have fetal alcohol spectrum disorders (FASD) are presented. They hope that before casting judgement, others will t. Not drinking alcohol during pregnancy is the . Keith Urban. Since our last Alcohol Alert on FAS, published in 1991, the pace of research on the effects of alcohol on the fetus has accelerated appreciably. Those affected are more likely to have trouble with school, the . Streissguth, A.P. Several organizations and state agencies in the U.S. are dedicated to this type of intervention. [60][61], The following criteria must be fully met for a diagnosis of ARND or static encephalopathy:[2][20][27], Alcohol-related birth defects (ARBD), formerly known as possible fetal alcohol effect (PFAE),[57] was a term proposed as an alternative to FAE and PFAE. Nobody really had any significant way to treat that. A determination of a neurological problem must be made by a trained physician, and must not be due to a postnatal insult, such as meningitis, concussion, traumatic brain injury, etc. The latter interferes with proliferation, differentiation, neuronal migration, axonic outgrowth, integration, and fine-tuning of the synaptic network. Mental health problems, alcoholism and drug abuse, antisocial behaviors, and repeated pregnancies (for the woman) were common problems. None: All three facial features ranked within normal limits. It is estimated that as many as three babies in 1,000 will have FAS. Women report that the drinking behavior of their partner . [51], Genetic examinations have revealed a continuum of long-lasting molecular effects that are not only timing specific but are also dosage specific; with even moderate amounts being able to cause alterations. (2002). [86] Passive surveillance is a prevention technique used within Australia to assist in monitoring and establishing detectable defects during pregnancy and childhood. This can cause the alcohol levels to remain high and stay in the baby's body longer. Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. [96] General studies and discussions on alcoholism throughout the mid-1900s were typically based on a heredity argument. Likewise, the sixth-century A.D. Talmud (Kethuboth 60b) cautions, "One who drinks intoxicating liquor will have ungainly children." Rothfuss's 11-year-old son Heratio (whose last name his mother asked to withhold) has fetal alcohol syndrome (FAS)brain damage sustained in utero and traceable to pre-natal alcohol consumption. For example, the main detoxicating organ in adults is the. [20] The CDC guidelines are silent on these elements diagnostically. [1] Surveys from the United States found that about 10% of pregnant women drank alcohol in the past month, and 20% to 30% drank at some point during the pregnancy. Yeah, he said he had a couple of drinks before he left. [1] It was initially used in research studies to describe humans and animals in whom teratogenic effects were seen after confirmed prenatal alcohol exposure (or unknown exposure for humans), but without obvious physical anomalies. No Risk: Confirmed absence of prenatal alcohol exposure. [72], There is no current cure for FASD, but treatment is possible. The document states. Clear conclusions with universal validity are difficult to draw, since different ethnic groups show considerable genetic polymorphism for the hepatic enzymes responsible for ethanol detoxification. As many as one in 10 children in some . [citation needed], Evidence of a CNS structural impairment due to prenatal alcohol exposure will result in a diagnosis of FAS, and neurological and functional impairments are highly likely. [83] In a recent count the prevailence of having any FASD disorder was 1 person out of 20, but some people estimate it could be as high as 1 in 7. The document states: We have a witness who observed Ms. Dennis do cocaine while having custody of the children; a witness who observed Ms. Dennis leave cocaine on an open dresser within reach of the children.. It behooves both bride and bridegroom to be sober in order to ensure, as far as possible, in every case that the child that is begotten may be sprung from the loins of sober parents." Thats when the bystander called the police.. [1] Alcohol crosses through the placenta to the unborn child and can interfere with normal development. severe CNS abnormalites (structural, neurological, and/or . [2][20][27][30], During the first trimester of pregnancy, alcohol interferes with the migration and organization of brain cells, which can create structural deformities or deficits within the brain. Probable: Significant dysfunction of two standard deviations or worse in three or more functional domains. As AllAboutTheTea.com exclusively reported, Thomas is now fighting for sole custody of Saint and their 6-year-old daughter,Kensington. Life expectancy can range from 31 to 37. The "4-Digit Diagnostic Code" further distinguishes confirmed exposure as High Risk and Some Risk:[citation needed], Amount, frequency, and timing of prenatal alcohol use can dramatically impact the other three key features of FASD. The primary disabilities of FAS are the functional difficulties with which the child is born as a result of CNS damage due to prenatal alcohol exposure.