OB: Folate In Flour

From: art fougner, md (evsono@pipeline.com)
Tue Dec 4 06:19:18 2007


The debate over folic acid is a familiar one, and Americans could be excused for thinking it was over. Since 1998, the federal government has required that almost all flour be fortified with the supplement.

But in fact, the requirement has meant women receive an average extra dose of just 100 micrograms of folic acid a day — far below the levels that have been shown in studies to prevent spina bifida and other neural tube defects. For more than a decade, the Food and Drug Administration has resisted calls to require that the amount be doubled.

To Dr. Godfrey Oakley, the former director of birth defects research for the Centers for Disease Control and Prevention, it is a baffling situation. “Until this day the F.D.A. still obstructs folic acid supplementation,” he said. “It’s like making a vaccine against polio with only one strain instead of four.”

The debate is intensifying. In the past two years, the American Medical Association, the March of Dimes and several pediatric societies have called on the food and drug agency to reconsider. The only country now adding the amount recommended by experts like Dr. Michael Katz, the medical director of the March of Dimes, is Chile.

http://www.nytimes.com/2007/12/04/health/nutrition/04foli.html?_r=1&ref=science&oref=slogin

Art

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Dec 2 04:55:10 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.