Should Premarital Screening for Blood Disorders be an Obligatory Measure in Oman?

Sultan Qaboos Univ Med J. 2018 Feb;18(1):e24-e29. doi: 10.18295/squmj.2018.18.01.004. Epub 2018 Apr 4.

Abstract

Due to the high rate of consanguineous marriages in Oman, there is a correspondingly high prevalence of hereditary blood disorders, particularly sickle cell disease and β-thalassaemia. This article proposes the possibility of implementing mandatory premarital carrier screening for blood disorders in Oman, while giving due consideration to potential social and cultural obstacles. Although the implementation of such legislation would require collaboration between different sectors and may negatively affect the autonomy of certain individuals, mandatory premarital screening would help to alleviate the burden of hereditary blood disorders on the national healthcare system, as well as reduce avoidable suffering among carriers and their families.

Keywords: Consanguinity; Genetic Carrier Screening; Mandatory Screening; Oman; Premarital Examinations; Sickle Cell Trait; beta-Thalassemia.

MeSH terms

  • Anemia, Sickle Cell / genetics
  • Anemia, Sickle Cell / prevention & control
  • Consanguinity
  • Genetic Testing / methods
  • Humans
  • Mass Screening / methods*
  • Mass Screening / trends
  • Oman
  • Premarital Examinations / methods*
  • Premarital Examinations / trends
  • Prevalence
  • beta-Thalassemia / genetics
  • beta-Thalassemia / prevention & control