What is sickle cell disease? What are its symptoms and treatment?
SCD has become one of the fastest-growing genetic conditions in the UK, with many people needing frequent blood transfusions just to stay alive.
By Kimberly RodriguesOct 06, 2022
Approximately 15,000 people in the UK are reportedly affected with sickle cell disease. This disease is particularly common among people with an African or Caribbean heritage and is part of a group of diseases caused by red blood cell disorders.
Red blood cells contain haemoglobin, a protein that carries oxygen.
Healthy red blood cells are round and move easily through small blood vessels to help carry oxygen to all parts of the body.
However, when an individual has sickle cell disease (SCD), their haemoglobin is not normal, and this causes the red blood cells to become hard and sticky, the Mirror reports.
They also resemble a tool called a sickle and hence the name.
SCD has reportedly become one of the fastest growing genetic conditions in the UK, with many people needing frequent blood transfusions just to stay alive.
Additionally, since the demand for blood donations to treat SCD has increased by 67% over the past five years, the NHS is urging more Black blood donors to come forward as people of African descent, including African-Americans, are the most at risk of this disease.
Other at-risk groups include Hispanic Americans from central and South America, as well as people of Middle Eastern, Asian, Indian, and Mediterranean origin.
People who are born with sickle cell disease tend to experience symptoms from early childhood, though some children tend to have fewer symptoms than others.
The Centers for Disease Control and Prevention (CDC) explains how SCD impacts the body. It reportedly said, “The sickle cells die early, which causes a constant shortage of red blood cells.
“Also, when they travel through small blood vessels, they get stuck and clog the blood flow.
“This can cause pain and other serious complications (health problems) such as infection, acute chest syndrome, and stroke.”
Here's what you need to know about the symptoms of SCD, what causes this disease, and whether it can be treated.
SCD is a condition that affects the blood – it causes the red blood cells to take on a sickle or crescent shape which means that cells get stuck in blood vessels and block them. This results in painful episodes and serious or even fatal long-term complications, including organ damage and strokes.
The most serious type of SCD, which is a group of inherited health conditions, is sickle cell anaemia, where organs don’t receive enough blood flow and this causes the blood to become chronically low in oxygen.
According to the NHS, the main symptoms of sickle cell disease are as follows:
• painful episodes which can be very severe and last up to a week
• an increased risk of serious infections
• anaemia (a condition where red blood cells cannot carry enough oxygen around the body) causing tiredness and shortness of breath
• Some people also experience symptoms like delayed growth, lung problems, and even strokes.
Sickle cell disease is a lifelong condition requiring treatment throughout a person's lifetime.
The only cure for this disease is to undergo a stem cell or bone marrow transplant. However, there are risks involved with this treatment, therefore they are not done that often.
Experts are of the opinion that those with SCD should opt for self-care methods to avoid triggering crisis episodes and manage pain.
Some available treatments include:
• Daily antibiotics and regular vaccinations to reduce the chances of getting an infection
• Medicine called hydroxycarbamide (hydroxyurea) to reduce symptoms
• Regular blood transfusions if there are signs of damage caused by the disease
• Emergency blood transfusion in case severe anaemia develops
• Drinking plenty of fluids and staying warm to prevent painful episodes
• Painkillers, such as paracetamol or ibuprofen.
SCD is reportedly caused by a gene that affects how red blood cells develop. If both parents have this gene, there's a one-in-four chance of a child being born with this disease.
However, parents themselves will not have the disease and they are usually only the carriers of it, the Mirror states.
AN ASIAN writer has explained how his new book makes Britain’s imperial past “accessible, engaging and thought-provoking” for a younger audience.
Award-winning author and journalist Sathnam Sanghera’s new book, Journeys of Empire, explores empire through 10 journeys he described as being “extraordinary”. Sanghera said his book, published last month by Puffin UK, is “a way of helping children understand how Britain’s biggest story still shapes the world today.”
“We’re not taught this history very well,” he told Eastern Eye.
