Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-29T16:11:58.640Z Has data issue: false hasContentIssue false

12 - Birth Defects and Genetic Disease in Sub-Saharan Africa

Published online by Cambridge University Press:  02 December 2019

Muntaser E. Ibrahim
Affiliation:
University of Khartoum
Charles N. Rotimi
Affiliation:
National Human Genome Research Institute/NIH
Get access

Summary

A birth defect is defined as any abnormality affecting body structures or function that is present from birth, or may be diagnosed only later in life. Causes can be divided broadly into two groups: genetic and partially genetic causes originating mostly before conception, and causes developing after conception but before birth. In industrialized countries, genetic abnormalities account for about 7 percent of birth defects, mainly numerical or structural chromosomal abnormalities, e.g., Down syndrome or single genes defects, e.g., sickle cell anemia. Partial genetic birth defects are due to a combination of genes that puts the fetus at risk in the presence of specific environmental factors, and account for an estimated 20–30 percent of all birth defects, a number of which are lethal, e.g., congenital heart disease (Turnpenny and Ellard 2007). Causes of birth defects originating after conception are primarily non-genetic. These include teratogens that interfere with normal growth and development of the embryo or fetus (maternal illness, maternal infections, drugs, radiation, and environmental pollutants), mechanical forces that deform the fetus, and vascular accidents that disrupt the normal growth of organs. This category accounts for an estimated 5–10 percent of all birth defects (Turnpenny and Ellard 2007). About 50 percent of birth defects are of unknown cause. These types of defects may be due to new mutations, submicroscopic chromosome deletions, or epigenetic modification. With ongoing advances in genomic technology, including affordable individual whole-genome sequencing, analysis of copy number variants, methylation, and genome-wide association studies, the underlying causes of more birth defects will become apparent (Butler 2009; Lupski et al. 2010; Stefansson et al. 2008; Vissers et al. 2009).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdelgadir, M, Elbagir, M, Eltom, A, Eltom, M, and Berne, C (2003). Factors affecting perinatal morbidity and mortality in pregnancies complicated by diabetes mellitus in Sudan. Diabetes Res Clin Pract 60(1): 4147.Google Scholar
Abdel-Meguid, N, Zaki, MS, and Hammad, SA (2000). Premarital genetic investigations: effect of genetic counselling. East Mediterr Health J 6(4): 652660.Google Scholar
Abdelrahim, II, Adam, GK, Mohmmed, AA, et al. (2009). Anaemia, folate and vitamin B12 deficiency among pregnant women in an area of unstable malaria transmission in eastern Sudan. Trans R Soc Trop Med Hyg 103(5): 493496.Google Scholar
Abuye, C, Berhane, Y, and Ersumo, T (2008). The role of changing diet and altitude on goitre prevalence in five regional states in Ethiopia. East Afr J Public Health 5(3): 163168.Google ScholarPubMed
Adab, N, Jacoby, A, Smith, D, and Chadwick, D (2001). Additional educational needs in children born to mothers with epilepsy. J Neurol Neurosurg Psychiatry 70(1): 1521.Google Scholar
Adegbidi, H, Yedomon, H, Atadokpede, F, et al. (2007). Skin cancers at the National University Hospital of Cotonou from 1985 to 2004. Int J Dermatol. 46(Suppl. 1): 2629.Google Scholar
Adegbola, O and Ajayi, GO (2008). Screening for gestational diabetes mellitus in Nigerian pregnant women using fifty-gram oral glucose challenge test. West Afr J Med 27(3): 139143.Google ScholarPubMed
Adeleye, AO and Olowookere, KG (2009). Central nervous system congenital anomalies: A prospective neurosurgical observational study from Nigeria. Congenit Anom (Kyoto) 49(4): 258261.Google Scholar
Adewole, RA and Akinwande, JA (2007). Public and professional perception of oral and maxillofacial surgery (a pilot study). Nig Q J Hosp Med 17(1): 812.Google Scholar
Adeyokunnu, AA (1982). The incidence of Down’s syndrome in Nigeria. J Med Genet 19(4): 277279.Google Scholar
Adou-Bryn, KD, Ouhon, J, Nemer, J, Yapo, CG, and Assoumou, A (2004). Serological survey of acquired toxoplasmosis in women of child-bearing age in Yopougon (Abidjan, Côte d’Ivoire). Bull Soc Pathol Exot 97(5): 345348.Google Scholar
Ahmed, H, Yukubu, AM, and Hendrickse, RG (1995). Neonatal jaundice in Zaria, Nigeria: a second prospective study. West Afr J Med 14(1): 1523.Google Scholar
Aidoo, M, Terlouw, DJ, Kolczak, MS, et al. (2002). Protective effects of the sickle cell gene against malaria morbidity and mortality. Lancet 359(9314): 13111312.Google Scholar
Akanji, AO, Mainasara, AS, and Akinlade, KS (1996). Urinary iodine excretion in mothers and their breast-fed children in relation to other childhood nutritional parameters. Eur J Clin Nutr 50(3): 187191.Google ScholarPubMed
Akinyanju, OO, Disu, RF, Akinde, JA, et al. (1999). Initiation of prenatal diagnosis of sickle-cell anaemia in Africa. Prenat Diagn 19(4): 299304.Google Scholar
Akinyanju, OO, Otaigbe, AI, and Ibidapo, MO (2005). Outcome of holistic care in Nigerian patients with sickle cell anaemia. Clin Lab Haematol 27(3): 195199.Google Scholar
Alatise, OI, Adeolu, AA, Komolafe, EO, Adejuyigbe, O, and Sowande, OA (2006). Pattern and factors affecting management outcome of spina bifida cystica in Ile-Ife, Nigeria. Pediatr Neurosurg 42(5): 277283.CrossRefGoogle ScholarPubMed
Ali, SK (2009). Cardiac abnormalities of Sudanese patients with Down’s syndrome and their short-term outcome. Cardiovasc J Afr 20(2): 112115.Google Scholar
Aliyu, ZY, Gordeuk, V, Sachdev, V, et al. (2008). Prevalence and risk factors for pulmonary artery systolic hypertension among sickle cell disease patients in Nigeria. Am J Hematol 83(6): 485490.Google Scholar
Almu, S, Tadesse, Z, Cooper, P, and Hackett, R (2006). The prevalence of epilepsy in the Zay Society, Ethiopia: an area of high prevalence. Seizure 15(3): 211213.Google Scholar
Andronikou, S, Wieselthaler, N, and Fieggen, AG (2006). Cervical spina bifida cystica: MRI differentiation of the subtypes in children. Childs Nerv Syst 22(4): 379384.Google Scholar
Aquaron, R, Djatou, M, and Kamdem, L (2009). Sociocultural aspects of albinism in sub-Saharan Africa: mutilations and ritual murders committed in East Africa (Burundi and Tanzania). Med Trop 69(5): 449453. [French]Google Scholar
Asuquo, ME, Ngim, O, Ebughe, G, and Bassey, EE (2009). Skin cancers amongst four Nigerian albinos. Int J Dermatol 48(6): 636638.CrossRefGoogle ScholarPubMed
Awori, MN, Ogendo, SW, Gitome, SW, Ong’uti, SK, and Obonyo, NG (2007). Management pathway for congenital heart disease at Kenyatta National Hospital, Nairobi. East Afr Med J 84(7): 312317.Google Scholar
Ba, MC, Ly Ba, A, Hossini, A, et al. (2007). [The occipital encephaloceles: report of 16 cases]. Mali Med 22(2): 5457.Google Scholar
Baccaglini, L, Atkinson, JC, Patton, LL, et al. (2007). Management of oral lesions in HIV-positive patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103(Suppl. S50): 123.Google Scholar
Baghagho, EE, Kharboush, IF, El-Kaffash, DM, et al. (2004). Maternal serum alpha fetoprotein among pregnant females in Alexandria. J Egypt Public Health Assoc 79(1–2): 5981.Google Scholar
