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Canadian Journal of Public Health

, Volume 106, Issue 4, pp e244–e248 | Cite as

Governing population screening in an age of expansion: The case of newborn screening

  • Fiona Alice Miller
  • Céline Cressman
  • Robin Hayeems
Commentary

Abstract

Newborn bloodspot screening is one of the most enduring and successful population screening initiatives. Yet technological innovation to permit simultaneous measurement of multiple biomarkers — and potentially, entire genomes — has spurred expansion and debate. Through a cross-jurisdictional comparison, we describe the varied roles and reach of screening-related governance structures in the United States, the United Kingdom, New Zealand and Canada, and highlight the distinct values and resources brought to bear by the genetics, public health and maternal-child health communities in adjudicating the benefits and burdens of expanded newborn screening. We call for the expansion of formal governance structures that are balanced in resources and perspective and mandated to ensure that the organization and delivery of newborn screening achieves optimal quality.

Key words

Mass screening public health administration public health preventive medicine health services administration infant newborn 

Résumé

Le dépistage des taches de sang chez les nouveau-nés est une des initiatives de dépistage de masse les plus durables et fructueuses. Pourtant, l’innovation technologique pour permettre la mesure simultanée de multiples marqueurs biologiques, et peut-être des génomes entiers, a suscité une expansion et un débat. Nous décrivons au moyen d’une comparaison inter compétence la variété de rôles et la portée des structures de gouvernance du dépistage aux États-Unis, au Royaume-Uni, en Nouvelle-Zélande et au Canada, et soulignons les valeurs et ressources distinctes mises à profit par les communautés de la génétique, de la santé publique et de la santé maternelle et enfantine en jugeant les bénéfices et le fardeau du dépistage élargi chez les nouveau-nés. Nous demandons une expansion des structures de gouvernance officielles qui soit équilibrée en termes de ressources et de perspective et ayant le mandat de s’assurer que l’organisation et la prestation du dépistage chez les nouveau-nés soient d’une qualité optimale.

Mots Clés

dépistage de masse administration de la santé publique santé publique médecine préventive administration des services de santé nourrisson nouveau-né 

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Copyright information

© The Canadian Public Health Association 2015

Authors and Affiliations

  • Fiona Alice Miller
    • 1
    • 2
  • Céline Cressman
    • 1
  • Robin Hayeems
    • 1
    • 3
  1. 1.Institute of Health Policy, Management and EvaluationUniversity of TorontoTorontoCanada
  2. 2.Toronto Health Economics and Technology Assessment (THETA) CollaborativeUniversity of TorontoTorontoCanada
  3. 3.Child Health Evaluative SciencesThe Hospital for Sick ChildrenTorontoCanada

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