![]() ![]() The addition of TREC-based screening for SCID would enable the earlier detection of infants that will otherwise present clinically. SCID is also currently identified through risk-based detection at birth (for infants with a family history) or, later, through clinical presentation. Screening for ADA-SCID (which accounts for approximately half of SCID cases in Ireland) was implemented as part of the NNBSP in May 2022. Early identification of infants with SCID through screening is important in order to avoid harms and to maintain confidence and trust in the national immunisation programme. Children with SCID should not receive live vaccines. National and international evidence consistently suggests that earlier identification, and earlier treatment, for SCID results in better clinical outcomes for the child in terms of reduced morbidity and mortality. Compared with international data, the estimated prevalence of diagnosed SCID in Ireland is relatively high at 1 in 39,760 births, with 27 patients diagnosed from 2005 to 2020. SCID is a rare, but serious inherited condition which is almost uniformly fatal in the first year of life without appropriate treatment. Following its approval, the finalised HTA was submitted to NSAC for consideration and published on the HIQA website.
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