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International Journal of Neonatal Screening, Volume 12, Issue 4

2026 December - 22 articles

Cover Story: Birth defects (structural, functional, metabolic, and endocrine) are becoming a larger contributor to child mortality and disability as infectious causes of death decline worldwide. Drawing on lessons from WHO technical consultations and country experiences across low- and middle-income countries, this paper examines the WHO framework on newborn screening, diagnosis, treatment, rehabilitation and long-term follow-up for integration into national health systems. It identifies key success factors, including strong government leadership, sustainable financing, data systems, multisectoral partnerships, and engagement of affected individuals and families. The paper also presents a practical operational framework to help countries assess readiness, prioritize conditions, and strengthen the continuum of care for children born with birth defects. View this paper
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Articles (22)

  • Editorial
  • Open Access
Int. J. Neonatal Screen.2026, 12(4), 96;https://doi.org/10.3390/ijns12040096 
(registering DOI)

6 November 2026

Establishing a National Newborn Screening Stakeholder Workgroup offers a timely opportunity to rebuild a coherent national process for evaluating conditions for the Recommended Uniform Screening Panel (RUSP) [...]

  • Feature Paper
  • Article
  • Open Access
71 Views
12 Pages

Performance Evaluation of Newborn Screening for Congenital Adrenal Hyperplasia: A Single Health System Clinical Audit in Pakistan

  • Fozia Memon,
  • Haseeb Ullah Malik,
  • Khadija Nuzhat Humayun,
  • Lena Jafri and ,
  • Aysha Habib Khan,
  • Hafsa Majid,
  • Azeema Jamil,
  • Salman Kirmani,
  • Farzana Faqiruddin and
  • Sibtain Ahmed
  • + 5 authors+ 0 author

Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder most commonly caused by 21-hydroxylase deficiency and can lead to life-threatening adrenal crises in infancy if not detected early. In Pakistan, the true incidence of CAH remains...

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

United States Public Health Laboratory Experiences with Krabbe Disease Newborn Screening After Recommendation at the National Level

  • Zoë Culshaw-Klein,
  • Kaegan Mestel,
  • Alison La Pean Kirschner,
  • Lesa Brackbill and ,
  • Mei Baker,
  • Patricia L. Hall and
  • Amy L. White
  • + 2 authors+ 0 author

Krabbe disease (KD) is a rare, inherited leukodystrophy associated with early mortality. Infantile Krabbe disease (IKD) was added to the Recommended Uniform Screening Panel (RUSP) in July 2024. Since then, U.S. states have continued to evaluate imple...

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

A Decade of Neonatal Inherited Metabolic Disorder Screening Experience in Ningbo, China: Screening Performance, Disease Spectrum, and Genetic Characteristics

  • Fei Wang,
  • Xiangchun Yang,
  • Danyan Zhuang,
  • Qiong Li and ,
  • Lulu Yan,
  • Zhen Yang,
  • Shuxia Ding,
  • Hehe Chen,
  • Shanshan Wu and
  • Qi Yu
  • + 6 authors+ 1 author

Expanded newborn screening (NBS) using tandem mass spectrometry (MS/MS) can identify multiple inborn errors of metabolism (IEMs), but regional disease and genetic spectra vary. We retrospectively analyzed 611,080 newborns screened at the Women and Ch...

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

Five Years of Newborn Screening for Lysosomal Disorders in Indiana

  • Miranda Garrett,
  • Allison Church,
  • Brett H. Graham,
  • Miriam Kim and ,
  • Barbara Lesko,
  • John Jerry Parent,
  • Katie Sapp,
  • Courtney Slack and
  • Molly McPheron
  • + 4 authors+ 0 author

Pompe disease, Krabbe disease, and mucopolysaccharidosis type I were added to the newborn screen in Indiana in 2020. Clinical and laboratory teams collaborated to determine optimal strategies for first- and second-tier testing on newborn screen prior...

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

Haemoglobinopathies in Newborn Screening: Epidemiological Findings and Exploratory Analysis of HbA0 Distribution in a Population-Based Neonatal Cohort from Northern Italy

  • Luca Giacomini,
  • Sara Sacchetti,
  • Enza Pavanello,
  • Luiselda Foglia and ,
  • Simona Natalina Mellone,
  • Giulia Borgonovi,
  • Ivana Rabbone,
  • Alice Monzani,
  • Margherita Palmeri and
  • Roberta Rolla
  • + 11 authors+ 6 authors

Haemoglobinopathies are an increasing health concern in Europe due to changing population demographics. In Italy, however, newborn screening (NBS) for haemoglobinopathies is not yet included in the national mandatory screening panel. The primary aim...

