Titre :
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Reevaluating the benefits of folic acid fortification in the United States : Economic analysis, regulation, and public health. (2005)
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Auteurs :
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Scott-D GROSSE ;
Joseph MULINARE ;
ROMANO (Patrick-S) : USA. Division of General Medicine and Center for Health Services Research in Primary Care. Universe of California. Davis Sacramento. ;
WAITZMAN (Norman-J) : USA. Department of Economics. University of Utah. Salt Lake City.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 95, n° 11, 2005)
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Pagination :
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1917-1922
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Langues:
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Anglais
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Mots-clés :
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Etats Unis
;
Amérique
;
Analyse économique
;
Céréale
;
Foetopathie
;
Supplémentation
;
Economie santé
;
Projet loi
;
Homme
;
Prévention santé
;
Analyse coût avantage
;
Politique santé
;
Vitamine
;
Malformation
;
Rachis [pathologie]
;
Système ostéoarticulaire [pathologie]
;
Système nerveux [pathologie]
;
Gestation [pathologie]
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS fALfOR0x. Diffusion soumise à autorisation]. Before a 1996 US regulation requiring fortification of enriched cereal-grain products with folic acid, 3 economic evaluations projected net economic benefits or cost savings of folic acid fortification resulting from the prevention of pregnancies affected by a neural tube defect. Because the observed decline in neural tube defect rates is greater than was forecast before fortification, the economic gains are correspondingly larger. Applying both cost-benefit and cost-effectiveness analytic techniques, we estimated that folic acid fortification is associated with annual economic benefit of $312 million to $425 million. The cost savings (net reduction in direct costs) were estimated to be in the range of $88 million to $145 million per year.
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