Politicised narratives about cousin marriage risk undermining progress

🇬🇧 BMJ News (GB) —

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A proposed private members bill in the UK parliament aims to ban cousin marriage, linked to discussions on recessive disorders in the UK Pakistani community. The political narrative surrounding the bill may undermine trust in health and research regarding these genetic issues.

In December 2024 and January 2025, a private members bill to ban cousin marriage was debated in the UK parliament.1 The bill was accompanied by attacks on the community most affected by recessive disorders, the UK Pakistani community, and the integrity and motivation of researchers. Claims were made in parliament and by sections of the media that cousin marriage signified a malaise in this community wider than its impact on child health and suggested that the impact on health and wellbeing was more severe than research reported.23 When a health issue is politicised there is a risk that a blame approach emerges and erodes trust, harming vulnerable communities.Autosomal recessive disorders are more prevalent in communities with high rates of customary consanguinity, where marriage between blood relatives is common (over 20% of births).4 Understanding of risk factors in autosomal recessive disorders and patterns of mortality and morbidity in children is improving...

World Politics Health cousin marriage UK parliament health issue politics recessive disorders

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