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International Journal of Neonatal Screening, Volume 12, Issue 3

2026 September - 30 articles

Cover Story: A few drops of blood can open a window onto a child’s future. Over the past 45 years, newborn screening in China has grown from testing for a small number of disorders into a nationwide, quality-controlled system supported by tandem mass spectrometry, next-generation sequencing, and expanding public health networks. This review tells the story of that transformation—how policy, technology, and quality management have reshaped early disease detection, and how the next chapter will depend on broader screening, stronger lifelong care, greater regional equity, and precision public health. View this paper
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Articles (30)

  • Article
  • Open Access
561 Views
13 Pages

Co-Designing a Provincial Newborn Screening Implementation Framework in Pakistan Using a Sequential Blended Workshop Model

  • Aysha H. Khan,
  • Lena Jafri,
  • Dianne Webster,
  • Farkhanda Ghafoor and ,
  • Tariq Zafar,
  • Afzal Saeed,
  • Jaida Manzoor,
  • Fouzia Ishaq,
  • Tayyaba K. Butt and
  • Hafsa Majid
  • + 7 authors+ 2 authors

Newborn screening (NBS) in Pakistan remains limited by fragmented service delivery, uneven provincial capacity, and the absence of an implementation pathway that links policy intent to operational planning. This study aimed to co-design a provincial...

(This article belongs to the Special Issue Newborn Screening Developing Programs in Asia)
  • Case Report
  • Open Access
729 Views
13 Pages

Classical Homocystinuria Incidentally Diagnosed Following a Normal Newborn Screening Result

  • José Manuel González de Aledo-Castillo,
  • Mercedes Casado-Río,
  • Sonia Pajares,
  • Silvia Meavilla Olivas and ,
  • Laura Gort,
  • Laura Martí Sánchez,
  • Abraham J. Paredes-Fuentes,
  • Leticia Pias-Peleteiro,
  • Marta Gomez-Chiari and
  • Aída Ormazábal Herrero
  • + 11 authors+ 6 authors

Classical homocystinuria (HCY) due to cystathionine beta-synthase (CBS) deficiency is included in many newborn screening programs, which traditionally use dried blood spot (DBS) methionine as the primary biomarker. However, some patients have normal...

  • Review
  • Open Access
930 Views
23 Pages

Progress and Prospects of Newborn Screening in China

  • Xiaoqiang Hao,
  • Xinwen Huang,
  • Rulai Yang,
  • Xin Yang and ,
  • Xiaolei Huang and
  • Zhengyan Zhao
  • + 1 author+ 0 author

Newborn screening (NBS) is a critical component of the three-tiered prevention strategy for birth defects, reducing congenital disorder burden and improving long-term child health outcomes. Over the past 45 years, NBS in China has evolved into a nati...

(This article belongs to the Special Issue Newborn Screening Developing Programs in Asia)
  • Article
  • Open Access
517 Views
8 Pages

Analytical Study Showing a False-Negative Limitation of Deletion-Based Newborn Screening for Spinal Muscular Atrophy Using a Compound Heterozygous SMN1 Control

  • Yuichi Abe,
  • Sato Suzuki-Muromoto,
  • Motomichi Kosuga,
  • Tetsuya Isayama and ,
  • Go Tajima,
  • Yasuhito Aoki,
  • Nobuyuki Ishige and
  • Yushi Ito
  • + 3 authors+ 0 author

Newborn screening (NBS) facilitates the presymptomatic diagnosis and early treatment of spinal muscular atrophy (SMA). An analytical study was conducted to evaluate the performance and limitations of a real-time polymerase chain reaction-based SMA-NB...

(This article belongs to the Collection Newborn Screening in Japan)
  • Article
  • Open Access
683 Views
15 Pages

Application of CLIR-Based Post-Analytical Tools to Dutch NBS Data Demonstrates Its Potential Impact on the Performance of CPT1, GA-1, IVA and MSUD Screening in a Disorder-Specific Way

  • Nils W. F. Meijer,
  • Rose E. Maase,
  • Patricia L. Hall,
  • Wouter F. Visser and ,
  • Klaas Koop,
  • Annet M. Bosch,
  • M. Rebecca Heiner-Fokkema and
  • Monique G. M. de Sain-van der Velden
  • + 3 authors+ 0 author

Newborn screening (NBS) for inborn errors of metabolism is challenged by high false-positive rates, which may lead to parental anxiety and increased healthcare costs associated with diagnostic follow-up. False-positive results often arise from change...