Balogou, AA, Grunitzky, EK, Belo, M, et al. (2007). Management of epilepsy patients in Batamariba district, Togo. Acta Neurol Scand 116(4): 211216.Google Scholar
Bassili, A, Mokhtar, SA, Dabous, NI, et al. (2000). Risk factors for congenital heart diseases in Alexandria, Egypt. Eur J Epidemiol 16(9): 805814.CrossRefGoogle ScholarPubMed
Beighton, P and Botha, MC (1986). Inherited disorders in the black population of southern Africa. Part I: Historical and demographic background; genetic haematological conditions. S Afr Med J 69(4): 247249.Google ScholarPubMed
Bekker, LG, Haslett, P, Maartens, G, Steyn, L, and Kaplan, G (2000). Thalidomide-induced antigen- specific immune stimulation in patients with human immunodeficiency virus type 1 and tuberculosis. J Infect Dis 181(3): 954965.CrossRefGoogle ScholarPubMed
Bello, C and Whittle, H (1991). Cytomegalovirus infection in Gambian mothers and their babies. J Clin Pathol 44(5): 366369.CrossRefGoogle ScholarPubMed
Ben Abdallah, R, Aoun, K, Siala, E, et al. (2009). Congenital toxoplasmosis: clinical and biological analysis of 11 cases in Tunisia. Arch Pediatr 16(2): 118121.CrossRefGoogle ScholarPubMed
Ben Arab, S, Masmoudi, S, Beltaief, N, Hachicha, S, and Ayadi, H (2004). Consanguinity and endogamy in Northern Tunisia and its impact on non-syndromic deafness. Genet Epidemiol 27(1): 7479.Google Scholar
Benedé, JG, Oelofse, A, van Stuijvenberg, ME, et al. (1997). Endemic goitre in a rural community of KwaZulu-Natal. S Afr Med J 87(3): 310313.Google Scholar
Birbeck, GL and Kalichi, EM (2004). Epilepsy prevalence in rural Zambia: a door-to-door survey. Trop Med Int Health 9(1): 9295.CrossRefGoogle ScholarPubMed
Birbeck, GL, Chomba, E, Atadzhanov, M, Mbewe, E, and Haworth, A (2008). Women’s experiences living with epilepsy in Zambia. Am J Trop Med Hyg 79(2): 168172.Google Scholar
Bittles, AH and Black, ML (2010). Evolution in health and medicine Sackler colloquium: consanguinity, human evolution, and complex diseases. PNAS 107(Suppl. 1): 17791786.Google Scholar
Bittles, AH and Mason, WM, Greene, J, and Rao, NA (1991). Reproductive behavior and health in consanguineous marriages. Science 252(5007): 789794.Google Scholar
Blandford, JM, Gift, TL, Vasaikar, S, et al. (2007). Cost-effectiveness of on-site antenatal screening to prevent congenital syphilis in rural eastern Cape Province, Republic of South Africa. Sex Transm Dis 34(Suppl. 7): S61S66.Google Scholar
Boano, R, Fulcheri, E, Martina, MC, et al. (2009). Neural tube defect in a 4000-year-old Egyptian infant mummy: a case of meningocele from the museum of anthropology and ethnography of Turin (Italy). Eur J Paediatr Neurol 13(6): 481487.Google Scholar
Bos, P, Steele, D, Alexander, J (1995). Prevalence of antibodies to rubella, herpes simplex 2 and cytomegalovirus in pregnant women and in neonates at Ga-Rankuwa. Cent Afr J Med 41(1): 1417.Google Scholar
Bouhsain, S, Dami, A, Elannaz, H, et al. (2009). [A critical study of the screening practices of gestational diabetes of a service of gynecology and obstetrics]. Ann Biol Clin (Paris) 67(2): 159162.Google Scholar
Boulet, M (1997). Micronutrient deficiencies: reports from the field – Africa. Glob Impacts 13.Google Scholar
Brabin, BJ, Prinsen-Geerligs, PD, Verhoeff, FH, et al. (2004). Haematological profiles of the people of rural southern Malawi: an overview. Ann Trop Med Parasitol 98(1): 7183.Google Scholar
Brink, PA, Crotti, L, Corfield, V, et al. (2005). Phenotypic variability and unusual clinical severity of congenital long-QT syndrome in a founder population. Circulation 112(17): 26022610.CrossRefGoogle Scholar
Bronzan, RN, Mwesigwa-Kayongo, DC, Narkunas, D, et al. (2007). On-site rapid antenatal syphilis screening with an immunochromatographic strip improves case detection and treatment in rural South African clinics. Sex Transm Dis 34(Suppl. 7): S55S60.Google Scholar
Bukar, M, Audu, BM, Takai, UI, Ajayi, BB, and Kullima, AA (2009). Is routine antenatal screening for syphilis in Nigeria still justified clinically and economically? Saudi Med J 30(10): 13111315.Google Scholar
Butler, MG (2009). Genomic imprinting disorders in humans: a mini-review. J Assist Reprod Genet 26(9–10): 477486.Google Scholar
Bütow, KW, van Wyk, PJ, and Zwahlen, RA (2007). Differences in the clinical appearances of white versus black patients with facial cleft deformities: a retrospective study of a South African clinic. SADJ 62(7): 298, 300–304.Google Scholar
Canfield, MA, Collins, JS, Botto, LD, et al. (2005). Changes in the birth prevalence of selected birth defects after grain fortification with folic acid in the United States: findings from a multi-state population-based study. Birth Defects Res A 73: 679689.Google Scholar
Castro, O, Brambilla, DJ, Thorington, B, et al. (1994). The acute chest syndrome in sickle cell disease: incidence and risk factors. The Cooperative Study of Sickle Cell Disease. Blood 84(2): 643649.Google Scholar
CDC (2005). Morbidity and Mortality Weekly Report 64(1).Google Scholar
Challis, K, Melo, A, Bugalho, A, Jeppsson, JO, and Bergström, S (2002). Gestational diabetes mellitus and fetal death in Mozambique: an incident case-referent study. Acta Obstet Gynecol Scand 81(6): 560563.Google Scholar
Chelli, D, Dimassi, K, Chaabouni, M, et al. (2008). [Prenatal diagnosis of trisomy 21: the Tunisian experience]. Santé 18(4): 199203.Google Scholar
Cherinet, A and Kelbessa, U (2000). Determinants of iodine deficiency in school children in different regions of Ethiopia. East Afr Med J 77(3): 133137.Google Scholar
Child, A, Comeglio, P, Arno, G, and Beighton, P (2007). Marfan syndrome in South Africa: a molecular genetic approach to diagnosis. S Afr Med J 97(9): 845847.Google ScholarPubMed
Christianson, AL (1996). Down syndrome in sub-Saharan Africa. J Med Genet 33(2): 8992.Google Scholar
Christianson, AL (1997). Down syndrome in black South African infants and children: clinical features and delayed diagnosis. S Afr Med J 87(8): 992995.Google ScholarPubMed
Christianson, AL and Kromberg, JG (1996). Maternal non-recognition of Down syndrome in black South African infants. Clin Genet 49(3): 141144.Google Scholar
Christianson, AL and Modell, B (2004). Medical genetics in developing countries. Annu Rev Genomics Hum Genet 5: 219265.Google Scholar
Christianson, AL, Chesler, N, and Kromberg, JG (1994). Fetal valproate syndrome: clinical and neuro-developmental features in two sibling pairs. Dev Med Child Neurol 36(4): 361369.CrossRefGoogle ScholarPubMed
Christianson, AL, Zwane, ME, Manga, P, et al. (2002). Children with intellectual disability in rural South Africa: prevalence and associated disabilities. J Intellect Disabil Res 46: 179186.CrossRefGoogle Scholar
Clegg, JB and Weatherall, DJ (1999). Thalassemia and malaria: new insights into an old problem. Proc Assoc Am Physicians 111(4): 278282.Google Scholar
Corcoran, C and Hardie, DR (2005). Seroprevalence of rubella antibodies among antenatal patients in the Western Cape. S Afr Med J 95(9): 688690.Google Scholar
Croxford, J and Viljoen, D (1999). Alcohol consumption by pregnant women in the Western Cape. S Afr Med J 89: 962965.Google Scholar
Dagher, D and Ross, E (2004). Approaches of South African traditional healers regarding the treatment of cleft lip and palate. Cleft Palate Craniofac J 41(5): 461469.Google Scholar
