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Celebrating 50 Years of Nationwide Newborn Screening in Hungary-Review, Current Situation, and Future Directions
Péter Monostori1, Ildikó Szatmári2, Ákos Baráth1
1Metabolic and Newborn Screening Laboratory, Department of Pediatrics, University of Szeged, Korányi Fasor 14-15, H-6720 Szeged, Hungary.
Insights
Hungary
Area of Science:
- Public Health
- Genetics
- Pediatrics
Background:
- Newborn screening (NBS) is a crucial public health program for early detection of inherited disorders.
- Hungary's NBS program celebrates 50 years for phenylketonuria and galactosemia screening, and 40 years for congenital hypothyroidism screening.
Purpose of the Study:
- To review the history, current status, and future directions of the Hungarian NBS program.
- To highlight the program's achievements and ongoing commitment to equitable screening.
Main Methods:
- Review of historical data and current program structure.
- Analysis of screening data from over 5.6 million newborns since 1975.
Main Results:
- The Hungarian NBS program screens for 27 disorders (opt-out) and spinal muscular atrophy (opt-in).
- Since 1975, 3,289 patients with screened conditions have been identified.
- The program utilizes advanced laboratory facilities, knowledge, and a strong follow-up system.
Conclusions:
- The Hungarian NBS program demonstrates long-term success and dedication to infant health.
- Advancements in technology and adherence to international standards are key to its ongoing success.
- Equitable screening for all newborns remains a priority, aligning with Euro-regional efforts.
Abstract:
Newborn screening (NBS), one of the most important public health care prevention programs, aims at the early identification of asymptomatic newborns at increased risk for inherited disorders, facilitating timely intervention to reduce morbidity and mortality. NBS in Hungary is celebrating the 50th anniversary of the nationwide implementation of screening for phenylketonuria and galactosemia, as well as the 40th anniversary of congenital hypothyroidism screening. The present paper reviews the early years, the present situation, and future perspectives for the Hungarian NBS program. Today, screening for 27 disorders (opt-out) plus spinal muscular atrophy (opt-in) is supported by two centralized and well-equipped laboratories in Budapest and Szeged, in-depth laboratory knowledge, a robust follow-up system, and governmental financial support. Since 1975, 3,289 patients have been confirmed with a screened condition from over 5.6 million newborns screened. The 50-year anniversary of the Hungarian NBS program highlights the dedication of both past and current professionals, ongoing advancements in analytical methods and laboratory information management systems, and alignment with international standards. The equitable provision of screening services continues to be prioritized for all newborns nationwide and within the broader Euro-regional context.
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