  • Article
  • Open Access
1,115 Views
11 Pages

Refining MMA Screening in the Dutch Newborn Screening Program: Lessons from Vitamin B12 Deficiency and Genetic Cases

  • Nils W. F. Meijer,
  • Klaas Koop,
  • Rose E. Maase,
  • Patricia L. Hall and ,
  • Wouter F. Visser,
  • Esmeralda Oussoren,
  • Annet M. Bosch,
  • M. Rebecca Heiner-Fokkema and
  • Monique G. M. de Sain-van der Velden
  • + 4 authors+ 0 author

Since October 2019, screening for methylmalonic acidemia (MMA) has been implemented in the Dutch Newborn Screening (NBS) program. Since implementation, most referrals for MMA have been the result of (maternal) vitamin B12 deficiency. Although vitamin...

  • Article
  • Open Access
616 Views
16 Pages

Optimizing Kappa-Deleting Recombination Excision Circles (KREC) Cut-Off Values in Russian Newborn Screening Program: Balancing Sensitivity and False-Positive Rates

  • Andrey Marakhonov,
  • Anna Mukhina,
  • Irina Efimova,
  • Natalya Balinova and ,
  • Yulia Rodina,
  • Rena Zinchenko,
  • Sergey Voronin,
  • Anna Shcherbina and
  • Sergey Kutsev
  • + 4 authors+ 0 author

Newborn screening (NBS) for primary immunodeficiencies (PIDs) increasingly incorporates kappa-deleting recombination excision circles (KREC) to enable early detection of B-cell lymphopenia, particularly agammaglobulinemia (AGG). However, optimal KREC...

  • Article
  • Open Access
1,322 Views
32 Pages

The Spanish Uniform Newborn Screening Panel (SUSP): A National Consensus Framework for Harmonized Newborn Screening

  • Judit García-Villoria,
  • Rosa María López-Galera,
  • Carmen Delgado-Pecellín,
  • Dolores Rausell Félix and ,
  • Cristóbal Colón,
  • Hugo Rocha,
  • Belén Pérez,
  • Antonia Ribes,
  • María Luz Couce and
  • Domingo González-Lamuño
  • + 5 authors+ 0 author

Newborn screening (NBS) is a cornerstone of preventive medicine, enabling early diagnosis and treatment of severe congenital disorders. In Spain, despite the existence of a Basic Common Portfolio, the absence of a harmonized national panel has led to...

(This article belongs to the Special Issue Equity Issues in Newborn Screening)
  • Review
  • Open Access
1,856 Views
19 Pages

Mucopolysaccharidosis Type II Screening, Diagnosis, and Management: A Literature Review and Practical Recommendations for Newborn Screening Programs and Health Care Providers to Support Families and Improve Outcomes

  • Amy Gaviglio,
  • Natasha Bonhomme,
  • Barbara Burton,
  • Norman Matthew Ellinwood and ,
  • Joseph Muenzer,
  • Kim Stephens,
  • Ravi Pathak and
  • Carolyn Schaeffer-Koziol
  • + 3 authors+ 0 author

Mucopolysaccharidosis type II (MPS II; also known as Hunter syndrome), is a rare X-linked lysosomal disease that leads to progressive tissue and organ damage. Early treatment is essential as most symptoms of MPS II are not reversible. Consequently, M...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Article
  • Open Access
801 Views
15 Pages

Optimizing Informed Consent for Australian Newborn Bloodspot Screening and Research: Consensus Workshop Insights and Recommendations

  • Carolyn Mazariego,
  • Mahitha Ramanathan,
  • Deborah A. Johnston,
  • Zhicheng Li and ,
  • Brittany C. McGill,
  • Marina Okamura,
  • Lauren Kelada,
  • Ilona Juraskova,
  • Claire E. Wakefield and
  • Natalie Taylor
  • + 5 authors+ 0 author

Informed consent is fundamental to Australian newborn bloodspot screening (NBS), but emerging genomic screening technologies pose new challenges to clinical care and research. Optimizing consent processes is necessary to support ethical practice and...

  • Article
  • Open Access
1,026 Views
17 Pages

Features and Legal Practice of Dried Blood Spot Card Biobanking in Europe: Balancing Research Potential with Parental and Children’s Rights

  • Sophie ter Braak,
  • Mette Nyegaard,
  • Christian Munch Hagen,
  • Marie Bækvad-Hansen and ,
  • Madara Auzenbaha,
  • François Boemer,
  • James R. Bonham,
  • Patricia Borde,
  • Ian Brincat and
  • Peter C. J. I. Schielen
  • + 31 authors+ 26 authors

Neonatal screening using Dried Blood Spot (DBS) cards is an important and successful public health facility in Europe, enabling early detection of congenital disorders for early treatment and prevention of overt disease. Biobanks of stored DBS cards...

