Newborn Screening for Organic Acidemias: How OAA fought to prevent irreversible damage prior to diagnosis
OAA has played a pivotal role in supporting the addition of organic acidemias to newborn screening. Today, the Recommended Uniform Screening Panel (RUSP) includes nine different organic acidemias: 3-Hydroxy-3-methyglutaric aciduria, 3-Methylcrotonyl-CoA carboxylase deficiency, β-ketothiolase deficiency (BKT), Glutaric acidemia type 1 (GA-1), Holocarboxylase synthase deficiency, Isovaleric Acidemia (IVA), Methylmalonic acidemia (both cobalamin and methylmalonyl-CoA mutase forms), and Propionic Acidemia (PA). The conditions listed in the RUSP panel are included in newborn screening in all states. Newborn screening is funded and managed by individual state health departments, so some states like New York, California, New Mexico, and North Dakota include additional organic acidemias with an expanded newborn screening panel.
Find out what your state screens for here.
How Screening Works
Newborn screening for organic acid disorders involves a laboratory technique called MS/MS that detects the levels of specific organic acidemia biomarkers in blood samples. Clinicians collect blood spot samples by pricking the newborn’s heel. Samples are sent to a regional testing lab and your primary care physician will be notified of the results in 5-7 days. If you don’t hear from your primary care provider, then you likely did not screen positive for any of the conditions in the newborn screening panel. The process is laid out nicely in this March of Dimes infographic.
Visit this site to find out more about blood spot samples including how they are collected and stored.
Support
If you or a loved one have lost a child, the Sudden Infant Death Syndrome Network or Sudden Unexplained Death in Childhood (SUDC) organizations can be helpful resources.
Exceptional Parent Article

Oral testimony presented by Ms. Kathy Stagni, Executive Director of the Organic Acidemia Association and parent of an adolescent with propionic acidemia, a metabolic disorder, to the Health and Human Services Policy Committee of the Minnesota House of Representatives on March 19, 2003
http://genes-r-us.uthscsa.edu/resources/genetics/StatePages/genetic_region_map.htm
In 2004, the Maternal and Child Health Bureau of the Health Resources and Services Administration (MCHB/HRSA), Genetic Services Branch (GSB) awarded grants to establish seven Regional Genetic Service and Newborn Screening Collaborative Groups (RCs) and a National Coordinating Center (NCC) as part of on-going efforts to improve the health of children and their families by promoting the translation of genetic medicine into public health and health care services. The NCC is formed as a partnership with the GSB/MCHB/HRSA through a cooperative agreement with the American College of Medical Genetics (ACMG). The NCC is organized around a central office and an Advisory Committee. The Advisory Committee includes the seven RCs and representatives of national organizations that serve as resources to the NCC and the RCs.
- New England Regional Genetics Group (Region 1)
- New York Mid-Atlantic Consortium for Genetic and Newborn Screening Services (Region 2)
- The Southeast Regional Genetics Group (Region 3)
- The Great Lakes Genetics Collaborative (Region 4)
- The Heartland Regional Genetics and Newborn Screening Collaborative
(Region 5) - Western States Genetic Services Collaborative (Region 7)
