Clipping of news on Brazilian Culture, Law and Citizenship
19/3/2010
This article was translated by an automatic translation system, and was therefore not reviewed by people.
MARIANA Versolato
collaboration for the Folha de S. Paulo
From May, all children born in public schools in São Paulo covered by the program and the Support Network for Paulistana Mother will make neonatal hearing screening. Known as the OAE test, the test identifies the risk of early hearing loss.
The program welcomes all pregnant women in municipal and state of São Paulo and monitors the children during their first year of life.
Today, under state law No. 12.522 of 2007, the sorting is done in public only in infants at higher risk of having hearing problems, premature or low birth weight, for example. Only a few specialized centers, such as the Hospital of the USP, offer the test in a universal way.
According to the coordinator of the Mother in São Paulo, Maria Aparecida de Carvalho, the test had not yet been implemented for all newborns in the absence of a network of multidisciplinary, involving speech therapists, otolaryngologists and pediatricians.
"We had to build this network for about 9.000 children born every month in public schools in Sao Paulo. The difficulty was to be able to make the call at all stages, ie, screening, diagnosis and rehabilitation , if any problem, "he says.
She says that probably the babies born in private schools continue to make the test possible. "It is done in the maternity. SUS does not deny care to these mothers, but I think unlikely that they would move into the public service with the baby."
Problem "invisible"
The vice-president of the Brazilian Society of Speech and professor at PUC-SP, Doris Lewis, said that without universal screening, only 50% of children with hearing loss are diagnosed.
"Not every child at risk has the problem, but many children without risk have some hearing loss. But no one is suspicious of" well-born "because it is an offense" invisible, "said the expert.
According to Lewis, universal screening is a strategy for the problem is detected early and do not affect dramatically the development of children. "The earlier the diagnosis, better treatment," he says.
She says a federal law to make the universal test nationally is moving, but has not yet been approved.
Screening should be done in the first weeks of life of newborns. The examination will be available in public is the otoacoustic emission.
According to Marcelo Ribeiro de Toledo Piza, Director of the Association of Otolaryngology and Neck Surgery, about 2% of children do not pass the first test, which does not mean they have hearing problems. The baby must repeat the examination and make a better diagnosis.
In 10 thousand children, 30 have some type of hearing loss. In the same population, only one has phenylketonuria and hypothyroidism have 2.5-diseases detected in newborn screening, as universal.
Girl low risk detected in deafness test
Maria Eduarda de Assis, one year and six months, was born nine months of pregnancy, healthy, with nearly 3 kg. His mother, Sione Ferreira Magalhaes, 34, had no infection during pregnancy. Although not at high risk for developing hearing problems, the girl did not pass the newborn hearing screening.
According to the otolaryngologist Francini Grecco de Melo Pádua, post-graduate from USP (Universidade de Sao Paulo), one to three children per thousand born without high risk have some hearing loss.
Maria Eduarda made the otoacoustic emission test in a private hospital and not happened. The test was repeated twice more.
Then she made a more detailed examination and was diagnosed with bilateral deafness. With one year and ten days, Maria Eduarda put a cochlear-implant an electrical stimulator that makes the role of the ear-and today develops very well, according to the mother.
Source: Portal of the newspaper Folha de S. Paulo
This article was translated by an automatic translation system, and was therefore not reviewed by people.