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Health Watch: How Vermont screens newborns for disorders

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Health Watch: How Vermont screens newborns for disorders


BURLINGTON, Vt. (WCAX) – Each state in the U.S. has a committee that decides how many conditions a newborn is tested for in the first day or two of life. Alexandra Montgomery reports that while it might appear Vermont doesn’t test for as many conditions as other states, it’s actually on par with the rest of the country.

Adam Poulin works on the team that oversees the Newborn Screening Program in Vermont. It may be a part of his job, but it’s also been a part of his personal life. After his son was born, a blood sample raised a red flag

“There was a hypothyroidism that was detected,” Poulin explained. “A specialist who did further testing to confirm that our son needed a little bit of extra hormone to help with his early development.”

Poulin’s son is now off medicine and thriving, possibly a budding artist.

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Hypothyroidism is just one the core conditions tested for in Vermont newborns. Those core conditions are part of the federal Recommended Uniform Screening Panel, or RUSP. Vermont chooses 33 blood screenings and a hearing and heart test for a total of 35 tests. Each state can pick and choose the RUSP conditions to test for.

“We feel very strongly that our newborn screening panel gets Vermont families information that can help make very important decisions about their child’s health,” Poulin said.

The goal is to help families plan for their baby’s health right from birth. Babies can be born appearing totally healthy but have an underlying condition, many of which are treatable as long as they are caught right away.

But other states report dozens of other conditions than Vermont. Maine, for example, lists screenings containing upwards of 57 conditions. Dr. Roger Eaton is director of the U-Mass New England Newborn Screening Program, which tests for babies born in Vermont, Maine, and three other states. He says Vermont babies are getting the same screenings as Maine babies.

“The only difference really is in the listed targets or the Vermont regulations versus how Maine is listing their targets. So, the testing is identical,” Eaton said.

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Twenty-four to 48 hours after birth, a Vermont newborn’s heel is pricked. The blood sample is sent to Dr. Eaton’s lab in Massachusetts. While there is a list of targeted tests that bring up red flags on “core conditions,” dozens of secondary conditions are also picked up simply because of the way the tests are conducted. Screenings can reveal abnormal results for dozens of conditions, but that doesn’t mean the baby actually has the condition. A positive screening is not a diagnosis. A positive diagnosis is made through additional screening.

Dr. Eaton says babies born in the NICU are more likely to get an abnormal reading. “They may be getting blood transfusions, they may be getting meds through IVs instead of in the usual fashion, and they may be being fed, for example, amino acids that are part of the targets for our screening,” Eaton said.

In Vermont, the health department says follow-ups on a positive screening are done every day, but only about 100 actual diagnoses have been made in the past 10 years. More time-sensitive cases could involve Poulin and the health department, but usually the news will come from someone parents’ already know. “By and large, we support the primary care community to have those conversations with their patients,” Poulin said.

If Vermont babies are actually getting the results for more than 33 blood conditions, why not just say that? Poulin says it comes down to clarity. He says they want to be clear about how many core conditions are being screened, even if several other secondary results come back.

Parents can opt out of the newborn screening process, but Poulin says it’s rare.

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Vermont

Vermont gets respite from flood warnings as US senator pushes for disaster aid package

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Vermont gets respite from flood warnings as US senator pushes for disaster aid package


Vermont residents awakened Thursday to a quieter weather forecast with no flood warnings following another round of destructive storms, as a U.S. senator from the state asked Congress to pass a disaster aid package that would help communities across the country dealing with wildfires, floods, hurricanes and tornadoes.

There were downpours Wednesday night in parts of Vermont and New Hampshire. St. Johnsbury, Vermont, which got more than 8 inches (20 centimeters) of rain on Tuesday, saw less than an inch of rain Wednesday, the National Weather Service said.

Vermont Gov. Phil Scott said at a news conference Wednesday that the latest storms to hit the state have undone much of the cleanup and recovery work from its last major bout of flooding only weeks ago, and he called on residents to “stick together.”

