At 9:09 a.m. Sept. 9, 1999, the first international Fetal Alcohol Syndrome (FAS) Awareness Day was observed. The date and time were chosen to mark the ninth minute of the ninth hour of the ninth day of the ninth month, which serves as a reminder that FAS, like all Fetal Alcohol Spectrum Disorders (FASD), is completely preventable if a woman does not consume alcohol during the nine months of pregnancy. Yet, alcohol-exposed pregnancies continue to be a leading cause of birth defects and mental retardation in the United States, and children with an FASD often go unrecognized or are misdiagnosed, even as adults.