A Review of Consanguinity in the Iraqi Population: A Call to Action to Prevent a Future Health Catastrophe

Authors

  • Zaid Ali Hawi Faculty of Science, Deakin University, Melbourne, Australia
  • Kealan Pugsley Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia https://orcid.org/0000-0001-7507-9532
  • Atefeh Namipashaki Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia https://orcid.org/0000-0001-9350-6155
  • Wailed Samarrai New York City College of Technology, City University of New York, New York, USA
  • Ziarih Hawi The Centre for Developmental Psychiatry and Psychology, Monash University

DOI:

https://doi.org/10.30526/37.2.3472

Keywords:

Consangunity, inherited diseases, genetic testing, legislative measures

Abstract

Although not uncommon worldwide, consanguinity has been a part of Arab culture and tradition as a means to strengthen tribal blood relations. However, this type of union has been linked to inherited diseases, particularly those of a recessive nature (e.g., hemoglobinopathies). Furthermore, several recent studies have documented highly significant associations between consanguineous parentage and common multifactorial diseases, including but not limited to hypertension, mental disorders, and several cardiovascular diseases. In Iraq, the prevalence of consanguinity is very high and still on the rise. This has resulted in an increased prevalence of inherited diseases and has significant negative impacts on Iraq’s limited economy. To address this issue, epidemiological studies are urgently required to generate a comprehensive database comprising the distribution of genetically inherited diseases that will be fundamental to establishing an effective future healthcare system. An educational public awareness campaign should accompany these efforts to inform the population about the profound consequences of consanguinity on offspring health. Finally, legislation needs to be put in place to ensure highly vetted genetic testing is conducted prior to any blood-related marriage in order to prevent further genetic complications for future generations of Iraq.

References

Bittles, A. Consanguinity and its relevance to clinical genetics. Clinical Genetics, 2001, 60, 89–98. DOI: 10.1034/j.1399-0004.2001.600201.x.

Bittles, A.; Black, M. Consanguinity, human evolution, and complex disease. PNAS, 2010, 107, 1779–1786. DOI: 10.1073/pnas.090607910.

Hamamy, H. Consanguineous marriages: Preconception consultation in primary health care settings. Journal of Community Genetics, 2012, 3,185–192. DOI: 10.1007/s12687-011-0072-y.

Khalil, A.M. Arabization and Islamization of consanguineous marriages: is it right? Medical Journal of Islamic World Academy of Sciences, 2022, 29, 1, 4-14. DOI: 10.5505/ias.2022.09735.

Bittles, AH. Consanguinity in Context. Cambridge University Press: Cambridge, UK; 2012.

Khalid, N.; Noreen, K.; Qureshi, FM.; Mahesar, M. Knowledge of Thalassemia and Consanguinity: A Multicentre Hospital Based Retrospective Cohort Study from Metropolitan City of Karachi, Pakistan. The Professional Medical Journal., 2019, 26, 1580–1586. DOI: 10.29309/TPMJ/2019.26.09.168

Nawaz, A.; Zaman, M.; Malik, S. Consanguinity, inbreeding coefficient, fertility and birth-outcome in population of Okara district, Pakistan. Pakistan journal of Medical Sciences, 2021, 37, 3, 770-775. DOI: 10.12669/pjms.37.3.2263.

Woods, C.G.; Cox,J.; Springell, K.; Hampshire, D.J.; Mohamed, M.D.; McKibbin, M.; Stern, R.; Raymond, FL.; Sandford, R., Malik, Sharif, S.; Karbani, G.; Ahmed, M.; Bond, J.; Clayton, D.; Inglehearn, C.F. Quantification of homozygosity in consanguineous individuals with autosomal recessive disease. American Journal of Human Genetics, 2006, 78, 5, 889–896. DOI: 10.1086/503875.

Denic, S.; Aden, B; Nagelkerke N.; Al Essa, A. β-Thalassemia in Abu Dhabi: Consanguinity and Tribal Stratification are Major Factors Explaining the High Prevalence of the Disease. Haemoglobin, 2013, 37, 4, 351–358. DOI: 10.3109/03630269.2013.790827.

Bener, A.; Hussain, R.; Teebi, A. Consanguineous Marrages and their effects on common Adult diseases: Studies from an Endogamous Population. Medical Principles And Practice: International Journal Of The Kuwait University, Health Science Centre, 2007, 16, 262–267. DOI: 10.1159/000102147.

Lotfi, Y.; Mehrkian, S. Hearing impairments in consanguineous marriage. Iranian Rehabilitation Journal, 2004, 2, 2, 9-14. http://irj.uswr.ac.ir/article-1-643-en.html.

Alzahrani, S.H.; Alzahrani, N.M.; Al Jabir, F.; Alsharef, M.K.; Zaheer, S.; Hussein, S.H.; Alguwaihes, A.M.; Jammah, A.A. Consanguinity and Diabetes in Saudi Population: A Case-Control Study. Cureus, 2021,13, 12, e20836. DOI: 10.7759/cureus.20836.

