Screening for congenital hypothyroidism in the Islamic Republic of Iran: strategies, obstacles and future perspectives
EMHJ-Eastern Mediterranean Health Journal. 2002; 8 (4-5): 480-489
in English
| IMEMR
| ID: emr-158086
ABSTRACT
The operational feasibility of a congenital hypothyroidism [CH] screening programme was assessed. Cord blood spot specimens were collected at seven Teheran hospitals and within the Damavand District health network. Cord thyroid-stimulating hormone [TSH] levels > or = 20 mU/L were recalled and levothyroxine [L-T4] therapy was started immediately after diagnosis of CH. Of 20,107 acceptable specimens, 22 neonates had CH [1914 births]. The recall rate was 1.3%. Screening coverage was 90% of live births. Of all cord samples, only 0.2% were unacceptable either because of delay in transportation or improper specimen collection. Median ages at the time of diagnosis and starting treatment were 12 and 8 days respectively. Screening for CH is feasible and a national screening programme is a necessity
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Infant, Newborn
/
Thyrotropin
/
Blood Specimen Collection
/
Population Surveillance
/
Neonatal Screening
/
Needs Assessment
/
Fetal Blood
/
Health Services Research
/
Hypothyroidism
Type of study:
Screening study
Limits:
Humans
Language:
English
Journal:
East Mediterr Health J.
Year:
2002
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