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The PKU Paradox

A Short History of a Genetic Disease

Diane B. Paul, Jeffrey P. Brosco (Autoren)

Buch | Softcover

320 Seiten

2014
Johns Hopkins University Press (Verlag)
978-1-4214-1131-6 (ISBN)

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In a lifetime of practice, most physicians will never encounter a single case of PKU. Yet every physician in the industrialized world learns about the disease in medical school and, since the early 1960s, the newborn heel stick test for PKU has been mandatory in many countries. Diane B. Paul and Jeffrey P. Brosco's beautifully written book explains this paradox. PKU (phenylketonuria) is a genetic disorder that causes severe cognitive impairment if it is not detected and treated with a strict and difficult diet. Programs to detect PKU and start treatment early are deservedly considered a public health success story. Some have traded on this success to urge expanded newborn screening, defend basic research in genetics, and confront proponents of genetic determinism. In this context, treatment for PKU is typically represented as a simple matter of adhering to a low-phenylalanine diet. In reality, the challenges of living with PKU are daunting. In this first general history of PKU, a historian and a pediatrician explore how a rare genetic disease became the object of an unprecedented system for routine testing.
The PKU Paradox is informed by interviews with scientists, clinicians, policymakers, and individuals who live with the disease. The questions it raises touch on ongoing controversies about newborn screening and what happens to blood samples collected at birth.

Diane B. Paul is a professor emerita at the University of Massachusetts, Boston, and a research associate at the Museum of Comparative Zoology, Harvard University. Jeffrey P. Brosco, M.D., is a professor of clinical pediatrics at the Miller School of Medicine, University of Miami. He serves as chair of the Pediatric Bioethics Committee at Jackson Memorial Hospital and is associate director of the Mailman Center for Child Development.

Foreword, by Charles E. Rosenberg
Preface
List of Abbreviations
Introduction: Pearl Buck, PKU, and Mental Retardation
1. The Discovery of PKU as a Metabolic Disorder
2. PKU as a Form of Cognitive Impairment
3. Testing and Treating Newborns, 1950–1962
4. The Campaign for Mandatory Testing
5. Sources of Skepticism
6. New Paradigms for PKU
7. Living with PKU
8. The Perplexing Problem of Maternal PKU
9. Who Should Procreate? Perspectives on Reproductive Choice and Responsibility in Postwar America
10. Newborn Screening Expands
Epilogue: "The Government Has Your Baby's DNA": Contesting the Storage and Secondary Use of Residual Dried Blood Spots
Acknowledgments
A Note on Sources
Notes
Index

Reihe/Serie	Johns Hopkins Biographies of Disease
Zusatzinfo	12 Illustrations, black and white
Verlagsort	Baltimore, MD
Sprache	englisch
Maße	140 x 216 mm
Gewicht	386 g
Themenwelt	Medizin / Pharmazie ► Gesundheitsfachberufe ► Diätassistenz / Ernährungsberatung
	Medizin / Pharmazie ► Medizinische Fachgebiete
	Studium ► 2. Studienabschnitt (Klinik) ► Humangenetik
	Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin
ISBN-10	1-4214-1131-8 / 1421411318
ISBN-13	978-1-4214-1131-6 / 9781421411316
Zustand	Neuware