From family tree to family health
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From Family Tree to Family Health. Genealogy information collected: Names Relationships Date of Birth Date of Death. Knowing your family tree. Professionals note: Names Relationships Date of Birth Date of Death Health diagnoses Age of onset Associated problems.

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From family tree to family health l.jpg

From Family Tree to Family Health


Knowing your family tree l.jpg

Genealogy information collected:

Names

Relationships

Date of Birth

Date of Death

Knowing your family tree


Genetics family history l.jpg

Professionals note:

Names

Relationships

Date of Birth

Date of Death

Health diagnoses

Age of onset

Associated problems

Genetics Family History


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Family Health HistoryYour own family version

  • Combines Genealogy and Health Information

  • Also captures:

    • Lifestyle choices

    • Habits

    • Shared environment


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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.


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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


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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


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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


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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


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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


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Risk Factors for Disease

Family history helps capture the effects

of these interactions on disease risk.

Behaviors

Family History

Genes

Environment

U.S. Surgeon General Family Health Initiative


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What is family history?

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

U.S. Surgeon General Family History Initiative


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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

U.S. Surgeon General Family History Initiative

kidney disease


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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



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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


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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)


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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


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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


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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


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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

Examples of medical conditions:


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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/


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Note information in Pedigree

J

John Smith DOB 10/10/1950

Heart Attack Age 50 years

Smoked 2 pcks/day 20 years

Not overweight


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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



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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


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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


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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


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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


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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


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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


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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


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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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