{"id":295374,"date":"2026-01-21T06:47:11","date_gmt":"2026-01-21T06:47:11","guid":{"rendered":"https:\/\/www.europesays.com\/ie\/295374\/"},"modified":"2026-01-21T06:47:11","modified_gmt":"2026-01-21T06:47:11","slug":"test-delays-affecting-babies-born-with-spinal-muscular-atrophy-the-irish-times","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/ie\/295374\/","title":{"rendered":"Test delays affecting babies born with spinal muscular atrophy \u2013 The Irish Times"},"content":{"rendered":"<p class=\"c-paragraph paywall \">Br\u00f3na and Brian Noonan\u2019s four-year-old son Donnacha was hospitalised six times last year, twice being admitted to intensive care. <\/p>\n<p class=\"c-paragraph paywall \">At 12-weeks-old, Donnacha was diagnosed with spinal muscular atrophy (SMA) type 1, a rare genetic condition that increases his risk of severe respiratory illness due to muscle weakness.<\/p>\n<p class=\"c-paragraph paywall \">SMA made headlines this month after former Little Mix singer Jesy Nelson explained on social media that <a href=\"https:\/\/www.irishtimes.com\/life-style\/people\/2026\/01\/05\/jesy-nelson-says-her-twin-daughters-may-never-walk-after-diagnosis-of-rare-condition\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/life-style\/people\/2026\/01\/05\/jesy-nelson-says-her-twin-daughters-may-never-walk-after-diagnosis-of-rare-condition\/\">her twin daughters had received the same diagnosis<\/a> following months of \u201cgruelling\u201d hospital appointments. <\/p>\n<p class=\"c-paragraph paywall \">In making her story public, Nelson said she hoped to raise awareness because \u201ctime is of the essence\u201d with SMA.<\/p>\n<p class=\"c-paragraph paywall \">It is estimated that about  six babies are born in Ireland every year with the condition, of which type 1 is the most severe and common form.<\/p>\n<p class=\"c-paragraph paywall \">The Noonans, from Edgeworthstown in Co Longford, are one of several families calling for the inclusion of SMA in the newborn \u201cheel prick test\u201d, more than two years after its inclusion was announced by then minister for health <a href=\"https:\/\/www.irishtimes.com\/tags\/stephen-donnelly\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/stephen-donnelly\/\">Stephen Donnelly<\/a>. <\/p>\n<p class=\"c-paragraph paywall \">In November 2023, Donnelly said the addition of SMA to the National Newborn Bloodspot Screening Programme <a href=\"https:\/\/www.irishtimes.com\/health\/2023\/11\/26\/newborn-babies-to-be-tested-for-spinal-muscular-atrophy\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/health\/2023\/11\/26\/newborn-babies-to-be-tested-for-spinal-muscular-atrophy\/\">would be likely to take place the following year<\/a>, but it has not yet happened.<\/p>\n<p class=\"c-paragraph paywall \">In response to queries, the <a href=\"https:\/\/www.irishtimes.com\/tags\/hse\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/hse\/\">HSE<\/a> said the move was \u201cin the final stages\u201d, with the necessary testing equipment \u201cpurchased, delivered and successfully installed at the newborn screening laboratory, and significant progress continues with regards to the laboratory verification process\u201d. <\/p>\n<p class=\"c-paragraph paywall \">The recruitment process to hire the additional staff has also been completed, it said, but did not specify a timeline for delivery.<\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"Br&#xF3;na and Brian Noonan&#x2019;s four-year-old son Donnacha was hospitalised six times last year. Photograph: Nick Bradshaw\" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.europesays.com\/ie\/wp-content\/uploads\/2026\/01\/QH4XYHNP7RDN7GT7IDG3GY4ANQ.JPG\"   width=\"800\" height=\"533\"\/>Br\u00f3na and Brian Noonan\u2019s four-year-old son Donnacha was hospitalised six times last year. Photograph: Nick Bradshaw <\/p>\n<p class=\"c-paragraph paywall \">Dr Declan O\u2019Rourke, consultant paediatric neurologist at Temple Street Hospital, says SMA screening is \u201cvery close\u201d to being rolled out, estimating its addition \u201cby the end of March\u201d. It will join Severe Combined Immunodeficiency  in the National Newborn Bloodspot Screening  Programme expansion, which, when implemented, will bring the number of conditions screened for in Ireland to 11.