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Live Rotavirus Vaccine should NOT be given to SCID infants!

  It would be amazing if IDF could mobilize efforts and nullify all administrative issues so that newborn screening for SCID could become universal throughout the United States overnight. Unfortunately, this is not the reality of the situation and despite IDF’s efforts and the efforts of IDF’s dedicated volunteers, many states are years away from implementation of SCID newborn screening. As a result of this reality, the IDF SCID Initiative with SCID, Angels for Life Foundation has undertaken the development and distribution of the Live Rotavirus Vaccine brochure to warn health care providers about the dangers of administering the Live Rotavirus vaccine to infants with SCID. The brochure explains the danger of administering the vaccine to infants with SCID and lists the signs and symptoms, as well as, actions to take prior to administration of the vaccine.  Already, the Florida Health Department has agreed to distribute the brochure to all pediatricians in the state and the Viriginia Department of Health will be putting the brochure up on their website.  Please feel free to make a copy of the brochure and share with your health care providers.  You can also contact IDF if you or your health care provider would like a larger number of copies to distribute.  It is important to note that the brochures are intended for the education of health care providers in states in which SCID newborn screening has not been implemented to prevent these babies from being given the rotavirus vaccine.

Posted in Florida, Rotavirus Vaccine, Virginia.

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CALIFORNIA-State to Implement Newborn Screening for SCID!

Welcome to California

California officially begins a Development Program for SCID Newborn Screening today, August 16, 2010! The program will screen all infants born in the state, roughly 520,000 babies per year, for low or absent T lymphocytes. It will continue until approximately 1 million babies have been tested. Any positive results that are found will be followed by a diagnostic blood test, with referral to a pediatric immunologist if an abnormal lymphocyte profile is confirmed.

 The test to be used to screen newborns in California, like those already implemented in Wisconsin and Massachusetts, will measure the number of T cell receptor excision circles (TRECs), which are stable circular DNA molecules generated during T cell development.  Low or absent of TRECs indicate the possibility of a primary immune defect that prevents a newborn from generating T lymphocytes.  TRECs below the cutoff value are considered as positive for a T-cell deficiency disease, including severe combined immunodeficiency, or SCID.

 California’s SCID Newborn Screening Development Program will have two phases. The first will use the PerkinElmer TREC test to screen for SCID.  This test’s accuracy has been verified using samples from California and has a 24 hour turnaround time. The second phase of the project will compare this method with a more automated one, but both will measure TRECs. The first phase of the program is expected to last between 7 and 8 months, and the second phase is planned for the spring of 2011 and will last an additional 8 to 10 months.

 The decision in California to move forward with newborn screening for SCID is momentous, as it is the first state to begin the screening following the decision of Secretary of HHS Kathleen Sebelius to add SCID to the newborn screening uniform panel of genetic disorders.  Other states are also considering adding SCID screening in the near future.  It can be assumed that when California and additional states begin publishing results from their pilot programs, more states will realize the need to implement this screening population-wide.

 Have you already been working to get SCID on your own state’s newborn screening panel?  Do you have a personal experience with SCID?  Please COMMENT below and contact IDF to find out how to join in the efforts!   idfscidinitiative@primaryimmune.org 

Also, check out the SCID Newborn Screening Campaign website to learn more about the background and necessity of SCID newborn screening.  http://www.primaryimmune.org/advocacy_center/scid/scid_newborn_screening_initiative.asp

Posted in California.

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Delaware ACTION!

The Blue Hen is the State Bird of Delaware, renowned for its fighting ability and the namesake of the University of Delaware’s Fightin’ Blue Hens. IDF Volunteers in the state are taking on this celebrated Delaware fighting spirit in the name of the Newborn Screening Campaign to have SCID added to the panel of conditions for which infants must be screened at birth!

The Delaware Blue Hen

The law in Delaware is such that new legislation is not needed to add SCID to the panel of conditions for which newborns must be screened in the state.  Rather, an Advisory Committee on Newborn Screening must recommend the addition of a new condition to the Public Health Secretary, who then has the ultimate authority on whether or not to add the condition to the State’s Newborn Screening Panel.