[78]. Mental and physical defects such as a small head, flat face, epicanth. Over time, as subsequent research and clinical experience suggested that a range of effects (including physical, behavioral, and cognitive) could arise from prenatal alcohol exposure, the term Fetal Alcohol Spectrum Disorder (FASD) was developed to include FAS as well as other conditions resulting from prenatal alcohol exposure. In Gaelic Scotland, the mother and nurse were not allowed to consume ale during pregnancy and breastfeeding. There is no consensus on a specific pattern of functional impairments due to prenatal alcohol exposure[20] and only CDC guidelines label developmental delays as such,[30] so criteria (and FASD diagnoses) vary somewhat across diagnostic systems. Concentrations of FAEE can be influence by medication use, diet, and individual genetic variations in FAEE metabolism however. So to add insult to injury, you have this situation [with the twins] on the one hand and then she dies on the other. The standardized approach is referred to as the Ten Brain Domains and encompasses aspects of all four diagnostic systems' recommendations for assessing CNS damage due to prenatal alcohol exposure. Tony Loneman, a character in Tommy Orange's novel There There, was born with fetal alcohol syndrome, which he calls "the Drome". The autopsy showed severe hydrocephalus, abnormal neuronal migration, and a small corpus callosum (which connects the two brain hemispheres) and cerebellum. Court documents reveal Kathryn Dennis' drug and alcohol abuse caused her son's Fetal Alcohol Syndrome diagnosis. Definite: Structural impairments or neurological impairments for FAS or static encephalopathy. But a new documentary called Bing Crosby Rediscovered airing Tuesday night at 8 p.m. [64], "The 4-Digit Diagnostic Code" ranking system distinguishes between levels of prenatal alcohol exposure as high risk and some risk. Reese Witherspoon. It's not clear whether Crosby ever suspected that his first wife's drinking had an . "But what they don t remember was how cool he really was in the '30s and '40s and '50s. [87][88] Doctors recommended a small amount of alcohol to calm the uterus during contractions in early pregnancy or Braxton Hicks contractions. [32] The presence of FAS facial features indicates brain damage, although brain damage may also exist in their absence. [citation needed], While the four diagnostic systems essentially agree on criteria for fetal alcohol syndrome (FAS), there are still differences when full criteria for FAS are not met. [1], Fetal alcohol spectrum disorders are preventable by the mother's avoiding alcohol during pregnancy. Did he ever leave on one of his trips. They also have difficulties in understanding concepts . The IOM system requires structural or neurological impairment for a diagnosis of FAS, but also allows a "complex pattern" of functional anomalies for diagnosing PFAS and ARND. 4. We could have done a whole other film just about that.". Fetal Alcohol Syndrome can also manifest itself in social and behavioral issues. Despite his birth into a pious family, he and his four siblings had a difficult life due to their alcoholic mother. [citation needed], The advocacy model takes the point of view that someone is needed to actively mediate between the environment and the person with FAS. Early intervention from birth to age 3 has been shown to improve the development of a child born with FASD. It's reported that 86% of the individuals with FASs have [] Alcohol use during pregnancy can cause a wide range of problems for the developing baby, including physical and mental birth defects. Such heavy intoxication is highly likely to contribute to FASD.