<\/p>\n<p class=\"c-paragraph paywall \">Noonan says that at \u201cjust shy of 16-weeks-old\u201d Donnacha was treated with Zolgensma, a gene therapy which had been <a href=\"https:\/\/www.irishtimes.com\/news\/health\/hse-approves-life-changing-drug-for-children-with-spinal-disease-1.4695528\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/news\/health\/hse-approves-life-changing-drug-for-children-with-spinal-disease-1.4695528\">approved for reimbursement<\/a> in Ireland two weeks before his diagnosis. <\/p>\n<p class=\"c-paragraph paywall \">Due to the high cost, the one-time intravenous infusion is only administered to children under two with severe SMA. <\/p>\n<p class=\"c-paragraph paywall \">Noonan says the \u201cendless amounts of money that are going to accumulate as he grows older\u201d from hospital visits, equipment, and speech and occupational therapies would have been \u201cavoidable\u201d if Donnacha had received an earlier diagnosis. <\/p>\n<p class=\"c-paragraph paywall \">\u201cHe got RSV [Respiratory Syncytial Virus] this Christmas and my one-year-old daughter got RSV as well and all she had was a cough &#8230; It\u2019s just a stark difference,\u201d she says. <\/p>\n<p class=\"c-paragraph paywall \">Pre-screening for SMA in Donnacha\u2019s sister, S\u00edofra, came back negative.<\/p>\n<p class=\"c-paragraph paywall \">The heel prick test will facilitate crucial early identification of SMA, says Dr O\u2019Rourke. <\/p>\n<p class=\"c-paragraph paywall \">\u201cIf we can treat a child pre-symptomatically, then independent walking with little to no evidence of muscle weakness is a realistic outcome measure \u2013 and that\u2019s a pretty phenomenal result, being able to offset neurodegeneration.\u201d<\/p>\n<p class=\"c-paragraph paywall \">SMA Ireland director Jonathan O\u2019Grady was diagnosed with type 2 when he was eight years old. He is now 52.<\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"SMA Ireland director Jonathan O'Grady says there are limited treatment options for adults with SMA and feels many people have 'been left out to rot'. Photograph: Bryan O&#x2019;Brien&#10;\" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.europesays.com\/ie\/wp-content\/uploads\/2026\/01\/2MHMURLJR5D2DLCJWSFX2EM3XU.JPG\"   width=\"800\" height=\"568\"\/>SMA Ireland director Jonathan O&#8217;Grady says there are limited treatment options for adults with SMA and feels many people have &#8216;been left out to rot&#8217;. Photograph: Bryan O\u2019Brien<\/p>\n<p class=\"c-paragraph paywall \">\u201cIn 1973 there was no genetic testing, and I wasn\u2019t diagnosed formally until 1982,\u201d says O\u2019Grady, who lives in Dundrum, Dublin.<\/p>\n<p class=\"c-paragraph paywall \">\u201cWhen I was born, I crawled and I walked. In my 20s, I would have lost the ability to dress myself. In my 30s, I lost the ability to wash myself. And in my 40s I lost the ability to feed myself. It gradually takes away your strength.\u201d<\/p>\n<p class=\"c-paragraph paywall \">O\u2019Grady works for consultancy firm EY in Dublin, having previously lived in London and Switzerland. He has an MA from Trinity College Dublin and an MBA from Harvard Business School.<\/p>\n<p class=\"c-paragraph paywall \">He says there are limited treatment options for adults with SMA and feels many people have \u201cbeen left out to rot\u201d. <\/p>\n<p class=\"c-paragraph paywall \">The cost of Spinraza, a drug injected into the spine at least every four months to prevent deterioration, is currently reimbursed by the HSE for patients aged under 18 years. <\/p>\n<p class=\"c-paragraph b-it-article-body__interstitial-link\">[\u00a0<a aria-label=\"Open related story\" class=\"c-link\" href=\"https:\/\/www.irishtimes.com\/health\/your-family\/2026\/01\/19\/fafo-parenting-has-taken-over-from-the-gently-gently-approach\/\" rel=\"noreferrer nofollow noopener\" target=\"_blank\">FAFO parenting has taken over from the gently-gently approachOpens in new window<\/a>\u00a0]<\/p>\n<p class=\"c-paragraph paywall \">O\u2019Grady considers the age restrictions around this treatment to be \u201cincredibly inequitable\u201d as he says those who were under 18 when the drug was approved for reimbursal continue to receive it today.<\/p>\n<p class=\"c-paragraph paywall \">\u201cThere are 30 people over 18  in Ireland that have SMA. Ten of those were under 18 when the drug was approved, so they\u2019re getting medicine. There are 20 who were over 18 at the time it was approved and they\u2019ve been left out to rot.\u201d<\/p>\n<p class=\"c-paragraph paywall \">Dr O\u2019Rourke says \u201cthere is currently an unmet need\u201d for adults in Ireland with SMA to access treatment, adding:  \u201cThere is a growing body of evidence that some of the treatments in adults can help to stabilise disease progression.