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The incidence of FAS is estimated at .33 per 1,000 live births. The estimated incidence of FAE is three times that of FAS. With an annual cost of $76.4 million in the United States which only includes FAS, not FAE. The bulk of these costs are associated with mental retardation. It impacts the family, education system, health system and social services in general, as well as individual losses. FAS is considered the most common known cause of mental retardation in the Western World. For a positive diagnosis of FAS, in addition to a history of maternal alcohol use during pregnancy, each of the following three categories must be present:
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