Newborn Screening Advisory Committee Quiz
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Questions and Answers

Who acts as the Chairman of the Advisory Committee on Newborn Screening?

  • Executive Director of the NIH
  • Director of the Newborn Screening Reference Center
  • Secretary of Health (correct)
  • Undersecretary of the DILG
  • What is the term length for the representatives appointed by the Secretary of Health?

  • Two years
  • Five years
  • One year
  • Three years (correct)
  • Which entity provides services to ensure the quality of Newborn Screening Centers?

  • Council for the Welfare of Children
  • Advisory Committee on Newborn Screening
  • Department of Health (DOH) (correct)
  • National Institute of Health (NIH)
  • How frequently does the Advisory Committee meet?

    <p>Twice a year</p> Signup and view all the answers

    What is required for a Newborn Screening Center to operate?

    <p>Accreditation by the DOH</p> Signup and view all the answers

    Who serves as the Secretariat for the Advisory Committee on Newborn Screening?

    <p>National Institute of Health (NIH)</p> Signup and view all the answers

    What is the maximum time frame for performing newborn screening after delivery?

    <p>3 days</p> Signup and view all the answers

    Who is primarily responsible for ensuring that newborn screening is performed?

    <p>The health practitioner and parents</p> Signup and view all the answers

    What action is required if newborn screening results are positive?

    <p>Follow-up testing is required</p> Signup and view all the answers

    When are newborn screening results typically available?

    <p>Within 7 working days</p> Signup and view all the answers

    What must parents do if they refuse newborn screening on religious grounds?

    <p>Acknowledge the risks in writing</p> Signup and view all the answers

    What is the required action if a newborn is in intensive care regarding screening?

    <p>Must be tested by 7 days of age</p> Signup and view all the answers

    What should follow-up testing indicate if the initial newborn screening is negative?

    <p>The newborn is not at increased risk for inherited metabolic diseases</p> Signup and view all the answers

    How quickly must confirmatory tests be communicated after a positive result?

    <p>Within 24 hours</p> Signup and view all the answers

    What is one of the primary responsibilities of the NBS team in a collecting health facility?

    <p>Collecting samples for NBS</p> Signup and view all the answers

    Which of the following is NOT a requirement for a Newborn Screening Center (NSC)?

    <p>Conducting research on new heritable conditions</p> Signup and view all the answers

    How can a collecting health facility ensure effective collection and management of fees for NBS services?

    <p>By establishing an appropriate financial system</p> Signup and view all the answers

    What essential function must every NSC provide for infants who test positive for heritable conditions?

    <p>Recall and follow-up programs</p> Signup and view all the answers

    What is the role of the Newborn Confirmatory Center (NBCC) in the screening process?

    <p>To perform confirmatory testing for accuracy of results</p> Signup and view all the answers

    What should a collecting health facility do to make NBS services more accessible to economically deprived groups?

    <p>Define creative financial packages</p> Signup and view all the answers

    What is required of NSCs regarding inspections?

    <p>They should submit to periodic inspections by the Reference Center</p> Signup and view all the answers

    What kind of personnel must staff the NSC?

    <p>Trained personnel duly qualified by the NIH</p> Signup and view all the answers

    What is the primary function of the Newborn Screening Reference Center (NSRC)?

    <p>Defining testing and follow-up protocols</p> Signup and view all the answers

    Which of the following roles is NOT associated with the NSRC?

    <p>Managing the regional office logistics</p> Signup and view all the answers

    What type of clinics make up the Continuity Clinic part of the Newborn Screening System?

    <p>Ambulatory clinics in tertiary hospitals</p> Signup and view all the answers

    How many continuity clinics are there in the country as mentioned?

    <p>33</p> Signup and view all the answers

    What initiative does the NSRC take to ensure qualified personnel are available?

    <p>Developing training modules and IEC materials</p> Signup and view all the answers

    Which role does the NSRC play in terms of educational materials?

    <p>Overseeing content of educational materials for various programs</p> Signup and view all the answers

    What does the NSRC advocate for regarding confirmatory tests?

    <p>The importance of taking confirmatory tests</p> Signup and view all the answers

    What aspect of the newborn screening program is regularly monitored by the NSRC?

    <p>Implementation of testing protocols and program evaluation</p> Signup and view all the answers

    What is the primary cause of Congenital Hypothyroidism (CH)?