[87]. Social communication: Intrude into conversations, inability to read, Disrupted school experience: Suspended or expelled from school or dropped out of school, experienced by 60% of the subjects (age 12 and older), Trouble with the law: Charged with or convicted of a crime, experienced by 60% of the subjects (age 12 and older), Confinement: For inpatient psychiatric care, inpatient chemical dependency care, or incarcerated for a crime, experienced by about 50% of the subjects (age 12 and older), Inappropriate sexual behavior: Sexual advances, sexual touching, or promiscuity, experienced by about 50% of the subjects (age 12 and older), Alcohol and drug problems: Abuse or dependency, experienced by 35% of the subjects (age 12 and older), Dependent living: Group home, living with family or friends, or some sort of assisted living, experienced by 80% of the subjects (age 21 and older), Problems with employment: Required ongoing job training or coaching, could not keep a job, unemployed, experienced by 80% of the subjects (age 21 and older), Living in a stable and nurturing home for over 73% of life, Remaining in each living situation for at least 2.8 years, Experiencing a "good quality home" (meeting 10 or more defined qualities) from age 8 to 12 years old, Having been found eligible for developmental disability (DD) services, Having basic needs met for at least 13% of life, Having a diagnosis of FAS (rather than another FASD condition), Music, playing instruments, composing, singing, art, spelling, reading, computers, mechanics, woodworking, skilled vocations (welding, electrician, etc. The developing fetal nervous system appears particularly sensitive to ethanol toxicity. [20] Canadian guidelines updated in 2016 deleted growth as a diagnostic criterion. FASD United (formerly NOFAS) honored Taylor Allen, a 23-year-old young man living with an FASD and his parents, Mark and Cathy Allen, for their work with the FASD community in the Washington, DC area. Getty Images. [60][69] In the United States, the Surgeon General recommended in 1981, and again in 2005, that women abstain from alcohol use while pregnant or while planning a pregnancy, the latter to avoid damage even in the earliest stages (even weeks) of a pregnancy, as the woman may not be aware that she has conceived. Laws (6.775): "Drinking to excess is a practice that is nowhere seemly nor yet safe. [67], The CDC reviewed nine syndromes that have overlapping features with FAS; however, none of these syndromes include all three FAS facial features, and none are the result of prenatal alcohol exposure:[30], Other disorders that have overlapping behavioral symptoms and/or that might be comorbid to fetal alcohol spectrum disorder might include:[68]. The framework provides clear definitions of brain dysfunction, specifies empirical data needed for accurate diagnosis, and defines intervention considerations that address the complex nature of FASD with the intention to avoid common secondary disabilities. [30] The "4-Digit Diagnostic Code" allows for mid-range gradations in growth deficiency (between the 3rd and 10th percentiles) and severe growth deficiency at or below the 3rd percentile. Sudbury, MA: Jones and Bartlett. FAS is a totally preventable developmental disability. [74], Behavioral interventions are based on the learning theory, which is the basis for many parenting and professional strategies and interventions. Some of these remarkable stars consist of wrestler Chyna, actor Mark Ruffalo, model Tyra . The proposed framework attempts to harmonize IOM, 4-Digit Diagnostic Code, CDC, and Canadian guidelines for measuring CNS damage vis--vis FASD evaluations and diagnosis. [20] The Canadian guidelines recommend the assessment and descriptive approach of the "4-Digit Diagnostic Code" for each key feature of FASD and the terminology of the IOM in diagnostic categories, excepting ARBD. [60] Representative examples include: Functional difficulties may result from CNS damage in more than one domain, but common functional difficulties by domain include:[60][61][75][79] Note that this is not an exhaustive list of difficulties. [16][14] There is no known safe amount or time to drink alcohol during pregnancy. Kim Kardashian Doja Cat Iggy Azalea Anya Taylor-Joy Jamie Lee Curtis Natalie Portman Henry Cavill Millie Bobby Brown Tom Hiddleston Keanu Reeves. Exposure level is assessed as confirmed exposure, unknown exposure, and confirmed absence of exposure by the IOM, CDC and Canadian diagnostic systems. learning disabilities. [75] If a person is delayed in the adaptive behavior domain, for instance, then interventions would be recommended to target specific delays through additional education and practice (e.g., practiced instruction on tying shoelaces), giving reminders, or making accommodations (e.g., using slip-on shoes) to support the desired functioning level. Kenneth Lyons Jones and David Weyhe Smith of the University of Washington Medical School in Seattle, United States. Up to 10 times more children have disabilities related to fetal alcohol exposure -- drinking during pregnancy -- than previously believed, finds