Current through Register Vol. 51, page 43, September 23, 2024
Any diagnosed case of FAS shall be reported using one of the
following surveillance case categories:
(1) FAS with confirmed maternal alcohol
exposure. This category includes any case that has the following circumstances:
(a) Confirmed maternal alcohol
exposure;
(b) Evidence of a
characteristic pattern of facial anomalies that includes features such as short
palpebral fissures and abnormalities in the premaxillary zone (e.g., flat upper
lip, flattened philtrum, and flat midface);
(c) Evidence of growth retardation, as in at
least one of the following: low birth weight for gestational age; decelerating
weight over time not due to nutrition; or disproportional low weight to height;
or
(d) Evidence of central nervous
system neurodevelopmental abnormalities, as in at least one of the following:
decreased cranial size at birth; structural brain abnormalities (e.g.,
microcephaly, partial or complete agenesis of the corpus callosum, cerebellar
hypoplasia); or neurological hard or soft signs (as age appropriate), such as
impaired fine motor skills, neurosensory hearing loss, poor tandem gait, poor
eye-hand coordination;
(2) Confirmed FAS phenotype without maternal
alcohol exposure. This category includes any case that has the same
circumstances as in subdivision (1) except there is no documentation in the
records of maternal alcohol use during the index pregnancy;
(3) Partial FAS with confirmed maternal
alcohol exposure. This category includes any case that has the following
circumstances:
(a) Confirmed maternal alcohol
exposure;
(b) Evidence of some
components of the pattern of characteristic facial anomalies; and
(c) Evidence of at least one of the
following:
(i) Evidence of growth
retardation, as in at least one of the following: low birth weight for
gestational age; decelerating weight over time not due to nutrition; or
disproportional low weight to height;
(ii) Evidence of central nervous system
neurodevelopmental abnormalities, as in: decreased cranial size at birth;
structural brain abnormalities (e.g., microcephaly, partial or complete
agenesis of the corpus callosum, cerebellar hypoplasia); or neurological hard
or soft signs (as age appropriate), such as impaired fine motor skills,
neurosensory hearing loss, poor tandem gait, poor eye-hand coordination;
or
(iii) Evidence of a complex
pattern of behavior or cognitive abnormalities that are inconsistent with the
developmental level and cannot be explained by familial background or
environment alone, such as learning difficulties; deficits in school
performance; poor impulse control; problems in social perception; deficits in
higher level receptive and expressive language; poor capacity for abstraction
or metacognition; specific deficits in mathematical skills; or problems in
memory, attention, or judgement; or
(4) Probable FAS phenotype without maternal
alcohol exposure. This category includes any case that has the same
circumstances as in subdivision (3) except that there is no documentation in
the record of maternal alcohol used during the index pregnancy.
General Authority: SDCL
34-24-27.
Law Implemented: SDCL
34-24-27.
Fetal Alcohol Syndrome, Diagnosis,
Epidemiology, Prevention, and Treatment, Institute of Medicine, National
Academy Press, Washington, DC 1966.