Dangor, T and Ross, E (2006). Western and traditional medicine: cultural beliefs and practices of South African Muslims with regard to Down syndrome. S Afr J Commun Disord 53: 2738.Google Scholar
De Montalembert, M and Tshilolo, L (2007). [Is therapeutic progress in the management of sickle cell disease applicable in sub-Saharan Africa?]. Med Trop (Mars) 67(6): 612616.Google Scholar
de Paul Djientcheu, V, Njamnshi, AK, Wonkam, A, et al. (2008). Management of neural tube defects in a Sub-Saharan African country: the situation in Yaounde, Cameroon. J Neurol Sci 275(1–2): 2932.Google Scholar
Debrock, C, Preux, PM, Houinato, D, et al. (2000). Estimation of the prevalence of epilepsy in the Benin region of Zinvié using the capture–recapture method. Int J Epidemiol 29(2): 330335.Google Scholar
Dent, W, Helbok, R, Matuja, WB, Scheunemann, S, and Schmutzhard, E (2005). Prevalence of active epilepsy in a rural area in South Tanzania: a door-to-door survey. Epilepsia 46(12): 19631969.Google Scholar
Deperthes, BD, Meheus, A, O’Reilly, K, and Broutet, N (2004). Maternal and congenital syphilis programmes: case studies in Bolivia, Kenya and South Africa. Bull World Health Organ 82(6): 410416.Google ScholarPubMed
Doehring, E, Reiter-Owona, I, Bauer, O, et al. (1995). Toxoplasma gondii antibodies in pregnant women and their newborns in Dar es Salaam, Tanzania. Am J Trop Med Hyg 52(6): 546548.Google Scholar
Donkor, P, Bankas, DO, Agbenorku, P, Plange-Rhule, G, and Ansah, SK (2007). Cleft lip and palate surgery in Kumasi, Ghana: 2001–2005. J Craniofac Surg 18(6): 13761379.Google Scholar
Dörk, T, El-Harith, EH, Stuhrmann, M, et al. (1998). Evidence for a common ethnic origin of cystic fibrosis mutation 3120+1G-->A in diverse populations. Am J Hum Genet 63(2): 656662.CrossRefGoogle ScholarPubMed
Douglas, TS and Mutsvangwa, TE (2010). A review of facial image analysis for delineation of the facial phenotype associated with fetal alcohol syndrome. Am J Med Genet A 152A(2): 528536.Google Scholar
Duff, P, Barth, WH Jr., and Post, MD (2009). Case records of the Massachusetts General Hospital: case 4-2009 – a 39-year-old pregnant woman with fever after a trip to Africa. N Engl J Med 360(5): 508516.Google Scholar
Edwards, T, Scott, AG, Munyoki, G, et al. (2008). Active convulsive epilepsy in a rural district of Kenya: a study of prevalence and possible risk factors. Lancet Neurol 7(1): 5056.Google Scholar
Edwin, F, Sereboe, LA, Tettey, MM, et al. (2010). Experience from a single centre concerning the surgical spectrum and outcome of adolescents and adults with congenitally malformed hearts in West Africa. Cardiol Young 4: 16.Google Scholar
Egesie, OJ, Joseph, DE, Isiguzoro, I, and Egesie, UG (2008). Glucose-6-phosphate dehydrogenase (G6PD) activity and deficiency in a population of Nigerian males resident in Jos. Niger J Physiol Sci 23(1–2): 911.Google Scholar
Ejim, EC, Ike, SO, Anisiuba, BC, Onwubere, BJ, and Ikeh, VO (2009). Ventricular septal defects at the University of Nigeria Teaching Hospital, Enugu: a review of echocardiogram records. Trans R Soc Trop Med Hyg 103(2): 159161.Google Scholar
El Mansouri, B, Rhajaoui, M, Sebti, F, et al. (2007). [Seroprevalence of toxoplasmosis in pregnant women in Rabat, Morocco]. Bull Soc Pathol Exot 100(4): 289290.Google Scholar
El-Gozamy, BR, Mohamed, SA, and Mansour, HA (2009). Toxoplasmosis among pregnant women in Qualyobia Governorate, Egypt. J Egypt Soc Parasitol 39(2): 389401.Google Scholar
Elliott, RF, Jovic, G, and Beveridge, M (2008). Seasonal variation and regional distribution of cleft lip and palate in Zambia. Cleft Palate Craniofac J 45(5): 533538.Google Scholar
Eltom, A, Eltom, M, Idris, M, and Gebre-Medhin, M (2001). Thyroid function in the newborn in relation to maternal thyroid status during labour in a mild iodine deficiency endemic area in Sudan. Clin Endocrinol (Oxf) 55(4): 485490.Google Scholar
Enevold, A, Lusingu, JP, Mmbando, B, et al. (2008). Reduced risk of uncomplicated malaria episodes in children with alpha+-thalassemia in northeastern Tanzania. Am J Trop Med Hyg 78(5): 714720.Google Scholar
Essop, MR and Nkomo, VT (2005). Rheumatic and nonrheumatic valvular heart disease: epidemiology, management, and prevention in Africa. Circulation 112(23): 35843591.Google Scholar
Faye, M, Hennequin, M, Yam, AA, and Ba, I (2004). [Evaluation of oral health and access to care in Senegalese children with Down syndrome: preliminary study]. Dakar Med 49(1): 6469.Google Scholar
Feuillet-Fieux, MN, Ferrec, M, Gigarel, N, et al. (2004). Novel CFTR mutations in black cystic fibrosis patients. Clin Genet 65(4): 284287.Google Scholar
Fitzgerald, DW, Behets, FM, Lucet, C, and Roberfroid, D (1998). Prevalence, burden, and control of syphilis in Haiti’s rural Artibonite region. Int J Infect Dis 2(3): 127131.Google Scholar
Föller, M, Bobbala, D, Koka, S, et al. (2009). Suicide for survival: death of infected erythrocytes as a host mechanism to survive malaria. Cell Physiol Biochem 24(3–4): 133140.Google Scholar
Friis, H, Gomo, E, Nyazema, N, et al. (2004). Effect of multimicronutrient supplementation on gestational length and birth size: a randomized, placebo-controlled, double-blind effectiveness trial in Zimbabwe. Am J Clin Nutr 80(1): 178184.Google Scholar
George, AO, Ogunbiyi, AO, Daramola, OO, and Campbell, OB (2005). Albinism among Nigerians with malignant melanoma. Trop Doct 35(1): 5556.Google Scholar
Ghebrekidan, H, Rudén, U, Cox, S, Wahren, B, and Grandien, M (1999). Prevalence of herpes simplex virus types 1 and 2, cytomegalovirus, and varicella-zoster virus infections in Eritrea. J Clin Virol 12(1): 5364.Google Scholar
Gibson, RS, Abebe, Y, Stabler, S, et al. (2008). Zinc, gravida, infection, and iron, but not vitamin B-12 or folate status, predict hemoglobin during pregnancy in Southern Ethiopia. J Nutr 138(3): 581586.Google Scholar
Gichangi, P, Renterghem, LV, Karanja, J, et al. (2004). Congenital syphilis in a Nairobi maternity hospital. East Afr Med J 81(11): 589593.Google Scholar
Gladwin, MT and Vichinsky, E (2008). Pulmonary complications of sickle cell disease. N Engl J Med 359(21): 22542265.Google Scholar
Goldman, A, Labrum, R, Claustres, M, et al. (2001). The molecular basis of cystic fibrosis in South Africa. Clin Genet 59(1): 3741.Google Scholar
Guidozzi, F, Ballot, D, and Rothberg, AD (1994). Human B19 parvovirus infection in an obstetric population: a prospective study determining fetal outcome. J Reprod Med 39(1): 3638.Google Scholar
Hampshire, KR and Smith, MT (2001). Consanguineous marriage among the Fulani. Hum Biol 73(4): 597603.Google Scholar
Hardy, BJ, Séguin, B, Ramesar, R, Singer, PA, and Daar, AS (2008). South Africa: from species cradle to genomic applications. Nat Rev Genet 9(Suppl. 1): S19S23.Google Scholar
Hodges, AM and Hodges, SC (2000). A rural cleft project in Uganda. Br J Plast Surg 53(1): 711.Google Scholar
Holmes, LB, Harvey, EA, Coull, BA, et al. (2001). The teratogenicity of anticonvulsant drugs. N Engl J Med 344(15): 11321138.Google Scholar
Hong, ES, Zeeb, H, and Repacholi, MH (2006). Albinism in Africa as a public health issue. BMC Public Health 6: 212.Google Scholar
Horjus, P, Aguayo, VM, Roley, JA, Pene, MC, and Meershoek, SP (2005). School-based iron and folic acid supplementation for adolescent girls: findings from Manica Province, Mozambique. Food Nutr Bull 26(3): 281286.Google Scholar
