PART III (RA 9288-PANUNUMPA)

Newborn Screening Act of 2004

What is RA 9288?

RA 9288

What is Newborn Screening Act of 2004?

Newborn Screening

Process of collecting a few drops of blood from the newborn onto an appropriate collection card and performing biochemical testing to determine if the newborn has a heritable condition.

twenty-four (24) hours of life but not later than three (3) days

Newborn Screening Shall be performed after ______ from complete delivery of the newborn.

seven (7) days of age

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 ____

religious beliefs

A parent or guardian may refuse to subject their newborn to NBS on the ground of ____

Secretary of Health

Chairman of Committee on Newborn Screening:

8

Number of Members of Committee on Newborn Screening:

Newborn Screening Facility (NSF)

A health facility that educates parents about NBS during the prenatal period, collects blood samples of NBS, send the specimens to the NSC (Newborn Screening Center), recalls patients found positive in NBS, and assists in the management of patients.

Newborn Screening Center

Provides all laboratory test and recall/ follow-up programs for newborns with heritable conditions.

DOH

Establishment and Accreditation of Newborn Screening Center

Recall

Refers to a procedure for locating a newborn with possible heritable condition to provide the newborn with appropriate laboratory tests to confirm the diagnosis and administer treatment.

Follow-up

Requires monitoring a newborn with a heritable condition to ensure that the newborn patient fully complies with the prescribed diet and medication.

A.O. No. 2005-0005

Cost for the Newborn Screening and Maximum allowable services fees for the collection of newborn screening samples in all newborn screening collecting health facilities

550

Fee/Cost for NBS Specimen Collection Kit to be charged by the NSC

50

Maximum allowable service fee for the collection of newborn screening samples to be charged by the health facilities such as hospitals, lying-ins, rural health units, health centers and other collecting NBS samples.

Congenital hypothyroidism/Cretinism

Congenital adrenal hyperplasia

Galactosemia

Phenylketonuria

G6PD deficiency

Diseases screened according to RA 9288 (Old)

Congenital hypothyroidism/Cretinism

Congenital adrenal hyperplasia

Galactosemia

Phenylketonuria

G6PD deficiency

MSUD

Diseases screened in RA 9288 based on DOH Memo. 2012-0154

Maple Syrup Urine Disease (MDUD)

Appears to be the MOST COMMON inborn error of metabolism in the Philippines

DOH Memo. 2012-0154

Inclusion of MSUD in newborn screening panel of disorders

Expanded Newborn Screening

Program that increases the screening panel of disorders from 6 to 28

DOH A.O. No. 2014-0045

Guidelines on the Implementation of Expanded Newborn Screening Program

1500

Expanded NBS given as an option 2 for a price of ____

Dangerous Drugs Act of 1972

What is RA 6425?

RA 6425

What is Dangerous Drugs Act of 1972

RA 9165

What is Comprehensive Dangerous Drugs Act of 2002

Comprehensive Dangerous Drugs Act of 2002

What is RA 9165?

RA 9165

Act that Replaced RA 6425

Methylenedioxymethamphetamine

Also known as Ecstasy

Ecstasy

Also known as Methylenedioxymethamphetamine

shabu and marijuana

The two most abused prohibited drugs in the Philippines are ____

Cannabis

Marijuana or Indian hemp

Methylene hydrochloride

Shabu, ice, meth

Opium

Coagulated juice of the opium poppy Papaver somniferum

Opium Poppy

Plant of the species Papaver somniferum, Papaver setigerum, Papaver orientale, Papaver bracteatum and Papaver rhoeas

Clandestine laboratory

Any facility used for the illegal manufacture of any dangerous drug and/or controlled precursor and essential chemical

Den, Dive or resort

A place where any dangerous drug and/or controlled precursor and essential chemical is administered, delivered, stored for illegal purposes, distributed, sold or used in any form.

Dispense

Any act of giving away, selling or distributing medicine or any dangerous drug with or without the use of prescription.

Financier

Any person who pays for, raises or supplies money for, or underwrites any of the illegal activities prescribed under this Act.

Practitioner

Any person who is a licensed physician, dentist, chemist, medical technologist, nurse, midwife, veterinarian or pharmacist in the Philippines.

Protector/Coddler

Any person who knowingly and willfully consents to the unlawful acts provided for in this Act and uses his/her influence, power or position in shielding, harboring, screening or facilitating the escape of any person he/she knows, or has reasonable grounds to believe on or suspects, has violated the provisions of this Act in order to prevent the arrest, prosecution and conviction of the violator.

Pusher

Any person who sells, trades, administers, dispenses, delivers or gives away to another, on any terms whatsoever, or distributes, dispatches in transit or transports dangerous drugs or who acts as a broker in any of such transactions, in violation of this Act.

Drug syndicate

Any organized group of two (2) or more persons forming or joining together with the intention of committing any offense prescribed under this Act.

Drug Testina Laboratory (DTL)

Private or government facility that is capable of testing a specimen to determine the presence of dangerous drugs therein.

Ownership

Institutional character

Service capability

Classification of DTL:

Screening laboratories

Confirmatory laboratories

Classification of DTL: Service capability

Confirmatory laboratories

Classification of DTL Service capability: quantitative and qualitative exam of drugs

Headed by a licensed physician with certification in Clinical Pathology from the PBP or certification in Clinical Laboratory Management training conducted by DOH.

