Fetal alcohol spectrum disorder (FASD): how primary care can make a difference

Around 4% of the UK population are living with fetal alcohol spectrum disorder (FASD) because of prenatal alcohol exposure. 1,2or a typical GP practice of 10 000 patients this means at least 400 people with FASD per practice.Or, equivalently, this is one child in each class of 25-30 pupils. 3Among vulnerable groups, including people who have been through the care system, are homeless, have addiction problems, or interface regularly with the justice system, prevalence is much higher with studies suggesting 20-40% may be living with FASD. 4 Despite its significant prevalence and the fact that early diagnosis and support can dramatically improve outcomes, FASD often goes unrecognised, especially in adults.