Hoyme, HE, May, PA, Kalberg, WO, et al. (2005). Pediatrics: a practical clinical approach to diagnosis of fetal alcohol spectrum disorders – clarification of the 1996 Institute of Medicine criteria. Pediatrics 115(1): 3947.Google Scholar
Huddle, KR (2005). Audit of the outcome of pregnancy in diabetic women in Soweto, South Africa, 1992–2002. S Afr Med J 95(10): 789794.Google Scholar
Huddle, KR, England, M, and Nagar, A (1993). Outcome of pregnancy in diabetic women in Soweto, South Africa 1983–1992. Diabet Med 10(3): 290294.Google Scholar
Huff-Rousselle, M, Simooya, O, Kabwe, V, et al. (2007). Pharmacovigilance and new essential drugs in Africa: Zambia draws lessons from its own experiences and beyond. Glob Public Health 2(2): 184203.Google Scholar
Idowu, OE and Apemiye, RA (2008). Outcome of myelomeningocoele repair in sub-Saharan Africa: the Nigerian experience. Acta Neurochir (Wien) 150(9): 911913.Google Scholar
Imperato, GH and Imperato, PJ (2006). Beliefs and practices concerning twins, hermaphrodites, and albinos among the Bamana and Maninka of Mali. J Community Health 31(3): 198224.Google Scholar
IOM (Institute of Medicine) (2003). Reducing Birth Defects. Meeting the Challenge in the Developing World. National Academy Press.Google Scholar
IOM. Howson, CP, Kennedy, ET, and Horwitz, A, eds. (1998). Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. National Academy Press.Google Scholar
Jalloh, A, Jalloh, M, Gamanga, I, et al. (2008). G6PD deficiency assessment in Freetown, Sierra Leone, reveals further insight into the molecular heterogeneity of G6PD A–. J Hum Genet 53(7): 675679.Google Scholar
Jenkins, T (1990). Medical genetics in South Africa. J Med Genet 27: 760779.Google Scholar
Jenniskens, F, Obwaka, E, Kirisuah, S, et al. (1995). Syphilis control in pregnancy: decentralization of screening facilities to primary care level, a demonstration project in Nairobi, Kenya. Int J Gynaecol Obstet 48(Suppl.): S121S128.Google Scholar
Jooste, PL (2005). Sources of household salt in South Africa. Asia Pac J Clin Nutr 14(2): 159162.Google Scholar
Jooste, PL, Weight, MJ, and Lombard, CJ (2000). Short-term effectiveness of mandatory iodization of table salt, at an elevated iodine concentration, on the iodine and goiter status of schoolchildren with endemic goiter. Am J Clin Nutr 71(1): 7580.Google Scholar
Kaestel, P, Michaelsen, KF, Aaby, P, and Friis, H (2005). Effects of prenatal multimicronutrient supplements on birth weight and perinatal mortality: a randomised, controlled trial in Guinea-Bissau. Eur J Clin Nutr 59(9): 10811089.Google Scholar
Kalk, WJ (1998). Iodine deficiency disorders in South Africa. S Afr Med J 88(3): 352354.Google Scholar
Kamanga, J (1995). Maternal and congenital syphilis in Zambia. Afr Health 18(1): 1517.Google Scholar
Kamau-Mbuthia, E and Elmadfa, I (2007). Diet quality of pregnant women attending an antenatal clinic in Nakuru, Kenya. Ann Nutr Metab 51(4): 324330.Google Scholar
Kariuki, JG, Joshi, MD, Adam, AM, Kwasa, TO, and Machoki, M (2008). Fertility rate of epileptic women at Kenyatta National Hospital. East Afr Med J 85(7): 341346.Google Scholar
Kaur, R, Gupta, N, Nair, D, Kakkar, M, and Mathur, MD (1999). Screening for TORCH infections in pregnant women: a report from Delhi. Southeast Asian J Trop Med Public Health 30(2): 284286.Google Scholar
Kavishe, F (1997). Salt iodization programmes in Africa. SCN News 15: 10.Google Scholar
Khoury, MJ, Becerra, JE, Coredo, JF, and Erickson, JD (1989). Clinical-epidemiological assessment of pattern of birth defects associated with human teratogen: application to diabetic embryopathy. Pediatrics 84: 658665.Google Scholar
Kinsley, B (2007). Achieving better outcomes in pregnancies complicated by type 1 and type 2 diabetes mellitus. Clin Ther 29(Suppl. D): S153S160.Google Scholar
Koko, J, Dufillot, D, M’Ba-Meyo, J, Gahouma, D, and Kani, F (1998). Mortality of children with sickle cell disease in a pediatric department in Central Africa. Arch Pediatr 5(9): 965969.CrossRefGoogle Scholar
Komba, AN, Makani, J, Sadarangani, M, et al. (2009). Malaria as a cause of morbidity and mortality in children with homozygous sickle cell disease on the coast of Kenya. Clin Infect Dis 49(2): 216222.Google Scholar
Kromberg, JGR (1992). Albinism in the South African Negro: IV: attitudes and the death myth. Birth Defects 28: 159166.Google Scholar
Kromberg, JGR, Castle, D, Zwane, EM, and Jenkins, T (1989). Albinism and skin cancer in southern Africa. Clinical Genetics 36: 4352.Google Scholar
Labie, D, Pagnier, J, Lapoumeroulie, C, et al. (1985). Common haplotype dependency of high G gamma-globin gene expression and high Hb F levels in beta-thalassemia and sickle cell anemia patients. PNAS 82: 21112114.Google Scholar
Lawrenson, JB, Kalis, NN, Pribut, H, et al. (2006). Why are some South African children with Down syndrome not being offered cardiac surgery? S Afr Med J 96(9 Pt 2): 914919.Google Scholar
Lech, MM (2003). Non-effective partner notification system: a missed opportunity for the reduction of sexually transmitted infections in sub-Saharan Africa. Med Wieku Rozwoj 7(4 Pt 1): 503509.Google Scholar
Lekwuwa, GU, Adewole, IF, and Thompson, MO (1995). Antiepileptic drugs and teratogenicity in Nigerians. Trans R Soc Trop Med Hyg 89(2): 227.Google Scholar
Levin, CE, Steele, M, Atherly, D, et al. (2007). Analysis of the operational costs of using rapid syphilis tests for the detection of maternal syphilis in Bolivia and Mozambique. Sex Transm Dis 34(Suppl. 7): S47S54.Google Scholar
Lindblom, D (2009). [Heart surgery in Sudan: experiences from a highly specialized cardiac surgical centre managed by an Italian humanitarian organization]. Lakartidningen 106(38): 23702373.Google Scholar
Loua, A, Lamah, MR, Haba, NY, and Camara, M (2007). Frequency of blood groups ABO and rhesus D in the Guinean population. Transfus Clin Biol 14(5): 435439.Google Scholar
Louw, B, Shibambu, M, and Roemer, K (2006). Facilitating cleft palate team participation of culturally diverse families in South Africa. Cleft Palate Craniofac J 43(1): 4754.Google Scholar
Lund, PM (2005). Oculocutaneous albinism in southern Africa: population structure, health and genetic care. Ann Hum Biol 32(2): 168173.Google Scholar
Lund, PM and Taylor, JS (2008). Lack of adequate sun protection for children with oculocutaneous albinism in South Africa. BMC Public Health 8: 225.Google Scholar
Lund, PM, Maluleke, TG, Gaigher, I, and Gaigher, MJ (2007). Oculocutaneous albinism in a rural community of South Africa: a population genetic study. Ann Hum Biol 34(4): 493497.Google Scholar
Lupski, JR, Reid, JG, and Gonzaga-Jauregui, C, et al. (2010). Whole-genome sequencing in a patient with Charcot-Marie-Tooth neuropathy. N Engl J Med 362(13): 11811191.Google Scholar
Lutale, JK, Justesen, A, Lema, RS, Swai, AB, and McLarty, DG (1991). Outcome of pregnancy in diabetic patients in Dar es Salaam, Tanzania. Diabet Med 8(9): 881884.Google Scholar
Luzzatto, L, Mehta, A, and Meloni, T (1995). Haemoglobinuria and haptoglobin in G6PD deficiency. Br J Haematol 91(2): 511512.Google Scholar
Macek, M Jr., Mackova, A, Hamosh, A, et al. (1997). Identification of common cystic fibrosis mutations in African-Americans with cystic fibrosis increases the detection rate to 75%. Am J Hum Genet 60(5): 11221127.Google Scholar
