From: <Saved by Windows Internet Explorer 7>
Subject: New Mexico Newborn Screening Program
Date: Wed, 10 Mar 2010 15:20:58 -0700
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function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) }
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function InitHLinkArray()
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}

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}

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}


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var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( =
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var g_animUseRuntime =3D false;
var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime;
var g_animMainSequence =3D null;

var ENDSHOW_MESG=3D"End of slide show, click to exit.", =
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var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D =
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/*********************************************
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 These functions control slide navigation
 and state of the frameset.
**********************************************/

function RemoveFilePrefixFromHref(href)
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function Redirect( frmId )
{=09
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}

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function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( =
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function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() }

function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() }

function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() }

function SetHasNts( fVal )
{
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}

function ToggleOtlText()
{
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}

function ClearMedia()
{
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}

function FullScreen()
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		href =3D RemoveFilePrefixFromHref(href)
	if(PPTNav.event.ctrlKey) {
		var w =3D (window.screen.availWidth * 1.0) / 2.0
		var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW
		win =3D window.open( =
MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top=3D0,left=3D0," + =
"width=3D"+ w + ",height=3D" + h );
		if( win.document.body && PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
	else
	{
		win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" );
		if( win.document.body && PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
}

function ToggleVNarration()
{
	rObj=3DPPTSld.document.all("NSPlay")
	if( rObj && !PPTSld.g_animUseRuntime ) {
		if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) )
			rObj.Play()
		else if( rObj.playState =3D=3D 2 )
			rObj.Pause()
		else
			return;
	}
	else if( PPTSld.g_animUseRuntime )
	{
		narObj =3D PPTSld.document.all("narrationID")
		if( narObj )
			narObj.togglePause()
	}
}

function GetCurSldNum()
{  =20
	obj=3DGetHrefObj(gCurSld)
	if( obj.mOrigVis =3D=3D 1 )
		return obj.mSldIdx
	else  =20
		return gCurSld
}

function GetNumSlds()
{  =20
	if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 )
		return GetSldList().mNumVisSlds;
	else
		return GetSldList().mList.length
}

function GetSldNum( href )
{
	for(ii=3D0; ii<GetSldList().mList.length; ii++) {
		if ( GetSldList().mList[ii].mSldHref =3D=3D href )
			return ii+1
	}
	return 1
}

function GetHrefObj( sldIdx ){ return GetSldList().mList[sldIdx-1] }

function IsFramesMode(){ return ( SCREEN_MODE =3D=3D "Frames" ) }

function IsFullScrMode(){ return ( SCREEN_MODE =3D=3D "FullScreen" ) }

function GoToNextSld()
{
	ii=3DgCurSld + 1
	if( GetHrefObj( ii-1 ).mOrigVis =3D=3D 0 ) {
		if( ii<=3DGetSldList().mList.length ) {
			obj=3DGetHrefObj(ii)
			obj.mVis=3D1
			GoToSldNum(ii)
			return
		}
	}
	else {
		obj=3DGetHrefObj( ii )
		while ( obj && ( obj.mOrigVis =3D=3D 0 ) )
			obj=3DGetHrefObj(++ii)
		if( obj && obj.mOrigVis ) {
			GoToSldNum(ii)
			return
		}
	}
	if( gSldStack.length > 1 )
		PopSldList();
	else if( !IsFramesMode() ) {
                if( gLoopCont )
			GoToFirst()
                else
			EndShow()
	}
}

function GoToPrevSld()
{
	ii=3DgCurSld-1
	if( ii > 0 ) {
		obj=3DGetHrefObj(ii)
		while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) )
			obj=3DGetHrefObj(--ii)
        if( ii =3D=3D 0 ) ii=3D1
		GoToSldNum(ii)
	}
}

function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) }

function GoToLast()
{
	ii=3DGetSldList().mList.length
	if( ii !=3D gCurSld )
		GoToSld( GetHrefObj(ii).mSldHref )
}

function GoToSldNum( num )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	obj =3D GetHrefObj( num )
	obj.mVis=3D1
	gPrevSld=3DgCurSld
	gCurSld =3D num;
=09
	if (MHTMLPrefix !=3D "")
		=
PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref=
))
	else
		PPTSld.location.replace(obj.mSldHref)
	=09
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}

function GoToSld( href )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	GetHrefObj( GetSldNum(href) ).mVis=3D1
	if (MHTMLPrefix !=3D "")
		PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href))
	else
		PPTSld.location.replace(href)
}

function SldUpdated( id )
{
	if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return
	gPrevSld=3DgCurSld
	gCurSld=3DGetSldNum(id)
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}

function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) }
function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && =
GetHrefObj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) }
function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) }

function CloseWindow() {
	if( HideMenu() ) return;
=09
	var event =3D PPTSld.event;
	if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || =
event.keyCode=3D=3D32 || event.type=3D=3D"click" ) )
		window.close( self );
	CatchNumKeys( self, event );
}

function Unload() { gIsEndShow=3D0; }

function SetupEndShow() {
	gIsEndShow=3D1;
	PPTSld.document.body.scroll=3D"no";
	PPTSld.document.onkeypress=3DCloseWindow;
	PPTSld.document.onclick=3DCloseWindow;
	PPTSld.document.oncontextmenu=3D_CM;
}

function EndShow()
{
	if( IsFramesMode() ) return
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue

	doc=3DPPTSld.document
	var dir =3D doc.body.dir
	if( dir !=3D "rtl" ) dir =3D "ltr";
	doc.open()
	doc.writeln('<html><body dir=3D' + dir + ' bgcolor=3Dblack =
onload=3Dparent.SetupEndShow() =
onunload=3Dparent.Unload()><center><p><font face=3DTahoma color=3Dwhite =
size=3D2><br><b>' + ENDSHOW_MESG + =
'</b></font></p></center></body></html>')
	doc.close()
}

function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue =
}

function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited }

function hrefList( sldHref, visible, advDelay, advClk )
{
	this.mSldHref=3D this.mNtsHref =3D sldHref
	this.mOrigVis=3D this.mVis =3D visible
	this.mVisited=3D false
	this.mAdvDelay=3D advDelay
	this.mAdvOnClk=3D advClk
}

function SldList(arr,curSld,fEnd)
{
	this.mCurSld =3D curSld;
	this.mList =3D new Array();

	var idx =3D 1;
	for(ii=3D0;ii<arr.length;ii++) {
		this.mList[ii] =3D new hrefList( arr[ii].mSldHref, arr[ii].mOrigVis, =
arr[ii].mAdvDelay, arr[ii].mAdvOnClk );
		if( arr[ii].mOrigVis )
			this.mList[ii].mSldIdx =3D idx++;
	}
	this.mNumVisSlds =3D idx-1;
	this.fEndShow =3D fEnd;
}

function GetSldList() {	return gSldStack[gSldStack.length-1] }
function GetCurSld() { return parent.GetSldList().mList[parent.gCurSld - =
1] }

gSldStack =3D new Array();
gSldStack[0] =3D new SldList(gMainDoc,gCurSld,1)
function ToggleOtlPane()
{
	frmset=3Ddocument.all("PPTHorizAdjust")
	frm=3Ddocument.all("PPTOtl")

	if( gOtlOpen )
		frmset.cols=3D"*,100%"
	else
		frmset.cols=3D"25%,*"

	gOtlOpen=3D!gOtlOpen
	frm.noResize=3D!frm.noResize
	UpdOtNavPane()
}

function ToggleNtsPane()
{
	frmset=3Ddocument.all("PPTVertAdjust")
	frm=3Ddocument.all("PPTNts")

	if( gNtsOpen )
		frmset.rows=3D"100%,*"
	else
		frmset.rows=3D"*,20%"

	gNtsOpen=3D!gNtsOpen
	UpdNtsPane()
}

/*********************************************
Custom Shows implementation

When ViewCustomShow() is called, we create
a new array that is a subset of the slides in=20
the main doc. This list pushed on a stack so
we can return after the end of the custom
show.
*********************************************/
function ViewCustomShow(idx,fEnd)
{
	if( !IsFullScrMode() ) return;
	var sldList =3D new Array();
	var custShow =3D custShowList[idx-1];
	var jj =3D 0;
	for( ii=3D0;ii<custShow.length;ii++ ) {
		if( custShow[ii] <=3D gMainDoc.length )
			sldList[jj++] =3D gMainDoc[custShow[ii]-1];
	}
	if (sldList.length > 0) {
	PushSldList(sldList,fEnd);
	gCurSld =3D 1;
	}
	else
		if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
}

function PushSldList(arr,fEnd) {
	var ii =3D gSldStack.length;
	gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd);
	GoToSld( gSldStack[ii].mList[0].mSldHref );
}

function PopSldList() {
	if (gSldStack[gSldStack.length-1].fEndShow)
		EndShow()
	else {
	gCurSld =3D gSldStack[gSldStack.length-1].mCurSld;
	gSldStack[gSldStack.length-1] =3D null;
	gSldStack.length--;
	var sldList =3D gSldStack[gSldStack.length-1];
	GoToSld( sldList.mList[gCurSld - 1].mSldHref );
	}
}
var custShowList=3Dnew Array();

/*********************************************
 Navigation button implementation

 There are 2 types of buttons: ImgBtn, TxtBtn
 implemented as function objects. They share
 a similiar interface so the event handlers
 can call SetActive, for example, on a button=20
 object without needing to know exactly=20
 what type of button it is.
**********************************************/

//----------------------------------
function ImgBtn( oId,bId,w,action )
//----------------------------------
{
	var t=3Dthis
	t.Perform    =3D _IBP
	t.SetActive  =3D _IBSetA
	t.SetInactive=3D _IBSetI
	t.SetPressed =3D _IBSetP
	t.SetDisabled=3D _IBSetD
	t.Enabled    =3D _IBSetE
	t.ChangeIcon =3D null
	t.UserAction =3D action
	t.ChgState   =3D _IBUI
	t.mObjId   =3D oId
	t.mBorderId=3D bId
	t.mWidth   =3D w
	t.mIsOn    =3D t.mCurState =3D 0
}

function _IBSetA()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
		obj.style.posTop=3D0
	}
}

function _IBSetI()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
		obj.style.posTop=3D0=20
	}
}

function _IBSetP()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
		obj.style.posLeft+=3D1; obj.style.posTop+=3D1
	}
}

function _IBSetD()
{ =20
	obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
	obj.style.posTop=3D0=20
}

function _IBSetE( state )
{
	var t=3Dthis
	GetObj( t.mBorderId ).style.visibility=3D"visible"
	if( state !=3D t.mIsOn ) {
		t.mIsOn=3Dstate
		if( state )
			t.SetInactive()
		else
			t.SetDisabled()
	}
}

function _IBP()
{
	var t=3Dthis
	if( t.mIsOn ) {
		if( t.UserAction !=3D null )
			t.UserAction()
		if( t.ChangeIcon ) {
			obj=3DGetObj(t.mObjId)
			if( t.ChangeIcon() )
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
			else
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
		}
		t.SetActive()
	} =20
}

function _IBUI( clr1,clr2,nextState )
{
	var t=3Dthis
	SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
	obj=3DGetObj( t.mObjId )
	=
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-ob=
j.style.posTop
	t.mCurState=3DnextState
	return obj
}

