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NATIONAL ACADEMY PRESS • 2101 Constitution Ave., N.W. • Washington, D.C. 20418

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this the Institute acts under the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Kenneth I. Shine is President of the Institute of Medicine.

The project was supported by funds from the National Institute on Alcohol Abuse and Alcoholism (contract no. NO1-AA-4-1002).

Library of Congress Cataloging-in-Publication Data

Institute of Medicine (U.S.). Division of Biobehavioral Sciences and
Mental Disorders. Committee to Study Fetal Alcohol Syndrome.
Fetal alcohol syndrome: diagnosis, epidemiology, prevention, and
treatment / Committee to Study Fetal Alcohol Syndrome, Division of
Biobehavioral Sciences and Mental Disorders, Institute of Medicine;
Kathleen Stratton, Cynthia Howe, and Frederick Battaglia, editors.
p. cm.
"The project was supported by funds from the National Institute on
Alcohol Abuse and Alcoholism (contract no. NO1-AA-4-1002)"—T.p.
verso.
Includes bibliographical references and index.
ISBN 0-309-05292-0
1. Fetal alcohol syndrome. I. Stratton, Kathleen R. II. Howe,
Cynthia J. III. Battaglia, Frederick C., 1932- . IV. National
Institute on Alcohol Abuse and Alcoholism (U.S.) V. Title.
[DNLM: 1. Fetal Alcohol Syndrome. WQ 211 I59f 1995]
RG629.F45I57 1995
618.3'268—dc20
DNLM/DLC
for Library of Congress                              95-49289
                                                                      CIP

Copyright 1996 by the National Academy of Sciences. All rights reserved.
First Printing, April 1996
Printed in the United States of America.          Second Printing, October 1997

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.