Tag Archives: sickle cell disease

Help is available for those challenged by sickle cell disease

By Malerie Hartsell, MPH, CHES
Program Coordinator
Children with Special Health Care Needs

When a child inherits sickle cell disease it can cause emotional, financial and other strain on a family.

It also raises serious questions, such as “How will our child cope with a disease that can cause sudden extreme, pain-filled episodes?” or “How will our family handle the challenge of caring for a child with a chronic, untreatable illness?”

While families bear much of the load, there are services in place to help, including those available through the S.C. Department of Health and Environmental Control’s Children with Special Health Care Needs program.

What kind of help does Children with Special Health Care Needs offer?

 Under the Bureau of Maternal and Child Health, Division of Children’s Health and the DHEC Lab, the Newborn Screening Program includes tests for SCD, sickle C disease, sickle B thalassemia, and variant hemoglobinopathy disorders and traits, including sickle cell trait. Based off DHEC Lab Newborn Screening data, there are approximately 70 babies born with SCD annually and over 2,400 babies identified to have SCT.

After a diagnosis is confirmed, the Children with Special Health Care Needs Program assist South Carolinians by covering:

  • medical service expenses
  • physician visits
  • durable medical equipment
  • medical supplies
  • prescription drugs

Additionally, Care Coordinators in DHEC Regional offices provide information and/or referral, and support services.

Every summer, children with sickle cell disease spend a week at Camp Burnt Gin in Wedgefield, South Carolina, where they enjoy a fun camping experience while learning about blood disorders, treatment and ways to manage the disease.  The week at Camp Burnt Gin is a partnership between DHEC’s CSHCN program and Palmetto Health, which conducts educational activities during the week that foster disease management, positive self-esteem, confidence and independence, while giving campers a positive childhood experience.

Community based organizations at work

Through partnerships with four sickle cell community based organizations — the James R. Clark Memorial Sickle Cell Foundation, the Louvenia D. Barksdale Sickle Cell Anemia Foundation, the Orangeburg Area Sickle Cell Foundation and the COBRA Human Services Agency Sickle Cell Program — more persons with sickle cell are able to obtain services and support.  These organizations work tirelessly to provide educations and counseling, testing for sickle cell trait, family support and education for hospital staff.

Throughout September, which is Sickle Cell Awareness Month, each community based organization will engage community members in different events to help promote and increase awareness about SCD.

If you have questions about testing for you or your family, you can visit one of the four sickle cell community based organizations.  For more general information about sickle cell, visit cdc.gov/sicklecell or http://www.nhlbi.nih.gov/health/health-topics/topics/sca.

SickleCellSeptemberEvents

National Sickle Cell Awareness Month

By Malerie Hartsell, MPH, CHES
Program Coordinator
Children with Special Health Care Needs

September is National Sickle Cell Awareness Month.  The purpose of the month is to bring attention to a crippling genetic disease that many people around the world struggle with and manage daily.

Sickle Cell Awareness Month helps to debunk stereotypes and stigmas associated with persons who have sickle cell disease.  Not only does this month shine light on sickle cell disease (SCD) but also sickle cell trait (SCT).

Here are Key Points to know about SCD & SCT:

  • SCD is a blood disorder that causes sickling of the red blood cells.
  • SCD is the most common hereditary blood disorder.
  • Red blood cells become hard and sticky and look like a C-shaped farm tool called a “sickle”.
  • Persons who have SCD may suffer from crises — acute episodes of intense and excruciating pain.
  • Different types of sickle cell disease are caused by different genetic mutations.
  • SCT is where a person inherits one sickle cell gene and one normal gene from either of their parents.
  • Persons with SCT can pass the trait on to their children.

Who is affected?

While sickle cell disease affects millions of people throughout the world, it is more common among African-Americans. It is estimated that SCD affects 100,000 people in the United States.

Sickle cell trait is estimated to affect 1 million to 3 million Americans and 8 to 10 percent of African-Americans. Sickle cell trait can also affect Hispanics, South Asians, Caucasians from southern Europe, and people from Middle Eastern countries. More than 100 million people worldwide have sickle cell trait.

While SCD is inherited when a child receives two sickle cell genes from both parents, for someone that has SCT, the likelihood of having a child that has SCD or SCT is different.  If both parents have SCT, there is a 50 percent chance the child will have SCT, a 25 percent chance the child may have SCD, and a 25 percent chance the child will have not have SCD or SCT.

