The “NEWBORN SCREENING ACT OF 2004” AND
ITS IMPLEMENTING RULES AND REGULATIONS
RA 9288
It aims to prevent deaths and
developmental disorders among filipino
children.
Initiated in the Philippines on June 27,
1996
JANUARY 3, 2000
the “Policies for the Nationwide
Implementation of Newborn Screening”
DECEMBER 9, 2003
“Strengthening implementation of the national newborn
screening system”
JANUARY 20, 2004
The president Gloria Arroyo issued proclamation No. 540,
declaring the first week of October of each year as a
National Newborn Screening Week.
NBS or R.A. No. 9288
• Enacted on April 7, 2004.
• Its Implementing rules and regulations
was issued October 7, 2004
MAY 15, 2012
• The DOH issued the D.M. No. 2012-0154,
directing the inclusion of maple syrup
disease (MSUD) in the NBS panel of
disorders, completing the six parameters
(6 test or Option 1) of NBS
• DOH issued the D.M. No. 2014-0045, or
Guidelines on the Implementation of the
Expanded Newborn Screening Program"
on November 19, 2014.
• The Expanded NBS (ENBS Test or Option
2) detects a total of 28 newborn disorders
falling under various types, namely:
hemoglobinopathies, amino acid
disorders, organic acidurias, disorders of
fatty acid oxidation, disorders of
carbohydrate metabolism, disorders of
biotin metabolism, cystic fibrosis, and
endocrine disorders.
November 5, 2018
"National Policy and Strategic
Framework on Expanded Newborn
Screening for 2017-2030."
The next year, on March 29, 2019
All infants born in accredited facilities shall be tested.
for Option 2 (ENBS test) only.
What is newborn screening?
• Newborn screening (NBS) is the 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.
• NBS is further defined as an essential public health strategy
that enables the early detection and management of several
congenital disorders (metabolic and endocrine disorders,
hemoglobinopathies, and cystic fibrosis), which, if left untreated,
may lead to mental retardation, disability, or even death.
What is the rule regarding the performance of
ENBS?
• As a rule, NBS shall be performed
after 24 hours of life but not later than
three days from the complete delivery of
the newborn.
Can a parent or legal guardian refuse to subject
their newborn to ENBS?
Yes. A parent or legal guardian may refuse testing
on the ground of religious beliefs.
One of the objectives of R.A. No. 9288 is to ensure
that NBS is accessible to all newborns. However,
though accessible, a parent or legal guardian may
refuse to subject their newborn to NBS on the
ground of religious beliefs. Such refusal shall be
made in writing and must be included in the
newborn's medical record. The refusal will also be
indicated in the national NBS database.
Newborn Screening Facility (NSF)
An NSF is a health facility that educates parents about NBS
during the prenatal period, collects blood samples for NIS,
sends the specimens to the NSC, recalls patients found positive
in NBS, and assists in the management of patients.
What is expanded NBS?
An examination that increases the coverage of the
NBS panel from six to 28 types of congenital
disorders.
Newborn screening center (NSC)
An NSC is a facility equipped with an NBS laboratory that
complies with the handcards established by the National
Institutes of Health and provides all required laboratory tests
And recall/follow-up programs for newborns with heritable
conditions.
Newborn Confirmatory Center (NBCC)
An NBCC refers to a facility identified by the DOH to be part
of the National Comprehensive Newborn Screening
System Treatment Network.
Newborn Screening Reference Center (NSC)
The NSF is the central facility at the National Institutes of Health
that defines testing and follow-up protocols, maintains an external
laboratory proficiency testing program, oversees the national testing
database and case registries, assists in training activities on various
aspects of the program, oversees content of educational materials,
and acts as the Secretariat of the Advisory Committee on
Newborn Screening.
