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News from the University of Arkansas for Medical Sciences 

Birth Defects Surveillance System at UAMS Is One of Nation’s Best

MAY 9, 2002 | The birth defects surveillance system at the University of Arkansas for Medical Sciences (UAMS) is one of the best in the nation, a public health group recently reported.

The Arkansas system is one of only eight in the U.S., the District of Columbia, and the Commonwealth of Puerto Rico to earn an “A” from the Trust for America’s Health, an organization that promotes research and public policy for public health.

 
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The Arkansas Reproductive Health Monitoring System (ARHMS) is the foundation of the Arkansas Center for Birth Defects Research and Prevention, a joint program of UAMS and Arkansas Children’s Hospital (ACH). The center records information about cases of birth defects so that researchers can study possible genetic or geographic factors in birth defects.

The Arkansas center is one of eight funded by the Centers for Disease Control and Prevention, and participates in the National Birth Defects Prevention Study (NBDPS). The NBDPS is a case-control study that gathers information about environmental and genetic risk factors for 30 major structural birth defects. Researchers interview mothers of children with and without birth defects and obtain cheek cell samples from the children and their parents.

Charlotte A. Hobbs, M.D., Ph.D., is co-director of the UAMS-ACH center and an assistant professor in the Department of Pediatrics in the UAMS College of Medicine.
She performs genetic analyses of complex human diseases, specifically using single-nucleotide polymorphism (SNP) detection, sequencing, in large epidemiologic studies of families with congenital malformations. (See more information about birth defects research at UAMS.)

Some states do not even have such monitoring systems, also known as registries. Many states operate systems but do not meet minimum standards. Trust for America’s Health estimates that a quarter of all birth defects cases are not registered, so that analyses of birth defects according to demographic data could be skewed. The organization recommended that states and the federal Centers for Disease Control and Prevention (CDC) spend more to expand and strengthen birth defects registries. (See the organization’s full report.)

” Without knowing the causes of birth defects, we are helpless to prevent them  … Unfortunately, the causes of most birth defects are still unknown. … Exposure to environmental hazards may play a role in some birth defects. However, researchers lack essential data to explore these and other links,” the authors of the Trust report wrote.

The ARHMS began operation in 1979 as a joint project of the Department of Pediatrics in the UAMS College of Medicine and Arkansas Children’s Hospital. The Arkansas General Assembly provided funding for the system beginning in 1985. In 1992, the system expanded from surveying births in central Arkansas to the entire state. It received designation as a Center for Excellence in Research and Prevention of Birth Defects from the CDC in 1997.

The other seven states that earned A’s from the Trust are California, Georgia, Hawaii, Iowa, Massachusetts, Oklahoma, and Texas. Arkansas also received an A in 2000.

Links on This Page

Tobacco Funds: http://www.uams.edu/today/2002/042502/ABI.htm
Arkansas Receives: http://www.uams.edu/info/pdfs/bdefects.pdf
Trust for America’s Health: http://healthyamericans.org/
Arkansas Reproductive Health Monitoring System:
http://arbirthdefectsresearch.uams.edu/surveillance.htm
More information: http://www.uams.edu/research/Articles/2001.07.htm
Full report: http://healthyamericans.org/state/birthdefects/#


© 2002 University of Arkansas for Medical Sciences (UAMS). A single copy of these materials may be reprinted for noncommercial personal use only. “UAMS,” “UAMS Medical Center,” “UAMS Online,” “UAMS Today,” “uams.edu,” and “Here’s to Your Health” are marks of UAMS.

03/29/05