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Newborn Screening

Newborn Screening

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Published by CSGovts
Four million infants are screened at birth each year and approximately 12,500 are diagnosed with a condition for which prompt initiation of treatment can prevent devel­opmental delays or permanent disability. The number of tests performed has increased in recent years and now tests for 31 core conditions are recommended, but not all states require the same tests. Hearing tests are relatively new – 34 states require them, 10 states do not, and six states have certain exemptions for hearing screening depending upon the size of the hospital or birthing center. The newest test – pulse oximetry to screen for certain heart defects – has been adopted in nine states so far.
Four million infants are screened at birth each year and approximately 12,500 are diagnosed with a condition for which prompt initiation of treatment can prevent devel­opmental delays or permanent disability. The number of tests performed has increased in recent years and now tests for 31 core conditions are recommended, but not all states require the same tests. Hearing tests are relatively new – 34 states require them, 10 states do not, and six states have certain exemptions for hearing screening depending upon the size of the hospital or birthing center. The newest test – pulse oximetry to screen for certain heart defects – has been adopted in nine states so far.

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Categories:Types, Research
Published by: CSGovts on Aug 03, 2012
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01/09/2013

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CAPITOL
FACTS & FIGURES
HEALTH
 THE COUNCIL OF STATE GOVERNMENTS
 J   U  0 
Newborn Screening
The number of required newborn screenings to determine if ababy has a harmful or potentially fatal disease has increased inrecent years, but not all states require the same tests.
•Statestestforalmostall31coreconditionsadoptedbythesecretaryofU.S.HealthandHumanServicesin2010,accordingtotheNationalNewbornScreeningandGeneticsResourceCenter.
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•AccordingtotheCentersforDiseaseControlandPrevention,4millioninfantsarescreenedeachyearandapproximately12,500arediagnosedwithaconditionforwhichpromptinitiationoftreatmentcanpreventdevel-opmentaldelaysorpermanentdisability.
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•Pulseoximetry,anewernoninvasivetestthatscreensforcertainheartdefects,wasaddedtotheuniversalnewbornpanelin2011byHealthandHumanServicesSecretaryKathleenSebelius.Thisdoesnotautomaticallyaddthetesttostaterequirements.Instead,itprovidesfederaltechnicalassistanceforstatestoimplementtheirownpulseoximetrytestingprograms.
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
As many as 12,000 babies are born with hearing loss in the U.S.each year.
4
According to the Centers for Disease Control andPrevention, the prevalence of hearing loss is 1.4 per 1,000 of screened newborns.
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•Thirty-fourstatesandtheDistrictofColumbiahavehearingscreeningprogramsthatareuniversallyrequiredbylaworruleandarefullyimplemented.•Tenstates—Arizona,Colorado,Georgia,Idaho,Maine,Nebraska,NewHampshire,NorthDakota,SouthDa-kotaandWashington—offerhearingscreeningsbutdonotrequirethem.•Sixstates—California,Kentucky,Nevada,NewYork,OregonandTexas—havecertainexemptionsforhearingscreeningdependinguponthesizeofthehospitalorbirthingcenter.
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Pulse oximetry is a painless test performed by placing sensorson a baby’s skin to screen for seven critical congenital heart de-fects. Not all heart defects can be identied with this testing.
•Sevenstates—Connecticut,Indiana,Maryland,NewHampshire,NewJersey,TennesseeandWestVirginia—havepassedlegislationtoaddpulseoximetrytotheirnewbornscreenings.
REFERENCES
1
National Newborn Screening and Genetics Resource Center. “National Newborn Screening Status Report.”May 8,2012. Accessed at
http://genes-r-us.uthscsa.edu/sites/genes-r-us/les/nbsdisorders.pdf 
.
2
Centers for Disease Control and Prevention. “Morbidity and Mortality Weekly Report.”June 1, 2012/ 61(21);390-393. Accessed at
http://www.cdc.gov/mmwr/preview/mmwrhtml/ mm6121a2.htm
.
3
.
4
Centers for Disease Control and Prevention.”What’s Your Baby’s Hearing Screening Result?”May 23, 2011.
http://www.cdc.gov/Features/NewbornHearing
.
5
Centers for Disease Control and Prevention. “Hearing Loss in Children: Data and Statistics.”June 19, 2011.
http://www.cdc.gov/ncbddd/hearingloss/data.html 
.
6
National Newborn Screening and Genetics Resource Center.
7
Pulse Oximetry Advocacy. “Legislation: Laws, Bills and Recommedations.”
http://pulseoxadvocacy.com/current-legislation
.
Hannah Oglesby, CSG Research Assistant,Debra Miller, CSG Director of Health Policy |dmiller@csg.org
•PennsylvaniaandIllinoisaddedpulseoximetryscreeningstothenewbornpanelswithoutanylegislation.•Fourstates—California,Alabama,PennsylvaniaandNewYork—havelegislationbeforethe2012sessionstoaddpulseoximetrytonewbornscreenings.
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