R.A 9288

Question 1

Date of approval of R.A 9288

Answer 1

April 7, 2004

Question 2

Term of R.A 9288

Answer 2

Gloria Macapagal Arroyo

Question 3

How many articles in R.A 9288

Answer 3

5

Question 4

How many sections in R.A 9288

Answer 4

19

Question 5

Newborn Screening Act of 2004

[section]

Answer 5

Section 1: Title

Question 6

Declaration of Policies

[sec]

Answer 6

Section 2

Question 7

Objectives

[sec]

Answer 7

Section 3

Question 8

Definition of terms

[article]

Answer 8

Article 2

Question 9

Definitions

[sec]

Answer 9

Section 4

Question 10

Monitoring of a newborn with a heritable condition for the purpose of ensuring that the newborn patient complies fully with the medicine of dietary prescriptions.

[definition]

Answer 10

Follow up

Question 11

Hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services, whether public or private.

[definition]

Answer 11

Health institutions

Question 12

Physicians, nurses, midwives, nursing aides and traditional birth attendants.

[definition]

Answer 12

Health practitioner

Question 13

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.

[definition]

Answer 13

Heritable condition

Question 14

NIH

Answer 14

National Institute of Health

Question 15

Child from the time of complete delivery to 30 days old.

[definition]

Answer 15

Newborn

Question 16

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.

[definition]

Answer 16

Newborn screening

Question 17

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 heritabl conditions.

[definition]

Answer 17

New screening center

Question 18

Continuing education, re-education and training health personnel.

[sec]

Answer 18

Section 8

Question 19

Licensing and accreditation.

[sec]

Answer 19

Section 9

Question 20

The DOH and the Philippine Health Insurance Corporation (PHIC) shall require health institutions to provide newborn screening services as a condition for licensure or accreditation.

[section]

Answer 20

Section 9: Licensing and accreditation

Question 21

Legal agency

[sec]

Answer 21

Section 10

Question 22

Advisory committee on newborn screening.

[sec]

Answer 22

Section 11

Question 23

Various means of providing parents or legal guardians information about newborn screening.

[definition]

Answer 23

Parent education

Question 24

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.

[definition]

Answer 24

Recall

Question 25

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. [definiton]

Answer 25

Treatment

Question 26

Obligation to inform [sec]

Answer 26

Section 5

Question 27

Performance of newborn screening. [sec]

Answer 27

Section 6

Question 28

Refusal to be tested [sec]

Answer 28

Section 7

Question 29

Any health practitioner who delivers, or assists in the delivery, of a newborn in the Philippines shall, prior to delivery, inform the parents or legal guardian of the newborn of the availability, nature and benefits of newborn screening. Appropriate notification and education regarding this obligation shall be the responsibility of the Department of Health (DOH). [section]

Answer 29

Section 5: Obligation to inform

Question 30

Newborn screening shall be performed after twenty-four (24) hours of life but not later than three (3) days from complete delivery of the newborn. [section]

Answer 30

Section 6: Performance of newborn screening

Question 31

A parent or legal guardian may refuse testing on the grounds of religious beliefs, but shall acknowledge in writing their understanding that refusal for testing places their newborn at risk for undiagnosed heritable conditions. [section]

Answer 31

Section 7: Refusal to be tested

Question 32

Establishment and accreditation of newborn screening centers. [sec]

Answer 32

Section 12

Question 33

Establishment of newborn screening reference center. [sec]

Answer 33

Section 13

Question 34

The NIH shall establish a Newborn Screening Reference Center, 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. [section]

Answer 34

Section 13: Establishment of a newborn screening reference center

Question 35

Quality assurance [sec]

Answer 35

Section 14

Question 36

Database [sec]

Answer 36

Secton 15

Question 37

The NIH Newborn Screening Reference Center shall be responsible for drafting and ensuring good laboratory practice standards for newborn screening centers, including establishing an external laboratory proficiency testing and certification program. [section]

Answer 37

Section 14: Quality assurance

Question 38

All Newborn Screening Centers shall coordinate with the NIH Newborn Screening Reference Center for consolidation of patient databases. [section]

Answer 38

Section 15: Database

Question 39

Newborn screening fees [sec]

Answer 39

Section 16

Question 40

The PHIC shall include cost of newborn screening in its benefits package. The newborn screening fee shall be applied to, among others, testing costs, education, sample transport, follow-up and reasonable overhead expenses. [section]

Answer 40

Section 16: Newborn screening fees

Question 41

It is the most common newborn disorder in the philippines.

Answer 41

G-6-PD Deficiency

Question 42

Inclusion of maple syrup urine disease (MSUD) in the newborn screening panes of disorders.

Answer 42

DOH Memorandum no. 2012 - 0154

Question 43

[6] Newborn screening program in the philippines currently includes screening of the six orders: [CCP, GGM]

Answer 43

1. Congenital Hypothyroidism 2. Congenital adrenal hyperplasia 3. Phenylketonuria 4. G-6-PD Deficiency 5. Galactosemia 6. Maple syrup urine disease (MSUD)

Question 44

[2 Option] Expanded Newborn Screening

Answer 44

Option 1: Screening for 6 disorders: P550 Option 2: Expanded NBS: P1,500

Question 45

Screening for 6 disorders: P550 [option' expanded newborn screening]

Answer 45

Option 1

Question 46

Expanded NBS: P1,500 [option' expanded newborn screening]

Answer 46

Option 2

Question 47

Reference center for newborn screening.

Answer 47

UP - National Institute of Health

Question 48

[5] Clinical conditions screened [HEA, FC]

Answer 48

1. Hemoglobinopathies 2. Endocrinopathies 3. Amino acid disorders 4. Fatty acid oxidation 5. Cystic fibrosis

Question 49

[8] Hemoglobinopathies [PS, HHHHH, T]

Answer 49

1. Porphyrias 2. Sickle cell disease 3. Hemoglobin C disease 4. Hemoglobin SC 5. Hemoglobin D 6. Hemoglobin E 7. Hemoglobin constant spring: AA added to the alpha chain 8. Thalassemia

Question 50

[2] Endocrinopathies [CC]

Answer 50

1. Congenital hypothyroidism 2. Classic/Congenital adrenal hyperplasia

Question 51

Maximum allowable fee/cost for nbs specimen collection kit:

Answer 51

550

Question 52

Maximum allowable service fee for collection of nbs samples:

Answer 52

50

Question 53

General provisions [article]

Answer 53

Article I

Question 54

Definition of terms [article]

Answer 54

Article II

Question 55

Newborn screening [article]

Answer 55

Article III

Question 56

Implementation [article]

Answer 56

Article IV

Question 57

Final provisions [article]

Answer 57

Article V

Question 58

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. [section]

Answer 58

Section 11: Advisory Committee on Newborn Screening

Question 59

[4] Collection of Blood for Newborn Screening

Answer 59

1. Registered Medical Technologists 2. Registered Nurses 3. Licensed Physician 4. Registered Midwife

Question 60

When is newborn screening shall be performed?

Answer 60

after 24 hours of life but not later than 3 days from complete delivery.

Question 61

The Committee shall be composed of eight (8) members, including the Secretary of Health who shall act as Chairman. [section]

Answer 61

Section 11: Advisory committee on newborn screening