10 percent of the women that are pregnant drank a moderate quantity of alcohol . These women were more likely to smoke cigarettes, be in work also to have private health care compared to those that never drank. Just 2 in 1000 admitted to being large drinkers . These women were probably to be young and to have used illegal drugs. The moderate and heavy drinkers were often first-time mums . Heavy drinking was also related to very premature birth, and hence all of the nagging complications premature babies have like the increased risk of disease as an adult. However, there was no difference in occurrence of congenital or additional birth defects whatever the amount of alcohol drunk. Prof Murphy said, ‘This research emphasizes the necessity for improved detection of alcoholic beverages misuse in being pregnant and for early intervention in order to minimize the risks to the developing fetus.This stress of hepatitis A linked to the outbreak is hardly ever seen in the Americas but circulates in the North Africa and Middle East areas, according to the CDC. The strain was previously implicated in a 2013 hepatitis A outbreak in European countries linked to frozen berries and another 2012 outbreak in British Columbia related to a frozen berry blend with pomegranate seeds from Egypt. Outward indications of hepatitis A include fatigue, abdominal discomfort, yellowing of the skin , dark urine and pale stool.