For over 60 years, public health newborn screening programs have served families in the United States by identifying babies at risk of serious but treatable conditions and connecting them to clinical care. Today, more than 98% of infants receive dried blood spot screening, which entails collecting a few drops of blood during the first days of life, applying them to a paper card, and sending the card to a lab to be tested for markers of specific health conditions like congenital hypothyroidism, cystic fibrosis, and sickle cell disease. The public health impacts of newborn screening are vast, with over 7,000 infants identified annually for timely interventions. Despite these achievements, challenges in implementing newborn screening programs persist.In response to a congressional request, the Office on Women's Health of the U.S. Department of Health and Human Services asked the National Academies to convene an ad hoc committee of subject matter experts to examine the current landscape of newborn screening in the United States, recommend options to strengthen this public health service, and establish a vision for the future. Supplementary funding was provided by the Chan Zuckerberg Initiative to enable additional public engagement. The resulting report provides actionable recommendations for navigating the path ahead while preserving and enhancing what is already considered a valuable and effective public health achievement.
Early relationships are foundational for lifelong health, learning, and well-being. Mutual, meaningful, and affirming moments of connection in the youngest relationships support brain development, resilience, and social-emotional growth. These experiences, known as early relational health (ERH), can also buffer the impacts of adversity and help create pathways toward thriving children, families, and communities.Early Relational Health: Building Foundations for Child, Family, and Community Well-Being provides evidence-based opportunities for advancing ERH. Developed by a committee of experts, this report highlights opportunities for practice, policy, and research to strengthen supportive relationships. It emphasizes asset-based approaches, family and community leadership, workforce supports, and cross-sector collaboration to promote ERH across health care, education, and social systems.
Ensuring every child is on an optimal trajectory to a healthy and productive adulthood is imperative for the nation's future. Investments in children and families improves child health, but also health equity, education outcomes, workforce productivity, and cost-effectiveness in public spending. Despite advances in health care, children, especially those from historically marginalized groups, face rising rates of chronic diseases, obesity, and mental health challenges.Launching Lifelong Health by Improving Health Care for Children, Youth, And Families presents a vision for transforming the child and adolescent health care system. This report also examines how the health care system can be better positioned to equitably address the needs of all children and families and leverage community supports. This requires transforming key components, such as health care financing, public health investment, community partnerships, and accountability strategies, to encourage team-based care delivery models and attention to and health promotion, prevention, and root causes of health disparities.
Formula is often the sole source of nutrition for many infants, making its safety and quality particularly critical. While most food laws and regulations apply to infant formulas, they are also subject to additional requirements and manufacturer regulations for certain quality factors. These include an assessment of protein quality and demonstration that the formula supports normal infant physical growth.Per the Food and Drug Omnibus Reform Act of 2022, the U.S. Food and Drug Administration asked the National Academies to examine and report on the state of the science regarding methodologies for assessing the biological quality of protein in infant formula and the ability of infant formula to support normal physical growth. The committee's statement of task noted that its analysis should include the examination of current study designs and methods that could demonstrate quality factors have been met. The resulting report presents conclusions, recommendations, and areas of future research to improve standardized procedures for assessing protein quality in infant formula.
Breastfeeding supports lifelong health and development for both infants and mothers. It is associated with lower risks of chronic disease, improved maternal health outcomes, and potential health care cost savings. While most families in the United States begin breastfeeding, many are unable to continue as long as they intend due to systemic challenges such as limited parental leave, inconsistent access to lactation support, and inadequate workplace accommodations.The report Breastfeeding in the United States: Strategies to Support Families and Achieve National Goals provides a roadmap for helping families meet their breastfeeding goals and improving population-level outcomes. It emphasizes the need for strong federal coordination, comprehensive health care and community-based support, and inclusive public policies. Using a life course perspective, the report identifies key intervention points that begin before birth and continue through the return to work or school.To meet national breastfeeding objectives and improve health equity, the report recommends expanding effective community-based interventions, improving access to high-quality care, enacting supportive policies such as paid family leave, and investing in coordinated research. With sustained leadership and investment, families across the country can have the support they need to achieve their infant feeding goals and help the nation move closer to reaching the Healthy People 2030 targets.