CONTROL OF SICKLE CELL AMAEMIA

CONTROL OF SICKLE CELL ANAEMIA

CONTROL: reduction of disease incidence, prevalence, morbidity or mortality to a locally acceptable level as a result of deliberate efforts. With good health care and control, many people who have sickle cell anemia can have reasonably good health much of the time and live longer today than in the past. Many people now live into their forties or fifties, or longer.

Strategies for the control of sickle cell disease

DECREASE MORBIDITY AND MORTALITY Educate patient Prevention of crisis Protection via vaccination Protection of special groups

Prophylaxis
Regular check ups

1.Education: It is important to educate the family about The nature of the illness,its inheritance patterns, Symptoms,predisposing factors to crisis and treatment Options,this knowledge should be pass on to the child When he is of age,so that he/she will know why they Have to protect themselves. 2.prevention of crisis:By avoiding the predisposing factors e.g -dehydration -infections like malaria -emotional instability -stress at school,at home -exercise

3.Prevention via vaccination:Sickle cell anaemia is not a cotraindication for not taking vaccination,patients should receive all the immunizatiion shedule for their country,especially the haemophilus influenzae vaccine and the pneumococus conjugate vaccine. 4.Protection of special groups:Young children and especially pregnant women,should receive a modified obstetric practice. 5.Prophylaxis: Folic acid( 1-5 mg daily ) Proguanil( 50-100 mg daily ) Penicillins

DECREASE INCIDENCE AND PREVALENCE Pre-marital counseling

Pre-conceptual counseling
Pre-natal diagnosis Follow up

WHO'S ACTIVITIES FOR PREVENTING AND CONTROLLING HAEMOGLOBIN DISORDERS

The governing bodies of the World Health Organization have adopted two resolutions on haemoglobin disorders. The resolution on Sickle-Cell Disease from the 59th World Health Assembly in May 2006 and the Resolution on Thalassaemia from the 118th meeting of the WHO Executive Board call upon affected countries and the secretariat of WHO to strengthen their response to these conditions. Specifically, WHO will: Increase awareness of the international community of the global burden of these disorders; Promote equitable access to health services; Provide technical support to countries for the prevention and management of these disorders; and Promote and support research to improve quality of life for those affected.

 The World Health Organization (WHO) Regional Director for Africa, Dr Luis Sambo, has proposed measures to check sickle-cell disease. develop, implement and reinforce comprehensive national integrated programmes for the prevention and management of the disease; develop capacity to evaluate the situation regarding sickle-cell disease and the impact of national programmes; promote community awareness and involvement in the care and support of persons with sickle-cell disease; collaborate with partners to support basic and applied research on sickle-cell disease, and, mobilize appropriate resources for sickle-cell disease prevention and control

References
1. Azuibike,paeediatric and child health in the tropics. 2. www.WHO regioonal disease for Africa on non communicable disease,2012. 3. Slides on prevention and control of sickle cell amaemia,2011.