Already the State of Delaware’s Advisory Committee has discussed the possibility of recommending the addition of SCID twice in their meetings this year!  In order to prompt the Committee to move forward with the recommendation, IDF volunteers Judy Kozulak and Donna Sawyer are taking action!

Judy and Donna have been in contact with the Newborn Screening Program in the state to find out about Committee meetings and current actions.  Both also plan to attend the next meeting of the Advisory Committee in October to give public comments on the importance of SCID newborn screening.  They have also called upon a local immunologist to attend the meeting with the volunteers in order to add medical expertise to their presentation.   The IDF volunteers are also reaching out to other groups in attempts to bolster the base of support for this important issue.

By the time these volunteers are through, Delaware will probably have to adopt the ZEBRA as its state animal!    

Are you interested in helping out with the Campaign in Delaware or in your own state?  Have you already been working to get SCID on your own state’s newborn screening panel?  Do you have a personal experience with SCID?  Please COMMENT below and contact IDF to find out how to join in the efforts!   idfscidinitiative@primaryimmune.org 

Also, check out the SCID Newborn Screening Campaign website to learn more about the background and necessity of SCID newborn screening.  http://www.primaryimmune.org/advocacy_center/scid/scid_newborn_screening_initiative.asp

Posted in Delaware.

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A Father’s Story

David

Below is the public testimony Dr. Hardeep Singh gave at the Florida Newborn Screening Advisory Committee meeting in Tallahassee on July 16. Dr. Singh shared his personal experience as a father of two children born with SCID, illustrating the importance of early diagnosis. Please share your own personal experiences and contact us to find out more about your own state’s Advisory Committee and what you can do to join in the cause! 

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I would like to thank the Committee as well as the organizers for giving me this opportunity to tell my story. My name is Hardeep Singh and I am the father of 2 boys who have been diagnosed with X-linked SCID. I am a physician, my wife is a home-maker and we have 2 other children who are girls.

 In 1995, my wife gave birth to our third child (Aran).  He was born full-term without any complications. He was the pride of his older 2 sisters’ eyes; he developed well till 6 months of age when he started to lose weight, had frequent colds and coughs and developed a resistant thrush in his mouth. Numerous visits to our Pediatric group did not help and trials of antibiotics did not work. One Saturday afternoon, I noticed that Aran’s nails were blue; he was eight and a half months old. I rushed him to the Community Hospital; he was admitted to PICU on a ventilator and never woke up after that. I contacted the Pulmonologist at All Children’s Hospital at St. Petersburg, FL and he was transferred there. A diagnosis of PCP Pneumonia was made; Dr. Goode’s team was consulted and a diagnosis of SCID was made. I also learned at that time that 55 years ago, my wife had suddenly lost twin male siblings in infancy in Malaysia. As Aran’s lungs were damaged, it was too late do a Bone Marrow Transplant and we had to let him go. Our world changed overnight, I do not wish any parent to suffer the pain as well as trauma of losing a child. Being a father and a physician, I have never felt such shock, helplessness and despair. I will never forget the worst day of my life. 

 I am very grateful to my family, friends as well as the staff at All Children’s Hospital for their compassion and caring during our loss. A sample of Aran’s buccal mucosa was sent to the genetic  lab of Dr. Jennifer Puck at NIH and the diagnosis of SCID was confirmed. 

 With encouragement from Dr. Puck and the Bone Marrow Transplant Team at All Children’s, my wife and I decided to have another baby. David was conceived in 1998 and the diagnosis of SCID was made 6 months in- utero in Dr. Puck’s lab with 2 cc of amniotic fluid. The genetic pattern of SCID that David has was identical to Aran.  David was born full-term and was transferred to All Children’s Hosp. within 48 hours of birth. He was in isolation and it was decided to transplant him. Within 2 weeks, the first transplant was done; I was the closest match as a donor. Unfortunately, he developed Graft Versus Host Disease and the transplant failed. His white count was down to 0; we brought him home and he was transplanted for the second time at 2 months of age. Miracles do happen; he started making T-cells. After numerous hospitalizations and over 2 years of treatment with IVIG, he started making B-cells. 

 Currently, David is 11 years old, he is the sunshine of our life, he is healthy, plays the piano, is learning tennis and we play golf together. He is getting straight A’s and is starting middle-school in August 2010. 