//-----------------------------------------
function TxtBtn( oId,oeId,action,chkState )
//-----------------------------------------
{
	var t=3Dthis
	t.Perform    =3D _TBP
	t.SetActive  =3D _TBSetA
	t.SetInactive=3D _TBSetI
	t.SetPressed =3D _TBSetP
	t.SetDisabled=3D _TBSetD
	t.SetEnabled =3D _TBSetE
	t.GetState   =3D chkState
	t.UserAction =3D action
	t.ChgState   =3D _TBUI
	t.mObjId      =3D oId
	t.m_elementsId=3D oeId
	t.mIsOn       =3D 1
}

function _TBSetA()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gHiliteClr,gShadowClr,0,0 )
}

function _TBSetI()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
}

function _TBSetP()
{
	if( this.mIsOn )
		this.ChgState( gShadowClr,gHiliteClr,1,1 )
}

function _TBSetD()
{  =20
	this.ChgState( gFaceClr,gFaceClr,0,0 )
	this.mIsOn =3D 0
}

function _TBSetE()
{
	var t=3Dthis
	if( !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
	else
		t.ChgState( gShadowClr,gHiliteClr,1,1 )
	t.mIsOn =3D 1
}

function _TBP()
{
	var t=3Dthis
	if( t.mIsOn ) {=20
		if( t.UserAction !=3D null )
			t.UserAction()
        if( !t.GetState )
            return
		if( t.GetState() )
			t.SetPressed()
		else
			t.SetActive()
	} =20
}

function _TBUI( clr1,clr2,lOffset,tOffset )
{
	SetBorder( GetObj( this.mObjId ),clr1,clr2 )
	Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}

function Offset( obj, top, left ){ obj.style.top=3Dtop; =
obj.style.left=3Dleft }

function SetBorder( obj, upperLeft, lowerRight )
{
	s=3Dobj.style;
	s.borderStyle      =3D "solid"
	s.borderWidth      =3D 1=20
	s.borderLeftColor  =3D s.borderTopColor =3D upperLeft
	s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}

function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }

function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }

function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() =
}

function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() =
}

function BtnOnUp()
{
	b=3DGetBtnObj()
	if( b !=3D null )
		b.Perform()
	else
		Upd()
}
function GetNtsState(){ return parent.gNtsOpen }

function GetOtlState(){ return parent.gOtlOpen }

function GetOtlTxtState(){ return parent.gOtlTxtExp }

function NtsBtnSetFlag( fVal )
{
	s=3Ddocument.all.item( this.m_flagId ).style
	s.display=3D"none"
	if( fVal )
		s.display=3D""
	else
		s.display=3D"none"
}

function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) =
b.SetActive() }

function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) =
b.SetInactive() }

function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) =
b.SetPressed() }

function _BSetA_BorderImg()
{=20
	b =3D gBtnArr[this.mBorderId]=20
	if( b !=3D null && this.mIsOn && !b.GetState() ) {
		obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
		obj.style.posTop=3D0
	}
}

function _BSetI_BorderImg()
{=20
	b =3D gBtnArr[this.mBorderId]
	if( b !=3D null && this.mIsOn && !b.GetState() ) {
		obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
		obj.style.posTop=3D0
	}
}


var =
gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"TH=
REEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( =
"nb_otl","nb_otlElem",parent.ToggleOtlPane,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( =
"nb_otl","nb_otlElem",parent.ToggleOtlPane,GetOtlState )
gBtnArr["nb_nts"] =3D new ImgBtn( =
"nb_nts","nb_ntsBorder",10,parent.ToggleNtsPane )
gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg;
gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg;
gBtnArr["nb_ntsBorder"] =3D new TxtBtn( =
"nb_ntsBorder","nb_ntsElem",parent.ToggleNtsPane,GetNtsState )
gBtnArr["nb_ntsElem"] =3D new TxtBtn( =
"nb_ntsBorder","nb_ntsElem",parent.ToggleNtsPane,GetNtsState )
gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( =
"nb_prev","nb_prevBorder",30,parent.GoToPrevSld )
gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( =
"nb_next","nb_nextBorder",30,parent.GoToNextSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( =
"nb_sldshw","nb_sldshwBorder",18,parent.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( =
"nb_sldshw","nb_sldshwBorder",parent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( =
"nb_sldshw","nb_sldshwText",parent.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( =
"nb_voice","nb_voiceBorder",18,parent.ToggleVNarration )
gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( =
"nb_otlTxt","nb_otlTxtBorder",23,parent.ToggleOtlText )
gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts"
gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState

/*********************************************
 Context menu implementation

 _CM() is the function that's hooked up to
 the oncontextmenu event. Once we're asked to
 show the menu, we first build it by creating
 DIVs on-the-fly. Then we position it=20
 within the screen area so it doesn't get
 clipped.

 Creating the DIVs using createElement() means
 we don't have to write out any extra HTML
 into the slide HTML files.
**********************************************/
var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End =
Show",sFont=3D"Arial",sArrow=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Re=
ctangle",sOval=3D"Oval"

function ShowMenu()
{
	BuildMenu();
	var =
doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=3DPP=
TSld.event.clientY+doc.scrollTop
	m =3D PPTSld.document.all.item("ctxtmenu")
	m.style.pixelLeft=3Dx
	if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
		m.style.pixelLeft=3Dx-m.scrollWidth

	m.style.pixelTop=3Dy
	if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
		m.style.pixelTop=3Dy-m.scrollHeight

	m.style.display=3D""
}

function _CM()
{
	if( !parent.IsFullScrMode() ) return;
	if(!PPTSld.event.ctrlKey) {
		ShowMenu()
		return false
	} else
		HideMenu()
}

function BuildMenu()
{
	if( PPTSld.document.all.item("ctxtmenu") ) return

	var mObj=3DCreateItem( PPTSld.document.body )
	mObj.id=3D"ctxtmenu"
	mObj.style.visibility=3D"hidden"
	var s=3DmObj.style
	s.position=3D"absolute"
	s.cursor=3D"default"
	s.width=3D"120px"
	SetCMBorder(mObj,"menu","black")

	var iObj=3DCreateItem( mObj )
	SetCMBorder( iObj, "threedhighlight","threedshadow" )
	iObj.style.padding=3D2
	CreateMenuItem( iObj,sNext,M_GoNextSld,M_True )
	CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld )
=09
	CreateSeparator( iObj )
	CreateMenuItem( iObj,sEnd,M_End,M_True )
	mObj.style.visibility=3D"visible"
}

function Cancel() { window.event.cancelBubble=3Dtrue; =
window.event.returnValue=3Dfalse }

function Highlight() { ChangeClr("activecaption","threedhighlight") }

function Deselect() { ChangeClr("threedface","menutext") }

function Perform()
{
	e=3DPPTSld.event.srcElement
	if( e.type=3D=3D"menuitem" && e.IsActive() )
		e.Action()
	else
		PPTSld.event.cancelBubble=3Dtrue
}
function ChangeClr( bg,clr )
{
	e=3DPPTSld.event.srcElement
	if( e.type=3D=3D"menuitem" && e.IsActive() ) {
		e.style.backgroundColor=3Dbg
		e.style.color=3Dclr
	}
}

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      <DIV class=3DPTxt id=3DPPTP1><FONT size=3D2><A id=3DPPTL1=20
      href=3D"javascript:GoToSld('slide0001.htm');">New =
Mexico<BR>Newborn=20
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size=3D2>
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        <LI>NM Department of Health, Public Health Division, Family =
Health=20
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<BR><BR></LI></UL></FONT></DIV></TD></TR>
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      <DIV class=3DPTxt id=3DPPTP2><FONT size=3D2><A id=3DPPTL2=20
      href=3D"javascript:GoToSld('slide0068.htm');">January =
2007</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC2 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Outsourced all our testing to Oregon State Public Health =
Laboratory.=20

        <LI>We increased our testing for 6 to 26 disorders=20
        <LI>Cost of blood spot kit is $89.00=20
        <LI>UPS Courier System to stop at all birthing hospitals=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
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size=3D2>
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        <LI>In NM the DOH regulations implemented this in1978, Section =
24-26=20
        NMSA 1978.=20
        <LI>1978<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>PKU=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Congenital Hypothyroidism (CH)=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Galactosemia=20
        <LI>1995<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Sickle Cell Disease=20
        <LI>1995<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>Biotinidase=20
        <LI>1999 Congenital Adrenal Hyperplasia (CAH)=20
        <LI>2007 Expanded Screening=20
        <LI>(19 more Metabolic Conditions and=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>Cystic =
Fibrosis)=20
        </LI></UL></FONT></DIV></TD></TR>
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      href=3D"javascript:GoToSld('slide0021.htm');">Expanded=20
      Screening<BR><BR>Fatty Acid Oxidation Disorders, Amino Acid =
Disorders,=20
      Urea Cycle Disorders and Organic Acidemia =
Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC4 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR><BR><BR><BR><BR><BR></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>5</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP5><FONT size=3D2><A id=3DPPTL5=20
      href=3D"javascript:GoToSld('slide0076.htm');">Fatty Acid Oxidation =
Disorders=20
      (FOA)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC5 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Carnitine Uptake Defect=20
        <LI>Long-Chain L-3-OH acyl-CoA Dehydrogenase Deficiency=20
        <LI>Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCAD)=20
        <LI>Trifunctional Protein Deficiency=20
        <LI>Very Long-Chain Acyl-CoA Dehydrogenase Deficiency=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>6</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP6><FONT size=3D2><A id=3DPPTL6=20
      href=3D"javascript:GoToSld('slide0080.htm');">Fatty Acid Oxidation =

      (FAO)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC6 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 6, 000 births=20
        <LI>Validity: 90% on the first screen=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>10% on the=20
        2<SUP>nd</SUP> screen=20
        <LI>Treatment: Avoid fasting, low fat diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>7</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP7><FONT size=3D2><A id=3DPPTL7=20
      href=3D"javascript:GoToSld('slide0077.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Amino Acid=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC7 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Homocystinuria=20
        <LI>Tyrosinemia Type I=20
        <LI>Phenylketonuria <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>8</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP8><FONT size=3D2><A id=3DPPTL8=20
      href=3D"javascript:GoToSld('slide0083.htm');">Amino Acids=20
      Disorders<BR>Homocystinuria</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC8 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:100,000=20
        <LI>Validity<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>20% =
on=20
        1<SUP>st</SUP> screen=20
        <LI>80% on 2<SUP>nd</SUP> screen=20
        <LI>Treatment: Vitamin B6 if responsive; if not responsive, low=20
        methionine diet with cysteine and betaine supplements=20
      <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>9</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP9><FONT size=3D2><A id=3DPPTL9=20
      href=3D"javascript:GoToSld('slide0085.htm');">Amino Acid =
disorder<BR><SPAN=20
      style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
      </SPAN>Phenylketonuria ( PKU )</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC9 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence:<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>1:12,000=20
        <LI>Validity: &gt;99% on first screen=20
        <LI>Causes developmental delays, seizures and severe mental =
retardation=20
        <LI>Treatment: low phenylalanine diet=20
        <LI>Patients whose treatment begins after 6 months are likely to =
remain=20
        mentally retarded <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>10</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP10><FONT size=3D2><A id=3DPPTL10=20
      =
href=3D"javascript:GoToSld('slide0086.htm');">Maternal<BR>Phenylketonuria=
</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC10 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Poorly controlled PKU during a pregnancy put their baby at =
risk for=20
        <LI>Delayed Development=20
        <LI>Mental retardation=20
        <LI>Poor head growth=20
        <LI>Poor overall growth=20
        <LI>Heart defects </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>11</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP11><FONT size=3D2><A id=3DPPTL11=20
      href=3D"javascript:GoToSld('slide0087.htm');">Amino Acid=20
      Disorder<BR>Tyrosinemia Type I, II and Transient</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC11 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 100,000 (types I &amp; II) (1:1,000 transient) =

