In 1972, the 92nd US Congress passed the National Sickle Cell Anemia Control Act, which called for grant support for screening programs. In 1975, the first US State began a newborn screening program for SCD. However, there has been only one drug, Hydroxyurea (HU), which has come to the marketplace since that time, out of approximately 2,000 screened candidates with over $1 billion in research funding.
According to a study published by Allison Ashley-Koch, Quanhe Yang, and Richard S. Olney of the Centers for Disease Control and Prevention ("CDC", SCD is a major public health concern (Ashley-Koch, A. et al, Am. J. Epidemiol 151, 839, 2000). Each year in the US, an average of 75,000 hospitalizations are due to SCD, costing approximately $475 million. The average length of per hospital visit was 6.1 days and adults tended to have longer stays than children and adolescents. SCD is also associated with significant mortality. Among children, the primary causes of mortality are bacterial infections and stroke. This genetic disorder has great impact on both the individual and society.
In the United States of America, Hydroxyurea is the only drug approved by the Food and Drug Administration (FDA) for the treatment of SCD. It is very expensive and toxic and patients treated with hydroxyurea exhibit severe side effects.
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