Folic Acid Food Fortification in Canada


  • Joel G. Ray M.D., F.R.C.P.C., M.Sc.

    1. Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. Please address all correspondence to
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By January 1998, most Canadian cereal grains (e.g., white flour) were being fortified with folic acid, with a large percentage being fortified by mid-1997. This was in compliance with both American and Canadian mandatory fortification deadlines of January and November 1998, respectively. It was estimated that between 0.1 to 0.2 mg of additional synthetic folic acid per day would be provided through this initiative, the goal of which was to lower the rate of neural tube defects (NTD). The current report outlines some of the changes to the health status of Canadians in relation to its folic acid food fortification initiative.