Care and Treatment

Early diagnosis and monitoring can make a difference in the quality of life and number of years lived for someone with SCD.  The Center for Disease and Control recommends:

  • Babies from birth to 1 year of age should see a doctor every two to three months.
  • Children from 1 to 2 years of age should see a doctor at least every three months.
  • Children and adults 2 years of age or older should see a doctor at least once every year.

Persons with SCD should be referred to a hematologist or an experienced general pediatrician, internist or family practitioner.

There are treatments that can help to prevent complications and medicate the acute or chronic pain episodes as they occur.  Treatment options for persons with SCD differ by patient.  Children with SCD can begin taking daily doses of penicillin starting at birth up to 5 years to help prevent bacterial infections.  Blood transfusions are utilized to help reduce the risk of stroke.  Hydroxyurea, a drug that increases levels of fetal hemoglobin that is less likely to become sickle-shaped, has helped reduce pain, hospitalizations and lung damage.

Currently hematopoietic stem cell transplantation (HSCT) is the only cure for SCD.

For more information about sickle cell, visit http://www.cdc.gov/ncbddd/sicklecell/index.html or http://www.nhlbi.nih.gov/health/health-topics/topics/sca.

SickleCellSeptemberEvents

World Sickle Cell Day Shines Light on Need for Support, Services

Malerie Hartsell, MPH, CHES
Program Coordinator
Children with Special Health Care Needs

Each summer, children with sickle cell disease spend a week at Camp Burnt Gin in Wedgefield, South Carolina, enjoying a fun camping experience while learning about the blood disorder, treatment and ways to manage the disease.

The experience is a result of a partnership between the S.C. Department of Health and Environmental Control’s (DHEC) Children with Special Health Care Needs (CSHCN) program and Palmetto Health, which conducts educational activities during the week that foster disease management, positive self-esteem, confidence and independence, while giving the youngsters a positive childhood experience.

“I used to think I was different from everyone else,” one young camper told CSHCN Program Manager, Jessica Drennan last summer during camp. “But then I came to camp and made friends with people just like me. We can go swimming and play basketball and have fun like all the other kids.”

That’s what efforts such as that at Camp Burnt Gin and World Sickle Cell Day are all about: helping those diagnosed with this disease live as normal a life as possible.

World Sickle Cell Day, which is June 19, seeks to raise awareness of sickle cell disease (SCD) and the struggles those diagnosed with the disease and their families go through as well as support and encourage research, treatment and management of the disorder.

 What is SCD? SCD is a blood disorder that causes sickling of the red blood cells, which diminishes the amount of oxygen the red blood cell can carry throughout the body.  Persons who have SCD suffer from crises — episodes of intense and excruciating pain that may be in one or multiple parts of the body when sickle-shaped red blood cells become stuck in a blood vessel and cause a disruption of blood flow in that particular area.  While people are most familiar with sickle cell anemia, someone can also have sickle cell thalassemia, sickle beta thalassemia, or one of the other variations of sickle cell.  The different types of sickle cell are caused by different genetic mutations.

People born with the sickle cell trait usually do not have the symptoms of sickle cell disease, but they could pass the trait on to their children. If one parent has the trait and the other does not, their children won’t inherit SCD but each has a 50 percent chance of having the trait. If both parents have the trait, each of their children has a 50 percent chance of carrying the trait and a 25 percent chance of having SCD.

Who is affected?

While sickle cell disease affects millions of people throughout the world, it is more common among African-Americans. It is estimated that SCD affects 100,000 people in the United States.

 How is DHEC involved?

Under the Bureau of Maternal and Child Health, Division of Children’s Health and the DHEC Lab, the Newborn Screening Program includes tests for SCD, sickle C disease, sickle B thalassemia, and variant hemoglobinopathy disorders and traits, including sickle cell trait.  After a diagnosis is confirmed,  the Children with Special Health Care Needs Program assists South Carolinians by covering medical service expenses, such as physician visits, durable medical equipment, medical supplies, prescription drugs, information and/or referral, and support services. In addition, they provide care coordination, information and referral and support services.

Through partnerships with four community based organizations — the James R. Clark Memorial Sickle Cell Foundation, the L.D. Barksdale Sickle Cell Anemia Foundation, the Orangeburg Area Sickle Cell Foundation and the COBRA Human Services Agency Sickle Cell Program — more persons with sickle cell are able to obtain services and support.  These organizations work tirelessly to provide education and counseling, testing for sickle cell trait, family support and education for hospital staff.