title should say: geneticists*
Mommy's little secret
As we gather to mark the festive season, here's one juicy morsel mom won't be dishing up: that guy you call your dad may not be. DNA testing has revolutionized medical science, CAROLYN ABRAHAM reports, but it also has uncovered the myth of female monogamy. Now doctors are wondering how to break the news to men
The Globe and Mail, By CAROLYN ABRAHAM, Saturday, December 14, 2002 – Print Edition, Page F1
They came to the hospital together, a husband, a wife and the little daughter they feared had been cursed by inheritance. Since birth, she had struggled to breathe, and all the signs pointed to cystic fibrosis.
If the girl truly had the incurable disease that clogs the lungs, she had to have received two copies of a CF gene, one from each parent. Tests at the Hospital for Sick Children in Toronto confirmed the family's worst fears -- and then some.
The girl was indeed afflicted. Her mom carried one of the culprit genes. But her dad, the doctors discovered, was quite a different story. His DNA showed no sign of a CF gene, which means he is not a carrier and he is not her dad.
Hospital staff have felt bound to keep the secret from him.
But when they told the mom, it came as no surprise; it rarely does.
"It is probably true in a lot of families, that daddy is not who you think it is," says Steve Scherer, a senior scientist in department of genetics at the Hospital for Sick Children.
As families gather this festive season, here is a spicy fact that mothers might be loath to dish out at the holiday table: It's now widely accepted among those who work in genetics that roughly 10 per cent of us are not fathered by the man we believe to be dad.
Geneticists have stumbled upon this phenomenon in the course of conducting large population studies and hunting for genes that cause diseases such as cystic fibrosis.
They find full siblings to be half-siblings, fathers who are genetic strangers to more than one of their children and uncles who are much closer to their nieces and nephews than anyone might guess. ....
Cheryl Shuman, director of genetic counselling at the Hospital for Sick Children, said that 15 years ago, when genetic tests were less powerful, researchers had to draw blood from a child, his or her parents and both sets of grandparents.
"Sometimes we'd get a call from the grandmother, and she'd say, 'Listen, my son, or my daughter, doesn't know that their father is not their real father. . . .' "
In the interests of maintaining family peace, Ms. Shuman said, the tests would be dismissed as "uninformative."
Over the years, the hospital has relied on the advice of lawyers and ethicists to develop policies for handling the situation. For example, its consent form now warns what a genetic test can reveal
. Parents "will sometimes giggle in the waiting room when they read the paragraph about non-paternity," Ms. Shuman said. "But then we get the phone call later, forewarning us as to what we might find."
When a test disqualifies a father, "
most women do express some surprise, but then there is a resignation, or an acceptance that they were kind of half anticipating this was going to happen. But then all this is followed very quickly by panic and questions as to whether or not we will betray their confidentiality."
If the case involves an expectant mother, Ms. Shuman explained, the hospital's legal obligation is clear: The developing baby is considered part of the mother and the results of the tests therefore belong to her.
After birth, the course of action is less clear, she said, but
lawyers advise that the child is to be considered the patient, whose needs trump those of the parents. Since telling the father could trigger a breakup and leave the child without proper support, the hospital keeps the secret. Sometimes it can be a whopper.
I
n one family with four daughters, the DNA analysis was so surprising that counsellors asked the mother to explain. "It turned out that the daughters had three different fathers,"
Some peg the range at 5 to 10 per cent; others, such as Jeanette Papp of the University of California at Los Angeles, feel that 15 per cent is reasonable for the Western world....
A British survey conducted between 1988 and 1996 by Robin Baker, a former professor at the University of Manchester, confirmed the 10-per-cent figure.
That seems high to skeptics such as Dalhousie University geneticist Paul Neumann, although even he admitted that "my colleague, who's a woman, tells me women have no trouble believing it. . . . It's the men who can't."
more at...
Mommy's Little Secret - Paternity Fraud statistics Canada Globe and Mail - DNA Testing-14DEC02