Sickle Cell Disease on African Americans Cristina Martinez Nova Southeastern University Sickle Cell Disease on African Americans Sickle cell anemia is an autosomal recessive hereditary blood disorder which causes damage to the cerebrovascular system including important organs such as the spleen and liver due to abnormal red blood cells (Scott & Scott, 1999). Sickle cell disorder is caused by mutations in the HBB gene then hemoglobin S and other abnormal beta-globin chains create a rigid consistency that is effortlessly lysed and more susceptible of sticking to the endothelial cells of the vascular system (Long, Thomas, Grubs, Gettig, & Krishnamurti, 2011). After deoxygenation causes the sickled hemoglobin to polymerize which leaves the …show more content…
The geographic regions have increased the prevalence of sickle cell among these heritages that are more prone to malaria which has led to this disproportionate impact on African-Americans (Kwiatkowski, 2005). Research shows that mood and stress have shown to be a significant predictor of health care use and work absence (Gil et al., 2004). Positive moods in same-day analyses have predicted fewer hospitalizations, less medication use, ER visits, and calls to health care providers (Gil et al., 2004). Sickle cell disease pain fluctuations have shown to be suggestively associated with daily stress and a negative mood moreover, psychosocial stress, not merely stress secondary to illness, was helpful to predicting pain (Gil et al., 2004). There is no cure for sickle cell disease at the time being but stress can easily increment an individual’s pain levels and decrease their quality of life. Psychosocial issue such as coping with stress, living with a chronic illness, depression, and an overall reduced quality of life (Thompson, Gil, Abrams, & Phillips, 1992). Stress or psychosocial processes and biological processes together have a strong impact on illness – outcome relationship (Thompson, Gil, Abrams, & Phillips, 1992). Negative outcomes can include anything from the type of sickle cell disease, the frequency of painful episodes, and the variation of complications (Thompson, Gil, Abrams, & Phillips,
“In the United States, it's estimated that sickle cell anemia affects 70,000–100,000 people, mainly African Americans” (NHLBI, NIH, Who is at risk for sickle cell anemia). SCD is a disease that is a serious disorder in which the body can make normal blood cells and sickle shape cells. Sickle shape cells can block the blood flow in your vessels and cause pain or organ damage also put you in risk for infections. SCD has no cure available but there are many treatments out there to deal with the complications of it. From over years treatments did get better from way back in the day doctors have learned. Sickle cell disease has lack of attention and funding because it’s only affecting
Now that the disease is more clearly defined, we must ask, why did this illness come about? This is one of the most interesting facts about Sickle Cell. Since the trait originated in countries that were ravaged by malaria, it could be said that this trait evolved to fight the deadly mosquito-spread disease. "People with sickle trait were more likely to survive malaria outbreaks in Africa than those with normal hemoglobin, it is
Sickle cell disease is a disease that is most prevalent in people of African descent along with people of Mediterranean and Middle Eastern origin. This disease is known to affect about 70, 000 Americans and about 2 million people carry the trait (meaning that, they carry a single gene mutation).
Sickle cell crisis is an acute form of sickle cell disease where pain and sickling are extensive (Byar, 2013). SCD is a genetic disease that predominantly affects black people of African decent (Gersten, 2016). Abnormal hemoglobin chains are the main issue with SCD (Byar, 2013). Normal hemoglobin chains are comprised of 99% hemoglobin A (HbA) however, in SCD an abnormal form of the gene, hemoglobin S (HbS) is present in approximately 40% of total hemoglobin (Byar, 2013). In order for a person to be born with SCD, both parents must carry the abnormal gene, HbS (Byar, 2013). HbS is extremely sensitive to the changes in oxygen amount of the RBC and when exposed to decreased oxygen the HbS cause the RBC to distort and become sickle-shaped,
Each year in the US, an average of 75,000 hospitalizations are due to sickle cell disease, costing approximately $475 million. Sickle cell disease is also associated with significant mortality. Among children, the primary causes of mortality are bacterial infections and stroke. In adults, it is more difficult to attribute specific causes to mortality, but it appears that individuals with more indicative disease are at risk for early mortality.
It has always been assumed that genetics and lifestyle play a major role in the presence of health disparities and health care issue that affects African-Americans. This paper provides a historical background to a key disease more prevalent in the African American community, Sickle Cell Anemia, the history behind the disease, genetic mechanisms that influences once probability of inheritance and in-depth treatment on how to manage, prevent and sustain a healthy lifestyle when dealing with sickle cell anemia. Sickle cell anemia is a hereditary disease that alters important aspects of the body physiologically and can be inherited via genes. Sickle cell disease (SCD) was first identified in 1910 and has existed in the continent of Africa for five
In conclusion, sickle cell anemia and the sickle cell trait are more common in African-Americans and people who live in places where malaria is common. Individuals with the trait seem to live normal and healthy lives, however individuals who have the trait and experience high altitudes or vigorous exercise tend to feel unwell because of the lack of oxygen getting into the cells causing them to sickle. In addition, the sickling of the cells can be reversible to a certain extent in people with the trait, however people who have sickle cell anemia the sickling of the cells is irreversible due to the severity of the disease.
