{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:57:19Z","timestamp":1777669039061,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1990,1,1]],"date-time":"1990-01-01T00:00:00Z","timestamp":631152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hum Exp Toxicol"],"published-print":{"date-parts":[[1990,1]]},"abstract":"<jats:p>1 Information was collected on all stillbirths and neonatal deaths on the island of Jamaica during the 12-month period between September 1986 and August 1987.<\/jats:p>\n                  <jats:p>2 There were 33 such deaths with anencephaly, spina bifida and hydrocephalus out of an estimated 54 400 total births.<\/jats:p>\n                  <jats:p>3 There was a statistically significant cluster in respect to time of conception in one small rural area of the island.<\/jats:p>\n                  <jats:p>4 There were no obvious differences between parents involved in the cluster and the rest of the population, but particular Jamaican fruit and vegetables have been shown to be teratogenic in animals. It is postulated that the cluster may have been associated with an unripe crop.<\/jats:p>","DOI":"10.1177\/096032719000900104","type":"journal-article","created":{"date-parts":[[2008,12,24]],"date-time":"2008-12-24T01:08:04Z","timestamp":1230080884000},"page":"13-16","source":"Crossref","is-referenced-by-count":3,"title":["A Cluster of Central Nervous System Defects in Jamaica"],"prefix":"10.1177","volume":"9","author":[{"given":"J.","family":"Golding","sequence":"first","affiliation":[{"name":"Institute of Child Health, University of Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Foster-Williams","sequence":"additional","affiliation":[{"name":"Department of Child Health, University of the West Indies, Mona, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Coard","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of the West Indies, Mona, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Ashley","sequence":"additional","affiliation":[{"name":"Maternal and Child Health, Ministry of Health, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1990,1,1]]},"reference":[{"key":"atypb1","first-page":"33","volume":"137","author":"James WH","year":"1972","journal-title":"Community Medicine"},{"key":"atypb2","first-page":"210","volume":"25","author":"Fedrick J.","year":"1971","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb3","first-page":"17","volume":"25","author":"Elwood JH","year":"1971","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb4","first-page":"177","volume":"28","author":"Aylett MJ","year":"1974","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb5","first-page":"202","volume":"29","author":"Roberts CJ","year":"1975","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5169.309"},{"key":"atypb7","first-page":"146","volume":"22","author":"Laurence KM","year":"1968","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb8","first-page":"17","volume":"18","author":"Knox EG","year":"1964","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb9","first-page":"10","volume":"26","author":"Siemiatycki J.","year":"1972","journal-title":"British Journal of Preventive and Social Medicine"},{"key":"atypb10","unstructured":"Golding J. Clustering in time, clustering in space, clustering in time and space. In: The Epidemiology of Anencephalus, PhD Thesis, University of London 1979, pp. 103-11."},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a121290"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113765"},{"key":"atypb13","volume-title":"Personal communication to the author","author":"Flynt JW","year":"1971"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.1988.tb00194.x"},{"key":"atypb15","first-page":"193","volume":"16","author":"Persaud Tvn.","year":"1967","journal-title":"West Indian Medical Journal"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113917"},{"key":"atypb17","author":"Coard Kcm","journal-title":"Teratology"}],"container-title":["Human &amp; Experimental Toxicology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096032719000900104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096032719000900104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:51:53Z","timestamp":1777449113000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/096032719000900104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1990,1]]}},"alternative-id":["10.1177\/096032719000900104"],"URL":"https:\/\/doi.org\/10.1177\/096032719000900104","relation":{},"ISSN":["0960-3271","1477-0903"],"issn-type":[{"value":"0960-3271","type":"print"},{"value":"1477-0903","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,1]]}}}