        <LI>Validity: &lt;20% identified on either screening test=20
        <LI>Untreated: severe liver and renal disease and peripheral =
nerve=20
        damage=20
        <LI>Treatment: low protein Phe/tyr diet, medications and =
possible liver=20
        transplant in type I; low phe/tyr diet in type II; transient =
tyrosinemia=20
        resolves within a month or two of birth or Vitamin C supplements =
for a=20
        few days will shorten the time. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>12</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP12><FONT size=3D2><A id=3DPPTL12=20
      href=3D"javascript:GoToSld('slide0078.htm');">Urea Cycle=20
      disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC12 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: =
yes">&nbsp;</SPAN>Argininosuccinic=20
        acidemia=20
        <LI>Citrullinemia <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>13</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP13><FONT size=3D2><A id=3DPPTL13=20
      href=3D"javascript:GoToSld('slide0082.htm');">Urea Cycle=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC13 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency:<SPAN style=3D"mso-spacerun: yes">&nbsp;=20
        </SPAN>Infants with severe hyperammonemia may die in the first =
week to=20
        10 days if not diagnosed and treated.=20
        <LI>Incidence 1: 60,000 births=20
        <LI>Validity: 100%<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>on first=20
        screen=20
        <LI>Treatment: Low protein diet, medications and amino acid =
supplements.=20
        Complete or partial liver transplant eliminates the need for =
diet and=20
        may improve development. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>14</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP14><FONT size=3D2><A id=3DPPTL14=20
      href=3D"javascript:GoToSld('slide0063.htm');">"Maple Syrup Urine=20
      Disease"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC14 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Maple Syrup Urine Disease=20
        <LI>3-OH 3-CH3 glutaric aciduria=20
        <LI>3-methylcrotonyl-CoA deficiency=20
        <LI>Mitochondrial acetoacetyl-CoA thiolase deficiency=20
        <LI>Isovaleric academia=20
        <LI>Methylmalonic acidemia=20
        <LI>Proponic acidemia=20
        <LI>Multiple carboxylase deficiency=20
        <LI>Glutaric acidemia type I </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>15</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP15><FONT size=3D2><A id=3DPPTL15=20
      href=3D"javascript:GoToSld('slide0081.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Organic Acidemia=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC15 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 20,000 births=20
        <LI>Validity: 100% detected on first screen=20
        <LI>Treatment: Specific amino acid dietary restrictions and =
medications=20
        </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>16</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP16><FONT size=3D2><A id=3DPPTL16=20
      href=3D"javascript:GoToSld('slide0079.htm');">Cystic=20
      Fibrosis</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC16 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:3,700=20
        <LI>Validity: approximately 5% of cases will be missed due to =
pancreatic=20
        sufficiency. All other cases should be abnormal on the first =
screen.=20
        <LI>Treatment: Comprehensive care, pancreatic<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>enzymes and vitamin =
replacement,=20
        high calorie diet and pulmonary care. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>17</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP17><FONT size=3D2><A id=3DPPTL17=20
      href=3D"javascript:GoToSld('slide0037.htm');">Congenital=20
      Hypothyroidism</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC17 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidences 1:3,000=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <UL>
          <UL>
            <LI>10% on 2<SUP>nd</SUP> screen </LI></UL></UL>
        <LI>Inadequate production of thyroid hormone=20
        <LI>Most common Cause- Failure of thyroid gland to develop.=20
        <LI>Affects growth and development, cause mental retardation.=20
        <LI>Treatment: Thyroxine (e.g. synthyroid) =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>18</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP18><FONT size=3D2><A id=3DPPTL18=20
      href=3D"javascript:GoToSld('slide0009.htm');">Congenital Adrenal =
Hyperplasia=20
      (CAH)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC18 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency: 2/3 will develop salt wasting crisis, =
which can=20
        be fatal in the first week to month of life=20
        <LI>Incidence: 1: 12,000 births=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <LI>10% on 2<SUP>nd</SUP> screen=20
        <LI>Disorder of the Adrenal Cortex=20
        <LI>Impairs the production of cortisol and aldosterone and=20
        overproduction of the male hormones=20
        <LI>Treatment: Hydrocortisone and mineralocorticoids=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>19</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP19><FONT size=3D2><A id=3DPPTL19=20
      =
href=3D"javascript:GoToSld('slide0012.htm');">Galactosemia</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC19 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>1:60,000=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> specimen =96unless =
transfused.=20
        <LI>Infants lack a chemical that is necessary to convert one =
sugar to=20
        another, resulting in a build up of galactose=20
        <LI>Can cause cataracts, mental retardation, kidney damage and =
death if=20
        not treated=20
        <LI>Treatment: Lactose restricted diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>20</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP20><FONT size=3D2><A id=3DPPTL20=20
      href=3D"javascript:GoToSld('slide0013.htm');">Biotinidase=20
      Deficiency</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC20 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen=20
        <LI>Incidence 1: 60,000=20
        <LI>Infant lack biotin, a B-Vitamin=20
        <LI>Can lead to permanent neurological damage, developmental =
delay, skin=20
        rash, seizures, and hair loss=20
        <LI>Treatment Daily Supplements of vitamin biotin=20
    </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>21</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP21><FONT size=3D2><A id=3DPPTL21=20
      href=3D"javascript:GoToSld('slide0014.htm');">Sickle Cell and =
other=20
      Hemoglobinopathies</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC21 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 5,200 births=20
        <LI>1: 400 African Americans=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen =96unless =
transfused=20
        <LI>The hemoglobin in the red blood cell is unusual.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Sometimes they are =
shaped like a=20
        sickle.=20
        <LI>Can cause problems with infection, growth, anemia, and =
chronic pain=20
        <LI>Treatment: comprehensive care, prophylactic penicillin, and=20
        treatment of febrile episodes- refer to pediatric hematologist.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>22</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP22><FONT size=3D2><A id=3DPPTL22=20
      href=3D"javascript:GoToSld('slide0019.htm');">SICKLE CELL=20
      ANEMIA</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>23</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP23><FONT size=3D2><A id=3DPPTL23=20
      href=3D"javascript:GoToSld('slide0066.htm');">All newborns in New =
Mexico=20
      MUST receive a heel-stick before discharge from the=20
      hospital---MANDATORY!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>24</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP24><FONT size=3D2><A id=3DPPTL24=20
      href=3D"javascript:GoToSld('slide0092.htm');">Screening before=20
      Discharge</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC24 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>All Birthing Facilities are required to practice uniform =
discharge=20
        screening <BR><BR>
        <LI>Failure to collect a specimen before discharge may result in =
a=20
        significant liability on both the facility and responsible =
practitioner=20
        if an affected infant is missed. =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>25</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP25><FONT size=3D2><A id=3DPPTL25=20
      href=3D"javascript:GoToSld('slide0088.htm');">Cases Identified in=20
      2008</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC25 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>11 Congenital Hypothyroidism=20
        <LI>0 Galactosemia=20
        <LI>1 Duarte-Galactocemia Heterozygotes (DG)=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Hemoglobin=3DFD/G=20
        <LI>2 SS Disease=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Congenital =
Adrenal=20
        Hyperplasia=20
        <LI>5 Cystic Fibrosis=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>0 PKU=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Benign=20
        hyperphenylalaninemia=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Transient<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Tyrosinemia=20
        <LI>0 Biotinidase=20
        <LI>2 VLCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 VLCAD =
Carrier=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Short-Chain =
Acyl-Coa=20
        Dehydogenase Deficiency=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>(SCAD) =

        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>2 MCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Methylmalonic=20
        Acidemia Variant=20
        <LI>249 Hemoglobinopathies=20
        <LI></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>26</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP26><FONT size=3D2><A id=3DPPTL26=20
      href=3D"javascript:GoToSld('slide0042.htm');">Two=20
      Screens/Specimens</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC26 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>NM requires 2 sets of screening (1<SUP>st</SUP> &amp;=20
        2<SUP>nd</SUP>)=20
        <LI>First specimen=20
        <LI>24 -48 hours of age=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN> Collected by =
hospital=20
        or midwife=20
        <LI>Before transfusion=20
        <LI>Before discharge <BR><BR>
        <LI>Second specimen=20
        <LI>Is required for all babies=20
        <LI>Collected at 10-15 days after birth =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>27</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP27><FONT size=3D2><A id=3DPPTL27=20
      href=3D"javascript:GoToSld('slide0073.htm');">"Clients=20
Name"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC27 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Clients Name=20
        <LI>PCP/phone number=20
        <LI>Single birth/ multi birth=20
        <LI>Sex:=20
        <LI>Food source=20
        <LI>Transfusion Date =
<BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>28</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP28><FONT size=3D2><A id=3DPPTL28=20
      href=3D"javascript:GoToSld('slide0072.htm');"><SPAN=20
      style=3D"mso-spacerun: yes"></SPAN></A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>29</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP29><FONT size=3D2><A id=3DPPTL29=20
      =
href=3D"javascript:GoToSld('slide0074.htm');">"DOB"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC29 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>DOB=20
        <LI>Time of Day=20
        <LI>Birth Wt.=20
        <LI>Specimen date=20
        <LI>Present Wt.=20
        <LI>Baby=92s race=20
        <LI>Mothers name/DOB address and phone #=20
        <LI>Maiden Name </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>30</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP30><FONT size=3D2><A id=3DPPTL30=20
      href=3D"javascript:GoToSld('slide0069.htm');">Blood Spot=20
      Form</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC30 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Complete all information needed on blood spot card.=20
        <LI>Physician on form will be responsible for Follow-up on =
Positive=20
        Result=20
        <LI>Parents NEED instruction on taking 2<SUP>nd</SUP> blood spot =
to=20
        first Pediatric Appt. or Lab visit=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>Babies can be =
screened=20
        up to 6 months of age <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>31</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP31><FONT size=3D2><A id=3DPPTL31=20
      href=3D"javascript:GoToSld('slide0070.htm');">Procedure for =
Bloodspot=20
      Collection</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC31 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Heel Stick was selected as the method of choice for NBS =
Collection=20
        <BR><BR>
        <LI>-Relatively easy way to obtain a sample from a Newborn=20
        <LI>-Normal values and cutoffs were set based on Capillary blood =

