RELEASE ON RECEIPT Contact: Katherine Jackson CHARLOTTESVILLE, VA. Feb. 14--While a new preventive drug treatment for sickle cell anemia has proved helpful in adults, doctors at the University of Virginia Children's Medical Center stress early diagnoses and intervention to reduce childhood deaths related to the disease. U.Va.'s comprehensive sickle cell anemia center emphasizes educating families and health care professionals as well as the community about all aspects of the disease. Genetic counseling is available too, says Dr. Peter Waldron, assistant professor of pediatrics and director of the center. "We make a great effort to teach families of affected children about the disease so that they will be able to recognize problems when they are most easily treated." Infection is the leading cause of death in children with the inherited disease for which there is no known cure, says Waldron. "In Virginia infants at risk for sickle cell are screened to detect problems at the earliest point," he says. "Penicillin is the most effective treatment for infection in children from three months of age until age six. After age six the infections prevented by penicillin are less common. From age six until the late teens is sometimes referred to as a honeymoon period because the difficulties caused by the disease are usually decreased. In the late teens we start to see problems due to long exposure to the abnormal state of their blood," notes Waldron. The chronic disease affects one in 12 Americans of African, Middle East, Mediterranean and India ancestry. It is characterized by pain and tissue damage which results from abnormal sickle-shaped cells becoming wedged in tiny blood vessels. About 72,000 Americans are affected. A grant from the State Department of Health has supported the comprehensive center for children with sickle cell anemia since September. The center provides alternative treatments for about 50 children with the disease. Many of its services are coordinated with the local health department to avoid duplication, says registered nurse and teacher Marilu Dixon. U.Va. has provided care to children with sickle cell anemia since 1970. Other centers are located in Fairfax, Norfolk and Roanoke. For more information about the sickle cell anemia center, call Dr. Waldron at (804) 924-5105. ### February 13, 1995