  • Article
  • Open Access
976 Views
16 Pages

Attitudes Toward Sex-Specific Versus Universal Newborn Screening for X-Linked Adrenoleukodystrophy in Hong Kong

  • Chloe Miu Mak,
  • Hoi Ying Wu,
  • Ariel Ying Wong,
  • Felicite Enyu Song and ,
  • Toby Chun Hei Chan,
  • Cheuk Wing Fung,
  • Suet Na Wong,
  • Edgar Wai Lok Hau and
  • Matthew Chun Wing Yeung
  • + 4 authors+ 0 author

X-linked adrenoleukodystrophy (X-ALD) is the most common peroxisomal disorder and is associated with serious clinical consequences. While newborn screening (NBS) could facilitate early identification and timely intervention, its implementation for X-...

(This article belongs to the Special Issue Equity Issues in Newborn Screening)
  • Article
  • Open Access
712 Views
13 Pages

Experience with Implementation of Pulse Oximetry Screening for Critical Congenital Heart Disease in a Low–Middle-Income Country

  • Abena Adaboh,
  • Daem Celestin,
  • Alex Agyekum,
  • Nana Serwaa Osei and ,
  • Araba Mensah,
  • Sadath Sayeed and
  • Nana-Akyaa Yao
  • + 2 authors+ 0 author

The adoption of pulse oximetry screening (POS) in low- and middle-income countries remains limited. We describe the development, implementation, and evaluation of a POS program at two of the leading tertiary centers in Accra, Ghana, based on a modifi...

(This article belongs to the Special Issue Global Updates on the Advancements in CCHD Screening)
  • Review
  • Open Access
1,334 Views
20 Pages

A Comprehensive Meta-Analytical Investigation into the Incidence of Neonatal Amino Acid Metabolic Disorders Across China

  • Qiongfang Yao,
  • Shuting Huang,
  • Fei Kong,
  • Min Wu and ,
  • Xiaolong Qiu,
  • Peiran Zhao,
  • Yinglin Zeng,
  • Jinying Luo,
  • Jinfu Zhou and
  • Liangpu Xu
  • + 5 authors+ 0 author

Amino acid metabolic disorders (AAMs) are a group of inherited metabolic diseases caused by defects in enzymes or transporters involved in amino acid metabolism. This systematic review and meta-analysis aimed to evaluate the incidence, disease spectr...

  • Editorial
  • Open Access
816 Views
3 Pages

Newborn screening (NBS) for cystic fibrosis (CF) was first implemented almost 50 years ago, and many improvements have been made to the initial algorithms, educational approaches, and available therapies [...]

(This article belongs to the Special Issue Advances in Cystic Fibrosis Newborn Screening: From Laboratory Testing to Diagnosis)
  • Case Report
  • Open Access
1,237 Views
10 Pages

Homozygosity for a Clinically Significant GALC Haplotype Associated with Late-Infantile Krabbe Disease Detected on Newborn Screening: Implications for Clinical Management and Genetic Counseling

  • Daniel R. Schecter,
  • Colleen Donnelly,
  • Amy White,
  • Hillary Raynes and ,
  • Gordon Heller,
  • Deepa Rajan,
  • Carlos A. Saavedra-Matiz,
  • Joseph Orsini,
  • Jaap-Jan Boelens and
  • Jaya Ganesh
  • + 6 authors+ 1 author

Krabbe disease is an autosomal recessive leukodystrophy caused by a deficiency of the lysosomal enzyme galactosylceramidase (GALC), responsible for the degradation of galactolipids, resulting in toxic psychosine accumulation and progressive demyelina...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Article
  • Open Access
888 Views
14 Pages

Newborn Screening for Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency and Analysis of SLC25A13 Gene Mutations in Hefei, China

  • Qingqing Ma,
  • Junxing Chen,
  • Yong Huang,
  • Yan Wang and ,
  • Wangsheng Song,
  • Hongyu Xu,
  • Yuhui Wan and
  • Haili Hu
  • + 3 authors+ 0 author

Citrin deficiency (CD) is an autosomal recessive disorder and represents one of the urea cycle disorders. This study aims to analyze the detection rate, clinical features, and genetic mutation characteristics of neonatal intrahepatic cholestasis caus...