        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>32</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP32><FONT size=3D2><A id=3DPPTL32=20
      href=3D"javascript:GoToSld('slide0055.htm');">Specimen Collection=20
      Guidelines<BR>Equipment</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC32 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Sterile Lancet with a tip less than 2.4mm=20
        <LI>(Scalpel bladed lancets are best)=20
        <LI>Sterile alcohol swap=20
        <LI>Sterile gauze pads=20
        <LI>Soft cloth=20
        <LI>Blood Collection form=20
        <LI>Gloves <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>33</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP33><FONT size=3D2><A id=3DPPTL33=20
      href=3D"javascript:GoToSld('slide0056.htm');">Specimen Collection=20
      Guideline</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>34</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP34><FONT size=3D2><A id=3DPPTL34=20
      href=3D"javascript:GoToSld('slide0057.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>35</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP35><FONT size=3D2><A id=3DPPTL35=20
      href=3D"javascript:GoToSld('slide0058.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>36</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP36><FONT size=3D2><A id=3DPPTL36=20
      href=3D"javascript:GoToSld('slide0059.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>37</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP37><FONT size=3D2><A id=3DPPTL37=20
      href=3D"javascript:GoToSld('slide0060.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC37 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp; =
</SPAN>Lightly=20
        touch filter paper to LARGE blood drop.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Allow blood to soak =
through and=20
        completely fill circle with SINGLE application to large blood =
drop. (to=20
        enhance blood flow, very gently intermittent pressure may be =
applied to=20
        area surrounding puncture site.) Apply blood to one side of =
filter paper=20
        only. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>38</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP38><FONT size=3D2><A id=3DPPTL38=20
      href=3D"javascript:GoToSld('slide0061.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>39</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP39><FONT size=3D2><A id=3DPPTL39=20
      href=3D"javascript:GoToSld('slide0045.htm');">Valid=20
    Specimen</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>40</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP40><FONT size=3D2><A id=3DPPTL40=20
      href=3D"javascript:GoToSld('slide0047.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>41</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP41><FONT size=3D2><A id=3DPPTL41=20
      href=3D"javascript:GoToSld('slide0049.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>42</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP42><FONT size=3D2><A id=3DPPTL42=20
      href=3D"javascript:GoToSld('slide0051.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>43</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP43><FONT size=3D2><A id=3DPPTL43=20
      href=3D"javascript:GoToSld('slide0053.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>44</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP44><FONT size=3D2><A id=3DPPTL44=20
      href=3D"javascript:GoToSld('slide0030.htm');">Collect Blood =
Specimen Before=20
      Transfusion!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>45</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP45><FONT size=3D2><A id=3DPPTL45=20
      =
href=3D"javascript:GoToSld('slide0031.htm');">TRANSFUSIONS</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC45 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Collect a specimen for the newborn screening test before =
giving=20
        blood to an infant.=20
        <LI>Why?<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>If =
there=92s a<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>transfusion before the =
first=20
        newborn screening specimen is collected, it can affect results =
for=20
        galactosemia, biotinidase deficiency, and hemoglobinopathies.=20
        <LI>We notify PCP and parents of the need for a repeat screen.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>46</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP46><FONT size=3D2><A id=3DPPTL46=20
      href=3D"javascript:GoToSld('slide0032.htm');">PARENT=20
REFUSAL</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC46 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Inform parent<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>of=20
        possible consequences.=20
        <LI>Have parents sign a form stating their intention to refuse=20
        screening. <BR><BR><BR>
        <LI>Send Waiver form to:=20
        <LI>Newborn Screening Program=20
        <LI>2040 S. Pacheco St.=20
        <LI>Santa Fe, NM 87505 =
<BR><BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>47</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP47><FONT size=3D2><A id=3DPPTL47=20
      href=3D"javascript:GoToSld('slide0089.htm');">Goal: Diagnosis and =
treat in=20
      the 1<SUP>st</SUP> week of life</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC47 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>20 disorders can kill in the first week or 2 of life.=20
        <LI>10-20% of infants will be symptomatic in the first week=20
        <LI>5-10 may/will die in the first week=20
        <LI>Infants with PKU and hypothyroidism lose significant IQ =
Points if=20
        thyroid stimulating hormone (TSH) and Phenylalanine are not =
under=20
        control by 2 wks of age=20
        <LI>************************************** =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>48</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP48><FONT size=3D2><A id=3DPPTL48=20
      href=3D"javascript:GoToSld('slide0075.htm');">We don=92t want =
babies falling=20
      through the cracks!!!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>49</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP49><FONT size=3D2><A id=3DPPTL49=20
      href=3D"javascript:GoToSld('slide0033.htm');">WE NEED YOUR=20
      HELP!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC49 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>If your name is on the specimen card, you share =
responsibility in=20
        the follow-up. <BR><BR>
        <LI>Notify us if you have trouble contacting the parents.=20
        <LI>Notify us immediately if the newborn is not your patient.=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>50</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP50><FONT size=3D2><A id=3DPPTL50=20
      href=3D"javascript:GoToSld('slide0035.htm');">It=92s Not Just=20
      PKU!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC50 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Starting January 2007 the newborn screening panel tests for =
26=20
        disorders.=20
        <LI>To avoid confusion, it is important to use correct =
terminology when=20
        referring to newborn screening tests.=20
        <LI>Please make every effort to call the test =93The Newborn =
Screen=94=20
        rather than =93PKU test=94 =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>51</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP51><FONT size=3D2><A id=3DPPTL51=20
      href=3D"javascript:GoToSld('slide0090.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC51 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>The diseases are so rare, practitioners may advise parents =
not to=20
        have screening done.=20
        <UL>
          <LI>Fact:<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>NBS =
Identifies=20
          1:900 infants with one of the conditions included on the =
screening=20
          panel </LI></UL>
        <LI>Practitioners may believe the first test is of no value if =
obtained=20
        before 24-48 hours of age or before the infant has ingested =
protein or=20
        milk.=20
        <UL>
          <LI>Fact: 90% of affected infants have abnormal results on the =
first=20
          test regardless of age or food ingestion=20
    </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>52</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP52><FONT size=3D2><A id=3DPPTL52=20
      href=3D"javascript:GoToSld('slide0091.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC52 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Practitioners may believe the second screen is unnecessary=20
        <UL>
          <LI>10% of all infants are routinely found on the =
2<SUP>nd</SUP>=20
          screen. Approximately 4 conditions on the 2<SUP>nd</SUP> panel =
may=20
          take a week or more to manifest themselves long after an =
infant has=20
          been discharged and screened the first time </LI></UL>
        <LI>Practitioners may believe the second screen is unnecessary =
if the=20
        first is collected when the infant is 5<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>- 7 days of age.=20
        <UL>
          <LI>Fact: More than 20 conditions on the screen can kill in =
the first=20
          week to 10 days of life. To delay screening would mean almost =
certain=20
          death or disability for these infants and a test 5-7 days is =
too early=20
          to pick up many of the later onset disorders.=20
      </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>53</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP53><FONT size=3D2><A id=3DPPTL53=20
      href=3D"javascript:GoToSld('slide0015.htm');">You are part of the=20
      process!<BR>YOUR ROLE is very important</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC53 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Fill out specimen cards completely <BR><BR>
        <LI>Correct collection of specimens <BR><BR>
        <LI>Mail Blood Spot Kits within 24 hours<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>(Daily)=20
      <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>54</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP54><FONT size=3D2><A id=3DPPTL54=20
      href=3D"javascript:GoToSld('slide0016.htm');">How can I learn more =
about=20
      Newborn Screening?</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC54 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Visit our website at=20
        <LI>http://www.health.state.nm.us/nbs=20
        <LI>Oregon State Public Health Laboratory=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>http://oregon.gov/DHS/ph/nbs/index.shtml=20
        <LI>The Mountain States Genetics Network www.mostgene.org=20
        <LI>March of Dimes Birth Defects Foundation www.modimes.org=20
        <LI>National NBS and genetic Resource Center=20
        http://genes-r-us.uthscsa.edu=20
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      Screening <BR>Program</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC1 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>NM Department of Health, Public Health Division, Family =
Health=20
        Bureau, Children=92s Medical Services =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>2</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP2><FONT size=3D2><A id=3DPPTL2=20
      href=3D"javascript:GoToSld('slide0068.htm');">January =
2007</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC2 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Outsourced all our testing to Oregon State Public Health =
Laboratory.=20

        <LI>We increased our testing for 6 to 26 disorders=20
        <LI>Cost of blood spot kit is $89.00=20
        <LI>UPS Courier System to stop at all birthing hospitals=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>3</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP3><FONT size=3D2><A id=3DPPTL3=20
      href=3D"javascript:GoToSld('slide0002.htm');">NM Newborn=20
      Screening</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC3 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>In NM the DOH regulations implemented this in1978, Section =
24-26=20
        NMSA 1978.=20
        <LI>1978<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>PKU=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Congenital Hypothyroidism (CH)=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Galactosemia=20
        <LI>1995<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Sickle Cell Disease=20
        <LI>1995<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>Biotinidase=20
        <LI>1999 Congenital Adrenal Hyperplasia (CAH)=20
        <LI>2007 Expanded Screening=20
        <LI>(19 more Metabolic Conditions and=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>Cystic =
Fibrosis)=20
        </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>4</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP4><FONT size=3D2><A id=3DPPTL4=20
      href=3D"javascript:GoToSld('slide0021.htm');">Expanded=20
      Screening<BR><BR>Fatty Acid Oxidation Disorders, Amino Acid =
Disorders,=20
      Urea Cycle Disorders and Organic Acidemia =
Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC4 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR><BR><BR><BR><BR><BR></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>5</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP5><FONT size=3D2><A id=3DPPTL5=20
      href=3D"javascript:GoToSld('slide0076.htm');">Fatty Acid Oxidation =
Disorders=20
      (FOA)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC5 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Carnitine Uptake Defect=20
        <LI>Long-Chain L-3-OH acyl-CoA Dehydrogenase Deficiency=20
        <LI>Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCAD)=20
        <LI>Trifunctional Protein Deficiency=20
        <LI>Very Long-Chain Acyl-CoA Dehydrogenase Deficiency=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>6</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP6><FONT size=3D2><A id=3DPPTL6=20
      href=3D"javascript:GoToSld('slide0080.htm');">Fatty Acid Oxidation =

