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W ant to have children someday? It’s smart to learn about your ancestry long before you even begin thinking about starting a family. Talk to your parents or grandparents about your family health history! Whether you are Jewish or African- American, East Asian or Indian, you may be a carrier of a recessive disorder found with greater frequency in your ethnic group. Recessive disorders require both parents to be carriers in order to have an affected child. African-American: Hemoglobinopathies (hemoglobin disorders, including sickle cell anemia), glucose-6- phosphate dehydrogenase deficiency Ashkenazi Jewish: Gaucher disease type I, cystic fibrosis, Tay-Sachs disease, familial dysautonomia, Canavan disease, glycogen storage disease, maple syrup urine disease, Fanconi anemia type C, Niemann-Pick disease type A, Bloom’s syndrome, mucolipidosis IV, torsion dystonia Asian (including Southeast Asian and Chinese): Thalassemia French Canadian: Tay-Sachs disease, tyrosinemia Hispanic Caribbean: Thalassemia Hispanic Mexican/Central American: Thalassemia, hemoglobinopathies, cystic fibrosis Indian (Asian subcontinent): Thalassemia, hemoglobinopathies Irish/English/Welsh: Neural tube defects, cystic fibrosis Mediterranean (Southern European Caucasian): Cystic fibrosis, thalassemia, glucose-6-phosphate dehydrogenase deficiency, sickle cell anemia Middle Eastern: Phenylketonuria (Turkish), thalassemia, hemoglobinopathies Northern European Caucasian: Cystic fibrosis, phenylketonuria, alpha-1-antitrypsin deficiency, hereditary hemochromatosis Sephardic Jewish: Familial Mediterranean fever, glucose- 6-phosphate dehydrogenase deficiency, glycogen storage disease, thalassemia Myth: “Genes” are something we wear and mostly come in blue. Fact: Our genes are structures found on chromosomes that give our body instructions and come in many sizes. Myth: We can change our genetic blueprint. Fact: We are born with a genetic blueprint (our chromo- somes) that determines our growth and development. Myth: Gene changes, or mutations, are always bad. Fact: Some gene changes lead to variation in features, such as differences in eye or hair color, but some mutations can lead to disease. Myth: Genes and genetic disease skip generations. Fact: Genes are passed down through families and do not skip generations, though a recessive genetic disease may appear to do so because carriers do not usually have symptoms. Myth: If I don’t have a genetic disease, there is no chance to have a child with a genetic disease. Fact: A healthy individual might be a carrier (have one changed gene copy) for a disorder. If their partner is also a carrier, they may be at risk to have a child with a genetic condition. Also, some disorders result from a new genetic mutation (change) in the child. Myth: If both my partner and I are carriers for a recessive condition, there is no chance to have a healthy child. Fact: For a carrier couple, the chance to have a child with a genetic condition is 1 in 4, or 25%, in every pregnancy. Carrier couples have many reproductive options available to them. Myth: A genetic counselor works with couples to create “designer” babies. Fact: Genetic counselors are health care professionals who provide information and support to families with birth defects or genetic disorders. Myth: A genetic counselor delivers scary information and makes decisions for you. Fact: Genetic counselors provide you with important knowledge, make sure you understand your risks and help guide your reproductive decision-making process. Your Genes, Your Health Genetic Myths & Facts Your Body, Your Future Should you talk to a genetic counselor? Funded by a community grant from the March of Dimes Illinois Chapter Ethnicity and family medical history are important tools for your physician or health care provider in diagnosing and treating a variety of illnesses and genetic disorders. Genetic counselors are part of your medical team and can discuss these issues, and tell you about tests that can help you have a healthy pregnancy. Go to www.jewishgenetics.org/ screening to find a genetic counselor in your area. You may need to talk to a genetic counselor if: • You are of one of the ethnic backgrounds listed in this brochure, and therefore at increased risk for being a carrier for certain disorders. • You have a genetic disorder. • You have a sexual partner who is related to you (e.g., cousin). • You are currently pregnant or considering pregnancy and want to learn about tests that may help you have a healthy pregnancy. • You are currently pregnant and concerned about exposures to alcohol, drugs, medications or illnesses. • A member of your family is a carrier for a genetic disorder such as cystic fibrosis, Tay-Sachs disease or sickle cell anemia. • You or family members have had two or more miscarriages. • You were born with a birth defect or have a family member with a birth defect. • You have a family history of learning issues or developmental disabilities. • You have a family history of a genetic disorder or any disease that seems to “run in the family.” Educate yourself! Visit www.jewishgenetics.org to learn more about genetic disease, genetic screening and genetic counseling. Visit www.jewishgenetics.org/disorders if you are not familiar with these disorders or the carrier frequencies within your ethnic group.