  • Article
  • Open Access
722 Views
15 Pages

Communicating a Congenital Cytomegalovirus Diagnosis: Parent Experiences and a Clinical Framework

  • Megan Honor Pesch,
  • Laura C. Taylor,
  • Sean P. McKenzie and
  • Gail Demmler-Harrison

Congenital cytomegalovirus (cCMV) is characterized by highly variable outcomes; how diagnostic information is communicated to families is critical, yet parent experiences of communication following a cCMV diagnosis are not well described. The objecti...

  • Article
  • Open Access
1,356 Views
16 Pages

Improving Severe Combined Immunodeficiency and Cystic Fibrosis Newborn Screening by Replacing Current Tests with First-Tier Targeted Gene Sequencing

  • Bennett O. V. Shum,
  • Carel Pretorius,
  • Ilya Henner,
  • Emre Basar and ,
  • Urs Wilgen,
  • Glenn Bennett and
  • Jacobus P. J. Ungerer
  • + 2 authors+ 0 author

Newborn screening benefits children with rare diseases by enabling early detection and intervention, which improves health outcomes. False-positive results are one harm of screening, with infants subject to further testing to resolve a positive scree...

(This article belongs to the Special Issue Genetic and Genomic Technologies in Newborn Screening: Current Applications and Future Directions)
  • Review
  • Open Access
645 Views
10 Pages

The Dual Role of Neonatal Pulse Oximetry Screening and Fetal Echocardiography in Congenital Heart Disease Detection Around the World

  • Anita Krishnan,
  • Carolyn Sommer,
  • Chinenyenwa Mpamaugo,
  • Sonia Voleti Chivukula and ,
  • Lisa A. Hom,
  • Gerard R. Martin and
  • Mary T. Donofrio
  • + 2 authors+ 0 author

Congenital heart disease is the most common birth defect worldwide. Perinatal detection, either in utero or prior to hospital discharge is important for planning delivery, ordering adjunct testing, and planning for surgical or medical care. In countr...

(This article belongs to the Special Issue Global Updates on the Advancements in CCHD Screening)
  • Article
  • Open Access
692 Views
14 Pages

Reference Values of Peripheral Perfusion Index in Healthy Neonates and Preliminary Observations of Congenital Heart Disease in Tibet: A Cohort Study

  • Miaomiao Wei,
  • Yaoyao Dong,
  • Ciren Zhuoma,
  • Lin Peng and ,
  • Youping Tian,
  • Qing Gu,
  • Sheng Wei,
  • Bianba Zhuoma,
  • Xiaojing Hu and
  • Guoying Huang
  • + 5 authors+ 0 author

The peripheral perfusion index (PPI) is a non-invasive indicator of peripheral tissue perfusion in neonates. However, reference values for the PPI at different postnatal time points in healthy neonates residing at high altitudes, as well as early per...

(This article belongs to the Special Issue Newborn Screening for Physical/Structural Birth Defects)
  • Review
  • Open Access
1,044 Views
13 Pages

Pulse oximetry screening (POS) is a simple non-invasive tool which enables the early detection of critical congenital heart defects (CCHDs). POS has moderate sensitivity and high specificity; it is cost-effective, readily accepted by parents and heal...

(This article belongs to the Special Issue Global Updates on the Advancements in CCHD Screening)
  • Article
  • Open Access
1 Citations
966 Views
15 Pages

Hearing Screening-Driven Investigation of Newborns for Congenital Cytomegalovirus Infection at a German University Hospital

  • Niko Kohmer,
  • Lena Mistry,
  • Thorsten Mosler,
  • Sabine Kramer and ,
  • Annette Weiß,
  • Alfred Lennart Bissinger,
  • Nora Doberschuetz,
  • Ulrich Rochwalsky,
  • Holger F. Rabenau and
  • Horst Buxmann
  • + 5 authors+ 0 author

Congenital Cytomegalovirus (cCMV) infection is the leading non-genetic cause of sensorineural hearing loss in newborns. Systematic nationwide screening programmes are lacking. Antiviral valganciclovir therapy could improve auditory outcomes if initia...

  • Article
  • Open Access
1 Citations
1,461 Views
16 Pages

Implementation of TREC/KREC Newborn Screening in a High-Birth-Rate Population: A Pilot Study of 5000 Neonates in South Kazakhstan

  • Gulzada Abdushukurova,
  • Alken Auyelova,
  • Banu Kadyrbayeva,
  • Ardak Ayazbekov and ,
  • Dina Mussayeva,
  • Ainash Oshibayeva,
  • Kumissay Babayeva,
  • Liliya Khairullina,
  • Karlygash Sadykova and
  • Gulnaz Nuskabaeva
  • + 5 authors+ 0 author

The early detection of Severe Combined Immunodeficiency (SCID) and X-linked agammaglobulinemia (XLA) prevents fatal outcomes. This study presents the first pilot TREC/KREC newborn screening (NBS) program in southern Kazakhstan, a high-birth-rate regi...