Mahmoud, H, El-Haddad, A, Fahmy, O, et al. (2008). Hematopoietic stem cell transplantation in Egypt. Bone Marrow Transplant 42(Suppl. 1): S76S80.Google Scholar
Makani, J, Williams, TN, and Marsh, K (2007). Sickle cell disease in Africa: burden and research priorities. Ann Trop Med Parasitol 101(1): 314.Google Scholar
Makani, J, Menzel, S, Nkya, S, et al. (2011a). Genetics of fetal hemoglobin in Tanzanian and British patients with sickle cell anemia. Blood 117(4): 13901392.Google Scholar
Makani, J, Cox, SE, Soka, D, et al. (2011b). Mortality in sickle cell anemia in Africa: a prospective cohort study in Tanzania. PLoS One 6(2): e14699.Google Scholar
Makola, D, Ash, DM, Tatala, SR, et al. (2003). A micronutrient-fortified beverage prevents iron deficiency, reduces anemia and improves the hemoglobin concentration of pregnant Tanzanian women. J Nutr 133(5): 13391346.Google Scholar
Malik, SJ and Mir, NA (1992). Perinatal mortality in high risk pregnancy: a prospective study of preventable factors. Asia Oceania J Obstet Gynaecol 18(1): 4548.Google Scholar
Mamabolo, RL, Alberts, M, Levitt, NS, Delemarre-van de Waal, HA, and Steyn, NP (2007). Prevalence of gestational diabetes mellitus and the effect of weight on measures of insulin secretion and insulin resistance in third-trimester pregnant rural women residing in the Central Region of Limpopo Province, South Africa. Diabet Med 24(3): 233239.Google Scholar
Mansour, H, Klei, L, Wood, J, et al. (2009). Consanguinity associated with increased risk for bipolar I disorder in Egypt. Am J Med Genet B Neuropsychiatr Genet 150B(6): 879885.Google Scholar
Marais, S, Wilkinson, RJ, Pepper, DJ, and Meintjes, G (2009). Management of patients with the immune reconstitution inflammatory syndrome. Curr HIV/AIDS Rep 6(3): 162171.Google Scholar
March of Dimes Global (2001). Cytomegalovirus in Pregnancy: Fact Sheet. Dimes Birth Defects Foundation.Google Scholar
March of Dimes Global (2002). Sexually Transmitted Infections in Pregnancy: Fact Sheet. Dimes Birth Defects Foundation.Google Scholar
March of Dimes Global (2004). Folic Acid: Fact Sheet. Dimes Birth Defects Foundation.Google Scholar
March of Dimes Global (2006). The March of Dimes Global Report on Birth Defects: The Hidden Toll of Dying and Disabled Children. Dimes Birth Defects Foundation.Google Scholar
Markenson, G and Yancey, M (1998). Parvovirus B19 infections in pregnancy. Obstet Gynecol 91 : 125128.Google Scholar
Martines, J, Paul, VK, Bhutta, ZA, et al. (2005). Lancet Neonatal Survival Steering Team. Neonatal survival: a call for action. Lancet 365(9465): 11891197.Google Scholar
Mashako, L, Preziosi, P, Nsibu, C, et al. (1991). Iron and folate status in Zairian mothers and their newborns. Ann Nutr Metab 35(6): 309314.Google Scholar
Matolweni, LO, Bardien, S, Rebello, G, et al. (2006). Arrhythmogenic right ventricular cardiomyopathy type 6 (ARVC6), support for the locus assignment, narrowing of the critical region and mutation screening of three candidate genes. BMC Med Genet 7: 29.Google Scholar
May, PA, Brooke, L, Gossage, JP, et al. (2000). Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province. Am J Public Health 90(12): 19051912.Google Scholar
Mayosi, BM, Flisher, AJ, Lalloo, UG, et al. (2009). The burden of non-communicable diseases in South Africa. Lancet 374(9693): 934947.Google Scholar
McBride, SR and Leppard, BJ (2002). Attitudes and beliefs of an albino population toward sun avoidance: advice and services provided by an outreach albino clinic in Tanzania. Arch Dermatol 138(5): 629632.Google Scholar
McIlroy, SP, Dynan, KB, Lawson, JT, Patterson, CC, and Passmore, AP (2002). Moderately elevated plasma homocysteine, methylenetetrahydrofolate reductase genotype, and risk for stroke, vascular dementia, and Alzheimer disease in Northern Ireland. Stroke 33(10): 23512356.Google Scholar
Melse-Boonstra, A, Rozendaal, M, Rexwinkel, H, et al. (1998). Determination of discretionary salt intake in rural Guatemala and Benin to determine the iodine fortification of salt required to control iodine deficiency disorders: studies using lithium-labeled salt. Am J Clin Nutr 68(3): 636641.Google Scholar
Menzel, S and Thein, SL (2009). Genetic architecture of hemoglobin F control. Curr Opin Hematol 16: 179186.Google Scholar
Mogayzel, PJ Jr. and Flume, PA (2010). Update in cystic fibrosis 2009. Am J Respir Crit Care Med 181(6): 539544.Google Scholar
Mokhtar, MM and Abdel-Fattah, MM (2001). Consanguinity and advanced maternal age as risk factors for reproductive losses in Alexandria, Egypt. Eur J Epidemiol 17(6): 559565.Google Scholar
Mokhtar, MM and Abdel-Fattah, MM (2002). Major birth defects among infants with Down’s syndrome in Alexandria, Egypt (1995–2000). J Trop Pediatr 48(4): 247249.Google Scholar
Morgan, MA, el-Ghany, SM, Khalifa, NA, Sherif, A, and Rasslan, LR (2003). Prevalence of cytomegalovirus (CMV) infection among neonatal intensive care unit (NICU) and healthcare workers. Egypt J Immunol 10(2): 18.Google Scholar
Mullick, S, Broutet, N, Htun, Y, Temmerman, M, and Ndowa, F (2004). Controlling congenital syphilis in the era of HIV/AIDS. Bull World Health Organ 82(6): 431432.Google Scholar
Mwangi, J (1999). Blood group distribution in an urban population of patient targeted blood donors. East Afr Med J 76(11): 615618.Google Scholar
Nabias, R, Ngouamizokou, A, Migot-Nabias, F, Mbou-Moutsimbi, RA, and Lansoud-Soukate, J (1998). [Serological investigation of toxoplasmosis in patients of the M.I.P. center of Franceville (Gabon)]. Bull Soc Pathol Exot 91(4): 318320.Google Scholar
Nagel, RL and Platt, OS (2001). General pathophysiology of sickle cell anemia. In Steinberg, MH, Forget, BG, Higgs, DR, and Nagel, RL, eds., Disorders of Hemoglobin: Genetics, Pathophysiology, and Clinical Management. Cambridge University Press, pp. 494526.Google Scholar
Nahmias, AJ, Lee, FK, and Beckman-Nahmias, S (1990). Sero-epidemiological and -sociological patterns of herpes simplex virus infection in the world. Scand J Infect Dis Suppl 69: 1936.Google Scholar
Ndir, I, Gaye, A, Faye, B, Gaye, O, and Ndir, O (2004). [Seroprevalence of toxoplasmosis among women having spontaneous abortion and pregnant women following in a center of health up-town in Dakar]. Dakar Med 49(1): 59.Google Scholar
Ndoye, NF, Sow, AD, Diop, AG, et al. (2005). Prevalence of epilepsy: its treatment gap and knowledge, attitude and practice of its population in sub-urban Senegal – an ILAE/IBE/WHO study. Seizure 14(2): 106111.Google Scholar
Ndumbe, PM, Andela, A, Nkemnkeng-Asong, J, Watonsi, E, and Nyambi, P (1992). Prevalence of infections affecting the child among pregnant women in Yaounde, Cameroon. Med Microbiol Immunol 181(3): 127130.Google Scholar
Negash, T, Tilahun, G, and Medhin, G (2008). Seroprevalence of Toxoplasma gondii in Nazaret town, Ethiopia. East Afr J Public Health 5(3): 211214.Google Scholar
Ngo, DB, Dikassa, L, Okitolonda, W, et al. (1997). Selenium status in pregnant women of a rural population (Zaire) in relationship to iodine deficiency. Trop Med Int Health 2(6): 572581.Google Scholar
Nichols, FT, Jones, AM, and Adams, RJ (2001). Stroke prevention in sickle cell disease (STOP) study guidelines for transcranial Doppler testing. J Neuroimaging 11(4): 354362.Google Scholar
