Wyo. Code R. 048-0035-1
Effective Date: 07/28/1980 to 01/13/2000
Rule Type: Superceded Rules & Regulations
Reference Number: 048.0035.1.07281980
FOR INBORN ERRORS OF METABOLISM
Section 1. Authority. The statutory authority for these regulations is contained in W.S. 35-4-801 and 35-4-802. The Statute and Regulations are administered by the Division of Health and Medical Services.
Section 2. Definition. Specific tests to be done in Wyoming as determined by the committee designated in 35-4-801 are as follows:
a. Phenylketonuria (PKU) b. Hypothyroidism c. Galactosemia d. Homocystinuria e. Maple Syrup Urine Disease f. Sickle Cell Anemia g. Any other disease caused by an inborn error of metabolism for which testing may hereinafter be required on the basis of action by the designated committee.
Section 3. Consent for Screening. Consent for screening can be from natural parents, either custodial parent, a sole guardian, single parent having custody or prospective adoptive parents or parent of whom the child's custody has been released. No test shall be performed until the written consent of the natural parents, or the custodial parent or the guardian or the adoptive parents is obtained. If any parent or guardian objects to the mandatory testing for a child, then his objection shall be in written form and the child is exempt from such testing. In early discharge the blood should be collected anytime before the infant leaves the hospital.
Section 4. Blood Collection.
a. Any newborn infants requiring exchange transfusions shall have the blood sample for these tests taken prior to the exchange transfusion. b. If the child is not born in a hospital, the attending physician, midwife, or person attending the delivery shall arrange to have the blood sample taken by a physician, hospital personnel, laboratory personnel, or local public health representative. c. Collection forms provided by the Division of Health and Medical Services shall be completed for each blood sample. Each sample shall be sent to the regional laboratory within 24 hours from the time that the sample was collected. d. Hospitals will record numbers of births and numbers of infants tested. The hospital record will include the number of infants not tested and the reason why the test was not performed. Reports will be made to the Division of Health and Medical Services on request, not less than once yearly.
e. The Division of Health and Medical Services will provide information brochures and consent forms on request.
Section 5. Second Test. A second blood sample, for the follow-up PKU test should be collected when the infant is approximately two (2) weeks of age and may be collected at a hospital laboratory, physician’s office or local public health facility.
Positive or questionable results will be reported to the infant’s physician as well as the Division of Health and Medical Services.