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Published on: April 11, 2018
Care for Amish and Mennonite children with cystic fibrosis: a case series
Jonathan F Henderson1, Ran D Anbar
1Department of Pediatrics, State University of New York Upstate Medical University, Syracuse, NY, USA. hendersonj@upstate.edu
Insights
Amish and Mennonite families are increasingly utilizing modern medical therapies for cystic fibrosis (CF), leading to improved health outcomes for their children. This acceptance of preventive and acute treatments marks a positive shift in managing CF within these communities.
Area of Science:
- Pediatric Pulmonology
- Genetics and Rare Diseases
- Public Health
Background:
- Previous literature indicated resistance to modern medical therapies among Amish and Mennonite populations.
- This reluctance posed a significant barrier to providing comprehensive care, particularly for chronic conditions like cystic fibrosis.
Observation:
- This study examined 12 pediatric patients with cystic fibrosis from Amish and Mennonite communities treated at a dedicated center.
- Case reports were utilized to illustrate treatment experiences and outcomes.
Findings:
- Families accepted preventive therapies, acute interventions (including home IV antibiotics), and some immunizations for children with cystic fibrosis.
- Patient health significantly improved with the adoption of these medical interventions.
- Some families participated in clinical research trials, demonstrating growing engagement.
Implications:
- Modern medical therapies, when utilized by Amish and Mennonite families for cystic fibrosis, result in substantial improvements in patient outcomes.
- Extensive patient and family health education is crucial for successful treatment adherence.
- Addressing the financial burden of uninsured patients requires dedicated center resources and fundraising efforts.
Background:
Published articles have described a lack of willingness to allow preventative measures, as well as other types of modern therapies, as an obstacle to providing medical care for Amish and Mennonite populations.
Methods:
We present data regarding the 12 Amish and Mennonite patients at the SUNY Upstate Medical University Pediatric Cystic Fibrosis Center and three representative case reports.
Results:
Families of patients from these communities receiving care at our Center have accepted preventive therapy, acute medical interventions including home intravenous antibiotic administration, and some immunizations for their children with cystic fibrosis, which have improved the health of our patients. Some have even participated in clinical research trials. Health care education for both the child and family is warranted and extensive. Significant Cystic Fibrosis Center personnel time and fundraising are needed in order to address medical bills incurred by uninsured Amish and Mennonite patients.
Conclusion:
Amish and Mennonite families seeking care for cystic fibrosis may choose to utilize modern medical therapies for their children, with resultant significant improvement in outcome.
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