Alabama

Alabama Newborn Screening Program

In Alabama, the Newborn Screening Program ensures early detection of certain genetic, metabolic, and congenital disorders in infants, facilitating prompt treatment to prevent serious health issues. The Alabama Department of Public Health (ADPH) oversees the Newborn Screening Program, ensuring compliance with state laws and regulations. The Bureau of Clinical Laboratories (BCL) conducts the blood analyses, screening approximately 58,000 babies annually.

The program collaborates with pediatric specialists statewide to ensure infants with abnormal results receive appropriate follow-up care. Additionally, six community-based sickle cell organizations provide counseling and support for children identified with sickle cell disease or trait.

Participation in newborn screening is mandatory for all newborns in Alabama, unless parents object on religious grounds. The cost of newborn screening is $150 per child.

Screening Process

• First Test: Conducted at the birthing facility when the infant is approximately 2 days old.

• Second Test: Performed at the pediatrician’s office between 2 to 6 weeks of age or at the hospital if the infant has an extended stay.

These tests involve collecting a few drops of blood from the baby's heel, which are then analyzed for various conditions.

Conditions Screened

Screening involves approximately 35 core and 26 secondary disorders for a total of 61 disorders, including:

• Metabolic Disorders: Such as phenylketonuria (PKU) and medium-chain acyl-CoA dehydrogenase deficiency (MCADD).

• Endocrine Disorders: Including congenital hypothyroidism.

• Hemoglobinopathies: Such as sickle cell anemia.

• Other Genetic Conditions: Including cystic fibrosis and severe combined immunodeficiency (SCID).

A comprehensive list of screened conditions is available through the Health Resources and Services Administration.

The Alabama Early Hearing Detection and Intervention (EHDI) Program collaborates with the National Center for Hearing Assessment and Management (NCHAM) to ensure that all infants with hearing loss are identified as early as possible and provided with timely and appropriate audiological, educational, and medical intervention.

For more detailed information or specific inquiries, parents and healthcare providers can contact the Alabama Newborn Screening Program directly at (334) 290-3097 or visit the ADPH Newborn Screening webpage.