 I believe that my older son Aran sacrificed his life so that David could live. As David was transplanted immediately after birth—he has done well. Early, early diagnosis as well as intervention not only saved his life but has enabled him not to develop complications of infections and he has developed normally. 

 I am delighted that the Secretary of Health has endorsed new-born screening for SCID. I hope that this Committee used the evidence to make the right decision, i.e. SCID screening in new-born as standard of care. 

 Thanks for listening to me.

Posted in Florida.

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Take Action in Virginia

My son Ray was born with XSCID, but since there was no family history of the disease, he was not diagnosed until he was so sick with pneumonia that he was on a ventilator. He has permanent organ damage because of infections he was unable to fight off on his own. He is also hearing impaired from antibiotics used to fight off infection. There was no newborn screening test available when Ray was born. Had there been one, things could’ve been very different for him.  That is why I am so determined to see newborn screening for SCID become a reality, not only in Virginia, but in all 50 states.  I don’t want another family to have to go through what our family has gone through. Newborn screening for SCID is critical to the survival of children with SCID and to the quality of life for children like Ray.

To find out where Virginia stood when it came to adding new tests, I started by contacting Sharon Williams the Virginia Genetics Program Manager for the Virginia Department of Health.  She told me that in 2006 Virginia passed a resolution to keep the state’s screening program in compliance with ACMG recommendations.  This was great news.  It meant that Virginia would not have to pass a new law to add a new test. 

Planning to add a new test is only the first step.  There are many more pieces which must fall into place before infants in the Commonwealth will be routinely tested.  Funding for not only the testing process, but also the necessary follow up is an important piece of what must be put in place.  The Genetic Advisory Committee for the Commonwealth of Virginia will meet in October in Richmond.  I plan to attend that meeting. I hope to learn how long it will take Virginia to put all the pieces in place and if further grass roots action will be necessary to push the process forward. If anyone else is interested in attending the meeting, let me know by leaving a comment to this post.

Barb Ballard

Posted in Virginia.

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Take Action NEW YORK State!

 

The New York State Capitol in Albany

New York is known as a place of movement and action (from the bustle of activity in NYC to the IDF Retreat in Rye Brook in June :) ) and now New York is currently a site of action on the SCID Newborn Screening Campaign!

New York State’s Health Department is making some administrative moves toward adding SCID to the newborn screening panel.  This could still take an extended period of time for the administration to do research, go through the administrative process, and implement.  It is important that New York residents contact the Commissioner of Health to encourage him to move this process along!  Please use the sample letter to write to Commissioner Daines and ask that he show his commitment to New Yorkers’ health by including SCID in the newborn screening panel.   Click for Sample letter 

And, there is a new bill in the NY State Legislature introduced at the end of June, S 8408, that would add SCID to the newborn screening panel.  The bill was introduced by Senator Skelos and is a taken from another piece of legislation that would have required the inclusion of SCID to the panel along with several other conditions.   Sen. Skelos introduced the new bill in order to increase the chances of passing this bill and requiring the addition of SCID to the newborn screening panel.

Please use the sample letter to write to your own NY State Senator and ask for the support of this important legislation! Click for Sample letter

Some IDF advocates are already working in NY to try to make SCID newborn screening a reality in the state.  Joanna Tierno and Tara Mingione have contacted the State Newborn Screening Lab to educate them about adding SCID to the newborn screening panel and contacted their State legislators in support of SCID Newborn Screening legislation.   Tara also learned that the Newborn Screening Lab is planning to sponsor a conference in March 2011 on SCID screening. 

Have you been working to get SCID on your own state’s newborn screening panel?  Do you have a personal experience with SCID?  Please COMMENT below and contact IDF to find out how to join in the efforts!   idfscidinitiative@primaryimmune.org

Posted in New York.

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Take Action in Florida

Taylor Dahley

Florida-1st Post

Taylor Dahley has SCID. He’s had a bone marrow transplant and is living a healthy, productive life but the story isn’t as positive for his older brother, Brandon. Brandon was also born with SCID but unfortunately he wasn’t diagnosed until he was in the hospital and gravely illl. Brandon died at 7 months old.

