A/HRC/37/57
recommendations of the Independent Expert, which were based on her visit to the country
in 2016.
B.
Other responses
Technological responses
87.
There are specialized institutions and organizations that provide information on
technological responses to the challenges posed by albinism, particularly visual aids and
sun protection devices. That is important, because such devices, separately or together, may
constitute a part of reasonable accommodation for each person with albinism. For instance,
the National Organization for Albinism and Hypopigmentation provides regularly updated
technical information on low-vision aids, including magnifiers, microscopes and telescopes,
non-optical devices and strategies to improve one’s vision. Similarly, the National Library
of Medicine in the United States of America provides online medical information on
albinism, including advice on genetic testing to identify the type of albinism and
management of its signs and symptoms, particularly visual impairment and skin protection.
88.
In Kuwait, technological services and approaches are applied in all hospitals to
ensure complete diagnosis, including physical examinations, descriptions of changes in
pigmentation, thorough eye examinations and genetic testing.88
Access to surgery and more specialized treatment
89.
The type of surgery required for treating visual impairment may include strabismus
surgery for either functional (improved peripheral fusion) or cosmetic procedures. Skin
cancer treatment, including where there is a slightly enhanced risk of cutaneous melanoma,
is not specific to albinism and includes cryogenic treatment, radiotherapy and
chemotherapy.89
Early intervention measures: registration, counselling and training of nurses and
medical staff, particularly in more remote areas
90.
Registering persons with albinism at birth represents an important first response to
address their health condition. Firstly, it provides the opportunity to inform and counsel the
mother and the family about albinism and measures regarding skin protection and
managing visual impairment as the child grows. Early information and care increase the
prospect of the highest attainable standard of health of persons with albinism. However,
records must have adequate safeguards to ensure the right to privacy and to prevent misuse
of data for attacks, discrimination or other illicit acts.
91.
Many studies confirm the need for awareness-raising and training of nurses and
medical staff on albinism, particularly in remote areas. In this regard, good practices have
been documented in South Africa in the clinical genetic outreach programme. That
programme, which began in 1990, operates as a form of early intervention in the following
manner: senior nurses at large rural hospitals, trained in medical genetics, form a network
of professionals who identify babies with common genetic disorders at birth and offer
immediate support and counselling. 90
92.
Counselling for mothers is essential in overcoming ignorance and misbeliefs about
albinism and encouraging acceptance of their children. It also provides advice on the care
necessary to prevent skin cancer. Counselling mothers can also prevent infanticide by
demystifying the condition of albinism. In that regard, training on albinism for midwives
and traditional birth attendants should be prioritized. 91 In addition to counselling, early
intervention kits should be made available. For instance, the Kuwait Medical Genetic
88
89
90
91
18
Submission of Kuwait.
United States of America, Department of Health and Human Services, National Institutes of Health.
P.M. Lund, “Oculocutaneous albinism in southern Africa”, p. 170.
Submission of the Source of the Nile Union of Persons with Albinism.
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