SCID (Severe Combined Immunodeficiency) Newborn Screening
Severe Combined Immunodeficiency (SCID) is a life-threatening genetic condition in which affected babies are unable to fight even simple infections. SCID is often referred to as the ‘bubble boy disease’ highlighting the threat of exposure to germs and is considered an immunological emergency. Without appropriate timely treatment, most children die before the age of 2 years. If diagnosed early and then treated early, SCID can be entirely curable. Early diagnosis is possible with universal SCID newborn screening.
SCID fulfils the internationally recognised criteria for a clinical condition to be screened at birth through this process. SCID newborn screening is already standard practice in many countries including the USA, Canada, Norway, Spain and New Zealand.SCID fulfils the internationally recognised criteria for a clinical condition to be screened at birth through this process. SCID newborn screening is already standard practice in many countries including the USA, Canada, Norway, Spain and New Zealand.
Federally the Standing Committee on Screening (ScOS) has endorsed SCID to proceed to a detailed review to be considered for inclusion in the Newborn Screening Program in all states and territories.
SCID screening costs less than $10 per child and a pilot program has commenced in NSW. The government has announced that funding will be extended for an additional two years from August 2020. Funding should be made available for the routine inclusion of this lifesaving testing into newborn screening in all states and territories of Australia. The technology is available, and the clinical need is undeniable.
The Rare Disease Action Plan, adopted by the Federal government in February 2020, addresses issues associated with screening in two (2) action items from the Care and Support Pillar:
|18.104.22.168.||Ensure all existing screening and testing programs are sustainable and evolve in line with innovation over time and|
|22.214.171.124.||Address urgent funding gaps associated with the effective implementation and sustained success of the Newborn Bloodspot Screening (NBS) National Policy Framework.|
HOW CAN YOU HELP?
- Download and print your state petition below or email it to your family and friends to print and start collecting signatures today!
- Get as many people on board as possible to help make this a reality – friends, family, colleagues and neighbours. Your local shops or pharmacies may be happy to display the petition.
- Each person who signs the petition must use their residential address as PO Boxes do not count for inclusion.
- Scan and email each completed petition page to firstname.lastname@example.org
- Most importantly: Return all original paper petition pages by postage to: IDFA – NB Petition, PO Box 742, Wollongong, NSW 2520 OR alternatively send it to IDFA – NBS Petition, PO Box 969, Penrith NSW 2751.
If 100 IDFA members collect 100 signatures (five pages) each we will have 10,000 signatures to take to Parliament!
SCID Case Studies
Case Study 8
- Tom was finally diagnosed with SCID at 8 months old after constant infections from 3 months of age.
- Bone Marrow Transplant at 1 year of age.
- Was in hospital for 2 years (780 days+). Due to late diagnosis and not optimal transplant age, he has had infections, GVHost disease, developmental delay, many stays in Intensive Care Unit (ICU)
- Mother states that estimated cost at 18 months hospitalization was over $3.5 million
- Family transferred from Queensland to Victoria
- Both parents could not work
- Mother spent 6 months in psychiatric facility during 2019
- COVID-19 presented an additional issue to consider
Health System Costs
- The cost of SCID does not just impact the Care Unit(s) of the particular hospital
- It has impacted a psychiatric care unit and physicians
- It has impacted on costs of a hospital unit for 2 years for the parents
This family have:
- lost their income,
- had to move away from family (no family supports/no friends)
- experienced severe stress to the point the mother was in psychiatric care.
Sadly, Tom lost his battle with SCID passing away in November 2020.