© 2007 American Public Health Association DOI: 10.2105/AJPH.2006.107169
Lainie Friedman Ross is with the Section of Community Health Sciences in the Institute for Molecular Pediatric Sciences and the MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Ill. Correspondence: Request for reprints should be sent to Lainie F. Ross, University of Chicago, Department of Pediatrics, 5841 S. Maryland Ave, MC 6082, Chicago, IL 60637 (e-mail: lross@uchicago.edu).
I want to thank Green et al. for discussing important challenges and complexities in newborn screening (NBS).1 However, in their review of NBS for cystic fibrosis, Green et al. only considered programs that applied an immunoreactive tryspsinogen (IRT) screen that "triggered genetic analysis"1(p1957) for those with a positive screen. As Green et al. realize, although most US programs use an IRT/DNA methodology, not all do so.2 Rather, some use an IRT/IRT method, although this method has the disadvantage of requiring a second blood sample.2 However, there has been some work on using a pancreatitis-associated protein enzyme-linked immunosorbent assay combined with
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