(This article belongs to the Special Issue Newborn Screening Developing Programs in Asia)
  • Article
  • Open Access
1 Citations
1,387 Views
20 Pages

Expanding 5q-SMA Newborn Screening in Latin America: A Brazilian Model for National and Regional Implementation

  • Diogo Nani,
  • Rodrigo Holanda Mendonça,
  • Felipe Franco da Graça,
  • Vitoria Regia Pereira Pinheiro and ,
  • Mirella Carneireiro,
  • Bruna Glaucia Farah,
  • Marcondes Cavalcante França,
  • Carmen Silvia Gabetta,
  • Graziela Polido and
  • Vanessa Luiza Romanelli Tavares
  • + 18 authors+ 13 authors

5q spinal muscular atrophy (5q-SMA) is a leading genetic cause of infant mortality. Presymptomatic intervention with disease-modifying therapies significantly improves motor outcomes, but effectiveness depends on early detection through newborn scree...

  • Article
  • Open Access
2 Citations
1,714 Views
20 Pages

Preliminary Data of the First Year of Newborn Screening for Metachromatic Leukodystrophy (MLD) in Lombardy

  • Alessandra Vasco,
  • Andrea Meta,
  • Clarissa Berardo,
  • Davide Camerlengo and ,
  • Francesca Fumagalli,
  • Davide Tonduti,
  • Iris Fiamingo,
  • Cristina Montrasio,
  • Diana Postorivo and
  • Cristina Cereda
  • + 15 authors+ 10 authors

Metachromatic leukodystrophy (MLD) is a rare, autosomal recessive lysosomal storage disorder caused by a deficiency of the enzyme arylsulfatase A (ARSA, MIM #250100), which leads to progressive demyelination in the central and peripheral nervous syst...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Article
  • Open Access
1 Citations
1,368 Views
14 Pages

Universal Dried Blood Spot Screening for Congenital Cytomegalovirus: A Slovenian National Implementation Pilot

  • Nika Eržen,
  • Jernej Kovač,
  • Barbka Repič Lampret,
  • Urh Grošelj and ,
  • Aneta Soltirovska Šalamon and
  • Gregor Nosan
  • + 1 author+ 0 author

Congenital cytomegalovirus infection (cCMV) is the most common congenital infection and an important cause of sensorineural hearing loss and neurodevelopmental impairment, yet many affected infants remain undetected under selective screening approach...

  • Article
  • Open Access
1,348 Views
11 Pages

Combined Intracerebroventricular Enzyme Replacement and Cord Blood Transplantation in Patients with Mucopolysaccharidosis Type II Diagnosed Through Newborn Screening

  • Yuki Ueda,
  • Shinsuke Hirabayashi,
  • Masayuki Miura,
  • Satoshi Yamada and ,
  • Sachiko Nakakubo,
  • Midori Nakajima,
  • Takeru Goto,
  • Jutaro Abe,
  • Yukayo Terashita and
  • Kiyoshi Egawa
  • + 7 authors+ 2 authors

Enzyme replacement therapy (ERT) for central nervous system symptoms and newborn screening (NBS) is available in Japan for patients with mucopolysaccharidosis type II (MPS II). Of 12 suspected cases identified through the NBS program, 3 patients were...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Review
  • Open Access
1 Citations
1,057 Views
16 Pages

Ethical, Legal, and Social Implications of Newborn Screening in Africa: A Scoping Review

  • Victory Oghenetega Samuel,
  • Abdullahi Adeyinka Adejare and
  • Ushotanefe Useh

Newborn screening initiatives have the potential to mitigate childhood morbidity in Africa, but they also have special ethical, legal, and social implications (ELSI) that are influenced by issues with the health system, cultural diversity, and limite...

  • Review
  • Open Access
2 Citations
1,361 Views
15 Pages

Severe Combined Immunodeficiency (SCID), Spinal Muscular Atrophy (SMA), and X-Linked Agammaglobulinemia (XLA) are rare but life-threatening genetic disorders in infants that can lead to severe infections, progressive neuromuscular degeneration, or se...

(This article belongs to the Special Issue Newborn Screening Developing Programs in Asia)
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Int. J. Neonatal Screen. - ISSN 2409-515X