Assembly Joint Resolution No. 28

RESOLUTION CHAPTER 113

Assembly Joint Resolution No. 28—Relative to Sickle Cell Anemia Awareness Month.

[Filed with Secretary of State September 9, 2013.]

LEGISLATIVE COUNSEL’S DIGEST

AJR 28, Brown. Sickle Cell Anemia Awareness Month.

This measure would recognize the month of September 2013, and each September thereafter, as Sickle Cell Anemia Awareness Month in California, and would urge the Congress of the United States to support the President’s continuation of funding for sickle cell anemia centers and research and to make sickle cell anemia and other genetic hemoglobin disorders a public health priority.

WHEREAS, Sickle cell anemia and sickle cell disease, used interchangeably, refer to a group of inherited disorders that affect the red blood cells; and

WHEREAS, Sickle cell anemia is a disease in which a person’s body produces abnormally shaped red blood cells that resemble a crescent or sickle, and which do not last as long as normal round red blood cells, which leads to anemia. The sickle cells also get stuck in blood vessels and block blood flow, which can cause pain and organ damage; and

WHEREAS, Sickle cell anemia is a genetic disorder where individuals with the disease are born with two sickle cell genes, each inherited from one parent. An individual with only one sickle cell gene has a “sickle cell trait,” which occurs in one out of every 12 African Americans and in one out of every 100 Latinos in the United States; and

WHEREAS, Unlike most people with sickle cell anemia, most people who have a sickle cell trait never know they have it and can live their entire lives without any complications from it; and

WHEREAS, Serious problems associated with a sickle cell trait are rare. However, exercise-related sudden death in individuals who have a sickle cell trait most commonly occurs in those undergoing intense physical exertion, such as military recruits in basic training and athletes during conditioning workouts; and

WHEREAS, Individuals with a sickle cell trait should not be excluded from physical activity, including sports, unless recommended to by medical personnel. Instead, people should be educated about precautions that should be taken, including drinking adequate amounts of fluids, pacing training with longer periods of rest and recovery, avoiding participation in performance tests such as sprints and mile runs, and, most importantly, being familiar with the symptoms of overexertion; and

WHEREAS, It is estimated that more than 90,000 Americans have sickle cell anemia. Sickle cell anemia occurs in one out of every 500 African American births and in one out of every 36,000 Latino births; and

WHEREAS, Sickle cell anemia can be a life-threatening condition, and access to comprehensive care can be limited by social, economic, cultural, and geographic barriers; and

WHEREAS, The average cost of hospitalization for sickle cell anemia in 2004 was $6,223, for more than 84,000 hospital admissions that year. Total hospitalization costs for individuals with sickle cell anemia equaled $488,000,000, of which 65 percent were covered by Medicaid funds; and

WHEREAS, Individuals living with sickle cell anemia encounter barriers to obtaining quality care and improving their quality of life. These barriers include limitations in geographic access to comprehensive care, the varied use of effective treatments, the high reliance on emergency departments and on public health programs, and the limited number of health care providers with knowledge and experience to manage and treat sickle cell anemia; and

WHEREAS, The Sickle Cell Anemia Control Act was signed into law in 1972 by President Richard Nixon after pledging that his administration would “reverse the record of neglect on the dreaded disease” by increasing funding for and expanding sickle cell anemia-related programs, including the development of comprehensive sickle cell anemia centers; and

WHEREAS, In 1975, the Sickle Cell Disease Association of America, Inc. and its member organizations began conducting monthlong events in September to call attention to sickle cell anemia and the need to address the problem at national and local levels, and chose September as National Sickle Cell Awareness Month in order for the public to reflect on the children and adults whose lives, education, and careers have been affected by this disease; and

WHEREAS, In 2003, the Sickle Cell Treatment Act was signed into law; and

WHEREAS, The effort to officially recognize Sickle Cell Anemia Awareness Month succeeded at the federal level in 1983 when the United States House of Representatives unanimously passed, and President Ronald Reagan signed, the first resolution introduced by the Congressional Black Caucus that recognized September as National Sickle Cell Anemia Awareness Month; now, therefore, be it

Resolved by the Assembly and the Senate of the State of California, jointly, That the Legislature recognizes September 2013, and each September thereafter, as Sickle Cell Anemia Awareness Month; and be it further

Resolved, That the Legislature urges the Congress of the United States to support the President’s continuation of funding for the Sickle Cell Disease Treatment Demonstration Program, the Registry and Surveillance System for Hemoglobinopathy Program Initiative, and the Public Health Approach Disorders program, and to make sickle cell anemia and other genetic hemoglobin disorders a public health priority; and be it further

Resolved, That the Chief Clerk of the Assembly transmit copies of this resolution to the President and Vice President of the United States, the Speaker of the United States House of Representatives, the President pro Tempore of the United States Senate, each Senator and Representative from California in the Congress of the United States, and to the author for appropriate distribution.



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