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(单词翻译:双击或拖选)
By David McAlary
Washington
30 January 2006
The first international survey of birth defects shows that they are common around the world. The March of Dimes1 charitable foundation finds that about 6% of babies born each year have a birth defect of genetic2 or partly genetic origin.
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The March of Dimes calls the number of birth defects a hidden toll3. Its study of 193 countries reveals that an estimated eight million children are born each year with an impairment caused by a genetic abnormality. The most common are congenital heart defects, Down syndrome4, improperly5 formed spines6 and brains called neural7 tube defects, and red blood cell disorders8 such as sickle9 cell disease and thalassemia.
Perhaps hundreds of thousands more children are born with damage caused after conception by their mothers' exposure to alcohol, deficiencies of nutrients10 like iodine11 and folic acid, or diseases like rubella and syphilis. But the new survey focuses on genetic birth defects since their causes are easier to determine.
The annual death toll is high.
"About 3.5 million of these children die under the age of five from their birth defects," said March of Dimes Vice12 President for Global Programs, Christopher Howson. "The ones who survive risk being disabled physically13, intellectually, and have auditory and visual impairment for life. The toll is severe and it was surprising to us."
As with most health issues, developing countries bear the brunt of the problem. They experience about 95% of all births with serious defects and deaths from them.
A young woman with spina bifida in South Africa. Child at right belongs to the woman in the wheelchair, helped to be born healthy because the mother took the B vitamin folic acid beginning before pregnancy
March of Dimes officials say they lack resources for programs to alleviate14 the burden. The group calls for strengthening medical genetics services worldwide to identify couples at high risk of having children with genetic disorders and to detect infants born with them. It also recommends bolstering15 maternal16 and child health programs, including ensuring a balanced diet during a woman's reproductive years and controlling infections in pregnant women.
"We estimate in the report that if the recommendations that we give were implemented17, up to 70 percent of mortality and disability from birth defects could be prevented, treated, or ameliorated," Howson said.
The March of Dimes says the toll from birth defects has been underestimated because of poor health statistics and limited diagnostic ability in developing nations. The report notes that even in wealthy countries, only half of birth defects are diagnosed accurately18.
Howson says the new data can raise awareness19 of the issue everywhere.
"The efforts that are being done in different countries are piecemeal," he said. "We hope that this report will provide an avenue forward for organizations like the World Health Organization to help bring order and coordination20 to all these different efforts."
Howson says the March of Dimes report makes a strong argument for addressing birth defects, because they contribute significantly to the childhood mortality that the United Nations Millennium21 Development Goals seek to reduce by 2015.
1 dimes | |
n.(美国、加拿大的)10分铸币( dime的名词复数 ) | |
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2 genetic | |
adj.遗传的,遗传学的 | |
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3 toll | |
n.过路(桥)费;损失,伤亡人数;v.敲(钟) | |
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4 syndrome | |
n.综合病症;并存特性 | |
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5 improperly | |
不正确地,不适当地 | |
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6 spines | |
n.脊柱( spine的名词复数 );脊椎;(动植物的)刺;书脊 | |
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7 neural | |
adj.神经的,神经系统的 | |
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8 disorders | |
n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调 | |
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9 sickle | |
n.镰刀 | |
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10 nutrients | |
n.(食品或化学品)营养物,营养品( nutrient的名词复数 ) | |
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11 iodine | |
n.碘,碘酒 | |
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12 vice | |
n.坏事;恶习;[pl.]台钳,老虎钳;adj.副的 | |
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13 physically | |
adj.物质上,体格上,身体上,按自然规律 | |
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14 alleviate | |
v.减轻,缓和,缓解(痛苦等) | |
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15 bolstering | |
v.支持( bolster的现在分词 );支撑;给予必要的支持;援助 | |
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16 maternal | |
adj.母亲的,母亲般的,母系的,母方的 | |
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17 implemented | |
v.实现( implement的过去式和过去分词 );执行;贯彻;使生效 | |
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18 accurately | |
adv.准确地,精确地 | |
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19 awareness | |
n.意识,觉悟,懂事,明智 | |
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20 coordination | |
n.协调,协作 | |
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21 millennium | |
n.一千年,千禧年;太平盛世 | |
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