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Birth Defects


Birth Defects in Washington State
The Washington State Birth Defects Surveillance System was an active surveillance system from 1986 through 1991. Since then, the system has been passive, relying on hospitals to report cases of children with birth defects. Currently, an enhancement project is in progress to develop a web based, electronic reporting system to reduce the reporting burden to hospitals. Washington State has around 80,000 live births every year with an estimated 2,400 to 3,200 children diagnosed with birth defects based on annual prevalence proportion of 2-4 per 100 live births per year. According to Washington State Vital Statistics 92 of 423 deaths to children under one year of age occurred among children with birth defects in 2000.

Purpose of Reporting and Surveillance

  • Register the occurrence of selected birth defects throughout the state.
  • Prepare summary statistics to indicate the magnitude and trends over time.
  • Monitor emerging or unusually high occurrences of birth defects.
  • Plan and implement preventive strategies to prevent selected birth defects such as, neural tube defects.
  • Evaluate prevention strategies.
  • Inform and educate the public, and make valid data available to policy makers.

Reporting Requirements
In August 2000, the Washington State Board of Health approved a revised list of congenital abnormalities notifiable by law to public health authorities under Chapter 246-101 of the Washington Administrative Code. Among these were 9 birth defects and 3 developmental conditions.

Hospitals are required to report: anencephaly, spina bifida, cleft palate, cleft lip / palate, omphalocele, gastroschisis, limb reduction defects, hypospadias, and down syndrome, on a monthly basis to the Washington State Birth Defects Surveillance Program.

Autism, alcohol related birth defects, and cerebral palsy are also notifiable, but are on hold as they require different reporting procedures to be developed after the implementation of web based electronic reporting from hospitals has been completed.

Local Health Jurisdictions are asked to assist in educating health care providers regarding reporting requirement to the state.

Last guideline update
Oct. 2002

Birth Defects Resources

Public Health and Health Care

Surveillance and Reporting Guidelines
(Web Format)
Surveillance and Reporting Guidelines
(PDF format)

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Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Consultation and technical assistance are available to local health jurisdictions in Washington State:
Phone (206) 418-5500

FAX (206) 418-5515

24-hour contact (inside Washington State only)  1-877-539-4344

Washington residents can contact their local health jurisdictions for assistance


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