BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  SCR 8
          Author:   Fuller (R)
          Amended:  As introduced
          Vote:     21

           
          SUBJECT  :    Adrenoleukodystrophy Awareness Month

           SOURCE  :     Author


           DIGEST  :    This resolution proclaims the month of November 2015  
          as Adrenoleukodystrophy Awareness Month.

           ANALYSIS :   This resolution makes the following legislative  
          findings:

          1. X-linked adrenoleukodystrophy (X-ALD) is one of a group of  
             genetic disorders called the leukodystrophies that cause  
             damage to the myelin sheath, an insulating membrane that  
             surrounds nerve cells in the brain. 

          2. Women have two X chromosomes and are the carriers of the  
             disease, but men are most severely affected because men only  
             have one X chromosome and lack the protection provided by an  
             extra X chromosome.  The loss of myelin and the progressive  
             dysfunction of the adrenal gland are the primary  
             characteristics of X-ALD.

          3. X-ALD affects an estimated one in every 20,000 boys, which is  
             roughly 13,600 people in the United States, including boys  
             like Jeremy Hill Jr. of Bakersfield.  The childhood cerebral  
             form is the most severe, with onset between ages four and 10.  
                                                                CONTINUED





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          4. The most common symptoms are behavioral changes, including  
             abnormal withdrawal or aggression, poor memory, and poor  
             school performance.  Other symptoms include visual loss,  
             learning disabilities, seizures, poorly articulated speech,  
             difficulty swallowing, deafness, disturbances of gait and  
             coordination, fatigue, intermittent vomiting, increased skin  
             pigmentation, and progressive dementia. 

          5. Treatment with adrenal hormones can be lifesaving, and recent  
             evidence suggests that a mixture of oleic acid and erucic  
             acid, known as "Lorenzo's Oil," administered to boys with  
             X-ALD prior to the onset of symptoms can prevent or delay,  
             but not stop, the appearance of the childhood cerebral form  
             of X-ALD.

          6. Newborn screening is effective in catching and preventing the  
             negative effects of X-ALD and is relatively inexpensive. 

          7. The prognosis for patients with childhood cerebral X-ALD is  
             generally poor due to progressive neurological deterioration,  
             unless bone marrow transplantation is performed early.  Death  
             usually occurs between one and 10 years after the onset of  
             symptoms of childhood cerebral X-ALD, and in adult-onset  
             adrenomyeloneuropathy deterioration will progress over  
             decades. 

          This resolution memorializes the month of November 2015 as  
          Adrenoleukodystrophy Awareness Month.  November, the month of  
          Jeremy Hill Jr.'s birthday, was chosen to acknowledge the  
          struggles of Jeremy Hill Jr., his parents, Jeremy and Debra  
          Hill, and his sister, Meagan Hill, in fighting X-ALD.

           Prior Legislation 
           
          SCR 126 (Fuller, Resolution Chapter 121, Statutes of 2014)  
          proclaimed November 2014 as Adrenoleukodystrophy Awareness  
          Month.

          SCR 65 (Fuller, Resolution Chapter 119, Statutes of 2013)  
          proclaimed November 2013 as Adrenoleukodystrophy Awareness  
          Month.








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           FISCAL EFFECT  :    Fiscal Com.:  No


          JA:j  1/27/15   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  NONE RECEIVED

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