Health in research

An important aspect of research is health.

Not just the boy’s/girl’s health, but the family’s physical and mental health.
This is not an easy thing to research, and you might not feel comfortable asking questions about this, but it is nevertheless a very important subject.
Be aware that certain conditions are not genetic, and therefore have no bearing on the future children the couple will have.
If you are not sure about a particular condition, consult with the family doctor.

Unfortunately, scrutiny on health issues tends to be more rigorous for young ladies. One shadchan’s opinion of the problem is that boys are much more marketable than the girls because of the PERCEPTION that there are more eligible girls than boys in the chareidi community, (Would the Eibishter make such a mistake as to have considerably more boys than girls?). What this means is that a boy can have a serious condition, and he will still get a shidduch. And the girl? She can have a pimple, and she won’t!
It’s the law of supply and demand. How sad that we reduce creating a new branch of Klal Yisroel to a marketplace transaction!

Dr. Ilana Mittman wrote an article on genetics and shidduchim. Here are some excerpts from her article: ' "Some may think that a woman bears the child and is therefore solely responsible for the health of the progeny. Nothing could be further from the truth! The term “it takes two to tango” certainly works in the genetic world. Both parents pass on their genetic endowment equally to the next generation. Each one of us carries about 50,000 genes (units of heredity) on 23 pairs of chromosomes. A child inherits half of his or her genetic material from the mother and half from the father." "It is essential, too, to remember that, while genes are certainly important to what we become, they work along with the environment. Unlike Tay-Sachs disease and certain other conditions that are passed directly from parents to children in a simple fashion, most conditions pertaining to health are governed by a host of genes that interact with one another – and most importantly, interact with and respond to the environment in which we live." To give a few examples, having a sibling with a seizure disorder or mental retardation does not mean that a person will have a child with either of these conditions." "Some conditions are acquired because of a difficult birth or subsequent accident or illness, for instance, and not in any way genetic. Others follow a complex pattern of inheritance, involving combinations of many different genes. In addition, and most significantly, Hakadosh Baruch Hu has given us advanced medical technology that provides effective treatment for some afflictions, like diabetes and hypertension, and cures for others." "The bottom line is that none of us is ‘genetically flawless’. It is a fact that all of us, regardless of our ‘stellar’ family medical history, carry a few deleterious genes, whether we know it or not, which may never be expressed. Virtually all of us have a family history for at least one of the following: heart disease, diabetes, hypertension, Alzheimer’s disease, and certain cancers. It is also a fact that two to three out of every 100 newborn babies will have some kind of a birth defect – most commonly, a heart defect. The vast majority of these cannot be predicted by family history, and many of them are not genetic.” "It is also a fact that two to three out of every 100 newborn babies will have some kind of a birth defect – most commonly, a heart defect. The vast majority of these cannot be predicted by family history, and many of them are not genetic. It is important to define the difference between a “birth defect” and a “genetic condition.” A birth defect is an abnormality either in structure, function, or body chemistry that is present from birth and has physical and/or mental consequences. However, a birth defect is not necessarily genetic, meaning it does not “run” in the family line. One common example is Down Syndrome (DS). The vast majority of persons with DS have this condition as a result of an accidental abnormality of chromosomal rearrangement. So, having a family history of DS does not mean that the person is any more likely than anyone else to have children with this condition.