Newborn screening continuity clinic
A newborn screening continuity clinic refers to an ambulatory clinic
based in a tertiary hospital and identified by the DOH to be part of
the National Comprehensive Newborn Screening System Treatment
Network.
Preferred mode of collection of
samples in NBS?
- The heel prick method.
RA NO. 6425 “THE DANGEROUS DRUGS ACT OF 1972”
(March 30, 1972)
Treatment and Rehab of Drug Dependants
The Tagaytay center shall constitute
the nucleus of such centers as may
be created, authorized and/or
accredited under this Act.
Creation and Composition of Board
A. The Secretary of Justice or his representative;
B. the Secretary of National Defense or his representative;
C. the Secretary of Health or his representative;
D. the Secretary of Education or his representative;
E. the Secretary of Finance or his representative; and
F. the Secretary of the Department of Social Welfare or his
representative.
R.A 9165- Comprehensive Dangerous Drug Act of 2002,
repealed R.A 6425
A fine ranging from FIVE HUNDRED THOUSAND PESOS TO TEN
MILLION PESOS shall be imposed to any person who import or
Bring into the Philippines any dangerous drug regardless of the
quantity and purity involved.
Penalty of Life Imprisonment to
death.
PDEA was created.
Laws Pertinent to drug therapy in PH
A. E.O 218- Creation of Task Force, Supervision and Support,
and the funding for the implementation of R.A 9165.
B. R.A 10640- Strengthen the anti-drug campaign of
The government, amending for the purpose sec 21 of
R.A 9165.
C. Implementing Rules and Regulations of R.A 9165- An act
promulgated to implement the provision of R.A 9165.
Philippine AIDS Prevention and Control Act of 1998
Approved February 13, 1998.
HIV is a virus that weakens your immune system. 
AIDS is a condition that can happen as a result of an
HIV infection when your immune system is severely
weakened.
San Lazaro Hospital (SLH) & STD/AIDS Cooperative
Center Laboratory (SACCL)- National
Reference Laboratory for HIV/AIDS.
December 20, 2018 - RA 11166 was passed and approved by
the Philippine President.
January 25, 2019- the Philippine HIV and AIDS Policy Act was
implemented.
October 3, 2019- the Implementing Rules and Regulations of
the Philippine HIV and AIDS Policy Act (IRR) became effective.
Article 1. Section 4 Philippine National AIDS Council (PNAC)
Performs the following functions:
advises the President and the Cabinet on matters concerning
the prevention and control of HIV/AIDS; formulates and
recommends appropriate plans, policies, programs, projects,
and strategies for the prevention and control of HIV/AIDS.
Section 8. AIDS Medium Term Plan
Envisions the halt to the present rate of HIV infection in the
Philippines by preventing the further spread of HIV
infection and reducing the impact of the disease on individuals,
families, communities, and various sectors.
Article 2. Section 22 Misinformation on
HIV and AIDS.
HIV is transmitted primarily sexually, contaminated blood
transfusions, hypodermic needles and from mother to child
during pregnancy, breast-feeding. However, AIDS does not spread
by mere hand-shake or sharing food.
R.A 1517 Philippine Blood Bank Law
Approved June 16, 1956.
‘AN ACT REGULATING THE COLLECTION, PROCESSING AND
SALE OF HUMAN BLOOD, AND THE ESTABLISHMENT AND
OPERATION OF BLOOD BANKS AND BLOOD PROCESSING
LABORATORIES.’
National Kidney and Transplant
Institute (NKTI)- National Reference Laboratory for Hematology,
Immunohematology, Immunopathology, Automated Urinalysis,
and Anatomic Pathology for Renal Diseases. (NVBSP) National Voluntary Blood Services Program-
‘Implement a National Voluntary Blood Services Program’
Section 4.
Blood banks and processing laboratories shall be operated Budget Allocation:
on a non-profit basis.
Philippine Charity Sweepstakes Office (PCSO) or Initial amount of
Blood collecting or processing by other blood collectors or 25M pesos.
processors or by individual physicians shall also be on a nonprofit Philippine Amusement and Gaming Corporation (PAGCOR)
