Control of Sickle Cell Amaemia

8/13/2019 Control of Sickle Cell Amaemia

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CONTROL OF SICKLE CELL AMAEMIA


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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 intotheir forties or fifties, or longer.


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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


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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 theyHave 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


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3.Prevention via vaccination:Sickle cell anaemia

is not a cotraindication for not taking vaccinat-

ion,patients should receive all the immunizati-

ion shedule for their country,especially the

haemophilus influenzae vaccine and the pneu-

mococus 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


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DECREASE INCIDENCE AND PREVALENCE

Pre-marital counseling

Pre-conceptual counseling

Pre-natal diagnosis

Follow up


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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.


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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 nationalintegrated programmes for the prevention and management of thedisease;

develop capacity to evaluate the situation regarding sickle-celldisease and the impact of national programmes;

promote community awareness and involvement in the care andsupport of persons with sickle-cell disease;

collaborate with partners to support basic and applied research onsickle-cell disease, and,

mobilize appropriate resources for sickle-cell disease preventionand control


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References

1. Azuibike,paeediatric and child health in the

tropics.

2. www.WHOregioonal disease for Africa on

non communicable disease,2012.

3. Slides on prevention and control of sickle cell

amaemia,2011.
http://www.who/http://www.who/

Control of Sickle Cell Amaemia

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