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Genetic screening of newborn in Australia. Results for 1981
Insights
Newborn screening in Australia has detected phenylketonuria (PKU) and other genetic disorders. Over 3 million infants were tested, identifying numerous cases of PKU, malignant hyperphenylalaninaemia, congenital hypothyroidism, galactosaemia, and cystic fibrosis.
Area of Science:
- Medical Genetics
- Public Health
- Neonatal Screening
Background:
- Newborn screening programs are crucial for early detection of genetic disorders.
- The Guthrie bacterial inhibition assay has been a cornerstone of neonatal screening since the 1960s.
Purpose of the Study:
- To report the cumulative data and incidence of screened newborn infants for several genetic disorders in Australia.
- To provide updated statistics on phenylketonuria (PKU), malignant hyperphenylalaninaemia (MHPA), congenital hypothyroidism, galactosaemia, and cystic fibrosis.
Main Methods:
- Retrospective analysis of newborn screening data collected across Australia.
- Utilized the Guthrie bacterial inhibition assay for PKU and MHPA screening.
- Data collection included incidence rates per 10,000 live births for each condition.
Main Results:
- Over 3 million infants screened for PKU, detecting 251 cases (0.83/10,000) and 6 MHPA cases (0.02/10,000).
- In 1981, 11 PKU cases were identified.
- Screening for congenital hypothyroidism in seven states detected 66 new cases (2.13/10,000) in 1981.
- Galactosaemia screening in Adelaide identified 7 cases (0.45/10,000) out of 154,310 infants.
- Cystic fibrosis screening in New South Wales found 17 cases (4.73/10,000) among 35,955 infants.
Conclusions:
- Newborn screening programs in Australia have successfully identified significant numbers of infants with serious genetic disorders.
- The data highlights the ongoing importance and effectiveness of widespread neonatal screening for early intervention and management.
- Continued surveillance and reporting are essential for monitoring disease incidence and program efficacy.
Abstract:
Since screening of newborn infants for phenylketonuria (PKU) by the Guthrie bacterial inhibition assay was established in the 1960s, 3 017 703 infants have been tested in Australia. Two hundred and fifty-one cases of PKU (0.83/10 000) and six cases of the variant forms of malignant hyperphenylalaninaemia (MHPA) (0.02/10 000) have been detected. In 1981, 11 infants with PKU were detected. Screening for congenital hypothyroidism was carried out in seven States, and 66 new cases were detected in 1981 (2.13/10 000). In Adelaide, 154 310 infants have been tested for galactosaemia and a total of seven cases have now been detected (0.45/10 000). In New South Wales, 35 955 infants have been tested for cystic fibrosis of the pancreas, and 17 cases were found (4.73/10 000).