a new study. It might also lead to physical issues in the fetus because of the fetus' inability to break down alcohol. On this Wikipedia the language links are at the top of the page across from the article title. Palpebral fissure length (PFL) is measured in millimeters with either calipers or a clear ruler and then compared to a PFL growth chart, also developed by the University of Washington. [citation needed], The following criteria must be fully met for a diagnosis of Partial FAS:[2][20][27], Fetal alcohol effects (FAE) is a previous term for alcohol-related neurodevelopmental disorder and alcohol-related birth defects. [20], Microcephaly is determined by comparing head circumference (often called occipitofrontal circumference, or OFC) to appropriate OFC growth charts. [1][3] Interventions may include parentchild interaction therapy, efforts to modify child behavior, and drugs. Theme by MVP Themes, powered by Wordpress. A mother consuming alcohol will cause the fetus not to receive the necessary nutrients or oxygen while in the womb. [27][30], Evidence is insufficient for the use of chemical biomarkers to detect prenatal alcohol exposure. [84] The only states that have registered birth defects in Australian youth are Western Australia, New South Wales, Victoria and South Australia. Mild: A mild ranking of FAS facial features covers a broad range of facial feature combinations: Two facial features ranked severe and one ranked within normal limits, One facial feature ranked severe and two ranked moderate, or. The rest of the documentary features interviews with Crosby's second family including wife Kathryn and their daughter, Dallas actress Mary Crosby and focuses on the singer's many contributions to the business, like how he revolutionized radio when he began taping his popular radio shows. Symptoms can include an abnormal appearance, short height, low body weight, small head size, poor coordination, behavioral problems, learning difficulties, and problems with hearing and sight. [14] Other risk factors include the mother's older age, smoking, and poor diet. He also had a difficult relapse shortly after his marriage to the actress. DJ Peter Bowers. [4] For this reason, medical authorities recommend that women completely avoid drinking alcohol during pregnancy and while trying to conceive. [10] The negative effects of alcohol during pregnancy have been described since ancient times. Fetal alcohol syndrome, which can be physically, emotionally and intellectually disabling, is quite common, and most sufferers are not being diagnosed, according to new research. [34][35] The three FAS facial features are: Measurement of FAS facial features uses criteria developed by the University of Washington. [12] Some authorities accept only FAS as a diagnosis, seeing the evidence as inconclusive with respect to other types. Fetal alcohol spectrum disorder (FASD) is a diagnostic term used to describe the permanent, severe neurodevelopmental impairments that may occur as a result of maternal drinking during pregnancy. [30] In these cases, all diagnostic systems use an unknown prenatal alcohol exposure designation. Smoking and drinking alcohol during pregnancy can be very harmful to babies, causing a range of lifelong health conditions. Alcohol-related neurodevelopmental disorder (ARND), Neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE). 8. excessive drug and alcohol consumption while he was in utero., obtained a copy of the proposed custody changes and the document states that an eyewitness observed. [citation needed], The central nervous system damage criteria particularly lacks clear consensus. [94] This contradicted the predominating belief at the time that heredity caused intellectual disability, poverty, and criminal behavior, which contemporary studies on the subjects usually concluded. Initially, he waited until he was 19 to disclose that he struggles with side effects fully. [43], In 1977, Dr. Clarren described a second infant whose mother was a binge drinker. Type username to filter posts in this community, By logging in to LiveJournal using a third-party service you accept LiveJournal's User agreement, Smoking and drinking alcohol during pregnancy can be very harmful to babies, causing a range of lifelong health conditions. Armstrong, E. M. (2003). [28] Other structural impairments must be observed through medical imaging techniques by a trained physician. In the general population, estimates vary from 0.7 cases per 1,000 to 1.0 cases per 1,000 live births with higher rates (e.g., 3 per 1,000 live births) among American Indian and Alaska natives.

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