(This article belongs to the Special Issue Newborn Screening for Sickle Cell Disease Between Point of Care Testing and Next Generation Sequencing – An Impossible Choice or Not?)
  • Review
  • Open Access
154 Views
20 Pages

A Call to Action: A Roadmap Towards Optimized Care of Phenylketonuria in Morocco

  • Amina Barkat,
  • Abdelahak Abkari,
  • Abdallah Oulmaati,
  • Abderrahmane Haddourha and ,
  • Amale Yassine,
  • Amine Cheikh,
  • Ettair Said,
  • Fatiha Abderraziq,
  • Kaoutar Khabbache and
  • Rita Ojeil
  • + 12 authors+ 7 authors

Phenylketonuria (PKU) is a treatable inherited disorder causing severe, irreversible neurocognitive impairment if not detected and treated early. In Morocco, PKU care is limited by the absence of universal newborn screening (NBS), inadequate diagnost...

  • Article
  • Open Access
284 Views
13 Pages

Facilitators and Barriers Influencing Parental Acceptance of Newborn Screening in Pakistan: A Multicenter Study

  • Farah Shams Abbasi,
  • Nazia Shamim,
  • Farhana Shams Abbasi,
  • Suneeta Namdave and ,
  • Hafsa Zaheer,
  • Warda Khalid and
  • Hafsa Majid
  • + 2 authors+ 0 author

Newborn screening (NBS) is an effective public health intervention for the early detection of treatable congenital disorders, which may reduce the long-term healthcare burden and yield potential cost for families. Despite its proven benefits, NBS upt...

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

Expanded newborn screening (eNBS) using tandem mass spectrometry (MS/MS) optimizes outcomes for inborn errors of metabolism (IEMs). Following Thailand’s universal eNBS rollout, we evaluated the 4-year diagnostic performance, disease spectrum, a...

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

Laboratory-Positive Findings for Six Lysosomal Storage Disorders in Pediatric Dried Blood Spot Samples from Uzbekistan: A 2025 Retrospective Descriptive Study

  • Abdumalik Nigmatovich Aripov,
  • Abdumannap Abdumadjitovich Abdukayumov,
  • Lola Lazizovna Akhundjanova,
  • Sabokhatkhon Mukhiddin kizi Ergasheva and
  • Islom Rahimjon o’g’li Urinboyev

Lysosomal storage disorders (LSDs) are genetically and clinically heterogeneous conditions in which delayed recognition may permit irreversible multisystem injury. Flow-injection analysis tandem mass spectrometry (FIA-MS/MS) of dried blood spots (DBS...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Systematic Review
  • Open Access
379 Views
21 Pages

A Systematic Review of Metachromatic Leukodystrophy Newborn Screening: Transitioning from Pilot Studies to the Real World

  • Samuel Waser,
  • Simone Kistler,
  • Laura A. Adang,
  • Paul J. Orchard and ,
  • Alexandre N. Datta,
  • Neal Sondheimer,
  • Henrik Köhler and
  • Daniel Drozdov
  • + 3 authors+ 0 author

Metachromatic leukodystrophy (MLD) is a rare lysosomal storage disorder causing progressive neurodegeneration through central and peripheral demyelination, leading to premature death. Recent advances in ex vivo lentiviral gene therapy have developed...

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

Consented Universal Newborn Screening for Congenital Cytomegalovirus Infection Using Dried Blood Spot and Dried Saliva Spot Specimens: Implementation and Relative Programmatic Accuracy

  • Emeril Santander,
  • Emily Reuvers,
  • Melanie Lacaria,
  • Stacey Hume and ,
  • Zeinab Moazin,
  • Lauren Gallagher,
  • Danielle Durie,
  • Alan Mears,
  • Kristin D. Kernohan and
  • Neal Sondheimer
  • + 10 authors+ 5 authors

The purpose of this research was to evaluate the implementation and relative diagnostic accuracy of dried blood spot (DBS) and dried saliva spot (DSS)-based newborn screening for congenital cytomegalovirus infection (cCMV). This prospective paired-sa...

  • Article
  • Open Access
284 Views
14 Pages

Dried Urine Spots for Quantification of C0 (Free) Carnitine Excretion: A Validated Method for Follow-Up and Confirmatory Testing of Primary Carnitine Deficiency

  • Maria van der Ham,
  • Sacha Ferdinandusse,
  • Mirjam Langeveld,
  • Sabine A. Fuchs and ,
  • Monique G. M. de Sain van der Velden and
  • on behalf of the ODIN Study Group
  • + 1 author+ 0 author

Primary carnitine deficiency (PCD), caused by Organic Cation Transporter Novel 2 (OCTN2) deficiency, is detected by newborn screening (NBS) through low blood free carnitine (C0) concentrations. Confirmation of the diagnosis may be supported by demons...

  • Article
  • Open Access
287 Views
20 Pages

Beyond Newborn Screening: Clinical Outcomes and Genotypic Spectrum Underlying Maple Syrup Urine Disease in Mexico

  • Marcela Vela-Amieva,
  • Miriam Erandi Reyna-Fabián,
  • Liliana Fernández-Hernández,
  • Sara Guillén-López and ,
  • Lizbeth López-Mejía,
  • Miguel Angel Alcantara-Ortigoza,
  • Ariadna Gonzalez-del Angel,
  • Bernardette Estandía-Ortega,
  • Isabel Ibarra-González and
  • Cynthia Fernández-Lainez
  • + 6 authors+ 1 author

Maple syrup urine disease (MSUD) is a time-critical inborn error of metabolism in which early detection may prevent irreversible neurological injury, yet the success of newborn screening (NBS) depends on timely post-screening care. We retrospectively...

