title: Genetic counselling in tribals in India.
abstract: Genetic counselling in tribals unlike general population residing in cities and near villages is a difficult task due of their lower literacy and poor socio-economic status. However, sustained effort is essential with a close interaction in the local language, certain misbeliefs need to be removed gradually taking into account their socio-cultural background. The present communication deals with our experience in counselling for haemoglobinopathies during Neonatal Screening Programme undertaken for sickle cell disease in Kalahandi district of Orissa and Community Screening Programmes in primitive tribes of India in four States viz. Orissa, Gujarat, Tamil Nadu and Maharashtra. Counselling during neonatal screening programme was very well accepted demonstrating the benefit to the small babies as regards the morbidity. Premarital marriage counselling was also accepted by them. The success rate as followed up for 5 years is almost 50 per cent, the limitation being long follow up. Genetic counselling in these areas has to be continuous to achieve success and therefore the need for setting up of permanent centres in the tribal areas in India.
authors.affiliation: Apollo Hospitals, Bhubaneswar, India. mohantydipika09@gmail.com
authors.forename: Dipika
authors.initials: D
authors.lastname: Mohanty
authors.forename: Kishalaya
authors.initials: K
authors.lastname: Das
mesh_terms: D000755:Anemia, Sickle Cell / Q000453:epidemiology / Q000208:ethnology / Q000235:genetics; D005006:Ethnicity / Q000235:genetics*; D005817:Genetic Counseling / Q000379:methods*; D005838:Genotype; D006441:Hemoglobin A / Q000235:genetics; D006451:Hemoglobin, Sickle / Q000235:genetics; D006453:Hemoglobinopathies / Q000453:epidemiology / Q000208:ethnology* / Q000235:genetics*; D006801:Humans; D007194:India / Q000453:epidemiology / Q000208:ethnology
chemical_list: D006451:Hemoglobin, Sickle; C028672:hemoglobin AA; D006441:Hemoglobin A
references.citation: Ind Med Gaz. 1952 Sep;87(9):387-91
references.pmid: 13022091
references.citation: Public Opin Q. 2008 Fall;72(3):446-458
references.pmid: 22476359
references.citation: Eur J Haematol. 1995 Aug;55(2):103-9
references.pmid: 7628584
references.citation: Transfus Med. 2005 Jun;15(3):237-40
references.pmid: 15943709
references.citation: J Assoc Physicians India. 1986 Mar;34(3):192-4
references.pmid: 3733648
references.citation: Am J Hematol. 1997 Jun;55(2):104-9
references.pmid: 9209006
references.citation: Br Med J. 1952 Feb 23;1(4755):404-5
references.pmid: 14896162
references.citation: Clin Chem. 1997 Jan;43(1):34-9
references.pmid: 8990219
references.citation: Hum Biol. 2000 Jun;72(3):535-40
references.pmid: 10885199
references.citation: Anthropol Anz. 2002 Jun;60(2):169-74
references.pmid: 12161962
references.citation: Acta Genet Med Gemellol (Roma). 1973;22:117-38
references.pmid: 4597939
references.citation: Blood. 1987 Jun;69(6):1742-6
references.pmid: 2437982
references.citation: Acta Haematol. 2000;103(2):122-3
references.pmid: 10838458
references.citation: Am J Med Genet. 1979;4(1):1-4
references.pmid: 495647
references.citation: Am J Hum Genet. 1975 Mar;27(2):240-2
references.pmid: 1124768
references.citation: Humangenetik. 1971;11(4):300-3
references.pmid: 5576060
references.citation: Natl Med J India. 2001 Sep-Oct;14(5):267-70
references.pmid: 11767218
references.citation: Lancet. 1986 Nov 22;2(8517):1198-201
references.pmid: 2430154
references.citation: Curr Opin Hematol. 2002 Mar;9(2):117-22
references.pmid: 11844994
references.citation: Hemoglobin. 2010;34(6):604-9
references.pmid: 21077771