Table 1E.

North American and Central American region countries: COVID-19 cases and deaths (data from 2 May 2021), data on the number of children screened and diseases included, and the overall impact of COVID-19 pandemic on newborn screening. Legend: N/A - The Question was left unanswered.

Country (region)	Population (in millions)	COVID-19 cases per million (in thousands)	Deaths due to COVID-19 (per million)	Wave with more impact on the country	Wave with more impact on NBS	Average number of newborns per country (2015–2020; from 30 June of the initial and final year)	Newborns screened/year/centre	Number of diseases in NBS	Impairment of NBS during the pandemic*	Were there plans/guidelines for NBS during a pandemic
North and Central America
Canada (Nova Scotia)	38.1	32.5	639	Both equally	Both equally	385 533	17 000	21–30	Little	No
Canada (Alberta)	38.1	32.5	639	Second	N/A	385 533	55 000	21–30	Little	N/A
USA (Texas)	332.6	99.8	1777	Second	Second	3 900 750	0†	31 or more	Moderate	No
USA (San Diego, California)	332.6	99.8	1777	Both equally	Both equally	3 900 750	85 000	31 or more	N/A	N/A

*A 5-point Likert scale was used to determine the impairment (1=none, 2=little, 3=moderate, 4=a lot, 5=a great deal).

†0 newborn screened by the state. They are followed up by volunteer consultants.

N/A, not available; NBS, newborn screening.