Headship of a DTL: Screening DTL (Freestanding)

Licensed physician

Chemist

Medical technologist

Pharmacist

Chemical engineer

Headship of a DTL: Screening DTL (Institutional-based)

License physician certified in clinical pathology by the PBP with at least two ears of active laboratory experience in analytical toxicology;

A chemist with Master's degree in chemistry or biochemistry or a branch of chemistry and at least two-year experience in analytical chemistry

Headship of a DTL: Confirmatory DTL

10 DTLs

A licensed physician trained in clinical laboratory, management is allowed to supervise at least ____

5km radius

Distance of DTLs supervised by licensed physician

full-time licensed chemist, medical technologist, pharmacist, or chemical engineer with appropriate training in screening test procedures for dangerous drugs.

Staffing: Screening DTL

full-time chemist who has successfully completed extensive and appropriate training in chromatography, spectroscopy, and either a medical technologist, pharmacist, or a chemical engineer with appropriate training in the screening test procedure for dangerous drugs. The DOH shall recognize the training program

Staffing: Confirmatory DTL

20sqm

Physical Plan of a DTL: Screening (Floor area)

10sqm

Physical Plan of a DTL: Screening (Work area)

60sqm

Physical Plan of a DTL: Confirmatory (Floor area)

30sqm

Physical Plan of a DTL: Confirmatory (Work area)

2 years

Accreditation/Licensing of DTL: Confirmatory DTL

1 year

Accreditation/Licensing of DTL: Screening DTL

1 YEAR

Drug test result is valid for ____

Screening test

Drug testing: A rapid test performed to establish potential/ presumptive positive result.

Screening test

Drug testing: Test to eliminate negative specimen from further consideration and to identify the presumptively positive specimen that requires confirmatory testing.

Confirmatory test

Drug testing: An analvtical test using a device, tool or equipment with a different chemical or physical principle that is more specific which will validate and confirm the result of the screening test.

Client or Donor

Individual from whom a specimen is collected for drug testing

Urine (at least 60 mL)

Blood

Fingernails and scalp hair (long-term use)

Saliva

Sweat (patch)

Tissue

Specimens for Drug testing

Chain of Custody

Procedures to account for each specimen by tracking its handling and storage from point of collection to final disposal.

Applicants for a driver's license

Applicant for firearms

Officers and members of the military, police and other law enforcers

Person charged before the prosecutor's office with a criminal offense having an imposable penalty of imprisonment of not less than six (6) years and one (1) day

Candidates for public office whether appointed or elected both in the national or local government.

Persons apprehended arrested for violating or the provision of this Act.

Mandatory Drug Test

Students of secondary and tertiary school

Officers and emplovees of pub"c and private offices whether domestic or overseas.

Random Drug Test

Anti-Drunk and Drugged Driving Act of 2013

What is RA 10586?

RA 10586

What is Anti-Drunk and Drugged Driving Act of 2013

East Avenue Medical Center (EAMC)

NRL for Drug test:

15 days

Specimens with confirmed positive drug test results, which are not challenged within _____ after receipt, shall be discarded.

discarded

Specimens with confirmed positive drug test results, which are not challenged within fifteen (15) days after receipt, shall be ____.

1 year

Drug test: A specimen may be kept for a maximum of ___ upon request.

Philippine Clean Water Act of 2004

What is RA 9275?

RA 9275

What is Philippine Clean Water Act of 2004?

Rules and Regulation Governing the Accreditation of Drinking Water analysis

What is DOH A.0 2006-0024?

DOH A.0 2006-0024

What is Rules and Regulation Governing the Accreditation of Drinking Water analysis

Ownership

Institutional Character

Service Capability

WTL Classification:

Bacteriological analysis lab

Biological analysis lab

Physical analysis lab

Chemical analysis lab

Radiological analysis lab

WTL Classification: Service Capability

Bacteriological analysis lab

WTL Classification Service Capability: Perform standard methods to detect and estimate bacterial coliform organisms in water sample.

Biological analysis lab

WTL Classification Service Capability: Carry our standard method to detect and estimate biological organisms such as plankton.

Physical analysis lab

WTL Classification Service Capability: Perform standard methods to measure aesthetic characteristic of water sample.

Chemical analysis lab

WTL Classification Service Capability: Use standard methods to detect and estimate the levels of chemical substances in water sample.

Radiological analysis lab

WTL Classification Service Capability: Utilize standard methods to detect and estimate the radioactive contaminants in water sample

HFSRB

WTL is accredited by ___

2 years

Accreditation of DTL: DOH AO No. 2006-0024

3 years

Accreditation of DTL: DOH AO No. 2020-0031

20sqm

Physical plan of WTL: Freestanding Work area

Lead, Nitrate, Arsenic, Turbidity, Total Dissolved Solids, Thermotolerant, Color, Cadmium, Coliform, Disinfectant residual, pH

Mandatory parameters in WTL:

Licensed sanitary engineer

Supervision, Management and Staffing of Water Analysis Laboratory: Head

clinical pathologist

Supervision, Management and Staffing of Water Analysis Laboratory: If the laboratory is under a clinical laboratory, the ____ licensed to supervise the laboratory shall also oversee the laboratory for drinking water analysis.

licensed chemist, RMT, or registered pharmacist

Supervision, Management and Staffing of Water Analysis Laboratory: In areas where there is no available licensed sanitary engineer, a ____ may provisionally supervise.

Registered medical technologist

Registered pharmacist

Licensed chemist

Microbiologist

Qualified as an WTL analyst:

Registered Medical Technologist

Certified Microbiologist

Registered Food Technologist

According to DOH AO No. 2020-0031, The following professionals shall be allowed to be an analyst: Microbiology

Registered Chemist

Registered Chemical Technician under the supervision of a Registered Chemist

According to DOH AO No. 2020-0031, The following professionals shall be allowed to be an analyst: Psycho-Chemical

Creation of Professional Regulation Commission (PRC)

What is PD 223?

PD 223

What is Creation of Professional Regulation Commission (PRC)?

June 22, 1973

PD 223 was approved on __