"The criteria for referral of sick newborns are: (a) in the case of birth asphyxia: if breathing difficulty continues 20 minutes after birth despite resuscitation efforts; (b) if there is one or more signs/symptoms of very severe disease, such as fever or lethargy; (c) jaundice???any where in the body within 24 hours of birth; (d) eyes discharging pus (possible gonococcal eye infection); and/or (e)" . . . .