(This article belongs to the Special Issue Tracking, Treatment, and Trust: Evolving Follow-Up Practices in Newborn Screening)
  • Article
  • Open Access
452 Views
21 Pages

Parental Perceptions and Decision-Making Processes Regarding Expanded Newborn Screening: A Qualitative Study

  • Masashi Harazaki,
  • Yuka Wada,
  • Mami Notake,
  • Naoki Takabayashi and ,
  • Fumi Kurebayashi,
  • Philip Hawke,
  • Taichi Hatta,
  • Takeshi Usui and
  • Hiroshi Yamazaki
  • + 4 authors+ 0 author

Newborn bloodspot screening (NBS) has expanded in scope owing to technological advances and the development of novel therapies. In Japan, coverage of standard NBS is nearly 100%; however, uptake of expanded newborn bloodspot screening (eNBS), which h...

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

Statewide Universal Newborn Screening for Human Immunodeficiency Virus

  • Norma P. Tavakoli,
  • Melissa Pearce,
  • Richard Sejour,
  • Daniele-Marisa Stansfield and ,
  • Marilyn Erickson and
  • Rebecca McMahon
  • + 1 author+ 0 author

Universal newborn screening for human immunodeficiency virus (HIV) has been mandatory in New York State (NYS) since 1997. The goal of screening is to prevent mother-to-child transmission (MTCT) by using approaches including antiretroviral therapy (AR...

  • Systematic Review
  • Open Access
528 Views
21 Pages

Newborn Screening for X-Linked Adrenoleukodystrophy: A Systematic Literature Review

  • María Isabel Cabrera-González,
  • Yolanda De Diego-Otero and
  • Raquel Yahyaoui

X-linked adrenoleukodystrophy (X-ALD) is the most common leukodystrophy and peroxisomal disorder. It was added to newborn screening (NBS) programs following its first implementation in New York in 2013. Since then, X-ALD screening has expanded rapidl...

  • Review
  • Open Access
469 Views
18 Pages

The Current Perspective, Ethical Considerations, and a Position Statement on Expanded Newborn Screening from the College of Paediatrics, Academy of Medicine of Malaysia

  • Erwin Jiayuan Khoo,
  • Meow Keong Thong,
  • Sin Chuen Yong,
  • Seok Chiong Chee and ,
  • Jimmy Kok Foo Lee,
  • Siao Hean Teh,
  • Fahisham Taib,
  • Adli Ali and
  • Fook Choe Cheah
  • + 4 authors+ 0 author

Newborn screening (NBS) is an essential public health intervention for early detection and secondary prevention of inherited disorders in asymptomatic infants at birth. Advances in this field and the accessibility of new screening methods and therapi...

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

Communication of Screen-Positive Newborn Bloodspot Screening Results for Metabolic Conditions in Ireland–Parent and Healthcare Professional Experience: A Service Evaluation

  • Mairéad Bracken-Scally,
  • Anna O’Loughlin,
  • Jenny McNulty,
  • Olivia Walsh and ,
  • Caoimhe Howard,
  • Ahmad Ardeshir Monavari,
  • Abigail Collins and
  • Heather Burns
  • + 3 authors+ 0 author

Communication of screen-positive newborn bloodspot screening (NBS) results is inherently challenging for both parents and HCPs. There is no internationally accepted gold-standard model, with heterogeneity in practice and with many jurisdictions repor...

  • Article
  • Open Access
443 Views
17 Pages

Expanding Conditions for Newborn Screening—Findings from an Untargeted Metabolomics and Lipidomics Discovery Study

  • Alex J. Ashenden,
  • Tomas Rozek,
  • Lucy Anastasi,
  • Ayesha Chowdhury and ,
  • Khoa Lam,
  • Carol Wai-Kwan Siu,
  • Jovanka King,
  • Tracy Merlin,
  • Nicholas Smith and
  • Karin S. Kassahn
  • + 11 authors+ 6 authors

Advances in metabolomics and genomics present new opportunities to expand newborn screening. Traditional screening approaches have relied on condition-specific biomarkers; however, untargeted metabolomic profiling may enable broader detection of gene...

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

Newborn screening (NBS) is an established public health intervention capable of preventing death, disability, and lifelong disease through early identification and treatment of affected newborns. However, equitable access to NBS remains limited, part...

  • Communication
  • Open Access
1 Citations
593 Views
9 Pages

As infectious causes of child mortality decline, birth defects represent a growing relative proportion of neonatal and under-five deaths (as well as unmeasured morbidity) in low- and middle-income countries (LMICs), underscoring the need to integrate...

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Int. J. Neonatal Screen. - ISSN 2409-515X