Foot test in the SUS: change must be accompanied by other measures – Sade

Foot test
The heel prick test, if positive, does not confirm that the child has the disease. need to perform confirmatory tests (photo: Nupad/UFMG)
The president of the Brazilian Society of Neonatal Screening of Inborn Errors of Metabolism (SBTEIM), Tnia Bachega, defended, this Tuesday (21/6), that the implantation of the expanded foot test throughout Brazil needs to take into account the specificities of the health system in each region. In addition, the doctor says that other measures must be taken together to improve the fight against rare diseases in the country.
“In other states where this [implantao do teste ampliado] has already been done, like So Paulo, the coverage index shows that 98% of babies born are submitted to this diagnostic test. So, there are states where screening is very organized,” said Tnia. “Even with the drop in birth rates that occurred last year, probably because of the pandemic, we had 600,000 births in the year. This is equivalent to [nmero] of European countries. From our point of view, as SBTEIM, this population deserves to have access to new health technologies”, he added.

The doctor participated in the second roundtable of the CB.Frum “Expanding the foot test: a fundamental step for the early diagnosis of rare diseases”, organized by Correio. The event today discussed the challenges of expanding the heel prick test to encompass 51 diseases, including rare diseases such as Spinal Muscular Atrophy (SMA). Also participating in the table were the president of Casa Hunter, Antoine Souheil Daher; the coordinator of the Neonatal Screening Program of the São Paulo State Health Department, Carmela Grindler; and the general superintendent of the J Clemente Institute, Daniela Mendes.

confirmatory tests

“On the other hand, we have the regions with less economic development, which today have difficulty in making the six diseases [no teste]. So, in our view, the developed regions need [do teste ampliado], already have conditions to act. Now, we can’t help but look at where triage isn’t going well,” Tnia said.

The doctor also pointed out that the heel prick test, if positive, does not confirm that the child has the disease. confirmatory tests, specific for each disease, must be performed to complete the diagnosis. Some regions of the country, however, do not carry out these confirmatory tests. According to the president of SBTEIM, it is necessary to train pediatricians and geneticists to better diagnose and treat the 45 new diseases that would be included in the test.

“We tried to get close to the MEC [Ministrio da Educao e Cultura] to have a grade of rare diseases in graduation [do curso de Medicina]. If we now have a National Program, which means a great long-term development, if we have a foot test very close to what is done in the United States, we also have to think about treating these diseases well. We have to think about our graduation grade”, defended Bachega.

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