Marriage between close biological relatives is strongly favoured in ma
ny countries in Asia and Africa. Although substantial numbers of migra
nts from these regions are now living in Australia, little information
is available either on the prevalence of consanguineous unions among
migrants or on their clinical outcome. Data are presented on a range o
f generally rare autosomal recessive genetic disorders diagnosed in th
e children of parents of Eastern Mediterranean origin who attended Wes
tmead Hospital, Sydney for genetic counselling during the period 1990
to 1994. The effects of parental consanguinity are assessed both in te
rms of the specific recessive disorders detected, and the perceived ro
le of consanguineous marriage in the communities investigated.