Midwives have been told about the benefits of “close relative marriage” in training documents that minimise the risks to couples’ children.

The documents claim “85 to 90 per cent of cousin couples do not have affected children” and warn staff that “close relative marriage is often stigmatised in England”, adding claims that “the associated genetic risks have been exaggerated”.

  • TheGrandNagus@lemmy.world
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    2 hours ago

    An unfortunate aspect of Pakistani culture that has carried over to the UK.

    Families would marry within the family to keep their wealth within the family.

    Unfortunately after successive generations, this can cause serious problems.

    • MrMakabar@slrpnk.net
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      2 hours ago

      Thank god no European family of significance has ever done anything like this.

      spoiler

      • TheGrandNagus@lemmy.world
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        2 hours ago

        Obviously they have, it’s just very few and far between.

        It’s a bit silly to bring up royal families and pretend their lifestyles are similar to that of the common man.

        Look at this map and tell me the issue is European culture.

      • TheGrandNagus@lemmy.world
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        1 hour ago

        This is a problem with Pakistani culture in Britain when it comes to marrying family members.

        There’s a reason why the hotspot of birth defects for all of Europe is in Bradford, an area of high Pakistani immigration where over 80% of married adult Pakistanis are married to cousins. That is an insane stat.

        Brits have been doing this for literal hundreds to thousands of years.

        No, some German-descended royals did it for a few hundred. And they are absolutely not representative of the average Briton. Most normal people aren’t continually marrying from the same royal families of other allied nations, like royals used to.

        Do you think maps like this are mere coincidence?

  • phutatorius@lemmy.zip
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    4 hours ago

    You need to parse the sentence a bit. “85 to 90% of cousin couples do not have affected children” does not mean that the odds of one child being born with a hereditary genetic defect is 15%. It means that, for the average family size of a first-cousin couple, the odds are 10-15% that at least one of the kids is affected.

    So, let’s conservatively say the average family size among those who marry first cousins is 3. The odds of at least one in those three kids having a genetic defect are stated to be 15%. So that means the odds of any individual kid whose parents are first cousins having a genetic defect are a bit under 5% (the odds of a given event happening at least once in three independent trials).

    The odds will be substantially lower if that 15% figure were based on a larger family size than 3.

    As a baseline, tn the UK, the odds in the overall UK population of a genetic defect occurring are around 2.55%.

    So the risk is roughly double the baseline for any individual child. But the way the numbers are presented makes it seem misleadingly high and has led to predictable screeching from the usual quarters. There is also no measure of severity. For example, despite my parents being unrelated, I have a genetic defect that causes high cholesterol levels in my blood. However, it’s cheaply treatable (woo hoo, statins!) so its impact on pubilc health is next to nil.

    I’d favour banning marriages where the partners have first-cousin and closer degrees of consanguinity, but I also see the point of not catastrophising the actual impact.

  • IndustryStandard@lemmy.world
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    3 hours ago

    Cousin marriage is a heavily exaggerated statistic. Unless it happens many generations in a row the genetic variation does not nearly reach anything representing sibling marriage.

  • Railcar8095@lemmy.world
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    10 hours ago

    Devils advocate: I have a genetic defect that has 50% chance of being passed to my children. It causes bone tumors that range from stetic to life changing.

    We only managed to ensure it wasn’t with expensive DNA tests pre - implantation.

    Should I be barred from marriage if I can’t pay for that?

    It’s not a hypothetical

    • boonhet@sopuli.xyz
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      8 hours ago

      Not sure what marriage has to do with it in either case tbh. The cousinfuckers can have babies without getting married and so can you lol

      But I do understand your point. It’s an ethical dilemma and not a simple one. I mean on a policy level. I imagine on a personal level it’s easier to say “the risk is too great, I won’t do it” as opposed to policymakers saying “the risk is too great, you shouldn’t be allowed to have children”

  • Chozo@fedia.io
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    17 hours ago

    Am I the only one that thinks 15% is way too high of a chance to be rolling the dice like that? I’ve played enough XCOM to know that even a 99% success rate will still bite you in the ass.

      • ryven@lemmy.dbzer0.com
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        15 hours ago

        It lies in your favor, though. On difficulties below the highest, the modern games have hidden modifiers that affect the hit chance that you can’t see, but all of them are cheating for you. IIRC your hit chance secretly increases when you have missed shots recently, when you have dead soldiers, when you are outnumbered, and maybe some other things.

    • TheGrandNagus@lemmy.world
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      2 hours ago

      It’s a big thing in the Pakistani and British-Pakistani communities. The biggest spot in all of Europe for incest is in Bradford, after all.

      I highly doubt those demographics vote Reform. Reform voters hate these people.

  • nyankas@lemmy.world
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    19 hours ago

    I wonder where this 15% figure comes from. All the research I can find estimates the probability for these disorders at around 2-4% for first degree cousins. This is about the same as becoming a mother at 40 with a non-related man.

    The article only talks about some NHS training documents and is very opinionated in style. Smells like a snappy headline about a controversial topic was more important than proper research.

    • qualia@lemmy.world
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      11 hours ago

      Plus in the absence of any power dynamic* why shouldn’t absolutely anyone be allowed to choose to be in a relationship with literally anyone else? Especially as people are increasingly choosing to not reproduce.

      • If this is even possible