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International Journal of Neonatal Screening, Volume 11, Issue 3

2025 September - 35 articles

Cover Story: Wilson and Jungner’s WHO monograph nr. 34: ‘Principles and Practice of Screening for Disease’ (PHP-34) and its ten screening principles have had a lasting influence on public health. Analysis of scientific literature reveals that many principles were already published in the US during the 15 years before PHP-34 appeared. Approximately 33% of the 145-page monograph was drawn from earlier works published between 1950 and 1965. The actual writing was likely performed by Wilson, though both Wilson and Jungner deserve credit. This historical analysis helps to explain why PHP-34 continues to be significant. Nearly 60 years after its publication, the screening principles continue to be discussed, reflected upon, and applied in modern public health practice. View this paper
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Articles (35)

  • Article
  • Open Access
2 Citations
1,116 Views
12 Pages

Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) is a metabolic disorder caused by mutations in the ACADM gene, leading to impaired fatty acid oxidation. The present study aims to analyze the prevalence and genetic mutation characteristics of M...

  • Article
  • Open Access
1,026 Views
12 Pages

The Impact of Cystic Fibrosis Algorithm Changes: A Case Study of Challenges and Strategies

  • Jerusalem Alleyne,
  • Kenneth Coursey,
  • Kimberly Noble Piper,
  • Cynthia Cass and
  • Michael Pentella

The State Hygienic Lab at the University of Iowa (SHL) performs newborn blood spot screening (NBS) for IA, AK, ND, and SD. In October 2022, we halted in-house CFTR DNA testing due to the unexpected nonperformance of our newly expanded variant panel....

  • Article
  • Open Access
2,114 Views
11 Pages

Early Screening for Developmental Dysplasia of the Hip: Sonographic Reference Values, Risk Factors, and Treatment Considerations

  • Bjoern Vogt,
  • Stella S. Tureck,
  • Georg Gosheger,
  • Adrien Frommer,
  • Andrea Laufer,
  • Henning Tretow,
  • Robert Roedl and
  • Gregor Toporowski

Developmental dysplasia of the hip (DDH) is a common neonatal musculoskeletal disorder. In Germany, sonographic screening is recommended at 1–10 days of life for neonates with specific risk factors. This study aims to determine reference values...

  • Opinion
  • Open Access
1,471 Views
4 Pages

Newborn Screening—A Worldwide Endeavour to Protect

  • James R. Bonham,
  • Dianne Webster,
  • Amy Gaviglio,
  • Aysha Habib Khan,
  • R. Rodney Howell and
  • Peter C. J. I. Schielen

For more than 60 years, newborn (or neonatal) screening has flourished through global collaboration, demonstrating that collective action is key to success. This unity proved to be especially vital during the COVID-19 pandemic, when, despite severe d...

  • Case Report
  • Open Access
969 Views
7 Pages

The Success of Newborn Screening Beyond War: An International Collaborative Case of Purine Nucleoside Phosphorylase (PNP) Deficiency

  • Alessandra Bettiol,
  • Roberta Damiano,
  • Nataliia Mytsyk,
  • Nataliia Samonenko,
  • Gabriella Cericola,
  • Carsten Speckmann,
  • Nataliia Olkhovich,
  • Renzo Guerrini and
  • Giancarlo la Marca

Ukraine’s healthcare system has shown remarkable resilience in continuing newborn screening (NBS), beyond the challenges of war. Amid the conflict, a Ukrainian newborn screened positive for an extremely rare severe combined immunodeficiency (SC...

  • Article
  • Open Access
3,218 Views
20 Pages

The Burden of Congenital Hypothyroidism Without Newborn Screening: Clinical and Cognitive Findings from a Multicenter Study in Algeria

  • Adel Djermane,
  • Yasmine Ouarezki,
  • Kamelia Boulesnane,
  • Sakina Kherra,
  • Fadila Bouferoua,
  • Mimouna Bessahraoui,
  • Nihad Selim,
  • Larbi Djahlat,
  • Kahina Mohammedi and
  • Asmahane Ladjouze
  • + 11 authors

The absence of biochemical newborn screening (NBS) delays the diagnosis and treatment of congenital hypothyroidism (CH), resulting in irreversible neurodevelopmental damage. To determine the age at diagnosis for CH among Algerian children and to desc...