      (FAO)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC6 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 6, 000 births=20
        <LI>Validity: 90% on the first screen=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>10% on the=20
        2<SUP>nd</SUP> screen=20
        <LI>Treatment: Avoid fasting, low fat diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>7</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP7><FONT size=3D2><A id=3DPPTL7=20
      href=3D"javascript:GoToSld('slide0077.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Amino Acid=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC7 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Homocystinuria=20
        <LI>Tyrosinemia Type I=20
        <LI>Phenylketonuria <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>8</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP8><FONT size=3D2><A id=3DPPTL8=20
      href=3D"javascript:GoToSld('slide0083.htm');">Amino Acids=20
      Disorders<BR>Homocystinuria</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC8 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:100,000=20
        <LI>Validity<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>20% =
on=20
        1<SUP>st</SUP> screen=20
        <LI>80% on 2<SUP>nd</SUP> screen=20
        <LI>Treatment: Vitamin B6 if responsive; if not responsive, low=20
        methionine diet with cysteine and betaine supplements=20
      <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>9</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP9><FONT size=3D2><A id=3DPPTL9=20
      href=3D"javascript:GoToSld('slide0085.htm');">Amino Acid =
disorder<BR><SPAN=20
      style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
      </SPAN>Phenylketonuria ( PKU )</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC9 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence:<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>1:12,000=20
        <LI>Validity: &gt;99% on first screen=20
        <LI>Causes developmental delays, seizures and severe mental =
retardation=20
        <LI>Treatment: low phenylalanine diet=20
        <LI>Patients whose treatment begins after 6 months are likely to =
remain=20
        mentally retarded <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>10</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP10><FONT size=3D2><A id=3DPPTL10=20
      =
href=3D"javascript:GoToSld('slide0086.htm');">Maternal<BR>Phenylketonuria=
</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC10 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Poorly controlled PKU during a pregnancy put their baby at =
risk for=20
        <LI>Delayed Development=20
        <LI>Mental retardation=20
        <LI>Poor head growth=20
        <LI>Poor overall growth=20
        <LI>Heart defects </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>11</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP11><FONT size=3D2><A id=3DPPTL11=20
      href=3D"javascript:GoToSld('slide0087.htm');">Amino Acid=20
      Disorder<BR>Tyrosinemia Type I, II and Transient</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC11 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 100,000 (types I &amp; II) (1:1,000 transient) =

        <LI>Validity: &lt;20% identified on either screening test=20
        <LI>Untreated: severe liver and renal disease and peripheral =
nerve=20
        damage=20
        <LI>Treatment: low protein Phe/tyr diet, medications and =
possible liver=20
        transplant in type I; low phe/tyr diet in type II; transient =
tyrosinemia=20
        resolves within a month or two of birth or Vitamin C supplements =
for a=20
        few days will shorten the time. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>12</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP12><FONT size=3D2><A id=3DPPTL12=20
      href=3D"javascript:GoToSld('slide0078.htm');">Urea Cycle=20
      disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC12 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: =
yes">&nbsp;</SPAN>Argininosuccinic=20
        acidemia=20
        <LI>Citrullinemia <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>13</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP13><FONT size=3D2><A id=3DPPTL13=20
      href=3D"javascript:GoToSld('slide0082.htm');">Urea Cycle=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC13 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency:<SPAN style=3D"mso-spacerun: yes">&nbsp;=20
        </SPAN>Infants with severe hyperammonemia may die in the first =
week to=20
        10 days if not diagnosed and treated.=20
        <LI>Incidence 1: 60,000 births=20
        <LI>Validity: 100%<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>on first=20
        screen=20
        <LI>Treatment: Low protein diet, medications and amino acid =
supplements.=20
        Complete or partial liver transplant eliminates the need for =
diet and=20
        may improve development. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>14</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP14><FONT size=3D2><A id=3DPPTL14=20
      href=3D"javascript:GoToSld('slide0063.htm');">"Maple Syrup Urine=20
      Disease"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC14 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Maple Syrup Urine Disease=20
        <LI>3-OH 3-CH3 glutaric aciduria=20
        <LI>3-methylcrotonyl-CoA deficiency=20
        <LI>Mitochondrial acetoacetyl-CoA thiolase deficiency=20
        <LI>Isovaleric academia=20
        <LI>Methylmalonic acidemia=20
        <LI>Proponic acidemia=20
        <LI>Multiple carboxylase deficiency=20
        <LI>Glutaric acidemia type I </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>15</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP15><FONT size=3D2><A id=3DPPTL15=20
      href=3D"javascript:GoToSld('slide0081.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Organic Acidemia=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC15 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 20,000 births=20
        <LI>Validity: 100% detected on first screen=20
        <LI>Treatment: Specific amino acid dietary restrictions and =
medications=20
        </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>16</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP16><FONT size=3D2><A id=3DPPTL16=20
      href=3D"javascript:GoToSld('slide0079.htm');">Cystic=20
      Fibrosis</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC16 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:3,700=20
        <LI>Validity: approximately 5% of cases will be missed due to =
pancreatic=20
        sufficiency. All other cases should be abnormal on the first =
screen.=20
        <LI>Treatment: Comprehensive care, pancreatic<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>enzymes and vitamin =
replacement,=20
        high calorie diet and pulmonary care. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>17</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP17><FONT size=3D2><A id=3DPPTL17=20
      href=3D"javascript:GoToSld('slide0037.htm');">Congenital=20
      Hypothyroidism</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC17 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidences 1:3,000=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <UL>
          <UL>
            <LI>10% on 2<SUP>nd</SUP> screen </LI></UL></UL>
        <LI>Inadequate production of thyroid hormone=20
        <LI>Most common Cause- Failure of thyroid gland to develop.=20
        <LI>Affects growth and development, cause mental retardation.=20
        <LI>Treatment: Thyroxine (e.g. synthyroid) =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>18</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP18><FONT size=3D2><A id=3DPPTL18=20
      href=3D"javascript:GoToSld('slide0009.htm');">Congenital Adrenal =
Hyperplasia=20
      (CAH)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC18 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency: 2/3 will develop salt wasting crisis, =
which can=20
        be fatal in the first week to month of life=20
        <LI>Incidence: 1: 12,000 births=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <LI>10% on 2<SUP>nd</SUP> screen=20
        <LI>Disorder of the Adrenal Cortex=20
        <LI>Impairs the production of cortisol and aldosterone and=20
        overproduction of the male hormones=20
        <LI>Treatment: Hydrocortisone and mineralocorticoids=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>19</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP19><FONT size=3D2><A id=3DPPTL19=20
      =
href=3D"javascript:GoToSld('slide0012.htm');">Galactosemia</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC19 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>1:60,000=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> specimen =96unless =
transfused.=20
        <LI>Infants lack a chemical that is necessary to convert one =
sugar to=20
        another, resulting in a build up of galactose=20
        <LI>Can cause cataracts, mental retardation, kidney damage and =
death if=20
        not treated=20
        <LI>Treatment: Lactose restricted diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>20</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP20><FONT size=3D2><A id=3DPPTL20=20
      href=3D"javascript:GoToSld('slide0013.htm');">Biotinidase=20
      Deficiency</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC20 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen=20
        <LI>Incidence 1: 60,000=20
        <LI>Infant lack biotin, a B-Vitamin=20
        <LI>Can lead to permanent neurological damage, developmental =
delay, skin=20
        rash, seizures, and hair loss=20
        <LI>Treatment Daily Supplements of vitamin biotin=20
    </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>21</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP21><FONT size=3D2><A id=3DPPTL21=20
      href=3D"javascript:GoToSld('slide0014.htm');">Sickle Cell and =
other=20
      Hemoglobinopathies</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC21 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 5,200 births=20
        <LI>1: 400 African Americans=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen =96unless =
transfused=20
        <LI>The hemoglobin in the red blood cell is unusual.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Sometimes they are =
shaped like a=20
        sickle.=20
        <LI>Can cause problems with infection, growth, anemia, and =
chronic pain=20
        <LI>Treatment: comprehensive care, prophylactic penicillin, and=20
        treatment of febrile episodes- refer to pediatric hematologist.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>22</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP22><FONT size=3D2><A id=3DPPTL22=20
      href=3D"javascript:GoToSld('slide0019.htm');">SICKLE CELL=20
      ANEMIA</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>23</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP23><FONT size=3D2><A id=3DPPTL23=20
      href=3D"javascript:GoToSld('slide0066.htm');">All newborns in New =
Mexico=20
      MUST receive a heel-stick before discharge from the=20
      hospital---MANDATORY!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>24</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP24><FONT size=3D2><A id=3DPPTL24=20
      href=3D"javascript:GoToSld('slide0092.htm');">Screening before=20
      Discharge</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC24 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>All Birthing Facilities are required to practice uniform =
discharge=20
        screening <BR><BR>
        <LI>Failure to collect a specimen before discharge may result in =
a=20
        significant liability on both the facility and responsible =
practitioner=20
        if an affected infant is missed. =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>25</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP25><FONT size=3D2><A id=3DPPTL25=20
      href=3D"javascript:GoToSld('slide0088.htm');">Cases Identified in=20
      2008</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC25 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>11 Congenital Hypothyroidism=20
        <LI>0 Galactosemia=20
        <LI>1 Duarte-Galactocemia Heterozygotes (DG)=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Hemoglobin=3DFD/G=20
        <LI>2 SS Disease=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Congenital =
Adrenal=20
        Hyperplasia=20
        <LI>5 Cystic Fibrosis=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>0 PKU=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Benign=20
        hyperphenylalaninemia=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Transient<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Tyrosinemia=20
        <LI>0 Biotinidase=20
        <LI>2 VLCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 VLCAD =
Carrier=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Short-Chain =
Acyl-Coa=20
        Dehydogenase Deficiency=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>(SCAD) =

        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>2 MCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Methylmalonic=20
        Acidemia Variant=20
        <LI>249 Hemoglobinopathies=20
        <LI></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>26</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP26><FONT size=3D2><A id=3DPPTL26=20
      href=3D"javascript:GoToSld('slide0042.htm');">Two=20
      Screens/Specimens</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC26 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>NM requires 2 sets of screening (1<SUP>st</SUP> &amp;=20
        2<SUP>nd</SUP>)=20
        <LI>First specimen=20
        <LI>24 -48 hours of age=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN> Collected by =
hospital=20
        or midwife=20
        <LI>Before transfusion=20
        <LI>Before discharge <BR><BR>
        <LI>Second specimen=20
        <LI>Is required for all babies=20
        <LI>Collected at 10-15 days after birth =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>27</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP27><FONT size=3D2><A id=3DPPTL27=20
      href=3D"javascript:GoToSld('slide0073.htm');">"Clients=20
Name"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC27 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Clients Name=20
        <LI>PCP/phone number=20
        <LI>Single birth/ multi birth=20
        <LI>Sex:=20
        <LI>Food source=20
        <LI>Transfusion Date =
<BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>28</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP28><FONT size=3D2><A id=3DPPTL28=20
      href=3D"javascript:GoToSld('slide0072.htm');"><SPAN=20
      style=3D"mso-spacerun: yes"></SPAN></A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>29</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP29><FONT size=3D2><A id=3DPPTL29=20
      =
href=3D"javascript:GoToSld('slide0074.htm');">"DOB"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC29 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>DOB=20
        <LI>Time of Day=20
        <LI>Birth Wt.=20
        <LI>Specimen date=20
        <LI>Present Wt.=20
        <LI>Baby=92s race=20
        <LI>Mothers name/DOB address and phone #=20
        <LI>Maiden Name </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>30</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP30><FONT size=3D2><A id=3DPPTL30=20
      href=3D"javascript:GoToSld('slide0069.htm');">Blood Spot=20
      Form</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC30 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Complete all information needed on blood spot card.=20
        <LI>Physician on form will be responsible for Follow-up on =
Positive=20
        Result=20
        <LI>Parents NEED instruction on taking 2<SUP>nd</SUP> blood spot =
to=20
        first Pediatric Appt. or Lab visit=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>Babies can be =
screened=20
        up to 6 months of age <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>31</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP31><FONT size=3D2><A id=3DPPTL31=20
      href=3D"javascript:GoToSld('slide0070.htm');">Procedure for =
Bloodspot=20
      Collection</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC31 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Heel Stick was selected as the method of choice for NBS =
Collection=20
        <BR><BR>
        <LI>-Relatively easy way to obtain a sample from a Newborn=20
        <LI>-Normal values and cutoffs were set based on Capillary blood =

