UNIT 7 - RA 9288

Newborn Screening Act of 2004

❑a simple procedure to find out if a baby has a congenital disorder that may lead to mental retardation or even death if left untreated.

Newborn screening (NABS)

Why is RA 9288 important?

To identify early metabolic disorders that can be treated to prevent consequences of untreated conditions

It was integrated as part of the country’s public health delivery system with the enactment of the Republic Act no. 9288 otherwise known as Newborn Screening Act of 2004.

The Comprehensive Newborn Screening (NBS)

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.

DOH

Newborn screening program in the Philippines currently includes screening of six disorders:

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What is the most common

1\. congenital hypothyroidism (CH)

2\. congenital adrenal hyperplasia (CAH)

3\. phenylketonuria (PKU)

4\. glucose-6-phosphate dehydrogenase (G6PD) deficiency

5. galactosemia (GAL)

6\. maple syrup urine disease (MSUD)

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glucose - 6 - phosphate dehydrogenase

Guidelines on the Implementation of the Expanded Newborn Screening Program

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Administrative order no 2014-0045

Administrative Order No. 2018-002

Administrative order no 2014-0045

National Policy and Strategic Framework on Expanded Newborn Screening for 2017-2030

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Administrative order no 2014-0045

Administrative Order No. 2018-002

Administrative Order no. 2018-002

The expanded screening will include _____ more disorders

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Give the six operational NSCs in the country

1\. NIH at the University of the Philippines Manila

2\. Visayas located at West Visayas State University Medical Center, Iloilo City

3\. Mindanao located at the Southern Philippines Medical Center, Davao City

4\.Central Luzon in Angeles City, Pampanga

5\. Southern Luzon in Tanauan City, Batangas

6\. Northern Luzon in Batac City, Ilocos Norte

When is newborn screening done?

how is it done?

who will collect the sample?

ideally done immediately after 24 hours from birth but not later than 3 days

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A few drops of blood are taken from the baby’s heel, blotted on a special absorbent filter card and then sent to Newborn Screening Center (NSC).

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physician, nurse, medical technologist or trained midwife.

When is national Newborn screening week held

1st week of October each year

Proclamation No. 540 dated January 20, 2004 entitled “Declaring the 1st Week of October of Each Year as “National Newborn Screening Week” is approved by?

President Gloria Macapagal Arroyo

How many sections does RA 9288 have

19 sections

date of approval of RA 9688

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who approved this law

April 7, 2004

Gloria Macapagal Arroyo

Title of RA 9688

Newborn screening act of 2004

RA 9288

❑Section 3 - Objectives

* 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
* To establish and integrate a sustainable newborn screening system within the public health delivery system;
* 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
* 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 5 – Obligation to Inform

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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.

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T or F

T

❑Section 6 – Performance of Newborn Screening

▪ shall be performed after __________ __but not later than__ ______ days from complete delivery of the newborn

24 hours but not later than 3 days

newborn that must be placed in **intensive car**e in order to ensure survival may be exempted from the 3-day requirement but must be tested by ________

seven days

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RA 9288

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❑Section 7 – Refusal to be Tested

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▪ A parent or legal guardian may refuse testing on the grounds of **_______**, but shall acknowledge in writing their understanding that refusal for testing places their newborn at risk for undiagnosed heritable conditions.

religious beliefs

RA 9288

❑Section 8

Continuing Education, Re-education and Training Health Personnel

RA 9288

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❑Section 9 – Licensing and Accreditation

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▪ The **__** __and the__ _________shall require health institutions to provide newborn screening services as a condition for licensure or accreditation

DOH and Philippine Health Insurance Corporation

The ______ shall be the lead agency in implementing this Act. For purposes of achieving the objectives of this Act, the DOH shall:

DOH

Develop the implementing rules and regulations for the immediate implementation of a nationwide newborn screening program within _______ days from the enactment of this Act;

180 days

they review annually and recommend conditions to be included in the newborn screening panel of disorders;

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Advisory Committee on Newborn Screening

DOH

HFSRB

Philhealth

Advisory Committee on Newborn Screening

• review the report of the Newborn Screening Reference Center on the quality assurance of the National Screening Centers and

• recommend corrective measures as deemed necessary

Advisory Committee on Newborn Screening

DOH

HFSRB

Philhealth

Advisory Committee on newbnorn screening

established by NIH that is 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

RA 9288

❑Section 16 – Newborn Screening Fees

▪ the newborn screening fee shall be divided and set aside for the following purposes

o at least ________ to the DOH's Centers for Health Development or its future equivalent to be spent solely for follow-up services, education and other activities directly related to the provision of newborn screening services

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