Complete Health Indicator Report of Newborn Heelstick Screening
DefinitionPercentage of newborns screened in Utah for state mandated screening.
NumeratorNumber of newborns screened who were born in Utah or number of newborns diagnosed with a specific disorder.
DenominatorNumber of newborns born in Utah or total number of newborns diagnosed with a specific disorder.
Why Is This Important?Screening of newborns for genetic disorders and disabling conditions facilitates early entry into comprehensive care programs, which can improve quality of life, avoid disability, and save lives. [http://health.utah.gov/newbornscreening] Newborn Screening Statute [[br]] [http://le.utah.gov/xcode/Title26/Chapter10/26-10-S6.html] Newborn Sreening Rule [[br]] [http://www.rules.utah.gov/publicat/code/r398/r398-001.htm]
Healthy People Objective MICH-32:Increase appropriate newborn blood-spot screening and followup testing
U.S. Target: Not applicable, see subobjectives in this category
Other ObjectivesHealthy People 2020 MICH-32 subobjectives: MICH-32.1: Increase the number of States and the District of Columbia that verify through linkage with vital records that all newborns are screened shortly after birth for conditions mandated by their State-sponsored screening program [[br]] '''U.S. Target:''' 45 States (44 States and the District of Columbia) [[br]][[br]] MICH-32.2: Increase the proportion of screen-positive children who receive followup testing within the recommended time period[[br]] '''U.S. Target:''' 100 percent [[br]][[br]] MICH-32.3: (Developmental) Increase the proportion of children with a diagnosed condition identified through newborn screening who have an annual assessment of services needed and received
How Are We Doing?Utah is compliant with the national recommendations for screening disorders and March of Dimes recommendations. During the next decade, genetic technology will dramatically increase the potential to screen newborns for inherited diseases. Significant future policy decisions will include the means to pay for the prevention services made possible through such emerging technology.
How Do We Compare With the U.S.?The following websites have a listing of all states and what is tested: [[br]] [https://newsteps.org/] [[br]] [http://www.babysfirsttest.org/]
What Is Being Done?The UDOH Division of Family Health and Preparedness oversees newborn screening in Utah.
Available ServicesEducation of screening practices, counseling regarding screened disorders, and referrrals to appropriate specialists. Office Hours: 8:00 AM - 5:00 PM Monday - Friday Newborn Screening Program[[br]] Utah Public Health Laboratory[[br]] PO Box 144710[[br]] Salt Lake City, UT 84114-4710[[br]] Phone: 801-584-8256 Education material available at: [[br]] [http://health.utah.gov/newbornscreening]
Health Program InformationThe Utah Newborn Screening Program (NSP) began in 1979 with 3 first screening tests (Phenylketonuria, Galactosemia, Congenital Hypothyroidism) and 1 second screening test (Phenylketonuria). In 1994, NSP added Congenital Hypothyroidism to the second screening test. In 2001, screening for Hemogolobinopathies was added to the first screening test. In 2006, the addition of 32 first and second screening tests (Amino Acids -- including Phenylketonuria, Organic Acids, Fatty Acids, Congenital Adrenal Hyperplasia, Biotinidase) gave the NSP the ability to now screen for 36 first tests and 34 second tests. Cystic Fibrosis was added to the first screening test in 2009. SCID was added to the first screening test in 2013. GAMT deficiency was added June 1, 2015. [http://le.utah.gov/xcode/Title26/Chapter10/26-10-S6.html Newborn Screening Statute] [[br]] [http://www.rules.utah.gov/publicat/code/r398/r398-001.htm Newborn Sreening Rule]
Relevant Population CharacteristicsAll genetic disorders can occur in any race. There is no correlation with income or social status.
Health Care System FactorsScreening is a system-level intervention overseen in Utah by the UDOH Division of Family Health and Preparedness. All parts contribute to the outcome of the affected newborn. Institutions of birth begin the system by initiation of screening at time of birth. Timing of specimen collection and delivery to the State Laboratory is essential to rapid turn-around of testing. This rapid testing allows the follow-up program to identify the newborn and family and initiate the necessary confirmatory testing and referral for treatment before problems begin. The child's primary care provider (also known as the child's Medical Home) ensures follow-through and treatment (if necessary) throughout the lifetime. Specialty multidisciplinary clinics, which may include pediatric geneticists and genetic counselors, complement the child's Medical Home in providing specialized services and care for the family and newborn. All components help in the education of the family and newborn.
Related Health Care System Factors Indicators:
Risk FactorsRisk factors for genetic conditions include family history. Women who have PKU and become pregnant have increased risks for their baby (microcephaly and cardiac problems). The women need tight control of their phenylalanine levels before becoming pregnant, as well as during their pregnancy.
Related Risk Factors Indicators:
Health Status OutcomesMost newborns with metabolic disorders appear normal. Signs and symptoms do not develop until the disorder is advanced and morbidity has been established. Early intervention (treatment, dietary changes, etc.) before signs and symptoms appear can minimize, if not eliminate, the impact on the newborn's life (allow normal growth and development).
Related Health Status Outcomes Indicators:
Graphical Data Views
Percentage of Newborns Screened, Utah, 1995-2015
|Year||Percentage of Newborns Screened|
Record Count: 21
- Newborn Screening Program Data - LabWare
- Utah Department of Health Data Warehouse
Newborn Screening Program Diagnosis by Disorder, Utah, 2015
Record Count: 9
|Congenital Adrenal Hyperplasia||0.2%|
|Severe Combined Immunodeficiency||1.9%|
Data NotesDisorders include Amino Acid Disorders (including Phenylketonuria), Biotinidase, Congenital Adrenal Hyperplasia, Congenital Hypothyroidism, Cystic Fibrosis, Galactosemia, Hemoglobinopathies, Acylcarnitines (Fatty Acid Oxidation Disorders and Organic Acid Disorders) and SCID (Severe Combined Immunodeficiency). [[br]] [http://health.utah.gov/newbornscreening]
Data SourceNewborn Screening Program Data - LabWare
References and Community ResourcesProgram website [[br]] [http://health.utah.gov/newbornscreening] Other websites [[br]] [http://www.medicalhomeportal.org/newborn] [[br]] [https://newsteps.org/] [[br]] [http://www.babysfirsttest.org/] [[br]]
More Resources and LinksEvidence-based community health improvement ideas and interventions may be found at the following sites:
- The Guide to Community Preventive Services
- Health Indicators Warehouse
- County Health Rankings
- Healthy People 2020 Website
Additional indicator data by state and county may be found on these Websites:
- Health Indicators Warehouse
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- CDC WONDER's DATA2010, the Healthy People 2010 Database.
Medical literature can be queried at the PubMed website.
For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 11/03/2016, Published on 11/28/2016