The document discusses the importance of primary prevention of neural tube defects (NTDs) through folic acid supplementation, emphasizing its effectiveness in preventing disabilities such as spina bifida. It highlights the advocacy efforts of the International Federation (IF) for mandatory fortification of staple foods with folic acid and the need for increased awareness, especially among women of childbearing age. Additionally, it calls for incorporation of prevention strategies into national rare disease action plans, noting that only Spain currently includes such provisions.