Journals
THESMANEWS
Letters to the Editor
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S I N G A P O R E M E D I C A L J O U R N A L This site is supported by Health ONE Neonatal and Perinatal Screening Edited by T S S Lam and C P C Pang Printed by The Chinese University Press, 1996 This monograph aims to provide information on neonatal and perinatal
screening by selecting topics of regional interests. Important topics such
as hypothyroidism, G6PD deficiency, thalassemia and congenital infections
are therefore included. The book therefore serves as a good source for
reference to these disorders.
The book also records the screening programmes of various countries
in the Asian Pacific area. Health care planners should be able to gain
an insight of the work done in the respective countries. They are able
to see how the screening programmes are organised and managed, and the
problems or difficulties of implementing these programmes. Workers should
be aware that Japan has taken a leading role in providing laboratory training
to nations seeking assistance.
Though many new screening technologies have been mentioned, many
developing
countries will find it difficult to acquire these. There is a need for
rapid and inexpensive screening tests. Also, rare disorders such as Wilson’s
Disease, the prevalence of which is about 1:30,000 to 34,000 has been mentioned.
Included in the discussion also were other rare disorders such as Maple
syrup urine disease (36 in 10 million tested infants) and Duchenne muscular
dystrophy, etc. One may be able to diagnose these rare disorders in the
institutions. Nevertheless, there should be more emphasis in mass neonatal
screening programmes for commoner diseases. These rare disorders may not
be relevant in many countries.
It was mentioned that the incidence of various metabolic disorders
in Japan was provided in Table I (page 61). These data were actually missing.
By Dr N K Ho
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