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From Family Tree to Family Health

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Draw a family tree, 'a pedigree' Instructions found in 'Does it Run in the Family' ... To learn to draw a family tree like this, go to. http://www.nsgc.org ... – PowerPoint PPT presentation

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Title: From Family Tree to Family Health


1
From Family Tree to Family Health
2
Knowing your family tree
  • Genealogy information collected
  • Names
  • Relationships
  • Date of Birth
  • Date of Death

3
Genetics Family History
  • Professionals note
  • Names
  • Relationships
  • Date of Birth
  • Date of Death
  • Health diagnoses
  • Age of onset
  • Associated problems

4
Family Health HistoryYour own family version
  • Combines Genealogy and Health Information
  • Also captures
  • Lifestyle choices
  • Habits
  • Shared environment

5
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.

6
Risk Factors for Disease
Genes, environment, and behaviors interact with
each other to cause disease.
Behaviors
Interaction
Genes
Environment
7
Risk Factors
  • A risk factor increases your risk of
    developing a disease or health problem.

Environment
Behaviors and lifestyle
Genes
8
Risk Factors for Disease
Environment
Environmental risk factors include exposures to
harmful agents in food, water and air.
9
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.
10
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.
11
Risk Factors for Disease
Family history helps capture the effects of
these interactions on disease risk.
Behaviors
Family History
Genes
Environment
12
What is family history?
A familys combination of shared genes,
environment, behavior, and culture
13
Everyone has a family history of something
allergies
diabetes
blue eyes
high blood pressure
acne
leanness
high cholesterol
osteoporosis
red hair
height
athleticism
curly hair
obesity
stroke
emphysema
cancer
asthma
arthritis
kidney disease
14
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

15
How to collect family history
16
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

17
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)

18
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 Generals Family History Initiative
  • www.hhs.gov/familyhistory

19
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

20
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

21
Examples of medical conditions
  • Cancer
  • Heart Disease
  • Diabetes
  • Asthma
  • Mental illness
  • High Blood Pressure
  • Vision/hearing loss
  • Stroke
  • Mental Retardation
  • Kidney Disease
  • Birth Defects such as
  • Spina bifida
  • Cleft lip
  • Heart defects

22
Note Ethnicity for each side of the family
English/Irish
German
grand-parents
grand-parents
parents
aunts uncles
siblings
you
children
nieces nephews
To learn to draw a family tree like this, go to
http//www.nsgc.org/consumer/
23
Note information in Pedigree
J
John Smith DOB 10/10/1950 Heart Attack Age 50
years Smoked 2 pcks/day 20 years Not overweight
24
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

25
Identifies frequent health problems
26
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

27
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

28
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

29
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

30
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

31
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

32
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.ht
    m
  • National Society of Genetics Counselors
  • http//www.nsgc.org/consumer
  • http//www.nsgc.org/resourcelink.cfm

33
Important Conference Session
  • Sunday, July 30th 830 AM 1000 AM
  • Positive Health Outcomes
  • The ultimate agenda
  • Apryl Brown,
  • Detroit Medical Reserve Corps
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