Incidence of haemoglobinopathies in Sicily: the impact of screening and prenatal diagnosis

International Journal of Clinical Practice
A GiambonaA Maggio

Abstract

Haemoglobinopathies are a major public health problem in Sicily: it was estimated a frequency of 1/245 couples are at risk of haemoglobinopathies. This paper reviews legislative actions, prevention activities, carrier screening, genetic counselling, foetal sampling and laboratory methodology analysis evolution reporting the results of 30 years of prevention actions to assess the efficiency of our preventative programme in the control of haemoglobinopathies in Sicily. This programme consisted principally of five phases: legislative actions, public awareness campaign, carrier screening, genetic counselling and prenatal diagnosis. These programmes have been very effective, which we can see from a greater public awareness of thalassaemia and its prevention in the target population furthermore by a marked decline in the incidence of thalassaemia major and sickle cell anaemia from 1 in 245 live births in the absence of prevention to 1 in 2000, with a reduction in about 85%. The residual cases were because of a conscious choice by expecting parents in relation to improved life expectancy as well as improved quality of life of the affected patients. The study suggests that public health authorities should act and invest in a similar pr...Continue Reading

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Citations

Aug 1, 2015·Blood Cells, Molecules & Diseases·Antonino GiambonaMargherita Vinciguerra
Dec 10, 2016·American Journal of Hematology·Luciano GraffeoAurelio Maggio
Aug 11, 2017·Journal of Clinical Pathology·Margherita VinciguerraAntonino Giambona
Sep 5, 2020·European Journal of Haematology·Antonis KattamisVip Viprakasit
May 31, 2019·Orphanet Journal of Rare Diseases·Giovanna RussoGian Luca Forni
Aug 7, 2019·Internal and Emergency Medicine·Valeria Maria PintoGian Luca Forni

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