Padilla Carmencita David, Therrell Bradford L
Department of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines,
J Community Genet. 2012 Jan;3(1):35-45. doi: 10.1007/s12687-011-0076-7. Epub 2012 Jan 21.
Many of the countries in the Asia Pacific Region, particularly those with depressed and developing economies, are just initiating newborn screening programs for selected metabolic and other congenital disorders. The cultural, geographic, language, and economic differences that exist throughout the region add to the challenges of developing sustainable newborn screening systems. There are currently more developing programs than developed programs within the region. Newborn screening activities in the Asia Pacific Region are particularly important since births there account for approximately half of the world's births. To date, there have been two workshops to facilitate formation of the Asia Pacific Newborn Screening Collaboratives. The 1st Workshop on Consolidating Newborn Screening Efforts in the Asia Pacific Region occurred in Cebu, Philippines, on March 30-April 1, 2008, as a satellite meeting to the 7th Asia Pacific Conference on Human Genetics. The second workshop was held on June 4-5, 2010, in Manila, Philippines. Workshop participants included key policy-makers, service providers, researchers, and consumer advocates from 11 countries with 50% or less newborn screening coverage. Expert lectures included experiences in the United States and the Netherlands, international quality assurance activities and ongoing and potential research activities. Additional meeting support was provided by the U.S. National Institutes of Health, the Centers for Disease Control and Prevention, the U.S. National Newborn Screening and Genetics Resource Center, the International Society for Neonatal Screening, and the March of Dimes. As part of both meeting activities, participants shared individual experiences in program implementation with formal updates of screening information for each country. This report reviews the activities and country reports from two Workshops on Consolidating Newborn Screening Efforts in the Asia Pacific Region with emphasis on the second workshop. It also updates the literature on screening activities and implementation/expansion challenges in the participating countries.
亚太地区的许多国家,尤其是那些经济低迷和发展中的经济体,刚刚开始针对某些代谢性疾病和其他先天性疾病开展新生儿筛查项目。该地区存在的文化、地理、语言和经济差异增加了建立可持续新生儿筛查系统的挑战。目前该地区正在开展的项目中,发展中的项目比已成熟的项目更多。亚太地区的新生儿筛查活动尤为重要,因为该地区的出生人口约占全球出生人口的一半。迄今为止,已经举办了两次研讨会,以促进亚太新生儿筛查协作组织的形成。第一次亚太地区新生儿筛查整合研讨会于2008年3月30日至4月1日在菲律宾宿务举行,作为第七届亚太人类遗传学会议的卫星会议。第二次研讨会于2010年6月4日至5日在菲律宾马尼拉举行。研讨会的参与者包括来自11个国家的主要政策制定者、服务提供者、研究人员和消费者权益倡导者,这些国家的新生儿筛查覆盖率为50%或更低。专家讲座内容包括美国和荷兰的经验、国际质量保证活动以及正在进行和潜在的研究活动。美国国立卫生研究院、疾病控制与预防中心、美国国家新生儿筛查与遗传学资源中心、国际新生儿筛查协会和美国疾病防控中心为会议提供了额外支持。作为两次会议活动的一部分,参与者分享了各自在项目实施方面的经验,并正式更新了每个国家的筛查信息。本报告回顾了亚太地区新生儿筛查整合两次研讨会的活动和各国报告,重点是第二次研讨会。它还更新了有关参与国筛查活动以及实施/扩展挑战的文献。