\u201d<\/p>\n<p class=\"c-paragraph b-it-article-body__interstitial-link\">[\u00a0<a aria-label=\"Open related story\" class=\"c-link\" href=\"https:\/\/www.irishtimes.com\/ireland\/education\/2026\/01\/06\/an-outdoor-primary-school-children-spend-less-time-outdoors-that-prison-inmates\/\" rel=\"noreferrer nofollow noopener\" target=\"_blank\">Ireland\u2019s outdoor primary school: \u2018A lot of people panic about the weather\u2019Opens in new window<\/a>\u00a0]<\/p>\n<p class=\"c-paragraph paywall \">In August 2023, the HSE approved reimbursement for Evrysdi (risdiplam) in Ireland as a third treatment option for patients aged under 18. Unlike Spinraza, Evrysdi is administered orally as a liquid solution that is taken daily at home, offering greater convenience for patients.<\/p>\n<p class=\"c-paragraph paywall \">\u201cInvariably, the children that have it [SMA] are bright and positive, and with love from their parents and the right supports they can achieve amazing things,\u201d says O\u2019Grady.<\/p>\n<p class=\"c-paragraph paywall \">However, he says there has been a \u201cdistinct inertia around the subject\u201d in Ireland, resulting in a \u201cprofound\u201d difference for children who receive delayed diagnosis and treatment  due to delays in testing.<\/p>\n<p class=\"c-paragraph paywall \">\u201cWe\u2019re now into year three, so 12-plus babies have been born who haven\u2019t got the medicine when they should\u2019ve \u2013 who have been delayed.\u201d<\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"Brothers Luke (8) and Se&#xE1;n Ryan (5) both have spinal muscular atrophy. Se&#xE1;n was among the first children in Ireland to undergo gene replacement therapy as part of a Zolgensma trial\" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.europesays.com\/ie\/wp-content\/uploads\/2026\/01\/YSCX65WHG5H55CZPWIKGAGWRC4.jpg\"   width=\"800\" height=\"1066\"\/>Brothers Luke (8) and Se\u00e1n Ryan (5) both have spinal muscular atrophy. Se\u00e1n was among the first children in Ireland to undergo gene replacement therapy as part of a Zolgensma trial <\/p>\n<p class=\"c-paragraph paywall \">Liz McMahon and David Ryan, who live in Co Meath, have three children \u2013 Vivienne (10), Luke (8) and Se\u00e1n (5). Both Luke and Se\u00e1n have SMA, but their lives couldn\u2019t be more different,  McMahon says.<\/p>\n<p class=\"c-paragraph paywall \">Se\u00e1n was among the first children in Ireland to undergo gene replacement therapy as part of a Zolgensma trial at St James\u2019s Hospital in Dublin. He began treatment with Spinraza at 10 days old, having been diagnosed with SMA before birth.<\/p>\n<p class=\"c-paragraph paywall \">Se\u00e1n owes this early diagnosis to his older brother, who was not diagnosed until after being admitted to hospital with severe respiratory distress aged six weeks. Luke stayed there for eight months. Today, he uses a ventilator to sleep and needs a nebuliser and chest physiotherapy each morning.<\/p>\n<p class=\"c-paragraph paywall \">\u201cThere\u2019s four kids that were born last year that have been robbed of the opportunity to have a much better quality of life. They could\u2019ve been running around like Se\u00e1n,\u201d says McMahon.<\/p>\n<p class=\"c-paragraph paywall \">\u201cThey could have gotten diagnosed with the heel prick test. They could have gotten treatment within the first two weeks and be crawling, walking as any other one-year-old would be.\u201d <\/p>\n<p class=\"c-paragraph paywall \">McMahon urged the Government to \u201cput some more resources into making it happen sooner rather than later\u201d. <\/p>\n<p class=\"c-paragraph paywall \">\u201cIt\u2019s all about time. It\u2019s critical that they get it as soon as possible to stop SMA in its tracks.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"Br\u00f3na and Brian Noonan\u2019s four-year-old son Donnacha was hospitalised six times last year, twice being admitted to intensive&hellip;\n","protected":false},"author":2,"featured_media":295375,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[78],"tags":[18,135,6693,60,19,139757,17,12736,15517,17420],"class_list":["post-295374","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-eire","tag-health","tag-health-wellness","tag-hse","tag-ie","tag-infant-health","tag-ireland","tag-longford","tag-rsv","tag-stephen-donnelly"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@ie\/115931751752759472","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts\/295374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/comments?post=295374"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts\/295374\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/media\/295375"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/media?parent=295374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/categories?post=295374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/tags?post=295374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}