
'Under-recognised' foetal alcohol spectrum disorder a 'silent epidemic'
Raja Mukerjee is an adult learning disability consultant psychiatrist for Surrey, and Border's Partnership NHS Foundation Trust. He will address the conference being organised by FASD Ireland, which takes place in Hotel Woodstock, Ennis, from 9am on Thursday.
'Raising awareness and getting knowledge out there is really important, because FASD is something that is entirely avoidable. It's not that FASD is rare, it is that it is under-recognised,' Mr Mukerjee said.
Foetal alcohol spectrum disorder is an umbrella term for conditions which can be caused by drinking alcohol while pregnant.
According to figures published by the World Health Organization in 2017, it is estimated that approximately 600 babies are born each year in Ireland with the syndrome. Ireland ranked third out of 187 countries for prevalence of the disorder, behind South Africa and Croatia.
The HSE said in a briefing document in 2022 that the prevalence of the disorder in Ireland is estimated at between 2.8% and 7.4% of the population. It said the best available evidence estimates that about 600 Irish babies are born each year with foetal alcohol syndrome, 'with a further nine to 10 times this number of babies born annually in Ireland who have other foetal alcohol spectrum disorders'.
It is also estimated that up to 380,000 people with foetal alcohol spectrum disorders are currently living in Ireland.
Disorder indicators
Among the indicators of foetal alcohol spectrum disorders are ADHD, low body weight, poor co-ordination, poor memory, attention difficulties, difficulties in school (particularly around maths), and learning disabilities.
The chief executive of FASD Ireland, Tristan Casson-Rennie, said that the disorder is more prevalent than autism, Down syndrome, and cerebral palsy combined, 'yet it is far less understood, recognised, or supported'.
The conference aims to raise awareness, share and promote best practices, and drive the development of coordinated services across sectors.
Describing the disorder as a 'silent epidemic', Mr Casson-Rennie added: 'With up to 7.4% of our population potentially affected, the need for national awareness, training, and support systems is fundamental.
This conference is a call to action — for professionals, families, and policymakers alike — to come together and shape a more inclusive, informed future
He said the conference is open to healthcare professionals, educators, social workers, community organisations, students, people living with the disorder, their families and carers, and anyone committed to improving the lives of people affected by FASD.
Also speaking will be chartered psychologist specialising in positive psychology and health from Royal College for Surgeons Ireland, Dr Jolanta Burke; consultant paediatrician with a special interest in developmental paediatrics at Mullingar Regional Hospital, Prof Farhana Sharif; and the national lead at the alcohol and mental health and wellbeing programmes at HSE, Dr Aisling Sheehan.
Families will also give their lived experiences of the disorder, along with people who themselves have it.
Those wishing to attend the conference can access tickets at www.fasdireland.ie/conference.
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Irish Daily Mirror
20 hours ago
- Irish Daily Mirror
Chikungunya virus symptoms, spread and what to know as 7,000 infected in China
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Sunday World
a day ago
- Sunday World
Family in shock: ‘We found out from a WhatsApp that my mother had died by assisted suicide'
Swiss clinic criticised by family of Cavan woman (58) with history of mental illness after they were left in dark over her death plan Or at least that is what her family have been told. None of them were with the 58-year-old as she slipped away at a clinic in Switzerland. In fact, news of Ms Slough's death reached her daughter, Megan Royal, back in Dublin by WhatsApp. Ms Royal was horrified to be informed that her mother's ashes would be posted to her. Now the family of the Cavan-based woman, who had a long history of mental illness and had tried to take her own life last year, want to know how somebody's life could be ended in such a manner. Maureen Slough Ms Slough travelled to the Pegasos clinic in Switzerland less than a month ago, on July 8, having told her family she was going to Lithuania with a friend. Her family became suspicious and contacted her. They say she promised to return. But Ms Royal and Ms Slough's partner, Mick Lynch, would later receive a message from a volunteer for the Pegasos group to inform them of her death. The family immediately set about trying to find out why they were not informed by the clinic in advance, and also questioned if Ms Slough's history of mental illness was assessed by the clinic first. The Pegasos group has said in response to questions from family and friends of Ms Slough, that it received a letter from Ms Slough's daughter Megan saying she was aware of her mother's wishes and accepted them. It also says it verified the letter through an email response to Ms Royal using an email address supplied by Ms Slough. Ms Royal has said she never wrote such a letter or verified any contact from Pegasos, and now her family think Ms Slough may have forged the 'letter' and verified it using an email address she created herself. Maureen Slough with her daughter Megan News in 90 Seconds - August 6th Pegasos was asked further questions by the Irish Independent as to why it did not ring Ms Royal, and whether it sought a mental health history for Ms Slough before her death. The Pegasos group responded that Ms Slough went through an extensive assessment process leading up to her death, including an independent psychiatric evaluation confirming she was of sound mind. Her brother Philip, a UK solicitor, has now written to the Foreign, Commonwealth and Development Office in the UK, asking it to investigate the matter with Swiss authorities. In his letter, he said Pegasos did not rigorously follow its own policy to inform a family. He said while he understands Ms Slough represented to the clinic that this had been done by the letter purportedly written by Ms Royal, the clinic only sought confirmation through an email provided by Ms Slough. 