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Review
. 2019 Jan 26;5(1):11.
doi: 10.3390/ijns5010011. eCollection 2019 Mar.

The Neonatal Screening Program in Brazil, Focus on Sickle Cell Disease (SCD)

Ana C Silva-Pinto  1   2 , Maria Cândida Alencar de Queiroz  2 , Paula Juliana Antoniazzo Zamaro  3 , Miranete Arruda  1   4 , Helena Pimentel Dos Santos  1   5
Affiliations
Review

The Neonatal Screening Program in Brazil, Focus on Sickle Cell Disease (SCD)

Ana C Silva-Pinto et al. Int J Neonatal Screen. .

Abstract

Since 2001, the Brazilian Ministry of Health has been coordinating a National Neonatal Screening Program (NNSP) that now covers all the 26 states and the Federal District of the Brazilian Republic and targets six diseases including sickle cell disease (SCD) and other hemoglobinopathies. In 2005, the program coverage reached 80% of the total live births. Since then, it has oscillated between 80% and 84% globally with disparities from one state to another (>95% in São Paulo State). The Ministry of Health has also published several Guidelines for clinical follow-up and treatment for the diseases comprised by the neonatal screening program. The main challenge was, and still is, to organize the public health network (SUS), from diagnosis and basic care to reference centers in order to provide comprehensive care for patients diagnosed by neonatal screening, especially for SCD patients. Considerable gains have already been achieved, including the implementation of a network within SUS and the addition of scientific and technological progress to treatment protocols. The goals for the care of SCD patients are the intensification of information provided to health care professionals and patients, measures to prevent complications, and care and health promotion, considering these patients in a global and integrated way, to reduce mortality and enhance their quality of life.

Keywords: hemoglobinopathies; neonatal screening; sickle cell disease.

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Conflict of interest statement

Conflicts of InterestThe authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Expansion of the neonatal screening program in Brazil from 2010 to 2014 regarding the four phases of the National Neonatal Screening Program (NNSP).
Figure 2
Figure 2
The annual rate of the program coverage from 2004 to 2016.
See this image and copyright information in PMC

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