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Medical and public health impacts

One of the most important successes of the CPSP is that the program created a Canadian national network of collaborative epidemiological research that includes paediatricians from all horizons.

Numerous studies and one-time surveys have led to important medical and public health actions throughout the years. Some of these are summarized in the following table:

The wheeled baby walker survey contributing to the total ban on their sale, import and advertisement in Canada

Baby walker survey: Results and next steps

Paediatr Child Health 2002;7(6):418

The lap-belt syndrome study leading to changes in legislation measures regarding the need for longer use of booster seats in children

The spectrum of seat belt syndrome among Canadian children: Results of a two-year population surveillance

Santschi M, Lemoine C, Cyr C. Paediatr Child Health 2008; 13(4): 279-83

The vitamin D deficiency rickets study confirming the importance of reinforcing the current CPS recommendation that exclusively breast-fed infants and children receive vitamin D supplementation

Vitamin D-deficiency rickets among children in Canada

Ward LM, Gaboury I, Ladhani M, Zlotkin S. CMAJ 2007;177(7):161-6

The medium-chain acyl-coenzyme A dehydrogenase deficiency study documenting the efficacy of newborn metabolic screening programs in detecting asymptomatic cases and allowing for early preventive measures (the two reported deaths during the course of the study did not occur in jurisdictions with screening programs)

Incidence of medium-chain acyl-CoA dehydrogenase deficiency in Canada using the Canadian Paediatric Surveillance Program: Role of newborn screening

Prasad C, Speechly KN, Dyak S, Rupar CA, Chakraborty P, Kronick JB. Paediatr Child Health 2012;17(4):185-9

The international adoption survey finding that knowledge about screening methods varied significantly with important gaps for tuberculosis and hepatitis B

The severe neonatal hyperbilirubinemia study confirming many cases in term newborns and contributing to the revised CPS guidelines on the management of neonatal hyperbilirubinemia

Incidence and causes of severe neonatal hyperbilirubinemia in Canada

Sgro M, Campbell D, Shah V. CMAJ 2006;175(6):587-90 

Acute neurological findings in a national cohort of neonates with severe neonatal hyperbilirubinemia

Sgro M, Campbell D, Barozzino T, Shah V. J Perinatol 2011;31(6):392-6

The international comparison of haemorrhagic disease of the newborn of five national paediatric surveillance units illustrating the merit and importance of intramuscular vitamin K prophylaxis

Vitamin K injection – best prevention for newborns

Paediatr Child Health 2002;7(8):588-9