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Vol 66, Issue 4: 2017 (Special Issue on Sickle Cell Disease)

Cover page

Review

  • GR Serjeant, BE Serjeant
    Many developments have occurred in sickle cell disease and care over the last 50 years in Jamaica. The clinic population grew from 50–60 in the mid-1960s to 5500 in late 1999. During this period, the number of staff serving sickle cell patients increased from 2 to 28, comprising physicians, paediatricians, nurses, laboratory technologists, social workers, computer staff and statisticians. The physical facilities have improved greatly, and data management has evolved from the type written long narrow paper strips in the late 1960s to sophisticated electronic patient management systems. The many physical resources and the superb opportunities of an ‘island laboratory’ have pro-vided a unique basis for clinical research into the disease.
  • KJ Sullivan, J Dayan, M Reichenbach, M Irwin, A Pitkin, C Gauger, SR Goodwin, N Kissoon
    Perioperative care of children with sickle cell disease is associated with adverse outcomes. In concert with haematology consultants, surgeons, anaesthesiologists and intensivists, there are optimized perioperative outcomes with meticulous preoperative preparation, intra-operative management and postoperative care.
  • KS Charles
    This article uses the case of Trinidad and Tobago to examine the history and current state of blood transfusion services in the Caribbean and to present early results of an initiative for improving blood safety and adequacy in the region.

Original Articles

Short Commentary

  • BF Morrison, P Hamilton, M Reid
    This report represents a retrospective case series of males with sickle cell disease who have recurrent episodes of ischaemic priapism and were being treated with hydroxyurea for other indications. We evaluated the changes in priapism episodes in these patients.

Letters to the Editor

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