Njamnshi, AK, Djientcheu Vde, P, Lekoubou, A, et al. (2008). Neural tube defects are rare among black Americans but not in sub-Saharan black Africans: the case of Yaounde – Cameroon. J Neurol Sci 270(1–2): 1317.Google Scholar
Nouira, S, Kamoun, I, Ouragini, H, et al. (2008). Clinical and genetic investigation of atrial septal defect with atrioventricular conduction defect in a large consanguineous Tunisian family. Arch Med Res 39(4): 429433.Google Scholar
Nwauche, CA and Ejele, OA (2004). ABO and rhesus antigens in a cosmopolitan Nigeria population. Niger J Med 13(3): 263266.Google Scholar
Obed, SA, Armah, JO, and Wilson, JB (1995). Advanced maternal age and pregnancy. West Afr J Med 14(4): 198201.Google Scholar
Oberle, MW, Rosero-Bixby, L, Lee, FK, et al. (1989). Herpes simplex virus type 2 antibodies: high prevalence in monogamous women in Costa Rica. Am J Trop Med Hyg 41(2): 224229.Google Scholar
Odunvbun, ME, Okolo, AA, and Rahimy, CM (2008). Newborn screening for sickle cell disease in a Nigerian hospital. Public Health 122(10): 11111116.Google Scholar
Ogendo, SW (1999). Pregnancy in open heart surgical patients at Kenyatta National Hospital. East Afr Med J 76(1): 1922.Google Scholar
Ojule, AC and Osotimehin, BO (1998). Maternal and neonatal thyroid status in Saki, Nigeria. Afr J Med Med Sci 27(1–2): 5761.Google Scholar
Okoromah, CA, Ekure, EN, Ojo, OO, Animasahun, BA, and Bastos, MI (2008). Structural heart disease in children in Lagos: profile, problems and prospects. Niger Postgrad Med J 15(2): 8288.Google Scholar
Olasoji, HO, Ugboko, VI, and Arotiba, GT (2007). Cultural and religious components in Nigerian parents’ perceptions of the aetiology of cleft lip and palate: implications for treatment and rehabilitation. Br J Oral Maxillofac Surg 45(4): 302305.Google Scholar
Oloyede, OA (2008). Down syndrome screening in Nigeria. Int J Gynaecol Obstet 100(1): 8889.Google Scholar
Onadeko, MO, Joynson, DH, Payne, RA, and Francis, J (1996). The prevalence of toxoplasma antibodies in pregnant Nigerian women and the occurrence of stillbirth and congenital malformation. Afr J Med Med Sci 25(4): 331334.Google Scholar
Onah, II, Opara, KO, Olaitan, PB, and Ogbonnaya, IS (2008). Cleft lip and palate repair: the experience from two West African sub-regional centres. J Plast Reconstr Aesthet Surg 61(8): 879882.Google Scholar
Onuigbo, WI (2006). Epidemiology of skin cancer arisen from the burn scars in Nigerian Ibos. Burns 32(5): 602604.Google Scholar
Onwubalili, JK (1983). Sickle-cell anaemia: an explanation for the ancient myth of reincarnation in Nigeria. Lancet 2(8348): 503505.Google Scholar
Onwuekwe, IO, Onodugo, OD, Ezeala-Adikaibe, B, et al. (2009). Pattern and presentation of epilepsy in Nigerian Africans: a study of trends in the southeast. Trans R Soc Trop Med Hyg 103(8): 785789.Google Scholar
Orji, EO and Ndububa, VI (2004). Obstetric performance of women aged over forty years. East Afr Med J 81(3): 139141.Google Scholar
Owa, JA (1989). Relationship between exposure to icterogenic agents, glucose-6-phosphate dehydrogenase deficiency and neonatal jaundice in Nigeria. Acta Paediatr Scand 78(6): 848852.Google Scholar
Ozumba, BC, Obi, SN, and Oli, JM (2004). Diabetes mellitus in pregnancy in an African population. Int J Gynaecol Obstet 84(2): 114119.Google Scholar
Padoa, C, Goldman, A, Jenkins, T, and Ramsay, M (1999). Cystic fibrosis carrier frequencies in populations of African origin. J Med Genet 36(1): 4144.Google Scholar
Pappas, G, Roussos, N, and Falagas, ME (2009). Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. Int J Parasitol 39(12): 13851394.Google Scholar
Parker, M, Corrigall, AV, Hift, RJ, and Meissner, PN (2008). Molecular characterization of erythropoietic protoporphyria in South Africa. Br J Dermatol 159(1): 182191.Google Scholar
Peadon, E, Fremantle, E, Bower, C, and Elliott, EJ (2008). International survey of diagnostic services for children with fetal alcohol spectrum disorders. BMC Pediatr 8: 12.Google Scholar
Penchaszadeh, VB (2002). Preventing congenital anomalies in developing countries. Community Genet 5: 6169.Google Scholar
Peprah, E and Wonkam, A (2013). Biomedical research, a tool to address the health issues that affect African populations. Global Health 9: 50.Google Scholar
Pham, AM and Tollefson, TT (2007). Cleft deformities in Zimbabwe, Africa: socioeconomic factors, epidemiology, and surgical reconstruction. Arch Facial Plast Surg 9(6): 385391.Google Scholar
Piel, FB, Patil, AP, Howes, RE, et al. (2013). Global epidemiology of sickle haemoglobin in neonates: a contemporary geostatistical model-based map and population estimates. Lancet 381(9861): 142151.Google Scholar
Platt, OS, Thorington, BD, Brambilla, DJ, et al. (1991). Pain in sickle cell disease: rates and risk factors. N Engl J Med 325(1): 1116.Google Scholar
Platt, OS, Brambilla, BJ, Rosse, WF, et al. (1994). Mortality in sickle cell disease: life expectancy and risk factors for early death. N Engl J Med 330: 16391644.Google Scholar
Preux, PM and Druet-Cabanac, M (2005). Epidemiology and aetiology of epilepsy in sub-Saharan Africa. Lancet Neurol 4(1): 2131.Google Scholar
Preux, PM, Tiemagni, F, Fodzo, L, et al. (2000). Antiepileptic therapies in the Mifi Province in Cameroon. Epilepsia 41(4): 432439.Google Scholar
Prischich, F, De Rinaldis, M, Bruno, F, et al. (2008). High prevalence of epilepsy in a village in the Littoral Province of Cameroon. Epilepsy Res 82(2–3): 200210.Google Scholar
Rahimy, MC, Gangbo, A, Ahouignan, G, and Alihonou, E (2009). Newborn screening for sickle cell disease in the Republic of Benin. J Clin Pathol 62(1): 4648.Google Scholar
Ramakrishnan, U (2002). Prevalence of micronutrient malnutrition worldwide. Nutr Rev 60(5 Pt 2): S46S52.Google Scholar
Ratbi, I, Génin, E, Legendre, M, et al. (2008). Cystic fibrosis carrier frequency and estimated prevalence of the disease in Morocco. J Cyst Fibros 7(5): 440443.Google Scholar
Roberfroid, D, Huybregts, L, Lanou, H, et al. (2008). MISAME Study Group. Effects of maternal multiple micronutrient supplementation on fetal growth: a double-blind randomized controlled trial in rural Burkina Faso. Am J Clin Nutr 88(5): 13301340.Google Scholar
Rodier, MH, Berthonneau, J, Bourgoin, A, et al. (1995). Seroprevalences of Toxoplasma, malaria, rubella, cytomegalovirus, HIV and treponemal infections among pregnant women in Cotonou, Republic of Benin. Acta Trop 59(4): 271277.Google Scholar
Romoren, M and Rahman, M (2006). Syphilis screening in the antenatal care: a cross-sectional study from Botswana. BMC Int Health Hum Rights 6: 8.Google Scholar
Rosenthal, J, Christianson, A, and Cordero, J (2005). Fetal alcohol syndrome prevention in South Africa and other low-resource countries. Am J Public Health 95(7): 10991101.Google Scholar
Ross, E (2007). A tale of two systems: beliefs and practices of South African Muslim and Hindu traditional healers regarding cleft lip and palate. Cleft Palate Craniofac J 44(6): 642648.Google Scholar
Rydzak, CE and Goldie, SJ (2008). Cost-effectiveness of rapid point-of-care prenatal syphilis screening in sub-Saharan Africa. Sex Transm Dis 35(9): 775784.Google Scholar
Saboye, J (1999). Plastic surgery training missions in developing countries. A 10-year experience at missions in Mali. Ann Chir Plast Esthet 44(1): 3540.Google Scholar
Saka, B, Mouhari-Touré, A, Kombaté, K, et al. (2009). [Scattered papules in three Togolese children from a consanguineous marriage: epidermodysplasia verruciformis]. Med Trop 69(3): 293294.Google Scholar
