From Family Tree to Family Health by jizhen1947

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									From Family Tree
       to
  Family Health
Knowing your family tree

Genealogy information
 collected:
  •   Names
  •   Relationships
  •   Date of Birth
  •   Date of Death
Genetics Family History

  Professionals note:
   •   Names
   •   Relationships
   •   Date of Birth
   •   Date of Death
   •   Health diagnoses
        • Age of onset
        • Associated problems
     Family Health History
       Your own family version

 Combines Genealogy and Health
  Information

 Also captures:
   Lifestyle choices
   Habits
   Shared environment
Family Health History: Why?

  Having a family history of many common
   chronic health problems increases the
   risk that you may also develop that health
   problem.
  Families share genes, but also share
   their environment, their lifestyles, the
   food they eat and their habits.
   Risk Factors for Disease
    Genes, environment, and behaviors
 interact with each other to cause disease.

              Behaviors




             Interaction

Genes                                       Environment

              U.S. Surgeon General Family
                    History Initiative
            Risk Factors
   A risk factor increases your risk of developing
   a disease or health problem.
                           Environment


Behaviors and lifestyle

                                            Genes




                     U.S. Surgeon General Family
                           History Initiative
        Risk Factors for Disease
               Environment
Environmental risk factors include exposures to
harmful agents in food, water and air.




                   U.S. Surgeon General Family
                         History Initiative
        Risk Factors for Disease
           Behaviors and lifestyle
Behavioral and lifestyle risk factors include poor diet,
lack of physical activity, smoking, abuse of alcohol,
and failure to get recommended screening tests.




                    U.S. Surgeon General Family
                          History Initiative
             Risk Factors for Disease
                         Genes
Genes provide the directions for building all of the proteins
that make our bodies function. Genes are passed down by
parents to their offspring. Some genes may not function
properly leading to disease.




                        U.S. Surgeon General Family
                              History Initiative
   Risk Factors for Disease
 Family history helps capture the effects
  of these interactions on disease risk.

              Behaviors




Genes                                       Environment

              U.S. Surgeon General Family
                    Health Initiative
         What is family history?


A family’s
combination of
shared genes,
environment,
behavior, and
culture




                 U.S. Surgeon General Family
                       History Initiative
      Everyone has a family history of
                something

                           allergies
                diabetes                                        blue eyes
                                       high blood pressure
    acne
                                                                       leanness

high cholesterol
                                                                   osteoporosis
       red hair
                                                                   height
athleticism
     obesity                                                          curly hair

                                                                   stroke
   emphysema

     asthma                                                        cancer

              arthritis          U.S. Surgeon General Family   kidney disease
                                       History Initiative
How can your family
history help you?

•   Learn about diseases that run in your family

•   Take advantage of screening tests that can
    detect disease at an early stage when it is most
    treatable

•   Change unhealthy behaviors such as smoking,
    inactivity and poor eating habits
                    U.S. Surgeon General Family
                          History Initiative
How to collect family
      history
Talk with your relatives:

  Parents if they are living
  Older relatives are a great source of
   information
  Family reunions, vacations, holidays
  If you are adopted
    Talk with your adoptive parents
    You may have access to records through the
     adoption agency
    Where to Find Family Health
           Information
 Existing family trees, family charts
 Baby books, birthday date books, a
  family bible
 Available medical records
 State records of births, marriages and
  deaths (County Clerk office)
 Genealogy websites (important to verify
  information for your family)
          How to Record Your
          Family Health History
• Keep a written list of the information
• Draw a family tree, “a pedigree”
   • Instructions found in “Does it Run in the Family”
       A Guide to Family Health History
       (available through the Genetic Alliance)
Use an existing website
   • U.S. Surgeon General’s Family History Initiative
       • www.hhs.gov/familyhistory
Who should be included in the family
health history?
  Yourself
  Your brothers and sisters
     Their children: your nieces and nephews
  Your children
  Your parents
  Your aunts and uncles
     Their children: your cousins
  Your Grandparents
For each person, try to write down:

  Current age or date of birth
  For deceased relatives the age at death
   (or best guess) and cause of death
  Note medical problems and the age of
   onset for each relative
  Smoking, diet, and weight
Examples of medical conditions:

    Cancer                   Stroke
    Heart Disease            Mental Retardation
    Diabetes                 Kidney Disease
    Asthma                   Birth Defects such as
    Mental illness             Spina bifida
    High Blood Pressure        Cleft lip
                                Heart defects
    Vision/hearing loss
     Note Ethnicity for each side of the family
English/Irish                                                     German
                   grand-parents              grand-parents



                                   parents
         aunts &
          uncles




          you                      siblings



            children                           nieces & nephews

                To learn to draw a family tree like this, go to
                 http://www.nsgc.org/consumer/
Note information in Pedigree




                      J
          John Smith DOB 10/10/1950
            Heart Attack Age 50 years
          Smoked 2 pcks/day 20 years
                       Not overweight
Note information in List

  Sister   Jane Smith     DOB 5/5/1945
  Sister   June Clark     DOB 6/6/1948
                           Heart Attack age 55
                           No smoking
                           Overweight
  Brother John Jones      DOB 10/10/1950
                           Heart Attack age 50
                      Smoked 2 pcks/day 20 yrs
                           Not overweight
Identifies frequent health problems



                               late asthma             kidney stones
                               smoked pipe




                               kidney stones           kidney stones   kidney stones




      exercise asthma exercise asthma          kidney stones   kidney stones
                                                viral asthma
Does It Run in the Family?
A Guide To Family Health History

     Tools for gathering family history information
     Sample questions to ask your family members
     Examples of recording health facts
     Booklet “Understanding Genetics and Disease”
     Suggestions for family history related journal
      topics

  Joint project: U.S. DHHS HRSA MCH Bureau
               Genetic Services Branch
What to do with your family health
       history information
  Keep somewhere
   you will remember!
  Bring it out to update
   regularly
  Share a copy with
   your healthcare
   provider
  Share a copy with
   your family members
What will your health
professional do with the
information?
 •   Determine your risk for disease based on:
          - number of family members with the disease
          - the age when they were diagnosed
          - how you are related to the family member

 •   Consider other disease risk factors

 •   Recommend screening tests and lifestyle changes

                        US Surgeon General Family
                             History Initiative
Talk with your Healthcare Provider

  Important to consider family history in the
   healthcare of each family member
  Risk applies to each family member in addition
   to other diagnoses
  Healthcare provider can suggest screening for
   common adult onset conditions such as:
   Heart disease         Asthma       Stroke
   Diabetes              Cancer
   High blood pressure   High cholesterol
Summary
From Family Tree to Family Health
 Your personal health and the health of your
  family is influenced by

 family health history
 environment
 diet
 lifestyle
 habits
Summary
From Family Tree to Family Health

  The genetic factors contributing to family
   health cannot be changed
  Genetics factors are not the whole
   reason behind health or disease
  Knowing the genetic risks in the family
   may help to focus choices that will
   prevent disease and lead to optimal
   family health
Online tools and information:

  Surgeon General Family History Initiative
    http://www.hhs.gov/familyhistory/download.html
      English      Spanish


  CDC Family History
   http://www.cdc.gov/genomics/public/famhix/links.htm

  National Society of Genetics Counselors
    http://www.nsgc.org/consumer
    http://www.nsgc.org/resourcelink.cfm
Important Conference Session

  Sunday, July 30th 8:30 AM – 10:00 AM

         Positive Health Outcomes
            The ultimate agenda

                 Apryl Brown,
        Detroit Medical Reserve Corps

								
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