This article, written by Dr. Elizabeth Elliott, talks about how there are many different ways that doctors around the world diagnose Fetal Alcohol Spectrum Disorder (FASD). Because these methods are not the same, it can cause confusion for families, service providers, and researchers. One child could be diagnosed with FASD in one country but not in another, even if their symptoms are the same. This lack of agreement makes it hard to track how common FASD is, to understand its impacts, and to create helpful programs.
The article highlights the need for an international, consistent way of diagnosing FASD—something all countries can use. Dr. Elliott explains how using different diagnostic systems leads to delays, missed diagnoses, and fewer supports for individuals and families. She also calls for culturally safe and inclusive practices, especially when working with Indigenous communities. Overall, the message is clear: we need to stop “comparing apples to oranges” and work together to create one trusted, global standard for diagnosing FASD.