Maternal dietary folate deficiency in the first weeks of life carries a higher risk that the fetus’ neural tube will not fuse, leading to the development of either spina bifida or anencephaly. For two decades Bower et al. followed a dedicated pathway to impact by lobbying the Australian Government’s Health portfolio’s statutory authority, Food Standards Australia New Zealand (FSANZ), to introduce mandatory fortification of wheat flour. In 1995 voluntary fortification was allowed and in 2009 fortification of wheat flour with folate became mandatory. From 2011 to 2016, NTD births dropped, regardless of mother’s culture, age, educational attainment or choice of hospital system.
Folate fortification reduces neural tube defects