A Preliminary Report on Kanagawa Birth Defects Monitoring Program (KAMP)

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Since the thalidomide episode, several monitoring systems for birth defects have been developed throughout the world. The International Clearing-house for Birth Defects Monitoring Systems established in 1974 plays an important role in the exchange of information relevant to birth defects and/or monitoring systems. There are two types of monitoring systems, namely, population-based and hospital-based. Though the Tokyo Area Birth Defects Monitoring Program (hospital-based) has participated in the activities of the Clearinghouse, no population-based monitoring systems exist in Japan prior to 1981 . The Kanagawa Birth Defects Monitoring Program has been in operation since October 1981 as the first population-based monitoring system in Japan. In this program, 48 marker malformations and other major surface anomalies are monitored for all births (live births and stillbirths) within 7 days after birth. A guide-book distributed to all participating maternity hospitals plays an extremely important role in increasing the completeness of ascertainment of malformations.

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