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Title: Screening for congenital hypothyroidism in the Islamic Republic of Iran: strategies, obstacles and future perspectives
Authors: Ordookhani, A.
Mirmiran, P.
Hajipour, R.
Hedayati, M.
Azizi, F.
Issue Date: 2002
Language: English
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 [1:914 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
Description: 480-489
Keywords: Blood Specimen Collection
Fetal Blood
Health Services Research
Infant, Newborn
Needs Assessment
Neonatal Screening
Population Surveillance
Subject: Congenital Hypothyroidism
ISSN: 1020-3397
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Appears in Collections:EMRO Journal Articles (EMHJ)

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