basis. amount of 25M pesos.
Duty Free Shop (Duty Free Philippines) 20M pesos.
Blood shall be sold by such banks and laboratories, other blood
collectors or processors, and individual physicians at cost. Section 10. Importation of Blood Bank Equipment, Blood Bags
and Reagents
Section 6. Equipment, blood bags, and reagents used for the screening and
Penalty for Violation testing of donors, collection and processing, and storage of blood
 Imprisonment of 1 month to 1 year. shall be imported tax-and duty-free by the PNRC.
 Fine of 100 to 1000 pesos.
Blood Donation, a person must be:
R.A 7719, repealing act of R.A 1517
NATIONAL BLOOD SERVICES ACT OF 1994 1. Weight: At least 110 lbs (50 kg).
2. Blood volume collected will depend mainly on you body weight.
Approved May 5, 1994. 3. Pulse rate: Between 60 and 100 beats/minute with regular
rhythm.
‘AN ACT PROMOTING VOLUNTARY BLOOD DONATION 4. Blood pressure: Between 90 and 160 systolic and 60 and 100
PROVIDING FOR AN ADEQUATE SUPPLY OF SAFE BLOOD, diastolic.
REGULATING BLOOD BANKS, AND PROVIDING PENALTIES 5. Hemoglobin: At least 125 g/L.
FOR VIOLATION.’
Person that are not allowed to donate
Section 3. blood temporarily:
Blood/blood product - refers to human blood, processed or
unprocessed. 1. Pregnancy
Blood bank/center - a laboratory or institution with the capability 2. Acute fever
To recruit and screen blood donors, collect, process, store, transport 3. Recent alcoholic intake
and issue blood for transfusion. 4. Ear or body piercing and tattooing
Commercial blood bank - a blood bank that exists for profit. 5. Surgery
Hospital-based blood bank – a blood bank that is located within the
premises of a hospital and which can perform compatibility testing Person that are not allowed to donate
of blood; blood:
Blood collection unit – an institution or facility duly authorized
by the Department of Health to recruit and screen donors and 1. Cancer
collect blood; 2. Cardiac disease
Voluntary blood donor - one who donates blood of ones own 3. Sever lung disease
volition or initiative and without monetary compensation; 4. Hepatitis B and C
Blood transfusion transmissible 5. HIV infection, AIDS or Sexually Transmitted Diseases (STD)
diseases - diseases that may be transmitted as a result of blood 6. High risk occupation (e.g. prostitution)
transfusion, including AIDS, Hepatitis-B, Malaria, and Syphilis; 7. Unexplained weight loss of more than 5 kg over 6 months
Walking Blood Donor – an individual included in the list of qualified 8. Chronic alcoholism
voluntary blood donors who is ready to donate blood when
needed in his/ her community. Other conditions or disease stated in the Guide to Medical
Assessment of Blood Donors.
Section 4. Promotion of Voluntary Blood
Donation.
R.A 9275 Philippine Clean Water Act of 2004
(PSHBT) Philippine Society of Hematology and Blood Transfusion
(PSP) Philippine Society of Pathologists Approved March 22, 2004 by Pres. Gloria Arroyo
(PMA) Philippine Medical Association
(PAMET) Philippine Association of Medical Technologists ‘AN ACT PROVODING FOR A COMPREHENSIVE WATER QUALITY
(PNA) Philippine Nursing Association MANAGEMENT AND FOR OTHER PURPOSES.’

Section 5.
East Avenue Medical Center (EAMC)- National Reference Lab for
Drug and Water Testing.

Governing Sectors:
1. DENR
2. DOH
3. DoA
4. National Water Resources Board
5. (NWRB)
6. BFAR
7. DOST

Section 2.
Aquifer- a layer of water bearing rock located underground that
transmits water in sufficient quantity.

Ammendments of R.A 9275

1. P.D 1152- Philippine Environment Code 1977-06-06

2. P.D 979 of 1976-08-18- Marine Pollution Decree 1976
3. R.A 6969 of 1990- Toxic Substances and Hazardous and
Nuclear Wastes Control
4. P.D 1586 of 1978 06-06- establishing an environmental
impact statement system.
5. R.A 4850 of 1966-07-18- Creating the Laguna Lake
Development Authority.

CMO 13 s. 2017

Repealing act of CMO 46 s. 2012

‘Policies, standards, and guidelines for the BS Medical

Technology Program.’