“The empire is morally complex – sometimes we were good, sometimes bad – so, how do you even begin talking about it? It’s also contentious. There are millions of us whose families were colonised, and millions whose families were the colonisers.”
Teachers cannot teach what they themselves were never taught, Sanghera pointed out.
“There are multiple layers to why British people are so bad at talking about this history. It touches on race, misogyny and geopolitics. It’s easier just not to talk about it.”
And , the cover of his book
Following the success of his bestselling children’s title Stolen History, Sanghera’s this latest work continues Sanghera’s mission to write for readers aged nine and above. With a focus on human experiences, Sanghera said he wanted show that history is not just a list of dates or conquests – it’s a tapestry of stories that connect people.
Born in Wolverhampton to Punjabi immigrant parents, he began school unable to speak English. Later he graduated with first-class honours in English language and literature from Christ’s College, Cambridge.
He has since built a career as a writer and journalist.
His memoir, The Boy with the Topknot, and his novel, Marriage Material, were both shortlisted for the Costa Book Awards. Empireland, Sanghera’s exploration of Britain’s colonial legacy, was longlisted for the Baillie Gifford Prize for Non- Fiction, named a Book of the Year at the 2022 National Book Awards, and inspired the Channel 4 documentary series Empire State of Mind.
His first children’s book, Stolen History, introduced young readers to the complex and often overlooked realities of empire. With Journeys of Empire, Sanghera aims to go further. “When I finally learned about the British empire, it changed how I saw myself, how I saw Britain, and how I saw India,” he said.
“It seemed obvious that you’d want to give this gift to young people – because your 40s is a bit late to be learning all this.”
Sanghera said the 10 journeys in the book take readers across continents and centuries, revealing both the ambition and the brutality of empire.
“The British empire covered a quarter of the world’s surface and a large portion of its population. It was seven times the size of the Roman empire,” he said.
Aiming to ensure diversity in both perspective and geography, Sanghera said he chose stories from various countries and different phases of the 400-year history.
Alongside India and Mahatma Gandhi, readers will learn about Guyana’s indentured labour system, Gertrude Bell’s adventures in Iraq, and the British invasion of Tibet led by Francis Younghusband.
“I wanted to highlight areas often left out of mainstream narratives,” the writer said. The stories are written with an accessible and honest tone, and with humour.
“Violence is a tricky area,” Sanghera said. “You can’t go into graphic detail, but you also shouldn’t whitewash it. The violence and racism of colonialism were intrinsic. “I tried to strike a balance - acknowledging the brutality without overwhelming young readers.”
Writing for children isn’t much different from writing for adults, Sanghera said.
“You still need engaging stories and to hold attention. The main thing is to avoid big words that might put them off.”
He pointed out how storytelling can counter the allure of digital screens.
“Kids are addicted to screens, and reading rates are falling globally. That’s disastrous for mental health, intellectual development, and politics,” he said.
“When you get news from screens, you’re in an echo chamber – you’re not being challenged or taught to think in a nuanced way.”
Sanghera’s hope is that stories of Journeys of Empire – from pirates to princes and explorers to rebels – will draw in young readers to a world of curiosity and reflection. He said, “The British empire is a complex story. Even the ‘good guys’ had flaws. That’s what makes it worth understanding.”
At the heart of his book is a message about complexity and contradiction. “The empire involved slavery and the abolition of slavery. It caused environmental destruction and inspired environmentalism. We live in a world that struggles with nuance, but that’s what makes us human,” Sanghera said.
“My hope is that readers – kids and adults – learn that opposite things can be true at the same time.”
After six years of writing about empire, Sanghera said he’s ready for a change. His next book will focus on the late pop star George Michael, due out in June next year.
“I thought George Michael would be a nice break from empire. But then I learned that his father came from Cyprus - which was under British rule. The reason he left Cyprus was because of the British. So, even George Michael’s story connects back to empire. You can’t escape it, wherever you go.”
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