'I am working on the assumption that my sister created this email and the clinic's procedures were woefully inadequate in verification,' he wrote. 'The Pegasos clinic has faced numerous criticisms in the UK for their practices with British nationals' 'It appears my sister provided Pegasos with letters of complaint to medical authorities in Éire in respect of bogus medical conditions, and that these documents were considered by Pegasos in support of her application. 'While I understand that Swiss law permits assisted dying, the Pegasos clinic has faced numerous criticisms in the UK for their practices with British nationals, and the circumstances in which my sister took her life are highly questionable.' In March, the BBC ran a report saying the Pegasos clinic allegedly helped a Welsh woman named Anne (51) end her life in January without informing her family, despite promising to change its practices following a previous case. It said that under similar circumstances, Alistair Hamilton (47) died in 2023, and the Pegasos clinic reportedly promised last year that it would always contact a person's family before carrying out an assisted death. However, Anne, whose death was first reported by ITV News, allegedly died without her family being informed. The BBC reported that Pegasos said it had attempted to phone and text Anne's brother John, but he insisted he had received no communication from the group. Dyfed-Powys Police in Wales told the BBC it is investigating her death. The Pegasos building Anne's family learnt of her intention to die only after goodbye letters posted to them from Switzerland arrived. Ms Royal and Ms Slough's partner, Mr Lynch, received a similar card, handwritten by her mother, in recent weeks. The grieving daughter said her mother had tried to take her own life last year following the deaths of two of her sisters, and was not in her right mind when she made her decision to go to Switzerland. Her latest granddaughter had been born just days earlier. 'They should not have allowed her to make that decision on her own. This group did not contact me, even though my mother had nominated me as next of kin. They waited until afterwards and then told me she had died listening to an Elvis Presley song,' Ms Royal said. She added that her mother had a difficult upbringing, having been brought to Ireland by her own mother and a man she had met while in a mental hospital in the UK. She said that despite years of trauma, her mother made a good life for herself and joined the civil service, being promoted to executive officer before retiring last year. Ms Royal said that her mother travelled alone to Switzerland and paid €15,000 to the Pegasos Swiss Association to facilitate her death two days later. 'I was actually talking to her that morning and she was full of life' 'She had told us she was going to Lithuania, but she had confided in two people that she had other plans, and after a series of concerned phone calls she said she would come home, but then we got the WhatsApp message to say she had died,' her daughter said. Mr Lynch said: 'I was actually talking to her that morning and she was full of life. She said she was after having her breakfast and she was going out to sit in the sun. Maybe she was heading off to that place. I still thought she was coming home.' The Pegasos group said Ms Slough went through an extensive assessment process leading up to her death, including an independent psychiatric evaluation confirming she was of sound mind. It said she was consistently forthcoming about her background and history, and provided thorough medical documentation, including from her pain-management consultant. It said she had stated repeatedly that she was in chronic pain that was unbearable to her, despite seeing the pain specialist. Pegasos logo Pegasos added that Ms Slough provided a letter from her daughter Megan, and in the letter she stated in writing that she confirmed she was fully informed regarding her mother's decision, and that she had been made fully aware of her intentions and the nature of the procedure she was seeking. It said Megan stated that she had the opportunity to discuss this matter with her mother and understood the reasons behind the decision, and the implications of her choice. Pegasos said Megan was contacted directly by email to confirm the authenticity of the letter, and that in the email, Megan confirmed that the letter was indeed hers, and that she was sorry she could not accompany her mother to Switzerland, and that she was not happy with her mother's decision but understood that she was in a great deal of pain. The letter and email are disputed by Ms Royal and Ms Slough's family. Friends of Ms Slough have been horrified by the manner of her death, and questioned everything about it, including the manner in which the Swiss group repatriates remains through the parcel post system. 'You get letters in the post, not people,' her friend Stephanie Daly said. Ms Slough's ashes have now arrived with her family and funeral arrangements are being made. If you have been affected by the issues raised in this article, you can call Samaritans free on 116123 or email jo@ or call Pieta on freephone 1800 247 247 or text HELP to 51444

