The China-US Partnership to Prevent Spina Bifida: The Evolution of a Landmark Epidemiological Study
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Sixteen thousand staff were involved in running the massive project, which encountered massive bureaucratic obstacles as well as cultural differences, politicking for study designs and funding, the crisis of Tiananmen Square, and testy debates over research ethics. Nevertheless, the researchers persevered in a collaboration that lasted more than three decades and led to landmark findings on the role of folic acid in preventing spina bifida. Fortifying cereal grain products with folic acid became routine in the United States and a growing number of nations around the world: that intervention was named one of the ten great public health achievements of the last decade.
Deborah Kowal
Deborah Kowal is executive editor and a coauthor of Contraceptive Technology, now in its twentieth edition with more than two million copies in print. As a medical writer specializing in women's reproductive health, she has consulted with the US Centers for Disease Control and Prevention, the World Health Organization, and other organizations. For more than thirty years, she wrote the Public Health section in the World Book Encyclopedia's Science Year Annuals.
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