Infant Sickle Cell Program

Program Overview:
The Infant Sickle Cell Program in Harlem and Northern Manhattan supports families and communities affected by Sickle Cell Disease and Sickle Trait. The communities we work in have a high occurrence of Sickle Trait, ranging from approximately 1 in 10 births (~10%) in Harlem and 1 in 20 (~5%) in Northern Manhattan. The Infant Sickle Cell Program, established in 2008, is one of seventeen HRSA funded grantee sites in the United States.

Mission/ Goals:
• Improve community awareness of Sickle Cell Disease and Sickle Trait and increase community capacity for supporting families with affected newborns and children.
• Partner with Primary Care Providers to improve pediatric follow-up for newborn screening for Sickle Cell Disease and Sickle Trait.
• For children and families with Sickle Cell Disease, establish continuous long-term comprehensive evidence-based prevention and treatment of complications through their “medical home.”

Number of people served per year:
• Intensive: 700
• Not intensive: 2,000

Outcomes/Results:
• 50 health outreach workers and managers trained on Sickle Cell and Newborn Screening at Community-Based Organizations (CBOs) and the New York City Department of Health (NYCDOH) Home visiting program.
• Trained 3 self-identified Sickle Cell champions at each of the two CBOs who themselves have held trainings for CBO outreach worker staff. In addition 200 teen youths educated on newborn screening and Sickle Cell by CBO champions
• In 2009, 600 parents educated about newborn screening and Sickle Cell through partner CBOs Alianza and Northern Manhattan Perinatal Partnership’s home visiting programs.
• In 2009, provided educational materials to 1,500 parents on newborn screening and Sickle Cell through NYC DOH Central Harlem home visiting program
• Increased follow-up for newborns with Sickle Cell Trait at NY-P
• 150 providers educated
• 160 NYC DOH School Nurses educated
• Provided 24/7 medical care to children with a sickling condition at New York Presbyterian and, as of August 2009, at Harlem Hospital too (approximately 210 children).

Partners:
• Alianza
• Division of Pediatric Hematology, Columbia University
• Harlem Health Promotion Center
• Harlem Hospital
• Newborn Home Visiting Program, NYC Department of Health
• NY-Presbyterian Hospital
• NY State Newborn Screening
• Northern Manhattan Perinatal Partnership

Contact Information:

Program Manager
Kelly Schunk, MPH
Tel. 917-846-3439
FAX 212-305-0807
Email: kes2144@columbia.edu

Faculty Lead/Medical Directors
Nancy S. Green, MD
Associate Professor of Clinical Pediatrics, Division of Hematology
Associate Director, Irving Institute for Clinical and Translational Research
Email: nsg11@columbia.edu

Mary McCord, MD, MPH
Associate Clinical Professor - Pediatrics and Public Health
Tel. 212-305-0902
FAX 212-305-0807
Email: mm26@columbia.edu