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Newborn Screening in a Pandemic-Lessons Learned.

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International Journal of Neonatal Screening
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Summary

The COVID-19 pandemic disrupted newborn screening programs (NBS), leading to missed inherited metabolic disease cases. However, adaptive strategies like contingency plans and telemedicine helped maintain essential NBS functions.

Keywords:
COVID-19NBScontingency plandried blood spotnewborn screeningpandemictelemedicine

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Area of Science:

  • Public Health
  • Genetics
  • Pediatrics

Background:

  • The COVID-19 pandemic significantly impacted public health services globally.
  • Newborn screening programs (NBS) faced unprecedented challenges, affecting the diagnosis of inherited metabolic diseases.

Purpose of the Study:

  • To review and describe the contingency plans and adaptations implemented in newborn screening programs during the COVID-19 pandemic.
  • To highlight the system's vulnerabilities and propose strategies for future resilience.

Main Methods:

  • Review of contingency plans and implemented solutions during the pandemic.
  • Analysis of challenges faced by NBS centers, including staff shortages, supply chain disruptions, and altered sample collection timelines.
  • Evaluation of adopted strategies such as new work schedules, telemedicine, and resource sharing.

Main Results:

  • Decreased diagnostic quality led to missed cases of inherited metabolic diseases.
  • Staff shortages necessitated new work schedules and addressing staff stress.
  • Adaptations included modified sample collection timeframes, modified reference ranges, and resource sharing among laboratories.
  • Telemedicine proved crucial for communication, and courier systems were adapted for timely transport.
  • Despite challenges, some centers continued evaluations, developments, or initiated new NBS.

Conclusions:

  • The COVID-19 pandemic served as a stress test for NBS systems.
  • Adaptations and modifications were crucial for maintaining NBS operations.
  • There is a critical need for robust local, national, and global strategies to enhance NBS reliability during health crises and healthcare system overloads.