Salako, AA, Iyaniwura, CA, Jeminusi, OA, and Sofowora, R (2006). Sexual behaviour, contraception and fertility among in-school adolescents in Ikenne Local Government, south-western Nigeria. Niger J Clin Pract 9(1): 2636.Google Scholar
Saloojee, H, Velaphi, S, Goga, Y, et al. (2004). The prevention and management of congenital syphilis: an overview and recommendations. Bull World Health Organ 82(6): 424430.Google Scholar
SAMHSA (Substance Abuse and Mental Health Services Administration) (2005). The Language of Fetal Alcohol Spectrum Disorders. Center for Substance Abuse Prevention.Google Scholar
Sani, MU, Mukhtar-Yola, M, and Karaye, KM (2007). Spectrum of congenital heart disease in a tropical environment: an echocardiography study. J Natl Med Assoc 99(6): 665669.Google Scholar
Sareli, P, England, MJ, Berk, MR, et al. (1989). Maternal and fetal sequelae of anticoagulation during pregnancy in patients with mechanical heart valve prostheses. Am J Cardiol 63(20): 14621465.Google Scholar
Sayed, AR, Nixon, J, and Bourne, DE (2006). Folic acid awareness among women of reproductive age in Cape Town. S Afr Med J 96(1): 12.Google Scholar
Sayed, AR, Bourne, D, Pattinson, R, Nixon, J, and Henderson, B (2008). Decline in the prevalence of neural tube defects following folic acid fortification and its cost-benefit in South Africa. Birth Defects Res A Clin Mol Teratol 82(4): 211216.Google Scholar
Seashore, MR and Wappner, RS (1996). Genetics in Primary Care & Clinical Medicine. Prentice-Hall.Google Scholar
Seck, BC and Jackson, RT (2009). Providing iron/folic acid tablets free of charge improves compliance in pregnant women in Senegal. Trans R Soc Trop Med Hyg 103(5): 485492.Google Scholar
Serjeant, GR (2005). Mortality from sickle cell disease in Africa. BMJ 330(7489): 432433.Google Scholar
Seyoum, B, Kiros, K, Haileselase, T, and Leole, A (1999). Prevalence of gestational diabetes mellitus in rural pregnant mothers in northern Ethiopia. Diabetes Res Clin Pract 46(3): 247251.Google Scholar
Shaaban, AA, Abdel-Raoof, TA, and Mohamed, MA (1995). Role of cytomegalovirus in inducing congenital anomalies. J Egypt Public Health Assoc 70(3–4): 343355.Google Scholar
Shin, M, Besser, LM, Siffel, C, et al. (2010). Prevalence of spina bifida among children and adolescents in 10 regions in the United States. Pediatrics 126(2): 274279.Google Scholar
Shorvon, SD and Farmer, PJ (1988). Epilepsy in developing countries: a review of epidemiological, sociocultural, and treatment aspects. Epilepsia 29(Suppl. 1): S36S54.Google Scholar
Simpore, J, Savadogo, A, Ilboudo, D, et al. (2006). Toxoplasma gondii, HCV, and HBV seroprevalence and co-infection among HIV-positive and -negative pregnant women in Burkina Faso. J Med Virol 78(6): 730733.Google Scholar
Sodeinde, O, Chan, MC, Maxwell, SM, Familusi, JB, and Hendrickse, RG (1995). Neonatal jaundice, aflatoxins and naphthols: report of a study in Ibadan, Nigeria. Ann Trop Paediatr 15(2): 107113.Google Scholar
Spinelli, E, Seia, M, Melotti, P, et al. (2009). CFTR mutation in an Arab patient: clinical and functional features of 875+1G-->A/875+1G-->A genotype. J Cyst Fibros 8(4): 282284.Google Scholar
Spritz, RA, Arnold, TD, Buonocore, S, et al. (2007). Distribution of orofacial clefts and frequent occurrence of an unusual cleft variant in the Rift Valley of Kenya. Cleft Palate Craniofac J 44(4): 374377.Google Scholar
Stefansson, H, Rujescu, D, Cichon, S, et al. (2008). Large recurrent microdeletions associated with schizophrenia. Nature 455(7210): 232236.Google Scholar
Stegmann, BJ and Carey, JC (2002). TORCH infections. Curr Women Health Reports 2: 253258.Google Scholar
Streetly, A, Latinovic, R, Hall, K, and Henthorn, J (2009). Implementation of universal newborn bloodspot screening for sickle cell disease and other clinically significant haemoglobinopathies in England: screening results for 2005–7. J Clin Pathol 62(1): 2630.Google Scholar
Sulafa, KM and Karani, Z (2007). Diagnosis, management and outcome of heart disease in Sudanese patients. East Afr Med J 84(9): 434440.Google Scholar
Suleiman, AM, Hamzah, ST, Abusalab, MA, and Samaan, KT (2005). Prevalence of cleft lip and palate in a hospital-based population in the Sudan. Int J Paediatr Dent 15(3): 185189.Google Scholar
Tantchou Tchoumi, JC and Butera, G (2009). Rheumatic valvulopathies occurrence, pattern and follow-up in rural area: the experience of the Shisong Hospital, Cameroon. Bull Soc Pathol Exot 102(3): 155158.Google Scholar
Tattah, EB and Ekere, MC (1975). Death patterns in sickle cell anemia. JAMA 233(8): 889890.Google Scholar
Taye, K and Bedru, A (2009). Pattern of neural tube defects at Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Ethiop Med J 47(1): 7176.Google Scholar
Tebeu, PM, Kouam, L, and Nghonguia, MF, et al. (2007). [Historical cohort study of delivery in women of forty years of age and older]. Rev Med Liege 62(7–8): 509514.Google Scholar
Tekle-Haimanot, R, Forsgren, L, and Ekstedt, J (1997). Incidence of epilepsy in rural central Ethiopia. Epilepsia 38(5): 541546.Google Scholar
Tippett, B, Wilson, J, Shepherd, J, Cutler, R, and Webster, P (2008). Operation open heart – Rwanda. Heart Lung Circ 17(Suppl. 4): S82S83.Google Scholar
Tipping, AJ, Pearson, T, Morgan, NV, et al. (2001). Molecular and genealogical evidence for a founder effect in Fanconi anemia families of the Afrikaner population of South Africa. PNAS 98(10): 57345739.Google Scholar
Tita, AT, Selwyn, BJ, Waller, DK, Kapadia, AS, and Dongmo, S (2005). Evidence-based reproductive health care in Cameroon: population-based study of awareness, use and barriers. Bull World Health Organ 83(12): 895903.Google Scholar
Toledo-Pereyra, LH (2010). Heart transplantation. J Invest Surg 23(1): 15.Google Scholar
Turnpenny, P and Ellard, S (2007). Emery’s Elements of Medical Genetics, 13th edn. Churchill Livingstone.Google Scholar
Uda, M, Galanello, R, Sanna, S, et al. (2008). Genome-wide association study shows BCL11A associated with persistent fetal hemoglobin and amelioration of the phenotype of beta-thalassemia. PNAS 105(5): 16201625.Google Scholar
UNICEF (1998). The State of the World’s Children. UNICEF.Google Scholar
UNICEF (2000). The State of the World’s Children. UNICEF.Google Scholar
UNICEF (2003). The State of the World’s Children. UNICEF.Google Scholar
Valodia, PN, Seymour, MA, Kies, BM, and Folb, PI (1999). Optimization of phenytoin therapy in adults with epilepsy in the Western Cape, South Africa. J Clin Pharm Ther 24(5): 381385.Google Scholar
van den Broek, NR and Letsky, EA (2000). Etiology of anemia in pregnancy in south Malawi. Am J Clin Nutr 72(Suppl. 1): S247S256.Google Scholar
Vanderjagt, DJ, Brock, HS, Melah, GS, et al. (2007). Nutritional factors associated with anaemia in pregnant women in northern Nigeria. J Health Popul Nutr 25(1): 7581.Google Scholar
van’t Veer, T, Meester, H, Poenaru, D, et al. (2008). Quality of life for families with spina bifida in Kenya. Trop Doct 38(3): 160162.Google Scholar
Venter, PA, Christianson, AL, Hutamo, CM, Makhura, MP, and Gericke, GS (1995). Congenital anomalies in rural black South African neonates: a silent epidemic? S Afr Med J 85(1): 1520.Google Scholar
Vento, S, Cainelli, F, and Cesario, F (2006). Infections and thalassaemia. Lancet Infect Dis 6(4): 226233.Google Scholar
