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Updated: May 17, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Neonatal screening for congenital hypothyroidism in East Azerbaijan, Iran: the first report
Ali Hossein Zeinalzadeh1, Malihe Talebi
1Department of Community Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. zenalali@gmail.com
Insights
Congenital hypothyroidism (CH) affects 1 in 666 neonates in East Azerbaijan, Iran, with a higher prevalence than global averages. This highlights the critical need for ongoing neonatal screening programs to detect CH early.
Area of Science:
- Endocrinology
- Pediatrics
- Public Health
Background:
- Congenital hypothyroidism (CH) is a common endocrine disorder in newborns.
- Early detection and treatment are crucial to prevent developmental delays.
- Neonatal screening programs are essential for identifying CH in at-risk populations.
Purpose of the Study:
- To determine the prevalence of congenital hypothyroidism (CH) in neonates in East Azerbaijan, Iran.
- To assess the effectiveness of the neonatal screening program in the region.
Main Methods:
- A cross-sectional study was conducted from 2009 to 2010, screening 62,459 neonates.
- Heel blood samples were analyzed for Thyroid Stimulating Hormone (TSH) using ELISA.
- Abnormal results (TSH>20 mIU/L, T4<6.5 mg/dL) prompted re-examination.
Main Results:
- A total of 62,459 infants were screened, with a re-call rate of 2.5% (1562 infants).
- 94 cases of CH were diagnosed, resulting in a prevalence of 1:666.
- The female-to-male ratio for CH was 1:1.4.
Conclusions:
- The prevalence of CH in East Azerbaijan is higher than global estimates.
- The findings underscore the importance and effectiveness of the established neonatal screening program.
- Continued surveillance and early intervention are vital for managing CH in this region.
Objectives:
To investigate the prevalence of congenital hypothyroidism (CH) among neonates in East Azerbaijan, Iran.
Methods:
A cross-sectional study conducted from 2009 to 2010. Most heel blood samples were taken between three and seven days of birth. Thyroid stimulating hormone (TSH) was tested using the enzyme-linked immunosorbent assay method. Neonates with abnormal screening results (TSH>20 mIU/L, T4<6.5 mg/dL) were re-examined. Data were analysed using SPSS software.
Results:
A total of 62,459 infants were screened. Of 1562 re-called subjects (re-call rate 2.5%), 94 cases with CH were detected, yielding a CH prevalence of 1:666 (female:male ratio 1:1.4).
Conclusion:
The prevalence of CH in East Azerbaijan province is higher in comparison with worldwide levels. These results emphasize the importance of the neonatal screening programme.
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