RA 9288 - NEWBORN SCREENING ACT OF 2004

Question 1

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.

Answer 1

Newborn Screening

Question 2

By doing NBS, _______ disorders may be detected even before clinical signs and symptoms are present.

Answer 2

Metabolic

Question 3

was integrated as part of the country’s public health delivery system with the enactment of the Republic Act no. 9288

Answer 3

Comprehensive Newborn Screening (NBS) Program

Question 4

acts as the lead agency in the implementation of the law

Answer 4

DOH

Question 5

Newborn screening program in the Philippines currently includes screening of which six disorders?

Answer 5

○ congenital hypothyroidism (CH)
○ congenital adrenal hyperplasia (CAH)
○ phenylketonuria (PKU)
○ glucose-6-phosphate dehydrogenase (G6PD) deficiency
○ galactosemia (GAL)
○ maple syrup urine disease (MSUD)

Question 6

The expanded screening will include how many more disorders?

Answer 6

22 more:
○ Hemoglobinopathies
○ Additional metabolic disorders, namely, organic acid, fatty acid oxidation, and amino acid disorders

Question 7

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

Answer 7

Administrative Order No. 2018-0025:

Question 8

Guidelines on the Implementation of the Expanded Newborn Screening Program

Answer 8

Administrative Order No. 2014-0045

Question 9

When is NBS ideally done?

Answer 9

immediately after 24 hours from birth

Question 10

How is NBS done?

Answer 10

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).

Question 11

Who collects samples for NBS?

Answer 11

physician, nurse, medical technologist or trained midwife.

Question 12

Entitled “Declaring the 1st Week of October of Each Year as “National Newborn Screening Week”

Answer 12

Proclamation No. 540

Question 13

Who approved Proclamation No. 540?

Answer 13

Gloria Macapagal-Arroyo

Question 14

When is Proclamation No. 540 dated?

Answer 14

January 20, 2004

Question 15

shall ensure that every baby born in the Philippines is o ered the opportunity to undergo newborn screening and thus be spared from heritable conditions that can lead to mental retardation and death if undetected and untreated

Answer 15

National Newborn Screening System

Question 16

When shall health practitioners who deliver, or assist in the delivery inform the parents or legal guardian of the newborn of the availability, nature and benefits of newborn screening?

Answer 16

Prior to delivery

Question 17

When shall NBS be performed?

Answer 17

twenty-four (24) hours of life but not later than three (3) days from complete delivery of the newborn

Question 18

Newborns in the ICU that are exempted from the 3 day requirement must be tested by how many days of age?

Answer 18

7 days

Question 19

Whose joint responsibility is it to ensure that newborn screening is performed?

Answer 19

Parent(s) and the practitioner or other person delivering the newborn

Question 20

Which grounds shall a parent or legal guardian refuse testing?

Answer 20

Religious beliefs

Question 21

In what grounds shall a parent or legal guardian refuse testing?

Answer 21

Religious beliefs

Question 22

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

Answer 22

Follow-up

Question 23

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

Answer 23

Heritable condition

Question 24

A child from the time of complete delivery to 30 days old

Answer 24

Newborn

Question 25

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

Answer 25

Newborn Screening Center

Question 26

These agencies shall require health institutions to provide newborn screening services as a condition for licensure or accreditation.

Answer 26

DOH and the Philippine Health Insurance Corporation (PHIC)

Question 27

This is functions to:

○ review annually and recommend conditions to be
included in the newborn screening panel of disorders;
○ review and recommend the newborn screening fee to be charged by Newborn Screening Centers;
○ review the report of the Newborn Screening Reference Center on the quality assurance of the National Screening Centers; and
○ review annually and recommend conditions to be
included in the newborn screening panel of disorders;
○ review and recommend the newborn screening fee to be charged by Newborn Screening Centers;
○ 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.

Answer 27

Advisory Committee on Newborn Screening

Question 28

shall serve as the Secretariat of the Committee.

Answer 28

NIH

Question 29

The National Screening Reference Center shall be responsible for:

Answer 29

○ the national testing database and case registries;
○ training;
○ technical assistance; and
○ continuing education for laboratory staff in all Newborn Screening Centers.

Question 30

shall maintain a national database of patients tested and a registry for each condition.

Answer 30

NIH Newborn Screening Reference Center

Question 31

How long shall a plan for long-term outcome evaluation of NBS be developed?

Answer 31

(1) year of passage of this Act

Question 32

Implementation of this plan shall become a responsibility of the?

Answer 32

Advisory Committee on Newborn Screening.

Question 33

shall include the cost of newborn screening in its benefits package

Answer 33

philippine health insurance company (PHIC)

Question 34

How many percent of fees go to DOH’s Centers for Health Development

Answer 34

4%

Question 35

How many percent of fees go to the NIH Newborn Screening Reference Center?

Answer 35

4%

Question 36

How much is the fee for expanded newborn screening

Answer 36

1,500 php

Question 37

How much is covered by Philhealth for NBS fees

Answer 37

550 php

Question 38

What is the maximum allowable NBS service fee according to Administrative Order 2005-0005?

Answer 38

50.00 php

Question 39

First offense penalty for health facilities that refuse to provide NBS services and collect more than the maximum allowed NBS fee:

Answer 39

Warning

Question 40

Second offense penalty for health facilities that refuse to provide NBS services and collect more than the maximum allowed NBS fee:

Answer 40

administrative fine of fifty thousand pesos (P50,000.00)

Question 41

Third offense penalty for health facilities that refuse to provide NBS services and collect more than the maximum allowed NBS fee

Answer 41

administrative fine of one hundred thousand pesos (P100,000.00)

Question 42

When is the date of approval of RA 9288?

Answer 42

April 7, 2004

Question 43

How many sections are there in RA 9288?

Answer 43

19

Question 44

Who was the president that signed this into law?

Answer 44

Gloria Macapagal-Arroyo