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Current Opinion in Hematology:
doi: 10.1097/MOH.0000000000000038
ERYTHROID SYSTEM AND ITS DISEASES: Edited by Narla Mohandas

Sickle cell disease in sub-Saharan Africa: stakes and strategies for control of the disease

Diallo, Dapa A.; Guindo, Aldiouma

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Abstract

Purpose of review

In the late 1990s publications on cohorts of sickle cell disease (SCD) patients, followed since birth, showed that the life expectancy of SCD patients in developed countries could approach that of those without SCD, when managed appropriately. Between 2005 and 2008, SCD was declared as a public health priority issue worldwide. In 2006, the WHO recommended that African states should include the fight against SCD in their health policies. Nevertheless, there are, as of yet, no data on effective strategies to implement SCD control in these countries. This review discusses the stakes and proposes strategies for SCD management and research in sub-Saharan Africa.

Recent findings

This work is a review of the recent literature on the burden of SCD in sub-Saharan Africa; on approaches that resulted in improved survival and comfort for SCD patients in developed countries; and, in contrast, on the inadequacies of most issues relating to the fight against SCD in Africa.

Summary

Multiple constraints require an organization based on a network of health professionals working in sickle cell referral centers with specific missions of research, communication, teaching, establishment of guidelines for diagnosis, treatment, and prevention, and the centers of competence that will focus primarily on the screening, diagnosis, and management of SCD patients favoring equity in access to care.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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