A pilot plan of Newborns’ TSH-test for Screening IDD
June 30, 2009
Chikayoshi Atsuta
This is a pilot plan. In order to make screening IDD better, THS-test is going
to be implemented in Japan, newborns’ blood samples taken in Nepal,
through air mail to Japan.
1. Objective
After finding out IDD and risky babies, we should deliver Iodine mineralcapsules to babies’ mothers during nursing of half year nearly. We lookforwards to relapse IDD in future.
Certainly we should appreciate it is so much great to see many babies
without IDD even if that’s all.
2. Methodologya) Samples of filter papers are sent to Nepal. (cf. other samples here)b) In Nepal subject babies must be squeezed a drop/ 0.1cc of blood fromcut skin. Please air mail samples of filter papers dropped blood toJapan.( cf. picture1)c) In Japan filter papers are punched out in Examination Center inKobe.(cf. picture 2)d) At the same time 96 subjects are possible to be measured there. (cf.
picture3, 4 )e) Stuffs related to this pilot plan are 3 persons. (cf.picture5, 6)
A leader among 3 persons is Dr. Jiro Okawa who wears business suitswith tie(cf .picture5)
3. My suggestion to this plana) Taking blood samples should be implemented in Chautara Hospitaland nearby Health Post. Because Hospital has learned of our study on
IDD. In this plan we should prefer it to outcomes to build businesssystem/ routine work of TSH-test and go well it smoothly between
Nepal and Japan.
b) I guess 100 samples should start here. at firstc) We need to check quality of blood. So, I‘d send sample of Japanese bloodto Nepal. And you need keep safe it in Nepalese manner in the same
period as babies’ blood samples. You must send back Japanese blood toJapan. Here is finish.
Please show me your opinion and suggestion.

(Continued)
The proposal outline requested by Dr. A B Joshi is the following
1. Introduction
The goal is that we deliver and have the pregnant women with IDD or
likely IDD taken Kombu mineral capsules for enough Iodine
supplementation before and after their delivery
To find the pregnant with IDD before their delivery, or to see babies
with IDD immediately after their delivery, we need to have anopportunity of screening IDD in process of ordinary health care ofMothers and their babies Because Screening for IDD is not feasible inNepalese Hospital , the plan of TSH-test for screening which isimplemented in Japan was submitted to my NPO office by a medical
doctor of NPO member .
So, a pilot plan as mentioned above. was handed to Dr. A B Joshi
This pilot plan is as a trial in the first stage If you and I are sure tocontinue TSH-test in Japan as business system/routine work, we mustplan a regular project toward the goal gradually.
2..Rationale
In Japan, mass screening for newborns’ Cretine diseases has been
introduced in method of TSH-test since 1979. In result of TSH-test inJapan babies with Cretine had been found in ratio of one to 2400
during 5 years/1997~2001
3.Literature Review (Background)
Reviewing the Report of IDD study/2007, I feel it regrettable andunlucky that ①Screening for IDD was not implemented before Iodine
supplementation. ② Therefore, the subjects were not the pregnant
women with IDD or likely IDD. So, we cannot find effective
TSH-values of the subjects after intervention. I guess the subjects arealmost not with IDD. This facts make me disappointed, regrettable.
4.Objectives
It is to find the IDD patients or the likely IDD in early(first) stage ofpregnancy of the pregnant women or immediately after their delivery
who is called Goiter mothers or Cretine babies .
5.Mthodology
The note mentioned above and samples handed by Mrs Bimala

6.Expected outcome of the study
We expect that this plan will be achieved smoothly as business system,
between Nepal and Japan
And quality of the dried blood collected in Nepal is expected to beunchanging until arrival at Japan.
At this time the outcome of study is not expected., out of expectation.
7.References
There is nothing that remind me.
8.Annexes(data collection tools)
Nothing is here, in the present.