Barth. F. Father's Brother's Daughter Marriage in Kurdistan. Southwestern Journal of Anthropology, 1954; 10, 2, 64 –171. DOI: 10.1086/soutjanth.10.2.3628823.

Jalal, S.D.; Al-Allawi, N.; Faraj, Z.H.; Ahmed, N.H. Prevalence of Haemoglobinopathies In Sulaimani – Iraq. Dohuk Medical Journal, 2008, 2, 1,71–77.

Al-Allawi, N.; Al-Dousky, A. Frequency of haemoglobinopathies at premarital health screening in Dohuk, Iraq. Implications for a regional prevention programme. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 2010, 16, 4, 381–385.

Lafta, F. Consanguineous Marriage and some Reproductive Health Parameters for Sample from Families in Baghdad, Iraq. AL- Mustansiriya Journal of Science, 2010, 21, 5, 344 –354.

Hamamy, H.; Bayati, N.; Kubaisy, W. Consanguineous marriagesin the Iraq urban population and the effect on pregnancy outcome andinfant mortality. Iraq Medical Journal, 1986, 34, 75–79.

Hamamy, H.; Hakkak, Z.; Consanguinity and Reproductive Health in Iraq. Human Heredity, 1989, 39, 271–275. DOI: 10.1159/000153871.

Yahyaa, B.; Ali, M.; Saad, A.J. Prevalence and Perception of Women about Consang- uineous Marriage in Al-Ramadi city. Indian Journal of Public Health Research & Development, 2019, 10, 4, 567. DOI: 10.5958/0976-5506.2019.00758.7.

Ali, M.M.; Shah, I.H. Sanctions and Childhood Mortality in Iraq. Lancet, 2000, 335, 1851–1857. DOI: 10.1016/S0140-6736(00)02289-3.

Al-Ghanim K.A. Consanguineous marriage in the Arab societies. Journal of Psychology and Clinical Psychiatry, 2020, 11, 6, 166‒168. DOI: 10.15406/jpcpy.2020.11.00692.

Iraqi Federal Board of Supreme Audit – Performance Evaluation Reports. [cited Aug, 2016]. Available from: http://www.d-raqaba-m.iq/pages_ar/repo_performance_ar.aspx.

Kadhim, A.; Baldawi; K.; Lami, F. Prevalence, Incidence, Trend, and Complications of Thalassemia in Iraq. Hemoglobin, 2017, 41, 3, 164–168. DOI: 10.1080/03630269.2017.1354877.

Al-Allawi, N.; Al Allawi, S.; Jalal, S.D. Genetic epidemiology of hemoglobinopathies among Iraqi Kurds. Journal of Community Genetics, 2021, 12, 5–14. DOI: 10.1007/s12687-020-00495-z.

Fawdry, A. Report on present state of knowledge of erythroblastic anaemia in Cyprus. Cyprus Med Sanitary Report. 1946, Appendix D.12.

Banton, A.H. A genetic study of Mediterranean anaemia in Cyprus. American Journal of Human Genetics, 1951, 3, 1, 47– 64.

Ioannou, P. Thalassemia prevention in Cyprus past, present and future, published in a book titled: The Ethics of Genetic screening edited by Ruth Chadwick, Darren Shickle, Henk ten Have and Urban Wiesing, Springer-science & Business Media, B.V, 1999, 55 – 67.

Kyrri, A.R.; Kalogerou, E.; Loizidou, D.; Ioannou, C.; Makariou, C.; Kythreotis, L.; Phylactides, M.; Kountouris, P.; Angastiniotis, M.; Modell, B.; Kleanthous, M. The changing Epidiomology of beta-Thalassemia in the Greek-Cypriot population. Hemaglobin, 2013, 37, 5, 435–443. DOI: 10.3109/03630269.2013.801851.

Silva, P. The Dunedin Multidisciplinary Health development Study: a 15 years longitudinal Study. Paediatric and Perinatal Epidemiology. 1990, 4, 76–107. DOI: 10.1111/j.1365-3016.1990.tb00621.x.

Allen, N.; Sudlow, C.; Downey, P.; Peakman, T.; Danesh, J.; Elliott, P.; Gallacher, J.; Green, J.; Matthews, P.; Pell, J.; Sprosen, T.; Collins, R. UK Biobank Current status and what it means for epidemiology. Health Policy &Techno, 2012, 1, 123–126. DOI: 10.1016/j.hlpt.2012.07.003.

Fry, A.; Littlejohns, T.J.; Sudlow. C.; Doherty,N.; Adamska,L.; Sprosen,T.; Collins,R.; Allen, N.E. Comparison of Sociodemographic and Health-Related Characteristics of UK Biobank Participants with Those of the General Population. American Journal of Epidemiology, 2017,186, 9,1026 –1034. DOI: 10.1093/aje/kwx246.

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Published

20-Apr-2024

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Biology

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