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Further response to ‘Decision to reject screening for familial hypercholesterolaemia is flawed’ by Wald and Martin
  1. David S Wald1,
  2. Andrew C Martin2
  1. 1 Population Health Research Institute, St George's University of London, London, UK
  2. 2 Department of General Paediatrics, Perth Children's Hospital, Nedlands, Western Australia, Australia
  1. Correspondence to Professor David S Wald, Population Health Research Institute, St George's University of London, London SW17 0RE, UK; dwald{at}

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We were surprised and disappointed by the National Screening Committee (NSC)’s response to our paper.1 2 The NSC believes that a child with familial hypercholesterolaemia (FH) may not benefit from being identified at age 1 year, but does benefit if identified at age 10 when statins are more likely to be offered. The advantages of screening at age 1 year have been given before but do not seem to be recognised by the NSC. We list them here:

  1. It is the most accurate time in life to identify individuals with FH, because cholesterol measurement from 1 to 9 years offers the best discrimination between people …

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  • Contributors DSW and ACM contributed equally to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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