Education
Updates from the Iowa Newborn Screening Program
Jaclyn Zamzow, MS LGC
The Iowa Newborn Screening Program (INSP) would like to bring to your attention the addition of two conditions recently added to the newborn screening panel, X-linked adrenoleukodystrophy (X-ALD) and mucopolysaccharidosis type II (MPSII).
Screening for X-ALD started in Iowa on November 1, 2024 after a yearlong pilot. X-ALD is a condition that primarily impacts the nervous system and adrenal cortex. There are three presentations of X-ALD: cerebral adrenoleukodystrophy (CALD), adrenomyeloneuropathy (AMN), and primary adrenocortical insufficiency. These vary in severity and age of onset. Individuals can also remain asymptomatic. CALD is a progressive neurological disease with symptom onset ranging from childhood to adulthood. Males at risk to develop childhood CALD can benefit from prompt treatment prior to onset of symptoms which requires routine surveillance by serial MRI. Treatment options include hematopoietic stem cell transplant, gene therapy and monitoring for adrenocortical insufficiency. Females do not develop CALD but are at risk for AMN and primary adrenocortical insufficiency later in life. A diagnosis of X-ALD likely has implications for other family members as this is typically inherited. More information on X-ALD can be found through the ALD Alliance (www.aldalliance.org).
Mucopolysaccharidosis type II (MPSII), also known as Hunter syndrome, is the newest addition to the Iowa newborn screening panel. Screening for MPSII is currently in pilot as of February 3, 2025. During the pilot phase, out-of-range screens for MPSII will be in a supplemental report provided by INSP. Similar to mucopolysaccharidosis type I, MPSII is a lysosomal storage disorder characterized by glycosaminoglycan (GAG) accumulation in multiple body systems. MPSII occurs almost exclusively in males. MPSII is typically classified into severe and attenuated forms. Individuals with severe MPS II have progressive cognitive decline and shortened lifespan. Individuals with attenuated MPS II typically live into adulthood and intelligence is not affected. Heart disease and airway obstruction are major causes of death with both types of MPS II. Treatment options include enzyme replacement therapy and hematopoietic stem cell transplant. More information on MPSII can be found through the National MPS Society (www.mpssociety.org).
If you have any questions, please feel free to contact the Iowa Newborn Screening Program at 319-384-5097 or by emailing iowanewbornscreening@uiowa.edu.
Webinar: Deportation - What Comes Next?
To view the webinar: https://www.youtube.com/watch?v=tpLYDjVyluQ&feature=youtu.be
To obtain CME and MOC part 2 credits you will need to complete this assessment.
Free Webinar Discusses Prevention, Assessment, and Treatment of Childhood Obesity
On October 31, Governor Kim Reynolds, announced the launch of 5210 – Healthy Choices Count. In support of this initiative IMS has added the on-demand webinar Prevention, Assessment, and Treatment of Childhood Obesity in Iowa on the Childhood Obesity portion of the website.
During this webinar, Jennifer Groos, MD, FAAP, Pediatrician with Blank Children's Hospital and childhood obesity prevention champion will:
- Explore the impact of weight bias on patient experience and how to minimize the impact.
- Discuss the staged approach to prevention, assessment, and treatment of obesity in children and identify tools to assist in its implementation.
- Explain the benefits of using motivational interviewing and brief action planning during clinic visits.
- Explore the importance of multi-setting approach to prevention of obesity and identify ways healthcare providers can advocate for and support this in their community.
This is a free webinar, however, participants do need to register. Once the registration is processed, a separate email with the link to the recorded webinar will be sent to the email associated with your IMS account.
View Webinar - http://www.iowamedical.org/iowa/Iowa_Public/Events/Event_Display.aspx?EventKey=IMS112117
E-Learning Module: Increasing Adolescent Immunization Coverage
Raise Your Rates! Free 1 Credit CME to Master Your HPV Vaccine Recommendation
What are the nation’s experts saying to their patients about HPV vaccination? Three providers—a pediatrician, an OB-GYN, and a head and neck surgeon—outline the importance of vaccinating 11- and 12-year-olds against HPV cancers in a newly released e-learning module.
“Increasing Adolescent Immunization Coverage” is a 40-minute e-learning module for pediatric and primary care provider teams, created by members of the National HPV Vaccination Roundtable. This module provides information, guidance, and tools for quality improvement efforts to increase HPV vaccination by improving providers’ ability to:
- Describe the importance of the HPV vaccine
- Implement the “same way, same day” approach to HPV vaccination for 11- and 12-year-olds
- Answer parents’ questions accurately and succinctly
- Introduce new practice tools to support HPV vaccination in the pediatric health care setting
RNs/NPs, physicians, physician’s assistants, and pharmacists can earn a free hour/credit by viewing the CME module here<http://bit.ly/cmeNEWSLETTER>. Non-credit seeking audiences can view the video here<http://bit.ly/ytNEWSLETTER>.
Licensure Renewal CME Requirements for End-of-Life Care and Pain Management
As of August 17, 2011, two hours of continuing medical education (CME) for end-of-life care and two hours of CME for pain management have been required for all primary care physicians, including pediatricians. This CME must be obtained every five years, similar to the child abuse CME requirement with which most people are familiar. As of August 17, 2016, you are required to attest that you have completed this CME within the past five years each time you renew your license.
A partial list of CME activity that may be applicable to these requirements can be found on the Iowa Board of Medicine website, scroll down to training opportunities. While much of the information provided is applicable to adults, you are free to choose applicable pediatric CME. Some options are listed below.
National Hospice and Palliative Care Organization - Online Learning
CME California - University of California Schools of Medicine/12-hour pediatric palliative care course - $95
Integration of Palliative Care Into the Care of Children With Serious Illness
Tammy I. Kang, David Munson, Jennifer Hwang, Chris Feudtner
Primary Pediatric Palliative Care: Psychological and Social Support for Children and Families
Cassandra D. Hirsh, Sarah Friebert
Pain and Symptom Management in Pediatric Palliative Care
Kelly Komatz and Brian Carter
If you have questions, please contact the Iowa Board of Medicine at (515) 281-5171 or ibm@iowa.gov.
CME - Additional Information
For information on CMEs sponsored by organizations other than IA AAP, please visit the following websites. If you would like your CME to be included in our Events calendar, please contact us.
