Flour to be fortified with folic acid from 2026 to tackle serious birth defects

Flour in the UK will soon be fortified with folic acid starting in 2026 as a measure to combat serious birth defects. The government has announced a new legislation that will require millers to add folic acid to non-wholemeal wheat flour. Folic acid, a synthetic form of vitamin B9 also known as folate, plays a crucial role in producing healthy red blood cells and new cells in the body. Adequate intake of folic acid during pregnancy is essential as a deficiency can lead to neural tube defects in babies. These defects affect the development of the brain and spinal cord and can result in conditions such as spina bifida and anencephaly.

Women who are planning to conceive are advised to take folic acid supplements for several months before and after becoming pregnant. By fortifying bread and flour with folic acid, women will have a higher baseline intake even if their pregnancy is unplanned. This proactive approach is estimated to prevent around 200 cases of neural tube defects annually and save the NHS approximately £20 million over a decade. Andrew Gwynne, the Public Health Minister, expressed that this intervention is a simple yet effective step towards ensuring better health outcomes for newborns.
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In the UK, flour is already enriched with various nutrients such as calcium carbonate, iron, nicotinic acid, and thiamine. England’s Chief Medical Officer Professor Sir Chris Whitty has welcomed the decision to fortify flour with folic acid, emphasizing the importance of supplementing with folic acid during the initial stages of pregnancy. Minister for patient safety, women’s health, and mental health, Baroness Merron, believes that this move will provide expectant mothers with greater reassurance throughout their pregnancies. Kate Steele, the Chief Executive of Shine, a charity supporting those affected by spina bifida and hydrocephalus, hailed the fortification of flour as a significant public health initiative that will positively impact the population.

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After over three decades of advocacy, Shine celebrates the implementation of mandatory fortification that will not only enhance the health of individuals across the UK but also reduce the incidence of lifelong disabilities like spina bifida. The mandatory fortification of flour with folic acid aligns with the government’s commitment to improving maternity outcomes and ensuring a healthy start for every child. This initiative is a testament to the continuous efforts to support women and families, fostering a future where all children can lead fulfilling lives. The fortification of flour with folic acid marks a milestone in public health efforts to mitigate the impact of neural tube defects and promote the well-being of mothers and babies nationwide.