        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>32</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP32><FONT size=3D2><A id=3DPPTL32=20
      href=3D"javascript:GoToSld('slide0055.htm');">Specimen Collection=20
      Guidelines<BR>Equipment</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC32 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Sterile Lancet with a tip less than 2.4mm=20
        <LI>(Scalpel bladed lancets are best)=20
        <LI>Sterile alcohol swap=20
        <LI>Sterile gauze pads=20
        <LI>Soft cloth=20
        <LI>Blood Collection form=20
        <LI>Gloves <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>33</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP33><FONT size=3D2><A id=3DPPTL33=20
      href=3D"javascript:GoToSld('slide0056.htm');">Specimen Collection=20
      Guideline</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>34</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP34><FONT size=3D2><A id=3DPPTL34=20
      href=3D"javascript:GoToSld('slide0057.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>35</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP35><FONT size=3D2><A id=3DPPTL35=20
      href=3D"javascript:GoToSld('slide0058.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>36</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP36><FONT size=3D2><A id=3DPPTL36=20
      href=3D"javascript:GoToSld('slide0059.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>37</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP37><FONT size=3D2><A id=3DPPTL37=20
      href=3D"javascript:GoToSld('slide0060.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC37 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp; =
</SPAN>Lightly=20
        touch filter paper to LARGE blood drop.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Allow blood to soak =
through and=20
        completely fill circle with SINGLE application to large blood =
drop. (to=20
        enhance blood flow, very gently intermittent pressure may be =
applied to=20
        area surrounding puncture site.) Apply blood to one side of =
filter paper=20
        only. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>38</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP38><FONT size=3D2><A id=3DPPTL38=20
      href=3D"javascript:GoToSld('slide0061.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>39</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP39><FONT size=3D2><A id=3DPPTL39=20
      href=3D"javascript:GoToSld('slide0045.htm');">Valid=20
    Specimen</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>40</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP40><FONT size=3D2><A id=3DPPTL40=20
      href=3D"javascript:GoToSld('slide0047.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>41</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP41><FONT size=3D2><A id=3DPPTL41=20
      href=3D"javascript:GoToSld('slide0049.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>42</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP42><FONT size=3D2><A id=3DPPTL42=20
      href=3D"javascript:GoToSld('slide0051.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>43</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP43><FONT size=3D2><A id=3DPPTL43=20
      href=3D"javascript:GoToSld('slide0053.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>44</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP44><FONT size=3D2><A id=3DPPTL44=20
      href=3D"javascript:GoToSld('slide0030.htm');">Collect Blood =
Specimen Before=20
      Transfusion!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>45</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP45><FONT size=3D2><A id=3DPPTL45=20
      =
href=3D"javascript:GoToSld('slide0031.htm');">TRANSFUSIONS</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC45 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Collect a specimen for the newborn screening test before =
giving=20
        blood to an infant.=20
        <LI>Why?<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>If =
there=92s a<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>transfusion before the =
first=20
        newborn screening specimen is collected, it can affect results =
for=20
        galactosemia, biotinidase deficiency, and hemoglobinopathies.=20
        <LI>We notify PCP and parents of the need for a repeat screen.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>46</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP46><FONT size=3D2><A id=3DPPTL46=20
      href=3D"javascript:GoToSld('slide0032.htm');">PARENT=20
REFUSAL</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC46 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Inform parent<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>of=20
        possible consequences.=20
        <LI>Have parents sign a form stating their intention to refuse=20
        screening. <BR><BR><BR>
        <LI>Send Waiver form to:=20
        <LI>Newborn Screening Program=20
        <LI>2040 S. Pacheco St.=20
        <LI>Santa Fe, NM 87505 =
<BR><BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>47</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP47><FONT size=3D2><A id=3DPPTL47=20
      href=3D"javascript:GoToSld('slide0089.htm');">Goal: Diagnosis and =
treat in=20
      the 1<SUP>st</SUP> week of life</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC47 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>20 disorders can kill in the first week or 2 of life.=20
        <LI>10-20% of infants will be symptomatic in the first week=20
        <LI>5-10 may/will die in the first week=20
        <LI>Infants with PKU and hypothyroidism lose significant IQ =
Points if=20
        thyroid stimulating hormone (TSH) and Phenylalanine are not =
under=20
        control by 2 wks of age=20
        <LI>************************************** =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>48</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP48><FONT size=3D2><A id=3DPPTL48=20
      href=3D"javascript:GoToSld('slide0075.htm');">We don=92t want =
babies falling=20
      through the cracks!!!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>49</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP49><FONT size=3D2><A id=3DPPTL49=20
      href=3D"javascript:GoToSld('slide0033.htm');">WE NEED YOUR=20
      HELP!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC49 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>If your name is on the specimen card, you share =
responsibility in=20
        the follow-up. <BR><BR>
        <LI>Notify us if you have trouble contacting the parents.=20
        <LI>Notify us immediately if the newborn is not your patient.=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>50</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP50><FONT size=3D2><A id=3DPPTL50=20
      href=3D"javascript:GoToSld('slide0035.htm');">It=92s Not Just=20
      PKU!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC50 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Starting January 2007 the newborn screening panel tests for =
26=20
        disorders.=20
        <LI>To avoid confusion, it is important to use correct =
terminology when=20
        referring to newborn screening tests.=20
        <LI>Please make every effort to call the test =93The Newborn =
Screen=94=20
        rather than =93PKU test=94 =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>51</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP51><FONT size=3D2><A id=3DPPTL51=20
      href=3D"javascript:GoToSld('slide0090.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC51 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>The diseases are so rare, practitioners may advise parents =
not to=20
        have screening done.=20
        <UL>
          <LI>Fact:<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>NBS =
Identifies=20
          1:900 infants with one of the conditions included on the =
screening=20
          panel </LI></UL>
        <LI>Practitioners may believe the first test is of no value if =
obtained=20
        before 24-48 hours of age or before the infant has ingested =
protein or=20
        milk.=20
        <UL>
          <LI>Fact: 90% of affected infants have abnormal results on the =
first=20
          test regardless of age or food ingestion=20
    </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>52</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP52><FONT size=3D2><A id=3DPPTL52=20
      href=3D"javascript:GoToSld('slide0091.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC52 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Practitioners may believe the second screen is unnecessary=20
        <UL>
          <LI>10% of all infants are routinely found on the =
2<SUP>nd</SUP>=20
          screen. Approximately 4 conditions on the 2<SUP>nd</SUP> panel =
may=20
          take a week or more to manifest themselves long after an =
infant has=20
          been discharged and screened the first time </LI></UL>
        <LI>Practitioners may believe the second screen is unnecessary =
if the=20
        first is collected when the infant is 5<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>- 7 days of age.=20
        <UL>
          <LI>Fact: More than 20 conditions on the screen can kill in =
the first=20
          week to 10 days of life. To delay screening would mean almost =
certain=20
          death or disability for these infants and a test 5-7 days is =
too early=20
          to pick up many of the later onset disorders.=20
      </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>53</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP53><FONT size=3D2><A id=3DPPTL53=20
      href=3D"javascript:GoToSld('slide0015.htm');">You are part of the=20
      process!<BR>YOUR ROLE is very important</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC53 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Fill out specimen cards completely <BR><BR>
        <LI>Correct collection of specimens <BR><BR>
        <LI>Mail Blood Spot Kits within 24 hours<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>(Daily)=20
      <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>54</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP54><FONT size=3D2><A id=3DPPTL54=20
      href=3D"javascript:GoToSld('slide0016.htm');">How can I learn more =
about=20
      Newborn Screening?</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC54 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Visit our website at=20
        <LI>http://www.health.state.nm.us/nbs=20
        <LI>Oregon State Public Health Laboratory=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>http://oregon.gov/DHS/ph/nbs/index.shtml=20
        <LI>The Mountain States Genetics Network www.mostgene.org=20
        <LI>March of Dimes Birth Defects Foundation www.modimes.org=20
        <LI>National NBS and genetic Resource Center=20
        http://genes-r-us.uthscsa.edu=20
  <BR><BR><BR></LI></UL></FONT></DIV></TD></TR></TBODY></TABLE></DIV>
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<TABLE style=3D"FONT-SIZE: 9pt; FONT-FAMILY: Arial" width=3D"100%">
  <TBODY>
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onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>1</FONT></DIV></TD>
    <TD width=3D"100%">
      <DIV class=3DPTxt id=3DPPTP1><FONT size=3D2><A id=3DPPTL1=20
      href=3D"javascript:GoToSld('slide0001.htm');">New =
Mexico<BR>Newborn=20
      Screening <BR>Program</A></FONT></DIV>
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size=3D2>
      <UL><BR>
        <LI>NM Department of Health, Public Health Division, Family =
Health=20
        Bureau, Children=92s Medical Services =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
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onclick=3DFollow(this)=20
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    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>2</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP2><FONT size=3D2><A id=3DPPTL2=20
      href=3D"javascript:GoToSld('slide0068.htm');">January =
2007</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC2 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Outsourced all our testing to Oregon State Public Health =
Laboratory.=20

        <LI>We increased our testing for 6 to 26 disorders=20
        <LI>Cost of blood spot kit is $89.00=20
        <LI>UPS Courier System to stop at all birthing hospitals=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>3</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP3><FONT size=3D2><A id=3DPPTL3=20
      href=3D"javascript:GoToSld('slide0002.htm');">NM Newborn=20
      Screening</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC3 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>In NM the DOH regulations implemented this in1978, Section =
24-26=20
        NMSA 1978.=20
        <LI>1978<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>PKU=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Congenital Hypothyroidism (CH)=20
        <LI>1979<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Galactosemia=20
        <LI>1995<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;=20
        </SPAN>Sickle Cell Disease=20
        <LI>1995<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>Biotinidase=20
        <LI>1999 Congenital Adrenal Hyperplasia (CAH)=20
        <LI>2007 Expanded Screening=20
        <LI>(19 more Metabolic Conditions and=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>Cystic =
Fibrosis)=20
        </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>4</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP4><FONT size=3D2><A id=3DPPTL4=20
      href=3D"javascript:GoToSld('slide0021.htm');">Expanded=20
      Screening<BR><BR>Fatty Acid Oxidation Disorders, Amino Acid =
Disorders,=20
      Urea Cycle Disorders and Organic Acidemia =
Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC4 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR><BR><BR><BR><BR><BR></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>5</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP5><FONT size=3D2><A id=3DPPTL5=20
      href=3D"javascript:GoToSld('slide0076.htm');">Fatty Acid Oxidation =
Disorders=20
      (FOA)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC5 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Carnitine Uptake Defect=20
        <LI>Long-Chain L-3-OH acyl-CoA Dehydrogenase Deficiency=20
        <LI>Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCAD)=20
        <LI>Trifunctional Protein Deficiency=20
        <LI>Very Long-Chain Acyl-CoA Dehydrogenase Deficiency=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>6</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP6><FONT size=3D2><A id=3DPPTL6=20
      href=3D"javascript:GoToSld('slide0080.htm');">Fatty Acid Oxidation =

