Week 9: Newborn screening Flashcards
He used blood samples collected through the finger pricking of a newborn’s feet on the second day of his life
He was given the credit for discovering earliest screening for phenylketonuria
Robert Guthrie
Newborn Screening Act of 2004 is also know as?
Republic Act No. 9288
non-diagnostic because a series of follow-up procedures should be made to clarify abnormal results
newborn screening test
Newborn screening is done after how many hours after birth?
24 hours after birth; at ICU: within 7 days of age
It mandates the newborn screening procedure as it is a national policy in favor of the child’s health.
It is the policy of the State to protect and promote the right to health of the people, including the rights of children to survival and full and healthy development as normal individuals
Newborn Screening Act of 2004 or R.A 9288
means a newborn screening system that
includes, but is not limited to, education of relevant stakeholders; collection and biochemical screening of blood samples taken from newborns; tracking and confirmatory
testing to ensure the accuracy of screening results; clinical evaluation and
biochemical/medical confirmation of test results; drugs and medical/surgical management
and dietary supplementation to address the heritable conditions; and evaluation activities to
assess long term outcome, patient compliance and quality assurance
Comprehensive newborn screening
means 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 practitioner
means 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
NIH
national institute of health
means a child from the time of complete delivery to 30 days old.
Newborn
means 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
means the various means of providing parents or legal guardians information about newborn screening.
Parent education
- 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. - 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 seven (7) days of age.
SEC. 6. Performance of Newborn Screening
means the central facility at the NIH that defines testing and follow-up protocols, maintains an external laboratory proficiency testing program, oversees the national testing database and case registries, assists in training activities in all
aspects of the program, oversees content of educational materials and acts as the secretariat of the advisory committee on newborn screening
Newborn screening reference center
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)
SEC. 5. Obligation to Inform
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
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
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.
SEC. 7. Refusal to be Tested
- Hemoglobinopathies
- Organic Acidurias
- Amino acid disorders
- Fatty acid oxidation disorders
- Cystic fibrosis
- Biotin metabolism disorders
- Endocrine disorders
- Carbohydrate metabolism disorders
CLINICAL CONDITIONS SCREENED
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.
SEC. 13. Establishment of a Newborn Screening Reference Center.
The DOH shall be the lead agency in implementing this Act. For purposes of achieving the objectives of this Act, the DOH shall:
1) Establish the Advisory Committee on Newborn Screening
2) Develop the implementing rules and regulations for the immediate implementation of a
nationwide newborn screening program within one hundred eight (180) days from the enactment of this Act;
3) Coordinate with the Department of the Interior and Local Government (DILG) for
implementation of the newborn screening program;
4) Coordinate with the NIH Newborn Screening Reference Center for the accreditation of
Newborn Screening Centers and preparation of defined testing protocols and quality
assurance programs.
SEC. 10. Lead Agency
