1. CARIS Annual Report 2018
Linda Bailey – Consultant in Public Health / Health Intelligence
November 2018

2. CARIS Annual Report 2018 Focus on trisomies Aim of CARIS
Overview of anomalies
Trisomies
Plans for the future
CARIS Annual Report

3. CARIS collects reliable data that can be used to:
CARIS Annual Report 2018
CARIS collects reliable data that can be used to:
Monitor the picture of congenital anomalies
Assess possible clusters and causes
Assess interventions to prevent/detect anomalies
Plan and co-ordinate health care
1st October 2009 – Public Health Wales established with 4 statutory functions, including congenital anomaly surveillance
CARIS Annual Report

4. CARIS 2018 headlines (1998 - 2017) Overall rates
34,353 cases on the register
29,486 (85.8%) live born
97% of live born babies survive to first birthday
Gross rate 5.1%
Rate of congenital anomalies in live born babies is 4.4%
59.3% of cases involve a single anomaly
12.6% of cases associated with underlying chromosomal disorder
CARIS Annual Report

5. Congenital anomaly rates across Wales – 1998 to 2017
CARIS Annual Report

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12. Isolated cleft palate per 10,000 births, 1998-2017
Produced by Public Health Wales Observatory, using CARIS (Public Health Wales) & PHB (ONS)
CARIS Annual Report

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17. We also had a look at our information by deprivation
We also had a look at our information by deprivation. As you can see from the first chart it would appear that there is significantly higher prevalence in the least deprived quintile.
However when the rates are age-standardised, that significant difference vanishes.
CARIS Annual Report

18. CARIS Annual Report