Thank you for a very important article Avinash.

You may have noticed upon any celebratory email from disable marriage
gathering by any organisation, I ask a question if they are going to
or have sensitised participants about genetic risks of such marriages.

Till date, I have never received reply in affirmative. It is very sad.

I hope you will keep your eye on such blind marriages literally. To
re-iterate, nothing wrong if couple suffering with genetic disorders
knowingly take a risk to go for children. That is their personal
choice, but organisations have a moral and a professional
responsibility to make their participants know about this factor.

Cheers






On 6/12/15, avinash shahi <shahi88avin...@gmail.com> wrote:
> This article is very productive and enlightening. The casuistry
> provided by the author for avoiding such marriages is quite
> convincing. We have several families where more than one-persons
> acquire disability due to genetic antecedent. And the most of such
> cases are presumably found in muslim families and in the south Indian
> states. It would be great if somebody attempts to write  a paper
> highlighting the social profile of families consisting of more than
> one disabled people.
>
> http://www.thehindu.com/seta/2004/04/29/stories/2004042900161600.htm
>
>
> Problems with consanguineous marriages
>
>
>
>
>
> BLOOD RELATED marriages are called consanguineous marriages — sanguine
> meaning blood.
>
> Around the globe consanguineous marriages have been practised by many
> societies from time immemorial. It is widely practiced in Asia, North
> Africa, Switzerland, Middle East, some parts of China, Japan and
> fishermen communities in Europe and America. One in two rural
> marriages in Tamil Nadu and Andhra Pradesh are consanguineous.
>
> What type of marriages are consanguineous marriages? When you marry
> biologically related or blood relatives then it is consanguineous
> marriage. Most commonly in our part of the world, first cousins —
> uncle's son marries auntie's daughter or vice versa.
>
> However another type of marriage is where maternal uncle marries his
> niece (sister's daughter). Theoretical risk of having a genetic defect
> child is higher in the latter type of marriage than the former. Most
> of us do not even recognize the pros and cons of such marriages.
>
> While assessing the consequence of consanguineous against
> non-consanguineous (non-blood related) marriages in health and
> disease, several scientific studies have shown that consanguinity
> leads to death of infants before, during or immediately after birth,
> increased incidence of birth defects, genetic diseases including
> blinding disorders, blood cancer (acute lymphocytic leukemia),
> breathing problems for children at birth (apnea), increased
> susceptibility to disease etc.
>
> Some scientists contradict these studies and state that other
> biological factors could be accountable for the results and not
> consanguinity alone.
>
> In our study we showed that consanguinity could increase the incidence
> of many blinding disorders like retinitis pigmentosa, Leber congenital
> amaurosis, Lawrence-Moon-Bardet-Biedl syndrome, Stargardt disease,
> Usher syndrome etc (Consanguinity and Ocular Genetic Diseases in South
> India: Analysis of a Five-year study. Community Genetics:
> 2002:5:180-185). Consanguinity could increase the risk of inheriting
> any one of the 4968 (autosomal recessive) genetic diseases that could
> affect any part of the body from head to foot.
>
> Some animal studies have shown that inbreeding or consanguinity could
> enhance longevity. It has been proved beyond doubt that consanguineous
> marriages farther than second cousins would not result in major
> genetic diseases.
>
> There are certain misconceptions regarding marriages amongst
> relatives, marriages between social relatives like wife's brother and
> husband's sister can get married, where there is no role for blood
> relationship.
>
> Why do consanguineous marriages result in children with genetic
> diseases? Due to inheritance parents and children, and brothers and
> sisters, commonly share 50 per cent of their genetic make-up.
>
> Similarly uncle and niece share 25 per cent and first cousins 12.5 per
> cent of their inherited genetic material as it originates from a
> common ancestor. In such situations if there are any `silent' genetic
> defects, then such errors manifesting as a disease in the child of a
> consanguineous parents is high.
>
> Whereas, if we marry a person non-consanguineously in a random manner,
> then for both the partners to share the same `silent' genetic defect
> is extremely rare.
>
> Hindus in northern India as a practice outlaw the consanguineous
> marriage by avoiding the same `gothra' or patrilineal relationship
> between the probable bride and the groom. In some of the western
> countries including the United States consanguinity closer than the
> first cousins are considered to be legally incest.
>
> Historically closest consanguineous marriage was performed between
> brothers and sisters by the Egyptian Pharaohs to preserve the royal
> blood and interestingly Cleopatra was born out of such marriage.
> However this disgusting practice has never been duplicated anywhere
> else in the world.
>
> It is sad to note that many movies in Tamil Nadu and Andhra Pradesh
> highlight and glorify consanguinity. Evidence suggests that
> consanguinity does play a negative role in human health. The social
> benefits of consanguinity should not outweigh the biological damages;
> many in the community are ignorant about these facts.
>
> G. Kumaramanickavel
>
>
>
> G. Kumaramanickavel
>
>
>
>  Sankara Nethralaya
>  Chennai
>
>
> Read more studies on the issues
> 1
> http://www.thehindu.com/sci-tech/health/the-biology-of-first-cousin-marriages/article4902050.ece
> 2
> http://www.thehindu.com/news/cities/Tiruchirapalli/consanguineous-marriages-are-a-major-cause-of-hearing-loss-among-children/article5061498.ece
>
>
>
> --
> Avinash Shahi
> Doctoral student at Centre for Law and Governance JNU
>
>
>
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