RA 9288 Flashcards
RA 9288 name
Newborn Screening act of 2004
Newborn Screening (NBS) is a a simple procedure to find out if a baby has a __________ that may lead to mental retardation or even death if left untreated.
congenital disorder
Most babies with __________ look “normal” at birth. By doing NBS, metabolic disorders may be
detected even before clinical signs and symptoms are
present. As a result of this, treatment can be given early
to prevent consequences of untreated conditions.
metabolic disorders
effect if not screened
Organic Acid Disorders
- developmental delays
- Breating problems
- neurologic dammage
- seizures
- coma
- early death
effect if not screened
Endocrine Disorders
- severe mental retardation
- death
effect if not screened
Fatty Acid Oxidation Disorder
- developmental and physical delays
- neurologic impairment
- coma
- seizure
- heart and liver enlargement
- musclel weakness
- sudden death
effect if not screened
Hemoglobinopathies
- painful crises
- anemia
- stroke
- multi-organ failure
- Death
effect if not screened
Urea cycle defect
- seizure
- mental retardation
- death
effect if not screened
Amino Acid Disorders
- mental retardation
- coma and death from metabolic crisis
Effect if screened or managed
Organic Acid Disorders
- Alive
- normal development with episodes of metabolic crisis
Effect if screened or managed
Endocrine Disorders
- alive
- normal
Effect if screened or managed
Fatty acid oxidation disorder
- alive
- usually healthy in between episodes of metabolic crisis
Effect if screened or managed
Hemoglobinopathies
- alive
- reduce painful crises frequency
- reduce blood transfusion need
Effect if screened or managed
Urea cycle effect
- alive
- normal intelligence
Effect if screened or managed
Amino Acid Disorders
- Alive
- normal growth
- normal intelligence
- some have learning problems
was integrated as part of the country’s public health delivery system with the enactment of the Republic Act no. 9288
Comprehensive Newborn Screening (NBS) Program
acts as the lead agency in
the implementation of the law and collaborates with other
National Government Agencies (NGA) and key stakeholders to
ensure early detection and management of several congenital
metabolic disorders
Department of Health (DOH)
Newborn screening program in the Philippines currently
includes screening of six disorders:
- Congenital hypothyroidism (CH)
- Congenital adrenal hyperplasia (CAH)
- Phenylketonuria (PKU)
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency
- Galactosemia (GAL)
- Maple syrup urine disease (MSUD)
Administrative Order No. 2018-0025
National Policy and Strategic Framework on Expanded Newborn Screening for 2017-2030
Administrative Order No. 2020-0052
Revised Guidelines on the Implementation of the Expanded Newborn Screening Program
The expanded screening will include __ more
disorders
22
The RA 9288 defines the establishment and accreditation of
Newborn Screening Centers (NSC)
six operational NSCs in the country
NIH
University of the Philippines Manila
Visayas
West Visayas State University, Iloilo City
Mindanao
Southern Philippines Medical Center, Davao City
Central Luzon
Angeles City, Pampanga
Southern Luzon
Tanauan City, Batangas
Northern Luzon
Batac City, Ilocos Norte
When is it done?
done immediately after 24 hours from birth
How is it done?
- take few drops of blood from baby’s heel
- blot on special absorbent paper
- sent to newborn screening center (NSC)
Who will collect the sample?
- physician
- nurse
- medical technologist
- trained midwife
What is Procalmation No. 540
Declaring the 1
st Week of October of Each Year as
“National Newborn Screening Wee
When was proclamation no 540 approved?
january 20, 2004
Who approved Proclamation no 540?
Pres Gloria macapagal-arroyo
how many sections does RA 9228 have?
19
Who approved RA 9288?
Pres Gloria Macapagal Arroyo
When was RA 9288 aproved
April 7, 2004
Section 1
Title
Section 2
Declaration of Policy
Declaration of Policy
Every baby born in the philippines should be offered the opportunity to undergo what?
Newborn Screening
Section 3
Objectives
Objectives
- ensure access to newborn screening
- establish sustainable newborn screening in public health
- ensure awareness of health practitions of the advantages of newborn screening
- ensure parents recognize responsibilty in promoting their childs health
Section 4
Definition
Section 5
Obligation to inform
Who are obliged to inform the parents or legal guardian of the newborn of the availability, nature and benefits of newborn
screening
Any health practitioner who delivers, or assists in the delivery, of a newborn in the Philippines
Who’s responsible for the Appropriate notification and education regarding the obligation to inform the parents about newborn screening?
