RA 9288: NEWBORN SCREENING ACT OF 2004 Flashcards
kapoy basta
was made into a law to safeguard the rights of an individual citizen to life and the quality of life especially right after
they were born.
RA 9288 (Newborn Screening Act of 2004)
date of approval
April 7, 2004
number of sections
19
specimen
blood from heel of newborn
specimen collector
physicians, nurses, midwives, nursing aides, traditional birth attendants and trained health professionals.
Newborn screening (NBS) is done by collecting blood samples after __ hours
to diagnose any genetic or metabolic conditions.
24
acts as the lead agency in the implementation of the law
DOH/Department of Health
metabolic dsd. screened in the National Newborn Screening program (6)
Congenital
Hypothyroidism or CH
Congenital Adrenal Hyperplasia or CAH
Phenylketonuria or PKU
Galactosemia or Gal
Maple Syrup Urine Disorder or MSUD
Glucose-6-Phosphate
Dehydrogenase Deficiency or G6PD deficiency
how many disorders are added in the NBS panel of disorders due to increasing number of inborn errors of metabolism
22
section 1
Short Title
“Newborn Screening Act of2004.”
section 2
Declaration of Policy
section 3
Objectives
objectives of RA 9288
1) To ensure that every newborn has access to newborn screening for certain heritable
conditions that can result in mental retardation, serious health complications or death if
left undetected and untreated;
2) To establish and integrate a sustainable newborn screening system within the public
health delivery system;
3) To ensure that all health practitioners are aware of the advantages of newborn screening
and of their respective responsibilities in offering newborns the opportunity to undergo
newborn screening; and
4) To ensure that parents recognize their responsibility in promoting their child’s right to
health and full development, within the context of responsible parenthood, by protecting
their child from preventable causes of disability and death through newborn screening.
section 4
Definitions
newborn screening system… to address the heritable conditions; and evaluation activities to assess
long term outcome, patient compliance and quality assurance.
Comprehensive Newborn Screening System
the 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.
follow-up
mean hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services, whether public or private.
health institutions
means physicians, nurses, midwives, nursing aides and traditional birth attendants.
healthcare practitioners
means any condition that can result in mental retardation, physical
deformity or death ifleft undetected and untreated and which is usually inherited from
the genes of either or both biological parents of the newborn.
heritable condition
NIH stands for
National Institute of Health
a child from the time of complete delivery to 30 days old.
newborn
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.
newborn screening
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
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
the various means of providing parents or legal guardians
information about newborn screening.
parent education
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
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
article 1
general provisions
article 2
definition of terms
article 3
Newborn screening
section 5
obligation to inform
Appropriate notification
and education regarding this obligation shall be the responsibility of what agency
DOH
section 6
performance of newborn screening
Newborn screening shall be performed after
___ hours of life but not later than ____days from complete delivery of the
newborn.
24 hours, 3 days
A newborn that must be placed in intensive care in order to ensure survival may be
exempted from the 3-day requirement but must be tested by ___ days of age.
7
It shall be the
joint responsibility of the _____ to
ensure that newborn screening is performed.
2 tao
parent(s)
practitioner or other person delivering the newborn
section 7
refusal to be tested
T/F: a parent or legal guardian may refuse testing on the grounds of religious beliefs
True
but they shall acknowledge in writing their understanding that refusal for testing places
their newborn at risk for undiagnosed heritable conditions.
section 8
Continuing Education, Re-education and Training Health Personnel. -
section 9
licensing and accreditation
who shall require health institutions to provide newborn screening services as a
condition for licensure or accreditation
(2 agencies)
DOH
Philippine Health Insurance
Corporation ( PHIC)
article 4
implementation
section 10
lead agency
who shall be the lead agency in implementing this Act?
DOH
section 11
Advisory Committee on Newborn Screening
The Committee shall be composed of how many members
eight (8)
chairman of the committee
secretary of health
vice chairperson of the committee
Executive Director of the NIH
other members of the committee
Undersecretary of the
DILG;
the Executive Director of the Council for the Welfare of Children
the Director
of the Newborn Screening Reference Center; and
three (3) representatives appointed by the
Secretary of Health
what should the 3 representatives appointed by Secretary of Health be?
(professions)
pediatrician, obstetrician, endocrinologist, family physician,
nurse or midwife, from either the public or private sector.
term of representatives once appointed
3 years
“…subject to their being reappointed for additional ___ years period for each extension.”
3
The Committee shall meet at least ___ a year.
twice
who shall serve as the secretariat of the committee
NIH
section 12
Establishment and Accreditation of Newborn Screening Centers
The ___ shall
ensure that Newborn Screening Centers are strategically located
(agency)
DOH
At a minimum, every Newborn Screening Center shall (4)
(1) have a certified laboratory performing all tests included in the newborn screening program,
(2) have a recall/ follow up programs for
infants found positive for any and all of the heritable conditions;
(3) be supervised and staffed by trained personnel who have been duly qualified by the NIH;
(4) submit to periodic
announced or unannounced inspections by the Reference Center in order to evaluate and ensure quality Newborn Screening Center performance.
section 13
Establishment of a Newborn Screening Reference Center
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
who shall establish a Newborn Screening Reference Center (agency)
NIH
section 14
quality assurance
responsible for drafting and ensuring good laboratory practice standards for newborn screening
centers, including establishing an external laboratory proficiency testing and certification program.
NIH Newborn Screening Reference Center
acts as the principal repository of technical information relating to newborn screening
standards and practices, and shall provide technical assistance to newborn screening centers
needing such assistance.
NIH Newborn Screening Reference Center
section 15
database
All Newborn Screening Centers shall coordinate with what agency for consolidation of patient databases
NIH Newborn Screening Reference Center
It shall submit reports ____ to the Committee and to the DOH on the
status of and relevant health information derived from the database
(every what period)
annually
section 16
newborn screening fees
how many % goes to the DOH ‘s Centers for Health Development
4
how many % goes to the Newborn Screening Centers for human resource development and equipment maintenance
and upgrading
4
how many % goes to the NIH
4
article 5
final provisions
section 17
repealing clause
section 18
separability
section 19
effectivity
This Act shall take effect ____ days after its publication in at
least two (2) newspapers of general circulation.
15
president of the senate
Franklin Drilon
Speaker of the House of Representatives
Jose De Venecia, Jr.
Secretary of Senate
Oscar G. Yabes
Secretary General House of Representatives
Roberto P. Nazareno
president of the Philippines
Gloria Macapagal Arroyo
This Act which is consolidation of Senate No. ____ was passed by the Senate on ____
Senate No. 2707
February 2, 2004
This Act which is consolidation of House Bill No. ____ was passed by the House of Representatives on ____
House Bill No. 6625
February 5, 2004
