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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.
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