Brandon and Taylor’s family are fighting to add SCID to the newborn screening panel in the state of Florida so no other baby has to die in Florida from this devastating and treatable disease.  SCID has been approved by the Secretary of Health, Kathleen Sebelius, but now it’s up to the Florida Newborn Screening Advisory Panel and the Department of Health to actually add and implement the screening.  To read more about Brandon and Taylor’s story go to www.SCIDangelsforlife.com

Please help this family with their fight.  They can’t do it alone.  TAKE ACTION now by contacting your Senator and Congressman in Florida and throughout the United States and let them know the importance of identifying these babies at birth, before they become ill.  Senators’ Contact Information and Governors’ Contact Information
The time to save a life is NOW, please help!

Posted in Florida.

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Welcome to the NEW IDF SCID Newborn Screening Campaign blog!

Welcome to the NEW IDF Severe Combined Immune Deficiency (SCID) Newborn Screening Campaign blog! It is amazing how many people are already aware of and working with the IDF campaign to have SCID (commonly known as bubble boy disease) added to the newborn screening panel in all 50 states. We are particularly grateful for the efforts of IDF volunteers Barb Ballard and Heather Smith.

IDF would like to use this blog as a venue where information can be shared with the PIDD community about efforts made to make universal SCID newborn screening a reality. This blog will share what IDF volunteers are doing to make sure that SCID newborn screening is implemented. We also want you to COMMENT and share with us your own ideas and experiences fighting for SCID newborn screening in your state!! If you haven’t already become involved in your own state, hopefully reading the posts here will help stimulate you to join in the efforts!!

A little background on the SCID Campaign

SCID is a primary immunodeficiency disease. Affected infants lack T lymphocytes, the white blood cells that help resist infections due to a wide array of viruses, bacteria and fungi. Babies with SCID appear healthy at birth, but without early treatment, most often by bone marrow transplant from a healthy donor, these infants cannot survive.

SCID has been characterized in the medical community as a pediatric emergency. If a baby with SCID receives a bone marrow transplant in the first 3.5 months of life, the survival rate can be as high as 94 percent. However, the survival rate drops to less than 70 percent for infants who are transplanted after that age. The main causes for the drop in survival rate are serious infections undiagnosed babies with SCID developed prior to transplantation.

On May 21, 2010, Kathleen Sebelius, Secretary of Health and Human Services (HHS) announced that SCID be added to the 29 disorders on the core panel for universal screening for all newborns in the United States. This panel consists of disorders for which the U.S. Department of Health and Human Services has recommended each state provide for mandatory newborn screening.  It is imperative that we create the momentum to establish SCID newborn screening programs in all 50 states, as each state ultimately makes its own decisions about which conditions will be included in its individual newborn screening panel.

Already, many IDF volunteers have been working in their home states for the inclusion of SCID on their state’s newborn screening panel!

Barb Ballard has contacted the Genetics Advisory Committee and her State Lab in Virginia. She sent these individuals the IDF SCID Newborn Screening Toolkit and plans to give public testimony at the next Genetics Advisory Committee meeting in October.

Similarly, Heather Smith has been in contact with the Newborn Screening Advisory Committee and State Lab in Florida. The next meeting of the Advisory Committee in Florida is July 16, and they will be discussing the feasibility of implementation of SCID newborn screening in the state. A family affected by SCID will be attending this meeting to share their experience with the Committee.

ACTION: If there are any other Florida families who are impacted by SCID and would like to share their testimony, please contact us as we would like to attend the Committee in full force to show the scope of this issue!

In fact, there are approximately 20 IDF volunteers who have already gotten the process going in their state. Keep checking in to this blog to learn “who is doing what where”. And we want your ideas and suggestions that have worked in your state by posting your comments.

To find out more about how to start contacting people in your own state, check out the IDF SCID Newborn Screening Campaign website and look under “Take Action.”

https://www.primaryimmune.org/advocacy_center/scid/scid_newborn_screening_initiative.asp

If you want to find out more about what is happening in your state, check for updates on the blog and contact idfscidinitiative@primaryimmune.org.

Please let us know about SCID newborn screening activities in your state by commenting to the blog and copying IDF when you contact newborn screening officials.  POST YOUR COMMENTS!!!  WE WANT TO HEAR FROM YOU!!!

Posted in Florida, Virginia.

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