Department of Health
Section 6
Performance of Newborn Screening
When should newborn screenign be performed?
- after 24 hours - 3 days after delivery
when will you test the newwborn if it must be placed in intensive care?
may be exempted from 3-day requirement but mus be tested by 7 days of age
joint responsibility of the ______ and the ___________ or ________ to ensure that newborn screening is performed
- parent(s)
- practitioner or
other person delivering the newborn
Section 7
Refusal to be Tested
A parent or legal guardian may refuse testing on the grounds of _________, but shall acknowledge in ______ their understanding that refusal for testing places their newborn at risk for undiagnosed heritable conditions
- religious beliefs
- writing
Section 8
Continuing Education, Re-education and
Training Health Personnel
The DOH, with the assistance of the NIH and other government agencies, professional societies and nongovernment organizations, shall:
- Conduct continuring education programs for health personnels
- dissiminate information materials to health personnels at least annually
Section 9
Licensing and accreditation
The ___ and the _________ shall require health institutions to provide newborn screening services as a condition for licensure or accreditation
- DOH
- Philippine Health Insurance Corporation
Section 10
Lead Agency
shall be the lead agency in implementing this
Act.
DOH
For purposes of achieving the objectives of this Act,
the DOH shall:
- establish advisory commitee
- develop rules within 180 days onf enactment of this act
- coordinate with DILG for implementation
- Coordinate with NIH for NSC accreditation and preparation of testing protocols and quality assurance programs
Section 11
Advisory Committee on Newborn Screening
To ensure sustained inter-agency collaboration, the Advisory
Committee on Newborn Screening is hereby created and made
an integral part of the
Office of the Secretary of the DOH
Advisory Committee purpose
- review anually and recommend conditions to be included to disorders
- review and recommend newborn screening fee
- review the report of Newborn Screening Reference Center on the quality assurance of NSC
- recommend corrective measure
Members of the advisory commitee
- Secretary of Health (Chairman)
- Executive Director of NIH (Vice-chair)
- Underscereetary of the DILG
- Executive Director of Council for the Welfare of Children
- Director of Newborn Screening Reference Center
- 3 representative of Secretary of Health (pediatrician, obstetrician, endocrinologist, family physician, nurse or midwife, public or private sector)
How many terms does the 3 representative have?
3 years
subject to reappointment of 3 years
how many times shall the commitee meet?
twice a year
Who shall serve as the secretariat of the commitee?
NIH
Section 12
Establishment and Accreditation of
Newborn Screening Centers
The DOH shall ensure that Newborn Screening Centers are
________ in order to be accessible to the relevant public
strategically located
NSCs should provide services that comply with the standards approved by the _________ upon the
recommendation of the _____
- Committee
- NIH
Newborn Screening Center shall have a ______________ performing all tests included in the newborn screening program
certified laboratory
Newborn Screening Center shall have a __________ for infants found positive for any and all of the heritable conditions;
recall/follow up programs
Newborn Screening Center shall be supervised and staffed by trained personnel who have
been duly qualified by the ___
NIH
Newborn Screening Center shall submit to periodic announced or unannounced __________ in order to evaluate and ensure quality Newborn Screening Center performance.
inspections
by the Reference Center
Section 13
Establishment of a Newborn Screening
Reference Center
The NIH shall establish a __________
, which shall be responsible for the national testing database and case registries, training, technical assistance and continuing education for laboratory staff in all Newborn Screening Centers.
Newborn Screening Reference Center
Section 14
Quality Assurance
The NIH Newborn Screening Reference Center shall be
responsible for:
- drafting good lab practice standards
- establish external lab proficiency testing and certification program
- act as principal repository of technical info
- provide technical assistance to NSCs
Section 15
Database
Who is responsipble for the national database?
NIH Newborn Screening Reference Center
The national database of what?
- patient tested
- case registries
NIH shal submit reports annually to whom and about what?
- Commitee and DOH
- Status of and relevant health info from databse
NIH shall plan for __________ of newborn screening
long-term outcome evaluation
Section 16
Newborn Screening Fees
Newborn screening fees is divided to:
- DOH’s Centers for Health Development (4%)
- NSCs human resource development and equipment (4%)
- NIH Newborn Screening Reference Center (4%)
- NSCs operational expense (the rest)
Section 17
Repealing Clause
Section 18
Separability
Section 19
Effectivity