Sickle cell disease (SCD) occurs in 1 out of every 365 African American births compared to 1 out of 16,000 Hispanic-American births (1). SCD is a group of red blood cell disorders in which patients have a sickle or moon-shaped red blood cell due to an abnormal S hemoglobin. While sickle cell disease is relatively rare in American births, this is an alarming statistic among people of Sub-Saharan (west and central) African descent. An interesting fact is that SCD occurs more often among people from parts of the world where malaria is or was common, such as Sub-Saharan Africa (1). In addition, it is believed that people who carry the sickle cell trait are less likely to have
Sickle Cell Anemia has proven to be one of the most widespread genetic diseases in America, affecting 100,000 or more individuals according to the NHBLI (2008). Each person affected by sickle cell anemia must seek out expert advice and care for combating the disease, but as of late, care has been lacking in the medical field for these patients. Therefore providing optimal care and effective treatments for patients with sickle cell anemia will involve more research and funding in the future. Studies have shown that treatment for sickle cell patients is lacking and drugs are scarce and sparse, which has left this population medically neglected. The need to focus more research and allocate more funding toward sickle cell research is evident
Sickle Cell Anemia is a genetic disorder dealing with the hemoglobin within the red blood cells the individual has hemoglobin S (1). This causes the red blood cell to become gelatinous when deoxygenated (2).
But, with severe pain crisis hospital provides morphine or oxycodone to help prevent the pain. Anemia is a very common complication of Sickle Cell Disease. When anemia occurs a person might have; pale skin, yellow skin, white eyes, slow growth, and delayed puberty. This brief paragraph will let a person know the main part about sickle cell. On how it is treated, the symptoms, and how it is cause. So, now when a person you know that has sickle cell you can let them know you learned a little about sickle cell to help their friend. I still think people with sickle cell disease still can have a regualer life all they have to do is watch what they do every time. Also, they will need to make sure that they are well hydrated at all times. Once you are not hydrated having sickle cell can be the worse thing because of the pain and how bad it comes. Sickle cell diesaes doesn’t ruin one person life it just take that one person know what they can do and cant do at all times. There are doctors that help with sickle cell too. These doctors’ helps you maintain your pain crisis and let you know what you can and cannot do at
Sickle cell disease is a chronic condition that a person can inherit from their parents in which it effects the globular structure of the patients red blood cells. A more sickle shaped structure, which can alter a person’s blood flow, replaces the more common globular structure. This impairment in blood flow can lead to blood clots, severe debilitating pain and damage to vital organs such as the liver, kidney and spleen. This disease currently affects over 90,000 people in the United States, with the majority of them being African American and
Thousands of years ago, a genetic mutation occurred in people from the Mediterranean basin, India, Africa, and the Middle East. As the Malaria Epidemic attacked people of these countries, carriers of the defective hemoglobin gene survived. Carrying one defective gene means that a person has a sickle cell trait. Two parents with the trait will produce a child with sickle cell anemia. People of these countries migrated and spread to other areas. In the Western Hemisphere, where malaria is not much of a problem, having the abnormal hemoglobin gene has lost its advantage. Any child born from parents that each has the trait will be born with the disease.
Sickle-cell disease majorly affects the hemoglobin that is present in our blood. The job of hemoglobin is to help transport oxygen and carbon dioxide to and from the cells throughout our body. Hemoglobin is present specifically in our red blood cells. Each red blood cell contains two hundred and eighty million hemoglobin molecules. Red blood cells normal shape is a biconcave shape because of the lack of many organelles and a nucleus. The shape is so important to a red blood cells functioning that if it is not shaped normally it has major consequences. The shape helps them to fit through capillaries easier and also allows for an increased surface area which results in easier gas exchange. Sickle-cell disease is a genetic disease that causes issues in the oxygen/carbon dioxide carrying hemoglobin molecules that are present in our red blood cells.
Sickle cell anemia is an anemia that is inherited and mostly affects people whose heritage can be traced back to places where malaria was prevalent. There are approximately 100,000 Americans that have the disease and many more with the trait. Several of my family members are afflicted by this medical condition that causes red blood cells to take on an irregular shape.