Hereditary diseases and congenital malformations have been reported to
affect 2-5% of all live births. Available evidence suggests that gene
tic disorders are equally important also in countries of the Eastern M
editerranean Region. Considerable achievements have been made over the
last two decades in controlling communicable diseases in the region.
Concurrently, there has been a mounting awareness of the increasing im
portance of hereditary disorders. certain genetically determined disea
ses such as the haemoglobinopathies and enzymopathies are extremely co
mmon in the region and the need to initiate public health measures for
their control is increasingly being recognized. The following factors
may contribute to the elevated prevalence of genetically determined d
isorders: the high consanguinity rates; the high frequency of haemoglo
binopathies and glucose-6-phosphate dehydrogenase deficiency; the tren
d of continuing to bear children up to menopause; the general lack of
public awareness about genetic diseases; and the dearth of genetic ser
vices in the region. These and some other related issues are discussed
in detail in this review article.