  • Article
  • Open Access
1,559 Views
9 Pages

Milder Form of Cobalamin C Disease May Be Missed by Newborn Screening: The Importance of Methylmalonic Acid Assessment

  • Francesca Nardecchia,
  • Agnese De Giorgi,
  • Silvia Santagata,
  • Teresa Giovanniello,
  • Manuela Tolve,
  • Antonio Angeloni,
  • Vincenzo Leuzzi,
  • Francesco Pisani and
  • Claudia Carducci

CblC deficiency is the most common intracellular disorder of vitamin B12 metabolism. Expanded newborn screening (NBS) plays a key role in early diagnosis, allowing timely treatment and preventing serious complications. However, traditional first-tier...

  • Case Report
  • Open Access
1,343 Views
8 Pages

Mitochondrial Acetoacetyl-CoA Thiolase Deficiency: Three New Cases Detected by Newborn Screening Confirming the Significance of C4OH Elevation

  • Alessandra Vasco,
  • Clarissa Berardo,
  • Simona Lucchi,
  • Laura Cappelletti,
  • Giulio Tamburello,
  • Salvatore Fazzone,
  • Alessia Mauri,
  • Francesca Fiumani,
  • Diana Postorivo and
  • Cristina Cereda
  • + 8 authors

Acetoacetyl-CoA thiolase deficiency, also known as Beta-ketothiolase deficiency (BKTD), is an autosomal recessive organic aciduria included in the Italian newborn screening (NBS) panel. It is caused by mutations in the ACAT1 gene, which encodes the m...

  • Article
  • Open Access
2,296 Views
16 Pages

Comparing DNA Isolation and Preparation Protocols for Dried Blood Spots in the Context of Genomic Newborn Screening

  • Annelotte J. Duintjer,
  • Sandra Imholz,
  • Ingrid Pico-Knijnenburg,
  • Adinda Heuperman,
  • Hennie Hodemaekers,
  • Eva S. Deutekom,
  • Els Voorhoeve,
  • Martijn E. T. Dollé and
  • Mirjam van der Burg

Due to rapid technical advancements and increasing cost-effectiveness, the potential application of next-generation sequencing (NGS) in newborn screening (NBS) has raised great interest worldwide. Genomic NBS offers the possibility to improve current...

  • Article
  • Open Access
1,723 Views
16 Pages

Umbilical Cord Blood Sampling for Newborn Screening of Pompe Disease and the Detection of a Novel Pathogenic Variant and Pseudodeficiency Variants in an Asian Population

  • Fook-Choe Cheah,
  • Sharifah Azween Syed Omar,
  • Jasmine Lee,
  • Zheng Jiet Ang,
  • Anu Ratha Gopal,
  • Wan Nurulhuda Wan Md Zin,
  • Beng Kwang Ng,
  • Shu-Chuan Chiang and
  • Yin-Hsiu Chien

Pompe disease is an autosomal recessive metabolic disorder caused by acid alpha-glucosidase (GAA) deficiency. The use of umbilical cord blood (UCB) for newborn screening (NBS) of Pompe disease, compared to heel-prick sampling, has not been widely stu...

  • Article
  • Open Access
1,685 Views
11 Pages

Next-Generation Sequencing in the Diagnostic Workup of Neonatal Dried Blood Spot Screening in Sweden 2015–2023

  • Lene Sörensen,
  • Jorge Asin-Cayuela,
  • Michela Barbaro,
  • Helene Bruhn,
  • Martin Engvall,
  • Nicole Lesko,
  • Karin Naess,
  • Mikael Oscarson,
  • Yan Shen and
  • Rolf H. Zetterström
  • + 4 authors

Sweden has one neonatal screening laboratory and two centers conducting diagnostic workup for inborn errors of metabolism (IEM). Next-generation sequencing (NGS) has been gradually introduced as a confirmatory diagnostic test in the Swedish newborn s...

  • Correction
  • Open Access
737 Views
5 Pages

Correction: Kuypers et al. Evaluation of Neonatal Screening Programs for Tyrosinemia Type 1 Worldwide. Int. J. Neonatal Screen. 2024, 10, 82

  • Allysa M. Kuypers,
  • Marelle J. Bouva,
  • J. Gerard Loeber,
  • Anita Boelen,
  • Eugenie Dekkers,
  • Konstantinos Petritis,
  • C. Austin Pickens,
  • The ISNS Representatives,
  • Francjan J. van Spronsen and
  • M. Rebecca Heiner-Fokkema

The authors wish to make the following correction to their paper published in the International Journal of Neonatal Screening [...]