Viljoen, DL, Carr, LG, Foroud, TM, et al. (2001). Alcohol dehydrogenase-2*2 allele is associated with decreased prevalence of fetal alcohol syndrome in the mixed-ancestry population of the Western Cape Province, South Africa. Alcohol Clin Exp Res 25(12): 17191722.Google Scholar
Vissers, LE, de Vries, BB, and Veltman, JA (2009). Genomic microarrays in mental retardation: from CNV to gene, from research to diagnosis. J Med Genet 47: 289297.Google Scholar
Walker, DG and Walker, GJ (2002). Forgotten but not gone: the continuing scourge of congenital syphilis. Lancet Infect Dis 2(7): 432436.Google Scholar
Walker, GJ and Walker, DG (2007). Congenital syphilis: a continuing but neglected problem. Semin Fetal Neonatal Med 12(3): 198206.Google Scholar
Wanjeri, JK and Wachira, JM (2009). Cleft lip and palate: a descriptive comparative, retrospective, and prospective study of patients with cleft deformities managed at 2 hospitals in Kenya. J Craniofac Surg 20(5): 13521355.Google Scholar
Warf, BC (2005). Comparison of endoscopic third ventriculostomy alone and combined with choroid plexus cauterization in infants younger than 1 year of age: a prospective study in 550 African children. J Neurosurg 103(Suppl. 6): 475481.Google Scholar
Warf, BC and Campbell, JW (2008). Combined endoscopic third ventriculostomy and choroid plexus cauterization as primary treatment of hydrocephalus for infants with myelomeningocele: long-term results of a prospective intent-to-treat study in 115 East African infants. J Neurosurg Pediatr 2(5): 310316.Google Scholar
Warf, B, Ondoma, S, Kulkarni, A, et al. (2009). Neurocognitive outcome and ventricular volume in children with myelomeningocele treated for hydrocephalus in Uganda. J Neurosurg Pediatr 4(6): 564570.Google Scholar
Watcham, SJ, Schön, S, and Christianson, AL (2007). Neglect in the care of pregnant South African women of advanced maternal age. S Afr Med J 97(11): 1064, 1068–1069.Google Scholar
Weatherall, DJ (2001). Phenotype–genotype relationships in monogenic disease: lessons from the thalassaemias. Nat Rev Genet 2(4): 245255.Google Scholar
Weatherall, DJ (2005). The global problem of genetic disease. Ann Hum Biol 32(2): 117122.Google Scholar
Weatherall, DJ (2006). Inherited disorders of hemoglobin. In Jamison, DT, Breman, JG, Measham, AR, et al., eds., Disease Control Priorities in Developing Countries, 2nd edn. Oxford University Press, pp. 663680.Google Scholar
Weatherall, DJ (2008). Hemoglobinopathies worldwide: present and future. Curr Mol Med 8(7): 592599.Google Scholar
Weatherall, DJ (2010). The inherited diseases of hemoglobin are an emerging global health burden. Blood 115(22): 43314336.Google Scholar
Whitley, R, Arvin, A, Prober, C, et al. (1991). Predictors of morbidity and mortality in neonates with herpes simplex virus infections. The National Institute of Allergy and Infectious Diseases Collaborative Antiviral Study Group. N Engl J Med 324(7): 450454.Google Scholar
WHO (1996). Control of Hereditary Diseases. WHO Technical Report Series 865. WHO.Google Scholar
WHO (2002a). Global Strategies to Reduce the Health Care Burden of Craniofacial Anomalies. WHO.Google Scholar
WHO (2002b). Report of a Meeting on Preventing Congenital Rubella Syndrome: Immunization Strategies, Surveillance Needs. WHO.Google Scholar
WHO (2005). Control of Genetic Diseases. Report 2005. Available at: http://apps.who.int/gb/ebwha/pdf_files/EB116/B116_3-en.pdf.Google Scholar
WHO and the World Alliance for the Prevention of Birth Defects (1999). Services for the Prevention and Management of Genetic Disorders and Birth Defects in Developing Countries. WHO.Google Scholar
Wierenga, KJJ, Hambleton, IR, and Lewis, NA (2001). Survival estimates for patients with homozygous sickle-cell disease in Jamaica: a clinic-based population study. Lancet 357: 680683.Google Scholar
Williams, TN, Mwangi, TW, Wambua, S, et al. (2005). Negative epistasis between the malaria-protective effects of alpha+-thalassemia and the sickle cell trait. Nat Genet 37(11): 12531257.Google Scholar
Williams, TN, Uyoga, S, Macharia, A, et al. (2009). Bacteraemia in Kenyan children with sickle-cell anaemia: a retrospective cohort and case–control study. Lancet 374(9698): 13641370.Google Scholar
Winkler, AS, Kerschbaumsteiner, K, Stelzhammer, B, et al. (2009). Prevalence, incidence, and clinical characteristics of epilepsy: a community-based door-to-door study in northern Tanzania. Epilepsia 50(10): 23102313.Google Scholar
Wonkam, A (2009). Phenotype, burden and perspectives of sickle cell anaemia studies in sub-Saharan Africa: the case of Cameroon. In ICBD Proceedings, October 4, 2009, New Delhi, India.Google Scholar
Wonkam, A and Hurst, S (2014). A call for policy action in Sub-Saharan Africa to rethink diagnostics for pregnancy affected by sickle cell disease: differential views of medical doctors, parents and adult patients predict value conflicts in Cameroon. OMICS. DOI: 10.1089/omi.2013.0167.Google Scholar
Wonkam, A and Mayosi, BM (2014). Genomic medicine in Africa: promise, problems and prospects. Genome Medicine 6: 11.Google Scholar
Wonkam, A, Njamnshi, AK, and Angwafo, FF III (2006). Knowledge and attitudes concerning medical genetics amongst physicians and medical students in Cameroon (sub-Saharan Africa). Genet Med 8: 331338.Google Scholar
Wonkam, A, Muna, RR, Rotimi, C, and Newport, M (2010). Capacity-building in human genetics for developing countries: initiatives and perspectives in sub-Saharan Africa. Public Health Genomics 13(7–8): 492494.Google Scholar
Wonkam, A, Kenfack, MA, Muna, WF, and Ouwe-Missi-Oukem-Boyer, O (2011). Ethics of human genetic studies in sub-Saharan Africa: the case of Cameroon through a bibliometric analysis. Dev World Bioeth 11(3): 120127.Google Scholar
Wonkam, A, Ponde, C, and Nicholson, N, et al. (2012). The burden of sickle cell disease in Cape Town.S Afr Med J 102(9): 752754.Google Scholar
Wonkam, A, Mba, CZ, Mbanya, D, et al. (2013a). Psychosocial burden of sickle cell disease on parents with an affected child in Cameroon. J Genet Couns. DOI: 10.1007/s10897-013-9630-2.Google Scholar
Wonkam, A, de Vries, J, Royal, CD, Ramesar, R, and Angwafo, FF 3rd (2013b). Would you terminate a pregnancy affected by sickle cell disease? Analysis of views of patients in Cameroon. J Med Ethics. DOI: 10.1136/medethics-2013-101392.Google Scholar
Wonkam, A, Ngo Bitoungui, VJ, Vorster, AA, et al. (2014). Association of variants at BCL11A and HBS1L-MYB with hemoglobin F and hospitalization rates among sickle cell patients in Cameroon. Plos One. DOI: 10.1371/journal.pone.0092506.Google Scholar
Zagré, NM, Desplats, G, Adou, P, Mamadoultaibou, A, and Aguayo, VM (2007). Prenatal multiple micronutrient supplementation has greater impact on birthweight than supplementation with iron and folic acid: a cluster-randomized, double-blind, controlled programmatic study in rural Niger. Food Nutr Bull 28(3): 317327.Google Scholar
Zaida, F, Sedki, A, Laroche, D, Lekouch, N, and Bouglé, D (2006). [High cord blood TSH in Morocco: iatrogenic hypothyroidism?]. Ann Endocrinol (Paris) 67(1): 3941. In French.Google Scholar
Zeck, W and McIntyre, HD (2008). Gestational diabetes in rural East Africa: a call to action. J Womens Health (Larchmt) 17(3): 403411.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×