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Page 1: Your Genes, Genetic Should you talk to Your Body, Myths ... HEAL… · parents to be carriers in order to have ... (Turkish), thalassemia, hemoglobinopathies Northern European

Want to have children someday? It’s smart to learn about your ancestry long before you even begin

thinking about starting a family.

Talk to your parents or grandparents about your family health history! Whether you are Jewish or African-American, East Asian or Indian, you may be a carrier of a recessive disorder found with greater frequency in your ethnic group. Recessive disorders require both parents to be carriers in order to have an affected child.

African-American: Hemoglobinopathies (hemoglobin disorders, including sickle cell anemia), glucose-6-phosphate dehydrogenase deficiency

Ashkenazi Jewish: Gaucher disease type I, cystic fibrosis, Tay-Sachs disease, familial dysautonomia, Canavan disease, glycogen storage disease, maple syrup urine disease, Fanconi anemia type C, Niemann-Pick disease type A, Bloom’s syndrome, mucolipidosis IV, torsion dystonia

Asian (including Southeast Asian and Chinese): Thalassemia

French Canadian: Tay-Sachs disease, tyrosinemia

Hispanic Caribbean: Thalassemia

Hispanic Mexican/Central American: Thalassemia, hemoglobinopathies, cystic fibrosis

Indian (Asian subcontinent): Thalassemia, hemoglobinopathies

Irish/English/Welsh: Neural tube defects, cystic fibrosis

Mediterranean (Southern European Caucasian): Cystic fibrosis, thalassemia, glucose-6-phosphate dehydrogenase deficiency, sickle cell anemia

Middle Eastern: Phenylketonuria (Turkish), thalassemia, hemoglobinopathies

Northern European Caucasian: Cystic fibrosis, phenylketonuria, alpha-1-antitrypsin deficiency, hereditary hemochromatosis

Sephardic Jewish: Familial Mediterranean fever, glucose-6-phosphate dehydrogenase deficiency, glycogen storage disease, thalassemia

Myth: “Genes” are something we wear and mostly come in blue.Fact: Our genes are structures found on chromosomes that give our body instructions and come in many sizes.

Myth: We can change our genetic blueprint.Fact: We are born with a genetic blueprint (our chromo-somes) that determines our growth and development.

Myth: Gene changes, or mutations, are always bad.Fact: Some gene changes lead to variation in features, such as differences in eye or hair color, but some mutations can lead to disease.

Myth: Genes and genetic disease skip generations.Fact: Genes are passed down through families and do not skip generations, though a recessive genetic disease may appear to do so because carriers do not usually have symptoms.

Myth: If I don’t have a genetic disease, there is no chance to have a child with a genetic disease.Fact: A healthy individual might be a carrier (have one changed gene copy) for a disorder. If their partner is also a carrier, they may be at risk to have a child with a genetic condition. Also, some disorders result from a new genetic mutation (change) in the child.

Myth: If both my partner and I are carriers for a recessive condition, there is no chance to have a healthy child.Fact: For a carrier couple, the chance to have a child with a genetic condition is 1 in 4, or 25%, in every pregnancy. Carrier couples have many reproductive options available to them.

Myth: A genetic counselor works with couples to create “designer” babies.Fact: Genetic counselors are health care professionals who provide information and support to families with birth defects or genetic disorders.

Myth: A genetic counselor delivers scary information and makes decisions for you.Fact: Genetic counselors provide you with important knowledge, make sure you understand your risks and help guide your reproductive decision-making process.

Your Genes, Your Health GeneticMyths & Facts Your Body,

Your FutureShould you talk to

a genetic counselor?

Funded by a community grant from the March of Dimes Illinois Chapter

Ethnicity and family medical history are important tools for your physician or health care provider in diagnosing and treating a variety of illnesses and genetic disorders. Genetic counselors are part of your medical team and can discuss these issues, and tell you about tests that can help you have a healthy pregnancy. Go to www.jewishgenetics.org/screening to find a genetic counselor in your area.

You may need to talk to a genetic counselor if:

• You are of one of the ethnic backgrounds listed in this brochure, and therefore at increased risk for being a carrier for certain disorders.

• You have a genetic disorder.

• You have a sexual partner who is related to you (e.g., cousin).

• You are currently pregnant or considering pregnancy and want to learn about tests that may help you have a healthy pregnancy.

• You are currently pregnant and concerned about exposures to alcohol, drugs, medications or illnesses.

• A member of your family is a carrier for a genetic disorder such as cystic fibrosis, Tay-Sachs disease or sickle cell anemia.

• You or family members have had two or more miscarriages.

• You were born with a birth defect or have a family member with a birth defect.

• You have a family history of learning issues or developmental disabilities.

• You have a family history of a genetic disorder or any disease that seems to “run in the family.”