    <p>Thyroid dysgenesis</p> Signup and view all the answers

    How long is the Certificate of Accreditation (COA) valid for?

    <p>3 years</p> Signup and view all the answers

    What is the main enzyme deficiency in 90% of cases of Congenital Adrenal Hyperplasia (CAH)?

    <p>21-hydroxylase</p> Signup and view all the answers

    Which of the following must accompany the application for a License to Operate (LTO)?

    <p>Certification from the newborn screening reference center</p> Signup and view all the answers

    What is the most common consequence of untreated Congenital Hypothyroidism?

    <p>Severe mental retardation</p> Signup and view all the answers

    What is the primary treatment administered for Congenital Adrenal Hyperplasia (CAH)?

    <p>Glucocorticoid and mineralocorticoid replacement therapy</p> Signup and view all the answers

    Which organization provides the Certification of Accreditation (COA) to health facilities?

    <p>Health Facilities and Services Regulatory Bureau (HFSRB)</p> Signup and view all the answers

    What is the inheritance pattern of all forms of Congenital Adrenal Hyperplasia (CAH)?

    <p>Autosomal recessive</p> Signup and view all the answers

    Study Notes

    Newborn Screening Overview

    • Obligation for health practitioners to inform parents about newborn screening prior to delivery.
    • Department of Health (DOH) responsible for providing appropriate education about newborn screening.

    Performance of Newborn Screening

    • Screening conducted after 24 hours but no later than 3 days after birth.
    • Infants in intensive care may be tested by 7 days of age.
    • Parents and healthcare practitioners share responsibility for ensuring screening is completed.
    • Samples are collected at the birthing center and sent for laboratory analysis.

    Newborn Screening Results

    • Negative result: No further follow-up needed.
    • Positive result: Requires follow-up testing; immediate treatment is initiated if a specific disorder is confirmed.
    • Laboratory results available within 7 working days.
    • High-risk results require immediate communication and confirmatory testing within 24 hours.

    Refusal of Testing

    • Parents can refuse testing due to religious beliefs but must acknowledge risks of undiagnosed conditions.

    Advisory Committee on Newborn Screening

    • Chaired by the Secretary of Health, with vice chairperson being the Executive Director of the NIH.
    • Includes representatives from various health and welfare organizations.
    • Meets at least twice a year, NIH acts as the Secretariat.

    Establishment and Accreditation of Newborn Screening Centers

    • DOH ensures accessibility and quality of Newborn Screening Centers (NSCs).
    • NSCs must be accredited by DOH to operate and provide comprehensive services.
    • Responsibilities include specimen collection, managing positive cases, and financial systems for services.

    Newborn Screening Center (NSC) Requirements

    • Must have a certified lab for NBS tests and follow-up programs.
    • Personnel must be qualified and undergo inspections for quality control.

    Newborn Confirmatory Center (NBCC)

    • Part of the National Comprehensive Newborn Screening System, conducts confirmatory testing.

    Newborn Screening Reference Center (NSRC)

    • Central facility defining protocols, maintaining national testing databases, and overseeing training.
    • Provides technical support to set up NSCs and promotes confirmatory testing.

    Newborn Screening Continuity Clinics

    • Ambulatory clinics that facilitate ongoing care for confirmed patients.
    • 33 clinics spread across 14 regions in the country.

    Licensing and Accreditation

    • Certificate of Accreditation (COA) for NSCs valid for 3 years, requires application to the Health Facilities and Services Regulatory Bureau (HFSRB).
    • License to Operate (LTO) for NBCCs valid for 1 year, requires NIH certification of compliance with technical standards.

    Congenital Hypothyroidism (CH)

    • Most commonly caused by thyroid dysgenesis (absent, ectopic, or hypoplastic thyroid).
    • Detection and early treatment with Levothyroxine can prevent severe mental impairment and growth issues.

    Congenital Adrenal Hyperplasia (CAH)

    • Caused by enzymatic defects in steroid biosynthesis, mostly due to 21-hydroxylase deficiency.
    • Inherited in an autosomal recessive pattern, treatment involves glucocorticoid and mineralocorticoid replacements to correct hormonal deficiencies.

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    Description

    Test your knowledge on the structure and operations of the Advisory Committee on Newborn Screening. This quiz covers key roles, term lengths, meeting frequencies, and operational requirements for Newborn Screening Centers. Perfect for those interested in newborn health policies.

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