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Meschino WS et al. – Early identification of sickle cell anemia (SCA) with newborn screening enables antibiotic prophylaxis for Streptococcus pneumoniae, which is one of the early life–threatening complications of untreated disease. Identifying newborns with SCA also facilitates the education of parents and caregivers about early treatment of crises and prevention of complications. Newborn screening might also detect other hemoglobin (Hb) variants, including Hb C, Hb D, and Hb E; however, screening does not test reliably for other hemoglobinopathies, such as beta–thalassemia or Hb H disease. Hemoglobinopathy screening should therefore still be offered to patients and their partners from high–risk ethnic backgrounds, ideally before or early in pregnancy.

   

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