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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:
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 …
Footnotes
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.