This article is very productive and enlightening. The casuistry
provided by the author for avoiding such marriages is quite
convincing. We have several families where more than one-persons
acquire disability due to genetic antecedent. And the most of such
cases are presumably found in muslim families and in the south Indian
states. It would be great if somebody attempts to write  a paper
highlighting the social profile of families consisting of more than
one disabled people.

http://www.thehindu.com/seta/2004/04/29/stories/2004042900161600.htm


Problems with consanguineous marriages





BLOOD RELATED marriages are called consanguineous marriages — sanguine
meaning blood.

Around the globe consanguineous marriages have been practised by many
societies from time immemorial. It is widely practiced in Asia, North
Africa, Switzerland, Middle East, some parts of China, Japan and
fishermen communities in Europe and America. One in two rural
marriages in Tamil Nadu and Andhra Pradesh are consanguineous.

What type of marriages are consanguineous marriages? When you marry
biologically related or blood relatives then it is consanguineous
marriage. Most commonly in our part of the world, first cousins —
uncle's son marries auntie's daughter or vice versa.

However another type of marriage is where maternal uncle marries his
niece (sister's daughter). Theoretical risk of having a genetic defect
child is higher in the latter type of marriage than the former. Most
of us do not even recognize the pros and cons of such marriages.

While assessing the consequence of consanguineous against
non-consanguineous (non-blood related) marriages in health and
disease, several scientific studies have shown that consanguinity
leads to death of infants before, during or immediately after birth,
increased incidence of birth defects, genetic diseases including
blinding disorders, blood cancer (acute lymphocytic leukemia),
breathing problems for children at birth (apnea), increased
susceptibility to disease etc.

Some scientists contradict these studies and state that other
biological factors could be accountable for the results and not
consanguinity alone.

In our study we showed that consanguinity could increase the incidence
of many blinding disorders like retinitis pigmentosa, Leber congenital
amaurosis, Lawrence-Moon-Bardet-Biedl syndrome, Stargardt disease,
Usher syndrome etc (Consanguinity and Ocular Genetic Diseases in South
India: Analysis of a Five-year study. Community Genetics:
2002:5:180-185). Consanguinity could increase the risk of inheriting
any one of the 4968 (autosomal recessive) genetic diseases that could
affect any part of the body from head to foot.

Some animal studies have shown that inbreeding or consanguinity could
enhance longevity. It has been proved beyond doubt that consanguineous
marriages farther than second cousins would not result in major
genetic diseases.

There are certain misconceptions regarding marriages amongst
relatives, marriages between social relatives like wife's brother and
husband's sister can get married, where there is no role for blood
relationship.

Why do consanguineous marriages result in children with genetic
diseases? Due to inheritance parents and children, and brothers and
sisters, commonly share 50 per cent of their genetic make-up.

Similarly uncle and niece share 25 per cent and first cousins 12.5 per
cent of their inherited genetic material as it originates from a
common ancestor. In such situations if there are any `silent' genetic
defects, then such errors manifesting as a disease in the child of a
consanguineous parents is high.

Whereas, if we marry a person non-consanguineously in a random manner,
then for both the partners to share the same `silent' genetic defect
is extremely rare.

Hindus in northern India as a practice outlaw the consanguineous
marriage by avoiding the same `gothra' or patrilineal relationship
between the probable bride and the groom. In some of the western
countries including the United States consanguinity closer than the
first cousins are considered to be legally incest.

Historically closest consanguineous marriage was performed between
brothers and sisters by the Egyptian Pharaohs to preserve the royal
blood and interestingly Cleopatra was born out of such marriage.
However this disgusting practice has never been duplicated anywhere
else in the world.

It is sad to note that many movies in Tamil Nadu and Andhra Pradesh
highlight and glorify consanguinity. Evidence suggests that
consanguinity does play a negative role in human health. The social
benefits of consanguinity should not outweigh the biological damages;
many in the community are ignorant about these facts.

G. Kumaramanickavel



G. Kumaramanickavel



 Sankara Nethralaya
 Chennai


Read more studies on the issues
1 
http://www.thehindu.com/sci-tech/health/the-biology-of-first-cousin-marriages/article4902050.ece
2 
http://www.thehindu.com/news/cities/Tiruchirapalli/consanguineous-marriages-are-a-major-cause-of-hearing-loss-among-children/article5061498.ece



-- 
Avinash Shahi
Doctoral student at Centre for Law and Governance JNU



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