MISCELLANEOUS LAWS Flashcards
Republic Act No 9288 long title
“An act promulgating a comprehensive policy and a national system for ensuring newborn screening”
Republic Act No 9288 short title
Newborn Screening Act of 2004
Republic Act No 9288 was passed on?
April 7, 2004
Republic Act No 9288 was signed by?
Gloria Macapagal Arroyo
How many sections do RA 9288 have?
19 sections
Provisions of newborn screening act
• To ensure that every newborn has access to newborn screening
• To establish and integrate a sustainable newborn screening system within the public health delivery system
• Ensure that all health practitioners are aware of the advantages of newborn screening and of their responsibilities in the service
• Ensure that parents recognize their responsibility in promoting their child’s right to health and full development
a child from the time of complete delivery to 30 days old.
Newborn
any condition that can result in mental retardation, physical deformity or death if left undetected and untreated and which is usually inherited from the genes of either or both biological parents of the newborn.
Heritable condition
a facility equipped with a newborn screening laboratory that complies with the standards established by the NIH.
Newborn Screening Center
the central facility at the NIH that defines testing and follow-up protocols; acts as the Secretariat of the Advisory Committee on Newborn Screening.
Newborn Screening Reference Center
Transcribe NIH
National institutes of health
When is newborn screening conducted?
after 24 hours but not later than 3 days
Newborn screening licensing and accreditation
DOH PhilHealth
Refusal to be tested is okay as long as?
You inform the patient about the possible consequences of their refusal. + inform them of the benefits and availability of the test.
Newborn screening lead agency:
DOH
Roles of DOH for newborn screening
• Advisory Committee on Newborn Screening
• Implementing rules and regulations
• Coordinate with DILG for implementation
• Coordinate with the NIH Newborn Screening Reference Center
Transcribe DILG
department of the interior and local government
Advisory Committee on Newborn Screening composed of how many people?
8 people
Advisory Committee on Newborn Screening composition (members)
• Chairman: Secretary of Health
• Vice-Chairperson: Executive Director of the NIH
• DILG Undersecretary
• Executive Director of the Council for the Welfare of Children
• Director of the Newborn Screening Reference Center
• 3 representatives: pediatrician, obstetrician, endocrinologist, family physician, nurse or midwife, either public or private
**2x/year meeting
Who is the executive director of nih
Monica M. Bertagnolli
Who is the executive director of CWC-
Atty. Maria Lourdes Fugoso-Alcain
Accreditation of Newborn Screening Centers
• Have a certified laboratory performing all tests included in the newborn screening program
• Have a recall/follow up programs for infants found positive for any/all of the heritable conditions
• Be supervised and staffed by trained personnel who have been duly qualified by the NIH
• Submit to unannounced or announced inspections by the Reference Center in order to evaluate and ensure quality
Newborn Screening Center performance
Enumerate the Metabolic Diseases
• Congenital hypothyroidism
• Congenital adrenal hyperplasia
• Phenylketonuria (PKU)
• Galactosemia
• Glucose-6-Phosphate Deficiency
Severe deficiency of the thyroid hormones in newborns
Congenital hypothyroidism
congenital hypothyroidism affects more than twice as many ____ as _____.
females; males
partial or complete loss of function of the thyroid gland that affects infants from birth
Congenital hypothyroidism
partial or complete loss of function of the thyroid gland
hypothyroidism
If a disease affects infants from birth, it is _____.
Congenital
is a butterfly-shaped tissue in the lower neck.
Thyroid gland
It makes iodine-containing hormones that play an important role in regulating growth, brain development, and the rate of chemical reactions in the body
Thyroid gland
Most common cause of congenital hypothyroidism worldwide?
The most common cause worldwide is a shortage of iodine in the diet of the mother and the affected infant.
refers to a group of genetic disorders that affect the adrenal glands, a pair of walnut-sized organs above the kidneys.
Congenital adrenal hyperplasia
The adrenal glands produce important hormones, including:
- Cortisol
- Mineralocorticoids
- Androgens
are walnut sized found above the kidney
Adrenal glands
regulates the body’s response to illness or stress
Cortisol
such as aldosterone, which regulate sodium and potassium levels
Mineralocorticoids
such as testosterone, which are male sex hormones required for growth and development in both males and females
Androgens
Signs and symptoms of classicCAHmay include:
Insufficient cortisol
Adrenal crisis
Atypical genitalia
Excess androgen
Altered growth
Fertility Issues
This can cause problems maintaining normal blood pressure, blood sugar and energy levels, and cause problems during physical stress such as illness.
Insufficient cortisol
People with classicCAHcan be seriously affected by a lack of cortisol, aldosterone or both. This is known as an _____, and it can be life-threatening.
Adrenal crisis