Educate yourself! Visit www.jewishgenetics.org to learn more about genetic disease, genetic screening and genetic counseling.

Visit www.jewishgenetics.org/disorders if you are not familiar with these disorders or the

carrier frequencies within your ethnic group.

Page 2: Your Genes, Genetic Should you talk to Your Body, Myths ... HEAL… · parents to be carriers in order to have ... (Turkish), thalassemia, hemoglobinopathies Northern European

RESOURCES• The Chicago Center for

Jewish Genetic Disorders Go to www.jewishgenetics.org to learn more about the information presented in this brochure, particu-larly about genetic disorders and genetic counseling.

• March of Dimes Visit http://www.marchofdimes.com to learn more

about preventable birth defects.

It’s Up to

Hello college. Hello freedom. Hello independence.

Now you get to make decisions about your life and how you want to live it. You decide what you eat and drink, what medications or drugs you take, whether you exercise and whether you abstain or practice safe sex.

But what about the things you can’t control? Like your ethnic background and your genes. Like whether you have a genetic disorder or an illness yourself, in your family or more prevalent in your ethnic group. These things may affect you in some way now or later in life, but starting today you have the power to make good choices that will affect your future.

All you need are the tools...

Nutrition & Exercise:

The Real Beauty SecretFolic acid, a B vitamin, may help protect women from heart disease, cervical and colon cancer and possibly breast cancer. Taking folic acid before and during pregnancy may help reduce your baby’s risk for birth defects of the brain and spine (called neural tube defects). Folic acid can be found in multivitamins, and folate (the natural form) can be found in foods such as such as broccoli, spinach, beans, fortified orange juice and grains.

Maintaining a healthy weight (not too thin or too heavy) allows for an active and fun lifestyle. A healthy weight will reduce your stress and your risks of heart disease, high blood pressure and diabetes, and it will help you look and feel your best!

Exercise will help you achieve and maintain your ideal weight. If you are thinking about a family in the future, now is the time to establish a regular exercise routine that you enjoy.

Have a conversation with your health care provider about your choices concerning exercise, nutrition and vitamin supplements.

CreatingGood Chemistry

Smoking, alcohol and drugs can be harmful to your health and good looks at any time. Of course,

you’ve heard that before!

College is a fun time in your life. You may not be thinking about pregnancy, but a good proportion of pregnancies are unplanned, and the habits you form now have the potential to affect the rest of your life.

When you’re pregnant, exposure to agents such as drugs, chemicals and infections can cause birth defects. These agents are called teratogens. Some medications are also teratogens and may be harmful if taken at particular times during pregnancy, such as:

• Accutane• Anticonvulsants such

as Depakote, Tegretol, Phenobarbital

• Anticoagulants such as Warfarin or Coumadin

• ACE inhibitors such as Captopril or Enalpril (Vasotec)

• Diflucan (in high doses)• Lithium• Streptomycin• Tetracycline

If you are taking any of these drugs or medications, do not be alarmed! If you are planning a family or become pregnant, ask your obstetrician if your pregnancy might be at increased risk.

But what if I’m sick? Some women have chronic illness and/or infections, which not only cause health problems for them, but also may cause problems for the pregnancy. These maternal diseases and infections include:

• Epilepsy• Lupus• Hypothyroidism• High blood pressure• Phenylketonuria• Diabetes• Gonorrhea• Syphilis

• Chlamydia• Herpes• Varicella (chicken pox)• Rubella• Toxoplasmosis (acquired

from cat litter)• Cytomegalovirus

Again, if you are planning a family or become pregnant, we recommend that you talk with your physician or health care provider about these exposures.

Good Health – Be “In the Know”

• Get regular check-ups starting at age 18. Ask your health care provider about screening for high blood pressure, cholesterol and glucose levels.

• Begin breast self-exams starting at age 18.

• See your health care provider at the onset of sexual activity, or by age 20, every year.

• Eat a variety of foods, including fruits and vegetables, dairy products, grains and protein sources such as meat, tofu or peanut butter.

• Be aware of the signs of anxiety, depression, eating disorders, alcohol and drug abuse, and unhealthy relationships. Talk with your health care provider if you are concerned about any of these issues.

• Get screened for genetic disorders that run in your family or are more prevalent in your ethnic group before you become pregnant.

This information is to be used for educational and informational purposes only. This information does not represent advice regarding medical diagnosis or treatment, referrals to health care professionals, endorsements of health care products or any other recommendations. This information should not be relied upon as a substitute for consultation with your doctor or other qualified health care professionals.

02/11

You...

www.jewishgenetics.org

The Center is a support foundation of the Jewish Federation of Metropolitan Chicago

Learn about your family health history from your parents or grandparents. The information can help your health care provider give you the best possible care.

Your Family Health History