  • Article
  • Open Access
1,792 Views
14 Pages

Optimization of the Performance of Newborn Screening for X-Linked Adrenoleukodystrophy by Flow Injection Analysis Tandem Mass Spectrometry

  • Chengfang Tang,
  • Minyi Tan,
  • Yanna Cai,
  • Sichi Liu,
  • Ting Xie,
  • Xiang Jiang,
  • Li Tao,
  • Yonglan Huang and
  • Fang Tang

The aim of this study was to improve screening efficiency by establishing reasonable interpretation criteria for the use of flow injection analysis tandem mass spectrometry (FIA-MS/MS) in newborn screening (NBS) for X-linked adrenoleukodystrophy (X-A...

  • Article
  • Open Access
1,142 Views
14 Pages

Learning Collaborative to Support Continuous Quality Improvement in Newborn Screening

  • Elizabeth Jones,
  • Sikha Singh,
  • Sarah McKasson,
  • Ruthanne Sheller,
  • Jelili Ojodu and
  • Ashley Comer

As newborn screening (NBS) programs deal with growing complexities, including adding new disorders to their screening panels, adopting new technologies/screening methods, and workforce shortages, there is a greater need for continuous quality improve...

  • Article
  • Open Access
1,480 Views
6 Pages

Evaluating the Impact of Newborn Screening for Cystic Fibrosis in Portugal: A Decade of Insights and Outcomes

  • Bernardo Camacho,
  • Luísa Pereira,
  • Raquel Bragança,
  • Susana Castanhinha,
  • Raquel Penteado,
  • Teresa R. Silva,
  • Pedro Miragaia,
  • Sónia Silva,
  • Ana L. Cardoso and
  • Carolina Constant
  • + 6 authors

The implementation of newborn screening (NBS) has revolutionized the diagnostic landscape of cystic fibrosis (CF). In Portugal, NBS was initiated in October 2013 through a pilot study and was subsequently fully integrated into a nationwide program by...

  • Article
  • Open Access
2,015 Views
9 Pages

Novel Phenotypic Insights into the IDS c.817C>T Variant in Mucopolysaccharidosis Type II from Newborn Screening Cohorts

  • Éliane Beauregard-Lacroix,
  • Caitlin Menello,
  • Madeline Steffensen,
  • Hsiang-Yu Lin,
  • Chih-Kuang Chuang,
  • Shuan-Pei Lin and
  • Can Ficicioglu

Mucopolysaccharidosis (MPS) type II, or Hunter syndrome, is an X-linked lysosomal storage disorder caused by a deficiency of iduronate-2-sulfatase. Glycosaminoglycan (GAG) accumulation leads to progressive multisystemic involvement, with coarse facia...

  • Article
  • Open Access
1,530 Views
12 Pages

Exceptionally High Cystic Fibrosis-Related Morbidity and Mortality in Infants and Young Children in India: The Need for Newborn Screening and CF-Specific Capacity Building

  • Priyanka Medhi,
  • Grace R. Paul,
  • Madhan Kumar,
  • Grace Rebekah,
  • Philip M. Farrell,
  • Jolly Chandran,
  • Rekha Aaron,
  • Aaron Chapla and
  • Sneha D. Varkki

Early diagnosis of cystic fibrosis (CF) through newborn screening (NBS) improves clinical outcomes, but in countries like India, delayed diagnosis increases morbidity, mortality, and likely underestimates infant deaths from CF. We performed a retrosp...

  • Case Report
  • Open Access
1,684 Views
8 Pages

MCT8 Deficiency in Infancy: Opportunities for Early Diagnosis and Screening

  • Ilja Dubinski,
  • Belana Debor,
  • Sofia Petrova,
  • Katharina A. Schiergens,
  • Heike Weigand and
  • Heinrich Schmidt

Background: Monocarboxylate-transporter-8-(MCT8) deficiency, or Allan–Herndon–Dudley syndrome (AHDS), is a rare X-linked disorder caused by pathogenic variants in the SLC16A2 gene, leading to impaired transport of thyroid hormones, primar...

  • Review
  • Open Access
3,070 Views
12 Pages

Is It Time to Expand Newborn Screening for Congenital Hypothyroidism to Other Rare Thyroid Diseases?

  • Antonella Olivieri,
  • Maria Cristina Vigone,
  • Mariacarolina Salerno and
  • Luca Persani

Congenital hypothyroidism (CH) is a heterogeneous condition present at birth, resulting in severe-to-mild thyroid hormone deficiency. This condition is difficult to recognize shortly after birth. Therefore, many countries worldwide have implemented n...

