Frequently Asked Questions | Texas DSHS (2024)

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There are a lot of misconceptions about genetic disorders and inheritance. Here are some answers to commonly asked questions that may help to clear up confusion.

If you have questions on any of the terms used in this section, refer to our Genetics Definitions webpage.

YourDNAis like a book of instructions that directs what traits you will get. In humans, DNA is very organized and packaged intochromosomes. We get 23 chromosomes from our mother and 23 from our father for a total of 46 chromosomes. Each chromosome has very specific chapters that tell the cell what kinds of characteristics you will have (like eye color and hair color). Each of these chapters that codes for a specific trait is called a gene. So, a gene is a small piece of DNA that has information about one of your traits.

Genescome in pairs. Each person receives one copy of a gene pair from his mother and one from his father. Even though you get half of your genes from your mother and half from your father, each of your parents contributes to all yourtraits. For the each trait, there are different versions of a gene. Different versions of a gene are calledalleles. Although you can have two different alleles, you usually only express one of them. Alleles can be dominant or recessive.Dominantalleles are always expressed, regardless of what the other allele is that a person has.Recessivealleles are only expressed if both of a person's alleles are recessive. If a person has one dominant allele and one recessive, he is called acarrier. This is because he expresses the dominant trait, but "carries" the recessive trait.

An example of this is albinism. Albinism is a condition where a person does not produce any melanin, the protein that gives color to our skin, hair and eyes. Albinos have very pale skin, reddish eye color (because you see straight through to the blood vessels in their eyes) and white hair. Classic albinism is a recessive allele. This means that a person will have albinism only if he gets the "albino" trait from both his mother and his father. If a person gets the albino trait from only one of his parents, he does not express the albino condition and is considered a carrier. This is how someone can pass on a trait that, he does not appear to have.

Albinism is an example of a common type of inheritance called autosomal recessive inheritance. Many genetic conditions are also inherited this way, such as: Cystic Fibrosis, Sickle Cell Anemia and Tay-Sachs Disorder. These conditions have an equal chance of appearing in both males and females.

Before parents can make a baby, certain cells must divide so that the child does not get too much DNA. Each cell that will make the baby must have exactly 23 chromosomes. When this cell from the mother merges with this cell from the father, the baby will have its full 46 chromosomes. These parental cells must go through a very specific kind of division calledmeiosiswhere new cells have exactly half the genetic material. During this division, chromosomes that encode the same kinds of genes must line up next to each other. They then split away to the 2 new cells.

Sometimes they "stick" together, rendering one cell with one extra and one cell with one fewer chromosome. This is callednondisjunction. Then the baby will have too many or not enough chromosomes when the father's cell merges with the mother's. This is what happens in Down Syndrome. Chromosome 21 doesn't separate properly. The child then gets one extra chromosome from either the mother or the father. Instead of having 2 copies, it gets 3.

Genetics is related to cancer in that cancer results from mutated genes. Some times these genes are passed down through families putting them at greater risk for getting cancers. Three major events happen to turn a normal cell into a cancerous (ormalignant) one.

  1. Dividing out of control

    When a cell divides, it must get the OK from certain molecules (proteins) on its surface. These substances help regulate the cell so it does not divide too much. Specific genes are responsible for making these proteins. If these genes have defects, ormutations, in them, they produce defective proteins. Defective proteins lose their ability to perform their job correctly. The cell then begins to divide more than it should.

  2. Lose awareness of surrounding cells

    Like the proteins that help control how a cell divides, other proteins are involved in letting a cell know that other cells are around. This helps cells to know how much space it has to grow and when it should slow down or stop. Mutations in these proteins cause cell growth to spill over into surrounding tissue. This creates atumorwhere cells grow on top of each other instead of in a single layer.

