Abstract
Purpose : The lack of an ongoing surveillance system for hemoglobinopathies in the United States impedes the ability of public health organizations to identify individuals with these conditions, monitor their health-care utilization and clinical outcomes, and understand the effect these conditions have on the health-care system. This article describes the results of a pilot program that supported the development of the infrastructure and data collection methods for a state-based surveillance system for selected hemoglobinopathies.
Methods : The system was designed to identify and gather information on all people living with a hemoglobinopathy diagnosis (sickle cell diseases or thalassemias) in the participating states during 2004–2008. Novel, three-level case definitions were developed, and multiple data sets were used to collect information.
Results : In total, 31,144 individuals who had a hemoglobinopathy diagnosis during the study period were identified in California; 39,633 in Florida; 20,815 in Georgia; 12,680 in Michigan; 34,853 in New York, and 8,696 in North Carolina.
Conclusion : This approach provides a possible model for the development of state-based hemoglobinopathy surveillance systems.
Original language | American English |
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Journal | Genetics in Medicine |
Volume | 17 |
DOIs | |
State | Published - Jan 1 2015 |
Keywords
- Hemoglobinopathies
- Newborn screening
- Sickle cell disease
- Surveillance
- Thalassemia
DC Disciplines
- Community Health
- Community Health and Preventive Medicine
- Public Health
- Public Health Education and Promotion