  • Article
  • Open Access
1 Citations
2,837 Views
15 Pages

Newborn Screening Program for Spinal Muscular Atrophy in the Campania Region (Italy): Current Limitations and Potential Perspectives

  • Adelaide Ambrosio,
  • Tiziana Fioretti,
  • Barbara D’Andrea,
  • Lucia Pezone,
  • Ilaria Bitetti,
  • Carmela Di Domenico,
  • Sabrina Vallone,
  • Valeria Maiolo,
  • Angela Cioce and
  • Gabriella Esposito
  • + 2 authors

Three targeted therapies are currently available for spinal muscular atrophy (SMA), which have dramatically changed the natural history of this severe and potentially fatal disease. More than 95% of SMA cases have a homozygous deletion of exon 7 of t...

  • Article
  • Open Access
949 Views
12 Pages

Seasonal Fluctuations and Stability of Adenosine in Dried Blood Spots for Neonatal Screening

  • Xiangchun Yang,
  • Jing Liu,
  • Xia Li,
  • Dongyang Hong,
  • Shanshan Wu,
  • Changshui Chen and
  • Haibo Li

Seasonal and environmental factors, including temperature, humidity, and storage conditions, significantly impact the stability of biochemical markers in dried blood spot (DBS) samples. This study investigates these influences specifically for adenos...

  • Article
  • Open Access
1 Citations
927 Views
12 Pages

Communication of an Abnormal Metabolic Newborn Screening Result in the Netherlands: A Qualitative Exploratory Study of the General Practitioner’s Perspective

  • Sietske Haitjema,
  • Charlotte M. A. Lubout,
  • Justine H. M. Zijlstra,
  • Rendelien K. Verschoof-Puite and
  • Francjan J. van Spronsen

Newborn screening (NBS) for inherited metabolic diseases (IMD) aims to find children in which immediate action can prevent severe symptoms. We previously studied parental satisfaction with the communication of the NBS result for phenylketonuria, whic...

  • Article
  • Open Access
1,069 Views
11 Pages

Prediction of Congenital Portosystemic Shunt in Neonatal Hypergalactosemia Using Gal-1-P/Gal Ratio, Bile Acid, and Ammonia

  • Sayaka Suzuki-Ajihara,
  • Ikuma Musha,
  • Masato Arao,
  • Koki Mori,
  • Shunsuke Fujibayashi,
  • Ihiro Ryo,
  • Tomotaka Kono,
  • Asako Tajima,
  • Hiroshi Mochizuki and
  • Akira Ohtake
  • + 3 authors

Congenital portosystemic shunts (CPSSs) are often associated with life-threatening systemic complications, which may be detected by identifying hypergalactosemia in newborn screening (NBS). However, diagnosing CPSS at an early stage is not easy. The...

  • Systematic Review
  • Open Access
2,228 Views
15 Pages

An unintended consequence of cystic fibrosis (CF) newborn screening (NBS) is the identification of infants with a positive NBS who do not meet the diagnostic criteria for CF (two CF-causing variants and/or sweat chloride > 60 mmol/L). This indeter...

  • Article
  • Open Access
1,662 Views
14 Pages

Advancing Neonatal Screening for Pyridoxine-Dependent Epilepsy-ALDH7A1 Through Combined Analysis of 2-OPP, 6-Oxo-Pipecolate and Pipecolate in a Butylated FIA-MS/MS Workflow

  • Mylène Donge,
  • Sandrine Marie,
  • Amandine Pochet,
  • Lionel Marcelis,
  • Geraldine Luis,
  • François Boemer,
  • Clément Prouteau,
  • Samir Mesli,
  • Matthias Cuykx and
  • Joseph P. Dewulf
  • + 11 authors

Pyridoxine-dependent epilepsy (PDE) represents a group of rare developmental and epileptic encephalopathies. The most common PDE is caused by biallelic pathogenic variants in ALDH7A1 (PDE-ALDH7A1; OMIM #266100), which encodes α-aminoadipate sem...

  • Article
  • Open Access
1,497 Views
10 Pages

Incidence of Congenital Hypothyroidism Is Increasing in Chile

  • Francisca Grob,
  • Gabriel Cavada,
  • Gabriel Lobo,
  • Susana Valdebenito,
  • Maria Virginia Perez and
  • Gilda Donoso

Congenital hypothyroidism (CH) is a leading preventable cause of neurocognitive impairment. Its incidence appears to be rising in several countries. We analysed 27 years of newborn-screening data (1997–2023) from the largest Chilean screening c...

  • Correction
  • Open Access
623 Views
2 Pages

Correction: Berardo et al. Expanded Newborn Screening in Italy: The First Report of Lombardy Region. Int. J. Neonatal Screen. 2025, 11, 31

  • Clarissa Berardo,
  • Alessandra Vasco,
  • Alessia Mauri,
  • Simona Lucchi,
  • Laura Cappelletti,
  • Laura Saielli,
  • Manuela Rizzetto,
  • Davide Biganzoli,
  • Cristina Montrasio and
  • Cristina Cereda
  • + 15 authors

Addition of an author [...]

