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Correspondence
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Volume 342:1135-1137 April 13, 2000 Number 15
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Neural-Tube Defects

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 by Berry, R. J.
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 by Botto, L. D.
To the Editor: Botto et al. (Nov. 11 issue)1 fail to represent fairly the work of Smithells and associates2 and the subsequent delayed response by public health authorities to the important discovery that folic acid supplementation prevents a substantial percentage of neural-tube defects. Botto et al. claim that because Smithells and colleagues "had not been permitted to randomly assign the use of the multivitamin among participants in their study, their finding did not lead to any public health action" until the results of randomized studies were published a decade later. In fact, Smithells and colleagues had earlier reported the association . . . [Full Text of this Article]

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