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Correspondence
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Volume 331:1458-1459 November 24, 1994 Number 21
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Screening for Neonatal Toxoplasmosis

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 by Guerina, N. G.
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To the Editor: Guerina et al. (June 30 issue)1 claim a "favorable" cost-benefit ratio for neonatal screening for congenital toxoplasmosis, but their data are inadequate. Although they mention laboratory and personnel costs, they do not include the added costs of confirming the diagnosis, reporting and treating the disease, counseling families, training clinical personnel, and tracking cases. Moreover, the data presented are not sufficient to determine whether there are any savings in either medical costs or lifetime social costs.

In the study by Guerina et al., the incidence of congenital toxoplasmosis in Massachusetts and New Hampshire was 10 times lower than . . . [Full Text of this Article]

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