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American Journal of Public Health, 10.2105/AJPH.2004.051110
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1 University of North Carolina at Chapel Hill
2 Univrsity of North Carolina at Chapel Hill
3 University of Kansas
* To whom correspondence should be addressed. E-mail: don_bailey{at}unc.edu.
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Abstract |
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A fundamental tenet of newborn screening is proven benefit to the infant. Many conditions causing developmental disabilities do not currently meet this standard, usually construed as medical benefit that significantly improves child health. We argue for expanding concepts of presumptive benefit. Newborn screening provides access to early intervention programs shown to positively influence children's development and support families. Consumers want information about their children's health and their own reproductive risk, and they have a broader view than policymakers of what constitutes a treatable disorder. Newborn screening provides other societal benefits that, in the absence of data showing harm and with appropriate attention to ethical and legal issues, warrant consideration of an expansion of targets of newborn screening.
Key Words: Disability, Health Policy, Screening
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