“This time, it’s especially bad after workers spent the past three weeks working furiously to recover from the last flooding, ” Scott said. “It feels much worse than a punch or a kick. It’s simply demoralizing. But we can’t give up. We’ve got to stick together and fight back against the feeling of defeat.”

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State officials said preliminary information indicated that 50 homes were destroyed or suffered significant damage. More than half a dozen roads were closed, a lightning strike knocked out water for part of the town of St. Johnsbury, and flooding had contaminated several wells that serve the village of Lyndonville.

In Washington, Democratic U.S. Sen. Peter Welch asked Congress to pass a supplemental disaster aid package.

“We can’t recover without that federal help,” he said in a speech on the Senate floor Wednesday night. “I just can’t stress this enough. We need Congress to step up. And we need the help of all of us here because well, it’s Vermont this time, it may be New Hampshire next time. It may be Texas next month. And I believe all of us have to help one another when an event occurs causing such harm to people we represent. And it’s through no fault of their own.”

Vermont experienced major flooding earlier in July caused by what was left of Hurricane Beryl. The flooding destroyed roads and bridges and inundated farms, and it came exactly a year after a previous bout of severe flooding hit Vermont and several other states.

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McCormack reported from Concord, New Hampshire.



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Looking for one last trip before summer ends? The New York Times recommends this VT spot

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Looking for one last trip before summer ends? The New York Times recommends this VT spot


Summer travel boom not enough to boost airline earnings

Despite record summer-travel demand, airlines’ quarterly reports are looking less than stellar.

While a month left of summer may seem like plenty of time, if you’ve yet to go on that trip or take that time off, now is the time to start planning. Though, after factoring in schedules, bookings, and work, you probably should have started by now.

It’s okay, we don’t judge. If you’re having trouble making a decision, a recent article in The New York Times listing six potential destinations for a late summer trip may be a good starting point if you don’t have time to plan a trip that’s too far away.

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While these places are scattered across the world, there is one location that lends itself to a last-minute summer getaway, especially if you’re a fan of hiking, mountains, and small-town New England.

The Northeast Kingdom of Vermont and why the NYT loves it

The Northeast Kingdom is, as its name implies, in the north of the Green Mountain State, on the border of Canada. It’s comprised of the Essex, Caledonia and Orleans counties.

Here’s what The New York Times said about why they liked it: “The Northeast Kingdom of Vermont is an overlooked, rural part of the state near the border with Quebec. That means in the winter it is bitterly cold. But in the summer? Gorgeous.

What to do when visiting Vermont’s Northeast Kingdom

With walking and biking trails that show off the area’s natural forests this is a good trip for someone who loves the outdoors. The largest towns, St. Johnsbury and Lyndon, have fewer than 8,000 residents.

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The Lamoille Valley Rail Trail, which is the longest rail trail in New England at 93 miles, is considered an ideal starting point for new off-road bikers. The Kingdom Heritage Trail System, which opened in 2019, is also mentioned, providing hikers with new access to some of the best of the area’s backcountry.

Farm to table seems to be the only way to eat here, with locally produced beer, cheese and maple syrup available in the small-town general stores and farmers’ markets.

Vermont Open Farm Week runs from Aug. 4 to 11, where visitors can get hands on with farm activities, providing a good time for families traveling with children, who will have the chance to climb onto a tractor or milk a cow.

Accommodation won’t break the bank either – with two person cabins going for approximately $110 per night.

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What they said

The Northeast Kingdom of Vermont is an overlooked, rural part of the state near the border with Quebec. That means in the winter it is bitterly cold. But in the summer? Gorgeous.



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Vermont man describes how flash floods transformed his front yard and neighborhood

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Vermont man describes how flash floods transformed his front yard and neighborhood


A Vermont man is marveling at how quickly flash floods transformed his front yard and neighborhood. The storm destroyed homes, roads, utilities and other public infrastructure in just a few hours. (AP Video: Nick Perry. Production: Rodrique Ngowi.)



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