International Fetal Alcohol Spectrum Disorders Awareness Day, also known as International FASD Day, is observed worldwide every September 9 to educate the public about the dangers of consuming alcohol during pregnancy. The day was established in 1999 by Teresa Kellerman, Brian Philcox, and Bonnie Buxton, who are advocates from the United States and Canada. Activities include ringing bells at 9:09 a.m. to symbolize the nine months of recommended alcohol abstinence during pregnancy. Participants are encouraged to spread information about FASD, donate to relevant non-profit organizations, and attend or host awareness events. The month of September is recognized as FASD Awareness Month, and one notable symbol associated with the movement is the Red Shoes Rock initiative, which began in 2013 when advocate RJ Formanek wore red shoes during a talk on FASD.