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  1. Maladies génétiques de l'hémoglobine : prévention dans les centres de planification et d'éducation familiale de la protection maternelle et infantile à Marseille.

    Article - En français

    Traduction en anglais : Inherited hemoglobin disorders : prevention program in family planning and maternal-and-child health centers in Marseilles.

    Objectives 

    Diseases due to inherited hemoglobin disorders represent serious medical, social, and economic problems in the region of Marseille.

    The only effective treatment for such diseases is allogenic bone marrow transplantation.

    About 200 patients with either thalassemia, sickle cell or sickle cell-bêta thalassemic diseases arc regularly seen in local hospitals.

    All of these patients come from parts of the world where genetic hemoglobin disorders arc endemic.

    Methods 

    At this time, the only approch for reducing the number of affected children born is preventive.

    This depends upon education, the detection of carriers, genetic counselling and sometimes, prenatal diagnosis.

    We have organised a program of prevention supported by a grant from the DISS (Direction des Interventions Sociales et Sanitaires) in the context of visits mode to the PMI (Prevention Maternelle et Infantile).

    This initiative concerns women presenting for consultations for three reasons : for a prenuptial check-up, for a pregnancy, and for prescription of contraceptives.

    Results 

    In each of these three situations a check-up is obligatory and, for natives of countries where hemoglobin disorders arc common, a hemoglobin test is recommended.

    If this test reveals on abnormality, the partner or husband is also tested, if he is willing.

    Couples who arc both carriers arc given genetic counselling.

    Conclusion 

    This preventive initiative has yielded valuable results so we hope to follow-up o...

    Mots-clés Pascal : Hémoglobinopathie, Maladie héréditaire, PMI, Homme, Education sanitaire, Prévention, Etude familiale, Planification, Enfant, Hémopathie, Anémie hémolytique

    Mots-clés Pascal anglais : Hemoglobinopathy, Genetic disease, Mother and child health care, Human, Health education, Prevention, Family study, Planning, Child, Hemopathy, Hemolytic anemia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0092414

    Code Inist : 002B06D02. Création : 199608.