Ethical issues in genetic testing of children

Clinical genetics is an integral part of pediatrics. Genetic diseases are c ommon in childhood: as many as 53 per 1000 children and young adults can be expected to have diseases with an important genetic component.(1) This rat e increases to 79 per 1000 if congenital anomalies are included.(1) In addi tion, 12% to 40% of all pediatric hospitalizations are for genetic diseases and birth defects.(2-4) Despite its importance in primary care pediatrics, genetics has maintained its subspecialty status. Newborn screening for gen etic diseases is the only aspect of genetics that has been incorporated as routine pediatric practice.(5)