  • Article
  • Open Access
2 Citations
2,953 Views
16 Pages

Biographies of Max Wilson and Gunnar Jungner were published in 2017 and 2020. An in-depth appreciation of the Wilson and Jungner principles, and the publication they were presented in, ‘Principles and Practice of Screening for Disease’, p...

  • Article
  • Open Access
2,625 Views
12 Pages

Implementation of Neonatal Screening Program for Congenital Hypothyroidism in Eastern Morocco

  • Fatima Wahoud,
  • Samia Essadki,
  • Khadija Zirar,
  • Rajae Lamsyah,
  • Wissam Hajjaji and
  • Rim Amrani

Congenital hypothyroidism (CH) is one of the major preventable causes of intellectual disability. This study evaluates the incidence of CH through a newborn screening (NBS) program in eastern Morocco. A descriptive cross-sectional design was used and...

  • Brief Report
  • Open Access
715 Views
6 Pages

Neonatology Providers Need Education About Cystic Fibrosis Newborn Screening Algorithms

  • Nilesh Seshadri,
  • Lori Christ,
  • David Munson,
  • Andrew Borowiec,
  • Clement L. Ren and
  • Ambika Shenoy

An essential link in the cystic fibrosis (CF) newborn screening (NBS) process is communication of results. While this is described between NBS programs and primary care providers, data of this occurrence is limited with neonatologists. Neonatology pr...

  • Article
  • Open Access
1,539 Views
16 Pages

Cost–Effectiveness of Newborn Screening for X-Linked Adrenoleukodystrophy in the Netherlands: A Health-Economic Modelling Study

  • Rosalie C. Martens,
  • Hana M. Broulikova,
  • Marc Engelen,
  • Stephan Kemp,
  • Anita Boelen,
  • Robert de Jonge,
  • Judith E. Bosmans and
  • Annemieke C. Heijboer

X-linked adrenoleukodystrophy (ALD) is an inherited metabolic disorder that can cause adrenal insufficiency and cerebral ALD (cALD) in childhood. Early detection prevents adverse health outcomes and can be achieved by newborn screening (NBS) followed...

  • Article
  • Open Access
1,305 Views
10 Pages

The Promising Role of Intestinal Organoids in the Diagnostic Work-Up of Cystic Fibrosis Screen Positive Inconclusive Diagnosis/CFTR-Related Metabolic Syndrome (CFSPID/CRMS)

  • Noelia Rodriguez Mier,
  • Marlies Destoop,
  • Sacha Spelier,
  • Anabela Santo Ramalho,
  • Jeffrey M. Beekman,
  • François Vermeulen,
  • Karin M. de Winter-de Groot and
  • Marijke Proesmans

Cystic Fibrosis Screen Positive Inconclusive Diagnosis/CFTR-related Metabolic Syndrome (CFSPID/CRMS) presents a significant clinical challenge due to its variable diagnostic outcomes and uncertain disease progression. Current diagnostic strategies, i...

  • Article
  • Open Access
2,448 Views
12 Pages

Training Primary Healthcare Professionals for Expanded Newborn Screening with Tandem Mass Spectrometry: Challenges for Community Genetics in Brazil

  • Luzivan Costa Reis,
  • Tassia Tonon,
  • Marina Bernardes Acosta,
  • Simone Martins de Castro,
  • Vivian de Lima Spode Coutinho,
  • Débora Gusmão Melo and
  • Ida Vanessa Doederlein Schwartz

In Brazil, dried blood spots (DBSs) for newborn screening (NBS) should be collected between the 3rd and 5th days of life at local Basic Health Units (BHUs). This study reports the experience of face-to-face training at BHUs in southern Brazil during...

  • Article
  • Open Access
3,070 Views
18 Pages

Qatar’s National Expanded Metabolic Newborn Screening Program: Incidence and Outcomes

  • Tala Jamaleddin,
  • Karen El-Akouri,
  • Sumaya Abiib,
  • Rola Mitri,
  • Mamatha Ramaswamy,
  • Sara Musa,
  • Rehab Ali,
  • Noora Shahbeck,
  • Hilal Al Rifai and
  • Mashael Al-Shafai
  • + 3 authors

Background: Newborn screening is an essential public health strategy that aims to detect a range of conditions, including inborn errors of metabolism, in neonates shortly after birth. The timely identification is crucial due to the asymptomatic natur...

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Int. J. Neonatal Screen. - ISSN 2409-515X