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Help us save the 33, 000 babiesaffected by any of these disorder

Ask for newborn screening from your health worker.

What are the disorders included in the Philippine newborn

screening program?

Currently, there are five disorders being screened. These are:

1. Congenital Hypothyroidism (CH)CH results from lack or absence of thyroid hormonewhich is essential

for the physical and mental development of a child. If the disorder isnot detected and hormone replacement is not initiated within 2

weeks, the baby with CH may suffer from mental retardation.

2. Congenital Adrenal Hyperplasia (CAH)CAH is an endocrine disorder that causes severe salt loss,

dehydration and abnormally high levels of male sex hormones inboth boys and girls. If not detected and treated early, babies with

CAH may die within 7-14 days.

3. Galactosemia ( GAL)GAL is a condition in which babies are unable to process galactose,

the sugar present in milk. Accumulation of excessive galactose in the

body can cause many problems, including liver damage, brain

damage and cataracts.

4. Phenylketonuria (PKU)PKU is a rare condition in which the baby cannot properly use one of

the building blocks of protein called phenylalanine. Excessive

accumulation of phenylalanine in the blood causes brain damage.

5. Glucose- 6- Phosphate Dehydrogenase Deficiency (G6PD)

G6PD deficiency is a condition where the body lacks the enzyme

called G6PD. Babies with this deficiency may have hemolyticanemia resulting from exposure to oxidative substances found in

drugs, foods and chemicals.

6. Maple Syrup Urine Disease (MSUD)*

MSUD is a metabolism disorder wherein the body cannot break

down parts of proteinresulting to the accumulation of these c hemicalsin the blood; thus, urine that smells like maple syrup. The most

severe form of this disorder can damage the brain if a person issubjected to physical stressors such as infection, fever, or not eating

for a long time; while its mildest forms could already cause

intellectual disability and high levels of leucine through repeated

exposure to physical stress.

*MUSD test will soon be available in the country.

REMINDERS TO PARENTS

G6PD deficiency is the most commoncondition among the NBS panel of disorders.

Napthalene or moth ball, and some drugsincluding herbal medicine should be avoided bypeople with G6PD deficiency.

While waiting for the NBS result, parentsare advised not to expose their baby tonaphthalene or moth balls. More so, all

medications that will be given to the baby must beprescribed by a doctor.

If the NBS result is G6PD deficiency,consult the babys doctor and proceed with t heconfirmatory test. Refer the result to yourphysician.

For further inquiries, please contact:

SAVE YOUR BAfrom

entalR etardation

your health workers in the hospital,lying-in / birthing homes, health centers

OR

Newborn screening Center- National Institutes of Health

University of the Philippines- Manila

625 Pedro Gil St. Ermita, Manila, 1000

E-mail: nbsadmin@gmail.com

Newborn Screenig Center-VisayasWest Visayas State University Medical Center

E. Lopez St., Jaro, Iloilo City

E-mail: wcsumc_nsc@info.com.ph

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Basic Information AboutNewborn Screening

Disorder Screened Effect if NOT SCREENED Effect if SCREENED and treated early

CH (Congenital Hypothyroidism) Severe mental retardation NormalCAH (Congenital Adrenal Hyperplasia) Death Alive and normal

GAL (Galactosemia) Death or cataracts Alive and normal

PKU (Phenylketonuria) Severe mental retardation Normal

G6PD Deficiency Severe Anemia, Kernicterus NormalMSUD (Maple Syrup Urine Disease) Death Alive and normal

What isnewborn screening?

Newborn screening (NBS) is a simpleprocedure to find out if your baby has a congenitalmetabolic disorder that may lead to mentalretardation or even death if left untreated.

Why screen your baby?

When is newborn screening done?NBS is ideally done on the 48 th- 72ndhour of

life. However, it may also be done 24 hours frombirth.

Why is newborn screening important?Most babies with metabolic disorders

look normal at birth. By doing NBS, metabolicdisorders may be detected even before clinicalsigns and symptoms are present. As a result ofthis, treatment can be given early to preventconsequences of untreated conditions.

Where is newborn screening available?NBS is available in Hospitals, Lying-

ins, Rural Health Unit and Health Centers.

*Newborn Screening is included in thePhilhealth Newborn Care Package

Who will collect the sample for NewbornScreening?

The blood sample for NBS may be collectedby the ff: physician, nurse, medical technologist ortrained midwife.

How is newborn screening done?A few drops of blood are taken from the

babys heel, blotted on a special absorbent filter andthen sent toNewborn Screening Center (NSC).

What is the meaning of the newborn screeningresult?

A negative screen means that the newbornscreening result is normal.

A positive screenmeansthat the newbornmustbe brought back to his/her health practitioner for furthertesting.

How can results be claimed?

Results can be claimed from the healthfacility where NBS was done. Normal NBS resultsare available 7-14 working days from the timesamples are received at the NSC. Positive NBSresults are relayed to the parents immediately by thehealth facility are correct.

Ang negatibo nga screening nagapasabot nga normal angresulta. Ang positibo nga resulta nagpasabot nga ang

bata kinahanglan nga dad-on dayon sa ilang doktor parasa dugang pa nga pagsusi.

What will be done to the dried blood sample aftethe screening?

After testing the dried blood sample, it will kept at a safe place. It will be kept safely

maintain its integrity and will be used for reseapurposes as approved by the Ethical Commi

for the welfare of the public.

What should be done when a baby has a positiveNewborn Screening?

Babies with positive results should be refeat once to a specialist for confirmatory testing further management.

Why do some babies need to be retested?

Here are some possible reasons for retesting:-If the sample was taken less than 24 hours from birt-If there is a problem with the blood sample.-If the first test showed a possible health problem.

Your attending health practitioner will contact yoyour baby needs to be retested.

If your baby needs to be retested, get it done riaway.

How much is the cost for newborn screeningtest?

For babies covered by the newborn care

package (NCP), Philhealth reimbursement fornewborn screening tests is fixed at 500 pesos.

The maximum out-of pocket payment forPhilhealth members should only be 100 pesos.

For babies not covered by the NCP, themaximum payment for NBS test is 600 pesos

including the service fee.