The Journal
a day ago
- The Journal
Daughter of Waterford woman who died from bowel cancer calls for lower screening age
NOELLE DROHAN WAS never really one to complain, or even draw attention to herself. She was a trained accounts technician, and she worked in the garage across the road from her family home in Dungarvan, Co. Waterford, but her daughters say that her main occupation 'was as a always mam'. 'She put myself and my sister first, always, and I suppose she was like a lot of Irish women in that sense,' Niamh Drohan said. Niamh is 34, and just over a year ago, her mother died with colorectal cancer. Throughout her mum's cancer journey, from the first GP visit over worrying symptoms, to after the diagnosis point, Niamh always had the sense that Noelle was holding information back; that the outlook was much worse than what she was saying. Noelle was 55 when she died on 21 July 2024, she was 53 when she first went to the GP. 'My mam was a really private person, she probably suffered in silence for a really long time before she sought out medical attention. She was incredibly unlucky with her health; I was living in Cork and my sister was living in Dublin for the last few years, and it seemed like every time we were back home, she wasn't well in some way,' Niamh said. Niamh said that when she went home to visit she would notice digestive aids around the house, and that her mother's health seemed to have visibly deteriorated. 'Afterwards, when the reality of the situation was clear, she told me that at that time, it was taking her an hour to get dressed in the mornings. She'd put her leggings on and then have to lie down for half an hour, before she could put her t-shirt on,' Niamh said. In February 2023, after several GP visits, Noelle was sent for a full blood panel test. 'They found that her white blood cell count was on the floor, and she was sent to the hospital immediately,' Niamh said. Noelle underwent chemotherapy treatment and appeared to respond well to it during that year, but when Niamh went home for Christmas, she noticed that her condition had seriously deteriorated. 'At that time, she wasn't fully telling me what was going on, but at that time I was crying on the phone to my friends saying, 'I swear to god I think she's dying,' and they didn't know what to say. Noelle's condition worsened to the point that it was clear to her family that her cancer was terminal. 'She came home for the last time in June, and she had a walker to help her get around. At that stage the cancer had spread extensively, even to her spine,' Niamh said. Advertisement Her mam's passing in July 2024 was devastating to her. 'Of course, she was my mam, so I'd say this, but she really was so maternal with everyone,' Niamh said. Afterwards, Niamh started putting together a picture of their family's health history. Her grandmother had passed away with colorectal cancer at the age of 63, so she realised that there was potentially a genetic factor at play. 'I started looking into the latest reports around colorectal cancer in Ireland and in the world, and I saw that there is an increasing prevalence of colorectal cancer cases in people who are well under the screening age, so it made me start to think that the screening age itself in Ireland should be lowered from 59 to 50, because that is what it is the UK, and in other countries around the world,' Niamh said. Niamh is encouraging people to participate in HIQA's consultation programme for increasing the age range for colorectal screening in Ireland. It's understood that currently, the uptake for the colorectal cancer screening programme is at 46%, which is well below the participation for the other national cancer screening services. Just last week, the Health Information and Quality Authority launched a public consultation assessment as it is in the process of looking into lowering the age of the BowelScreen programme to people aged 50-54 in Ireland. Colorectal cancer, which is also referred to as bowel cancer, refers to cancer that occurs in the colon and rectum. It is the second most common cancer in men and the third most common cancer in women in Ireland It is the third leading cause of cancer-related deaths in Ireland. The screening process is fairly simple, at first it involves an at-home test which is intended to detect hidden blood in a person's stool, and if that is detected, they are sent for a colonoscopy. Similar to the cervical cancer screening programme, it can detect early health indicators and early intervention can prevent a person's cancer from developing to a more serious stage. Dr Máirin Ryan, the deputy CEO of HIQA, said that the HSE already has a commitment in place to expand colorectal cancer screening to people aged 55-74, as currently the service is only totally in place for people aged 59 to 69, although the expansion of the age range is already underway. 'The services required for screening are under pressure to meet existing demands. Significant investment and planning would be required to ensure the necessary resources are in place to support a potential future extension of the BowelScreen programme,' Dr Ryan said. To participate in the public consultation, visit the HIQA site here. *Bowel cancer and colorectal cancer are interchangeable terms. Readers like you are keeping these stories free for everyone... A mix of advertising and supporting contributions helps keep paywalls away from valuable information like this article. Over 5,000 readers like you have already stepped up and support us with a monthly payment or a once-off donation. 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