      (FAO)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC6 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 6, 000 births=20
        <LI>Validity: 90% on the first screen=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>10% on the=20
        2<SUP>nd</SUP> screen=20
        <LI>Treatment: Avoid fasting, low fat diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>7</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP7><FONT size=3D2><A id=3DPPTL7=20
      href=3D"javascript:GoToSld('slide0077.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Amino Acid=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC7 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Homocystinuria=20
        <LI>Tyrosinemia Type I=20
        <LI>Phenylketonuria <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>8</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP8><FONT size=3D2><A id=3DPPTL8=20
      href=3D"javascript:GoToSld('slide0083.htm');">Amino Acids=20
      Disorders<BR>Homocystinuria</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC8 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:100,000=20
        <LI>Validity<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>20% =
on=20
        1<SUP>st</SUP> screen=20
        <LI>80% on 2<SUP>nd</SUP> screen=20
        <LI>Treatment: Vitamin B6 if responsive; if not responsive, low=20
        methionine diet with cysteine and betaine supplements=20
      <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>9</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP9><FONT size=3D2><A id=3DPPTL9=20
      href=3D"javascript:GoToSld('slide0085.htm');">Amino Acid =
disorder<BR><SPAN=20
      style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
      </SPAN>Phenylketonuria ( PKU )</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC9 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence:<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>1:12,000=20
        <LI>Validity: &gt;99% on first screen=20
        <LI>Causes developmental delays, seizures and severe mental =
retardation=20
        <LI>Treatment: low phenylalanine diet=20
        <LI>Patients whose treatment begins after 6 months are likely to =
remain=20
        mentally retarded <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>10</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP10><FONT size=3D2><A id=3DPPTL10=20
      =
href=3D"javascript:GoToSld('slide0086.htm');">Maternal<BR>Phenylketonuria=
</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC10 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Poorly controlled PKU during a pregnancy put their baby at =
risk for=20
        <LI>Delayed Development=20
        <LI>Mental retardation=20
        <LI>Poor head growth=20
        <LI>Poor overall growth=20
        <LI>Heart defects </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>11</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP11><FONT size=3D2><A id=3DPPTL11=20
      href=3D"javascript:GoToSld('slide0087.htm');">Amino Acid=20
      Disorder<BR>Tyrosinemia Type I, II and Transient</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC11 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 100,000 (types I &amp; II) (1:1,000 transient) =

        <LI>Validity: &lt;20% identified on either screening test=20
        <LI>Untreated: severe liver and renal disease and peripheral =
nerve=20
        damage=20
        <LI>Treatment: low protein Phe/tyr diet, medications and =
possible liver=20
        transplant in type I; low phe/tyr diet in type II; transient =
tyrosinemia=20
        resolves within a month or two of birth or Vitamin C supplements =
for a=20
        few days will shorten the time. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>12</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP12><FONT size=3D2><A id=3DPPTL12=20
      href=3D"javascript:GoToSld('slide0078.htm');">Urea Cycle=20
      disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC12 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: =
yes">&nbsp;</SPAN>Argininosuccinic=20
        acidemia=20
        <LI>Citrullinemia <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>13</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP13><FONT size=3D2><A id=3DPPTL13=20
      href=3D"javascript:GoToSld('slide0082.htm');">Urea Cycle=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC13 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency:<SPAN style=3D"mso-spacerun: yes">&nbsp;=20
        </SPAN>Infants with severe hyperammonemia may die in the first =
week to=20
        10 days if not diagnosed and treated.=20
        <LI>Incidence 1: 60,000 births=20
        <LI>Validity: 100%<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>on first=20
        screen=20
        <LI>Treatment: Low protein diet, medications and amino acid =
supplements.=20
        Complete or partial liver transplant eliminates the need for =
diet and=20
        may improve development. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>14</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP14><FONT size=3D2><A id=3DPPTL14=20
      href=3D"javascript:GoToSld('slide0063.htm');">"Maple Syrup Urine=20
      Disease"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC14 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Maple Syrup Urine Disease=20
        <LI>3-OH 3-CH3 glutaric aciduria=20
        <LI>3-methylcrotonyl-CoA deficiency=20
        <LI>Mitochondrial acetoacetyl-CoA thiolase deficiency=20
        <LI>Isovaleric academia=20
        <LI>Methylmalonic acidemia=20
        <LI>Proponic acidemia=20
        <LI>Multiple carboxylase deficiency=20
        <LI>Glutaric acidemia type I </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>15</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP15><FONT size=3D2><A id=3DPPTL15=20
      href=3D"javascript:GoToSld('slide0081.htm');"><SPAN=20
      style=3D"mso-spacerun: yes">&nbsp;</SPAN>Organic Acidemia=20
      Disorders</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC15 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence: 1: 20,000 births=20
        <LI>Validity: 100% detected on first screen=20
        <LI>Treatment: Specific amino acid dietary restrictions and =
medications=20
        </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>16</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP16><FONT size=3D2><A id=3DPPTL16=20
      href=3D"javascript:GoToSld('slide0079.htm');">Cystic=20
      Fibrosis</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC16 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1:3,700=20
        <LI>Validity: approximately 5% of cases will be missed due to =
pancreatic=20
        sufficiency. All other cases should be abnormal on the first =
screen.=20
        <LI>Treatment: Comprehensive care, pancreatic<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>enzymes and vitamin =
replacement,=20
        high calorie diet and pulmonary care. =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>17</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP17><FONT size=3D2><A id=3DPPTL17=20
      href=3D"javascript:GoToSld('slide0037.htm');">Congenital=20
      Hypothyroidism</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC17 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidences 1:3,000=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <UL>
          <UL>
            <LI>10% on 2<SUP>nd</SUP> screen </LI></UL></UL>
        <LI>Inadequate production of thyroid hormone=20
        <LI>Most common Cause- Failure of thyroid gland to develop.=20
        <LI>Affects growth and development, cause mental retardation.=20
        <LI>Treatment: Thyroxine (e.g. synthyroid) =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>18</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP18><FONT size=3D2><A id=3DPPTL18=20
      href=3D"javascript:GoToSld('slide0009.htm');">Congenital Adrenal =
Hyperplasia=20
      (CAH)</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC18 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency: 2/3 will develop salt wasting crisis, =
which can=20
        be fatal in the first week to month of life=20
        <LI>Incidence: 1: 12,000 births=20
        <LI>Validity: 90% identified on 1<SUP>st</SUP> screen=20
        <LI>10% on 2<SUP>nd</SUP> screen=20
        <LI>Disorder of the Adrenal Cortex=20
        <LI>Impairs the production of cortisol and aldosterone and=20
        overproduction of the male hormones=20
        <LI>Treatment: Hydrocortisone and mineralocorticoids=20
      </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>19</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP19><FONT size=3D2><A id=3DPPTL19=20
      =
href=3D"javascript:GoToSld('slide0012.htm');">Galactosemia</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC19 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Neonatal Emergency=20
        <LI>Incidence<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>1:60,000=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> specimen =96unless =
transfused.=20
        <LI>Infants lack a chemical that is necessary to convert one =
sugar to=20
        another, resulting in a build up of galactose=20
        <LI>Can cause cataracts, mental retardation, kidney damage and =
death if=20
        not treated=20
        <LI>Treatment: Lactose restricted diet =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>20</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP20><FONT size=3D2><A id=3DPPTL20=20
      href=3D"javascript:GoToSld('slide0013.htm');">Biotinidase=20
      Deficiency</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC20 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen=20
        <LI>Incidence 1: 60,000=20
        <LI>Infant lack biotin, a B-Vitamin=20
        <LI>Can lead to permanent neurological damage, developmental =
delay, skin=20
        rash, seizures, and hair loss=20
        <LI>Treatment Daily Supplements of vitamin biotin=20
    </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>21</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP21><FONT size=3D2><A id=3DPPTL21=20
      href=3D"javascript:GoToSld('slide0014.htm');">Sickle Cell and =
other=20
      Hemoglobinopathies</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC21 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Incidence: 1: 5,200 births=20
        <LI>1: 400 African Americans=20
        <LI>Validity: 100% found on 1<SUP>st</SUP> screen =96unless =
transfused=20
        <LI>The hemoglobin in the red blood cell is unusual.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Sometimes they are =
shaped like a=20
        sickle.=20
        <LI>Can cause problems with infection, growth, anemia, and =
chronic pain=20
        <LI>Treatment: comprehensive care, prophylactic penicillin, and=20
        treatment of febrile episodes- refer to pediatric hematologist.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>22</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP22><FONT size=3D2><A id=3DPPTL22=20
      href=3D"javascript:GoToSld('slide0019.htm');">SICKLE CELL=20
      ANEMIA</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>23</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP23><FONT size=3D2><A id=3DPPTL23=20
      href=3D"javascript:GoToSld('slide0066.htm');">All newborns in New =
Mexico=20
      MUST receive a heel-stick before discharge from the=20
      hospital---MANDATORY!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>24</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP24><FONT size=3D2><A id=3DPPTL24=20
      href=3D"javascript:GoToSld('slide0092.htm');">Screening before=20
      Discharge</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC24 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>All Birthing Facilities are required to practice uniform =
discharge=20
        screening <BR><BR>
        <LI>Failure to collect a specimen before discharge may result in =
a=20
        significant liability on both the facility and responsible =
practitioner=20
        if an affected infant is missed. =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>25</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP25><FONT size=3D2><A id=3DPPTL25=20
      href=3D"javascript:GoToSld('slide0088.htm');">Cases Identified in=20
      2008</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC25 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>11 Congenital Hypothyroidism=20
        <LI>0 Galactosemia=20
        <LI>1 Duarte-Galactocemia Heterozygotes (DG)=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Hemoglobin=3DFD/G=20
        <LI>2 SS Disease=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Congenital =
Adrenal=20
        Hyperplasia=20
        <LI>5 Cystic Fibrosis=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>0 PKU=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Benign=20
        hyperphenylalaninemia=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Transient<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Tyrosinemia=20
        <LI>0 Biotinidase=20
        <LI>2 VLCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 VLCAD =
Carrier=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 Short-Chain =
Acyl-Coa=20
        Dehydogenase Deficiency=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>(SCAD) =

