Newborn Screening: Need of the Hour in India
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  • 作者:Ishwar C. Verma (1)
    Sunita Bijarnia-Mahay (1)
    Geetu Jhingan (1)
    Jyotsna Verma (1)

    1. Center of Medical Genetics
    ; Sir Ganga Ram Hospital ; New Delhi ; 110060 ; India
  • 关键词:Newborn screening ; India ; Congenital hypothyroidism ; Congenital adrenal hyperplasia ; G ; 6PD deficiency ; Hearing loss ; Pulse oximetery ; Congenital heart disease ; Inborn errors of metabolism
  • 刊名:The Indian Journal of Pediatrics
  • 出版年:2015
  • 出版时间:January 2015
  • 年:2015
  • 卷:82
  • 期:1
  • 页码:61-70
  • 全文大小:185 KB
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  • 刊物主题:Pediatrics; Gynecology;
  • 出版者:Springer India
  • ISSN:0973-7693
文摘
After a review of the current health scene in India, the authors suggest that the Government of India should consider seriously, the introduction of new born screening. As a first step, a central advisory committee should be constituted to recommend what is required to be done to strengthen the infrastructure and the manpower to carry out new born screening, and the disorders to be screened. In the urban hospitals newborn screening (NBS) for three disorders can be easily introduced (congenital hypothyroidism, congenital adrenal hyperplasia and G-6-PD deficiency), while in the rural areas this should begin with congenital hypothyroidism, especially in the sub Himalayan areas. Concurrently, logistic issues regarding diets and special therapies for inborn errors of metabolism should be sorted out, laboratories to confirm the diagnosis should be set up, and a cadre of metabolic physicians should be build up to treat those identified to have inborn errors of metabolism. Once these are established on a firm footing, tandem mass spectrometry should be introduced as it allows the identification of a number of disorders in an affordable manner. The recent improvements and current trends in health care in India have created the necessary infrastructure for adopting NBS for the benefit of infants in India.

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