Newborn Screening Act Flashcards
The process of collecting a few drops of blood from the newborn onto an appropriate collection card and performing biochemical testing for determining if the newborn has a heritable condition (conditions result to mental retardation, physical deformity, and death).
Newborn Screening
A simple, non-invasive procedure to find-out if a baby has a congenital metabolic disorder that may lead to mental retardation and or death if left untreated. Newborn screening tests are done by measuring metabolites and enzyme activity in whole blood samples collected on specialized filter paper.
Newborn Screening
How is newborn testing performed?
By performing the heel-prick method
Who may collect samples for newborn screening?
- Physician
- Nurse
- Midwife
- Medical Technologist
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
First organizational meeting attended by representatives from different PPS and POGS accredited hospitals in Metro Manila.
February 22, 1996
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Creation of the NBS Study group composed of Pediatric and OB-Gynecology consultants from participating hospitals.
April 02, 1996
The NBS study group created in April 02, 1996 was named _________.
Philippine Newborn Screening Project
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Commencement of the Philippine Newborn Screening Project in 24 participating hospitals (18 private and 6 government).
June 27, 1996
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Coordination with the New South Wales Newborn Screening Program in Australia for test performance and analysis.
June 1996 - September 1997
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Start of operation of the Newborn Screening Laboratory at the National Institutes of Health, UP Manila.
September 18, 1997
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Issuance of the Presidential Proclamation No. 540, Subject: “Declaring the First Week of October of each year as “National Newborn Screening Awareness Week.”
January 20, 2004
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Enactment of Republic Act 9288 known as the Newborn Screening Act of 2004
April 07, 2004
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Signing of the Implementing Rules and Regulations of the Newborn Screening Act.
October 07, 2004
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Inclusion of Maple Syrup Urine Disease (MSUD) in the NBS Panel of Disorders.
January 2012
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Expanded Newborn Screening – inclusion of more than 20+ disorders in the NBS Panel of Disorders.
December 2014
MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES
Administrative Order No. 2014-0045-A, all infants born in accredited facilities shall be tested for ENBS test only.
March 29, 2019
RA 9288
Newborn Screening Act of 2004
RA 9288 is the fusion of _________.
Senate No. 2707 + House No. 6625
When was Senate No. 2707 approved?
February 2, 2004
When was House No. 6625 approved?
February 5, 2004
When was RA 9288 approved?
April 7, 2004
RA 9288 was signed by ________.
Pres. Gloria Macapagal-Arroyo
PD 540
Newborn Screening Week
RA 9288 consists of how many sections?
19
RA 9288 consists of how many articles?
5
What are the articles under RA 9288?
- General Provisions
- Definition of Terms
- Newborn Screening
- Implementations
- Final Provisions
What are the sections under General Provisions?
Sections 1, 2, 3
What are the sections under Definition of Terms?
Section 4
What are the sections under Newborn Screening?
Sections 5, 6, 7, 8, 9
What are the sections under Implementation?
Sections 10, 11, 12, 13, 14, 15, 16
What are the sections under Final Provisions?
Sections 17, 18, 19
When is Newborn Screening Week celebrated?
Every first week of October
Elements of Newborn Screening
- Comprehensive
- Integrative
- Sustainable
- Collaborative
The monitoring of a newborn with a heritable condition for the purpose of ensuring that the newborn patient complies fully with the medicine or dietary prescriptions.
Follow-up
These are hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services, whether public or private.
Health Institutions
These are physicians, nurses, midwives, nursing aides and traditional birth attendants.
Health Practitioners
It is 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
It means the National Institute of Health
NIH
It means a child from the time of complete delivery to 30 days old.
Newborn
It means a facility equipped with a newborn screening laboratory that complies with the standards established by the NIH and provides all required laboratory tests and recall/follow-up programs for newborns with heritable conditions.
Newborn Screening Center
It means the various means of providing parents or legal guardians information about newborn screening.
Parent Education
It means a procedure for locating a newborn with a possible heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment.
Recall
It means the provision of prompt, appropriate and adequate medicine, medical, and surgical management or dietary prescription to a newborn for purposes of treating or mitigating the adverse health consequences of the heritable condition.
Treatment
Performance of Newborn Screening
Newborn screening is performed after ________ of life but not later than __________ from complete delivery of the newborn.
24 hours, but not later than 3 days
Performance of Newborn Screening
Newborn in intensive care
May be exempted from the 3-day requirement, but must be tested by 7 days of age
When are newborn screening results available?
7 working days from the time samples are received
The ____ and the ____ shall require health institutions to provide newborn screening system as a condition for licensure or accreditation.
DOH and Philippine Health Insurance Corporation (PHIC)
The _____ shall be the lead agency on implementing RA 9288.
DOH
The DOH shall develop the implementing rules and regulations for the immediate implementation of a nationwide screening program within ____________ from the enactment of this act.
180 days
The DOH shall coordinate with the _______ for implementation of the newborn screening program.
Department of the Interior and Local Government (DILG)
The DOH shall coordinate with the _______ for the accreditation of Newborn Screening Centers and preparation of defined testing protocols and quality assurance programs.
NIH Newborn Screening Reference Center
The advisory committee on newborn screening is an integral part of the _____ of the DOH.
Office of the Secretary
Chairman of the Advisory Committee
Secretary of Health
Vice Chairperson of the Advisory Committee
Executive Director of the NIH Members
Meeting for the Advisory Committee
Atleast twice a year
The _____ shall serve as the Secretariat of the Committee.
NIH
The _____ shall establish a Newborn Screening Reference Center, which shall be responsible for the national testing database and case registries, etc.
NIH
The ________ shall be responsible for drafting and ensuring good laboratory practice standards for newborn screening databases.
NIH Newborn Screening Reference Center
The _______ shall maintain a national databasse of patients tested and a registry for each condition.
NIH Newborn Screening Reference Center
The most common etiology of congenital hypothyroidism is the _____.
Thyroid Dysgenesis
A group of disorders resulting from enzymatic defects in the biosynthesis of sterols.
Congenital Adrenal Hyperplasia (CAH)
A disorder of aromatic amino acid metabolism in which phenylalanine cannot be converted to tyrosine due to a deficiency or absence of the enzyme phenylalanine hydroxylase.
Phenylketonuria (PKU)
A disease due to a defect or deficiency of the branced chain ketoacid dehydrogenase complex.
Maple Syrup Urine Disease
An x-linked disorder found in both sexes but more males are affected.
Glucose-6-PD Deficieny (G6PD)
The most common clinical manifestation of G6PD deficiency is ______.
Hemolytic Anemia
A rare genetic metabolic disorder that is inherited in an autosomal recessive manner.
Galactosemia
It is an inborn error of carbohydrate metabolism characterized by elevated levels of galactose due to enzyme deficiencies.
Galactosemia