        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>2 MCAD=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>1 =
Methylmalonic=20
        Acidemia Variant=20
        <LI>249 Hemoglobinopathies=20
        <LI></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>26</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP26><FONT size=3D2><A id=3DPPTL26=20
      href=3D"javascript:GoToSld('slide0042.htm');">Two=20
      Screens/Specimens</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC26 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>NM requires 2 sets of screening (1<SUP>st</SUP> &amp;=20
        2<SUP>nd</SUP>)=20
        <LI>First specimen=20
        <LI>24 -48 hours of age=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN> Collected by =
hospital=20
        or midwife=20
        <LI>Before transfusion=20
        <LI>Before discharge <BR><BR>
        <LI>Second specimen=20
        <LI>Is required for all babies=20
        <LI>Collected at 10-15 days after birth =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>27</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP27><FONT size=3D2><A id=3DPPTL27=20
      href=3D"javascript:GoToSld('slide0073.htm');">"Clients=20
Name"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC27 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Clients Name=20
        <LI>PCP/phone number=20
        <LI>Single birth/ multi birth=20
        <LI>Sex:=20
        <LI>Food source=20
        <LI>Transfusion Date =
<BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>28</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP28><FONT size=3D2><A id=3DPPTL28=20
      href=3D"javascript:GoToSld('slide0072.htm');"><SPAN=20
      style=3D"mso-spacerun: yes"></SPAN></A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>29</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP29><FONT size=3D2><A id=3DPPTL29=20
      =
href=3D"javascript:GoToSld('slide0074.htm');">"DOB"</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC29 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>DOB=20
        <LI>Time of Day=20
        <LI>Birth Wt.=20
        <LI>Specimen date=20
        <LI>Present Wt.=20
        <LI>Baby=92s race=20
        <LI>Mothers name/DOB address and phone #=20
        <LI>Maiden Name </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>30</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP30><FONT size=3D2><A id=3DPPTL30=20
      href=3D"javascript:GoToSld('slide0069.htm');">Blood Spot=20
      Form</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC30 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Complete all information needed on blood spot card.=20
        <LI>Physician on form will be responsible for Follow-up on =
Positive=20
        Result=20
        <LI>Parents NEED instruction on taking 2<SUP>nd</SUP> blood spot =
to=20
        first Pediatric Appt. or Lab visit=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>Babies can be =
screened=20
        up to 6 months of age <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>31</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP31><FONT size=3D2><A id=3DPPTL31=20
      href=3D"javascript:GoToSld('slide0070.htm');">Procedure for =
Bloodspot=20
      Collection</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC31 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Heel Stick was selected as the method of choice for NBS =
Collection=20
        <BR><BR>
        <LI>-Relatively easy way to obtain a sample from a Newborn=20
        <LI>-Normal values and cutoffs were set based on Capillary blood =

        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>32</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP32><FONT size=3D2><A id=3DPPTL32=20
      href=3D"javascript:GoToSld('slide0055.htm');">Specimen Collection=20
      Guidelines<BR>Equipment</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC32 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Sterile Lancet with a tip less than 2.4mm=20
        <LI>(Scalpel bladed lancets are best)=20
        <LI>Sterile alcohol swap=20
        <LI>Sterile gauze pads=20
        <LI>Soft cloth=20
        <LI>Blood Collection form=20
        <LI>Gloves <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>33</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP33><FONT size=3D2><A id=3DPPTL33=20
      href=3D"javascript:GoToSld('slide0056.htm');">Specimen Collection=20
      Guideline</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>34</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP34><FONT size=3D2><A id=3DPPTL34=20
      href=3D"javascript:GoToSld('slide0057.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>35</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP35><FONT size=3D2><A id=3DPPTL35=20
      href=3D"javascript:GoToSld('slide0058.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>36</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP36><FONT size=3D2><A id=3DPPTL36=20
      href=3D"javascript:GoToSld('slide0059.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>37</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP37><FONT size=3D2><A id=3DPPTL37=20
      href=3D"javascript:GoToSld('slide0060.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC37 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp; =
</SPAN>Lightly=20
        touch filter paper to LARGE blood drop.<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>Allow blood to soak =
through and=20
        completely fill circle with SINGLE application to large blood =
drop. (to=20
        enhance blood flow, very gently intermittent pressure may be =
applied to=20
        area surrounding puncture site.) Apply blood to one side of =
filter paper=20
        only. </LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>38</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP38><FONT size=3D2><A id=3DPPTL38=20
      href=3D"javascript:GoToSld('slide0061.htm');">Specimen Collection=20
      Guidelines</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>39</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP39><FONT size=3D2><A id=3DPPTL39=20
      href=3D"javascript:GoToSld('slide0045.htm');">Valid=20
    Specimen</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>40</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP40><FONT size=3D2><A id=3DPPTL40=20
      href=3D"javascript:GoToSld('slide0047.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>41</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP41><FONT size=3D2><A id=3DPPTL41=20
      href=3D"javascript:GoToSld('slide0049.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>42</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP42><FONT size=3D2><A id=3DPPTL42=20
      href=3D"javascript:GoToSld('slide0051.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>43</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP43><FONT size=3D2><A id=3DPPTL43=20
      href=3D"javascript:GoToSld('slide0053.htm');">Unsatisfactory=20
      Specimens</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>44</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP44><FONT size=3D2><A id=3DPPTL44=20
      href=3D"javascript:GoToSld('slide0030.htm');">Collect Blood =
Specimen Before=20
      Transfusion!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>45</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP45><FONT size=3D2><A id=3DPPTL45=20
      =
href=3D"javascript:GoToSld('slide0031.htm');">TRANSFUSIONS</A></FONT></DI=
V>
      <DIV class=3DCTxt id=3DPPTC45 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Collect a specimen for the newborn screening test before =
giving=20
        blood to an infant.=20
        <LI>Why?<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>If =
there=92s a<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>transfusion before the =
first=20
        newborn screening specimen is collected, it can affect results =
for=20
        galactosemia, biotinidase deficiency, and hemoglobinopathies.=20
        <LI>We notify PCP and parents of the need for a repeat screen.=20
        <BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>46</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP46><FONT size=3D2><A id=3DPPTL46=20
      href=3D"javascript:GoToSld('slide0032.htm');">PARENT=20
REFUSAL</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC46 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Inform parent<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>of=20
        possible consequences.=20
        <LI>Have parents sign a form stating their intention to refuse=20
        screening. <BR><BR><BR>
        <LI>Send Waiver form to:=20
        <LI>Newborn Screening Program=20
        <LI>2040 S. Pacheco St.=20
        <LI>Santa Fe, NM 87505 =
<BR><BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>47</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP47><FONT size=3D2><A id=3DPPTL47=20
      href=3D"javascript:GoToSld('slide0089.htm');">Goal: Diagnosis and =
treat in=20
      the 1<SUP>st</SUP> week of life</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC47 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>20 disorders can kill in the first week or 2 of life.=20
        <LI>10-20% of infants will be symptomatic in the first week=20
        <LI>5-10 may/will die in the first week=20
        <LI>Infants with PKU and hypothyroidism lose significant IQ =
Points if=20
        thyroid stimulating hormone (TSH) and Phenylalanine are not =
under=20
        control by 2 wks of age=20
        <LI>************************************** =
</LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>48</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP48><FONT size=3D2><A id=3DPPTL48=20
      href=3D"javascript:GoToSld('slide0075.htm');">We don=92t want =
babies falling=20
      through the cracks!!!</A></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>49</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP49><FONT size=3D2><A id=3DPPTL49=20
      href=3D"javascript:GoToSld('slide0033.htm');">WE NEED YOUR=20
      HELP!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC49 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>If your name is on the specimen card, you share =
responsibility in=20
        the follow-up. <BR><BR>
        <LI>Notify us if you have trouble contacting the parents.=20
        <LI>Notify us immediately if the newborn is not your patient.=20
        <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>50</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP50><FONT size=3D2><A id=3DPPTL50=20
      href=3D"javascript:GoToSld('slide0035.htm');">It=92s Not Just=20
      PKU!</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC50 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Starting January 2007 the newborn screening panel tests for =
26=20
        disorders.=20
        <LI>To avoid confusion, it is important to use correct =
terminology when=20
        referring to newborn screening tests.=20
        <LI>Please make every effort to call the test =93The Newborn =
Screen=94=20
        rather than =93PKU test=94 =
<BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>51</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP51><FONT size=3D2><A id=3DPPTL51=20
      href=3D"javascript:GoToSld('slide0090.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC51 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>The diseases are so rare, practitioners may advise parents =
not to=20
        have screening done.=20
        <UL>
          <LI>Fact:<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>NBS =
Identifies=20
          1:900 infants with one of the conditions included on the =
screening=20
          panel </LI></UL>
        <LI>Practitioners may believe the first test is of no value if =
obtained=20
        before 24-48 hours of age or before the infant has ingested =
protein or=20
        milk.=20
        <UL>
          <LI>Fact: 90% of affected infants have abnormal results on the =
first=20
          test regardless of age or food ingestion=20
    </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>52</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP52><FONT size=3D2><A id=3DPPTL52=20
      href=3D"javascript:GoToSld('slide0091.htm');">Common =
misconceptions of=20
      practitioners</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC52 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL>
        <LI>Practitioners may believe the second screen is unnecessary=20
        <UL>
          <LI>10% of all infants are routinely found on the =
2<SUP>nd</SUP>=20
          screen. Approximately 4 conditions on the 2<SUP>nd</SUP> panel =
may=20
          take a week or more to manifest themselves long after an =
infant has=20
          been discharged and screened the first time </LI></UL>
        <LI>Practitioners may believe the second screen is unnecessary =
if the=20
        first is collected when the infant is 5<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>- 7 days of age.=20
        <UL>
          <LI>Fact: More than 20 conditions on the screen can kill in =
the first=20
          week to 10 days of life. To delay screening would mean almost =
certain=20
          death or disability for these infants and a test 5-7 days is =
too early=20
          to pick up many of the later onset disorders.=20
      </LI></UL></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>53</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP53><FONT size=3D2><A id=3DPPTL53=20
      href=3D"javascript:GoToSld('slide0015.htm');">You are part of the=20
      process!<BR>YOUR ROLE is very important</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC53 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Fill out specimen cards completely <BR><BR>
        <LI>Correct collection of specimens <BR><BR>
        <LI>Mail Blood Spot Kits within 24 hours<SPAN=20
        style=3D"mso-spacerun: yes">&nbsp; </SPAN>(Daily)=20
      <BR><BR><BR></LI></UL></FONT></DIV></TD></TR>
  <TR onmouseover=3DOver(this) style=3D"CURSOR: hand" =
onclick=3DFollow(this)=20
  onmouseout=3DOut(this)>
    <TD vAlign=3Dtop align=3Dright>
      <DIV class=3DsldNum><FONT size=3D2>54</FONT></DIV></TD>
    <TD>
      <DIV class=3DPTxt id=3DPPTP54><FONT size=3D2><A id=3DPPTL54=20
      href=3D"javascript:GoToSld('slide0016.htm');">How can I learn more =
about=20
      Newborn Screening?</A></FONT></DIV>
      <DIV class=3DCTxt id=3DPPTC54 style=3D"DISPLAY: none"><FONT =
size=3D2>
      <UL><BR>
        <LI>Visit our website at=20
        <LI>http://www.health.state.nm.us/nbs=20
        <LI>Oregon State Public Health Laboratory=20
        <LI><SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp;=20
        </SPAN>http://oregon.gov/DHS/ph/nbs/index.shtml=20
        <LI>The Mountain States Genetics Network www.mostgene.org=20
        <LI>March of Dimes Birth Defects Foundation www.modimes.org=20
        <LI>National NBS and genetic Resource Center=20
        http://genes-r-us.uthscsa.edu=20
  <BR><BR><BR></LI></UL></FONT></DIV></TD></TR></TBODY></TABLE></DIV>
<DIV style=3D"DISPLAY: none"><A=20
href=3D"http://nmhealth.org/PowerPoint/NBS%20Presentation_files/master06.=
htm"></A><A=20
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xml"></A><A=20
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image001.jpg"></A><A=20
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