  3. Lose ability to stay put

    Though the first two events may happen, cancer might not result, like a mole. This is an example of abenigntumor. When a tumor is malignant, it has gained the ability to spread throughout the body. Cancerous tumors can cause blood vessels to grow toward them. Then some of the cells can move to other areas of the body by traveling in the blood. This is calledmetastasis. Since other proteins help a tumor "metastasize", it results from mutations in genetic material.

Every one of your cells has the exact same DNA. As you grow, different factors cause the DNA to be read and make new proteins. However, the DNA never changes. In other words, any gene that you are born with will never go away. Scientists are working on research that may change this in the future,Even though you keep your genes for life, many genetic disorders can now be well managed.

Newborn Screening Program

Newborn Screening Program

Genetics

  • Definitions
  • Genetic Disorders and Conditions
  • Prenatal Genetics
  • Pediatric Genetics
  • Cancer Genetics
  • When Genetic Services Are Needed
  • Adults with Genetic Disorders
  • Referral Information for Providers

  • Frequently Asked Questions
  • Whole Genome Sequencing
  • Guide to Genetic Services

  • Access to Direct Health Care Services
  • Nursing Network for Assessment, Referral and Management
  • Genetics Provider List
  • Title V Genetics Contractors
  • Legislation
  • Resources

Get in Touch

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Get in Touch

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Email

newborn@dshs.texas.gov

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Fax

512-206-3909

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Toll-free (ext. 3957)

800-252-8023

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Newborn Screening Unit, Genetic Services
PO Box 149347
MC-1918
Austin, TX 78714-9347
United States

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Frequently Asked Questions | Texas DSHS (2024)

FAQs

What does Texas DSHS do? ›

Our job is to promote and protect the health of people, and the communities where they live, learn, work, worship, and play. We understand no single entity working by itself can improve the health of all Texans.

What is the fastest way to get a birth certificate in Texas? ›

There are four ways to get a certificate:
  1. Walk-in - Receive certificate in-person within 30 minutes.
  2. Online - Receive certificate in 3 to 10 business days.
  3. Phone - Receive certificate in 3 to 10 business days.
  4. By mail - Receive certificate in 2 to 3 weeks.

How much does it cost to get a birth certificate in Texas? ›

You will not automatically receive a copy of the birth certificate. You will need to order a copy. There is a $23 fee. To get a copy of the birth certificate, you can order it online at www.texas.gov.

What are the values of Texas DSHS? ›

DSHS is also tied together by the following set of values: Honesty and Integrity – because leadership and service require a clear moral compass. Pursuit of Excellence – because it is not enough to get the job done, we must always challenge ourselves to do it better.

What is the largest public health system in Texas? ›

The Texas hospital with the most staffed beds is Baptist Medical Center in San Antonio with 1,463 beds. Baptist Medical Center is a part of the Baptist Health System, the largest and most expansive health system in the state.

Can you get a birth certificate the same day in Texas? ›

How long will it take to receive my birth certificate? Walk-in requests are typically processed the same day they are submitted; however, some applications may require 24 hours or more to process. Also view the Processing Times for other ordering methods.

Can I get my newborn's birth certificate online in Texas? ›

Ordering Birth Certificates Online

To order a birth certificate online, you must: Be a person qualified to order a birth certificate online: If you are a Texas resident, you can order your own certificate or those of immediate family members.

How many copies of birth certificate can you get in Texas? ›

Note: The State of Texas limits you to receive only 10 birth certificates in a life time.

Can I get a birth certificate for someone else in Texas? ›

The person named on the vital record, his/her immediate family members (either by blood, marriage, or adoption), his/her guardian, or his/her legal agent/representative can request a certified copy of that vital record. An immediate family member is defined as any of the following: child. parent/guardian.

What is the difference between a long-form and a short form birth certificate in Texas? ›

Generally, long-form birth certificates will have a hospital name listed and are acceptable. However, short-forms do not list a name of a hospital. Short-form Texas birth certificates are accepted ONLY if there is a letter “I” printed next to the date filed.

Can you get a Texas birth certificate anywhere? ›

You can get vital records in the county, city, or district where the event occurred. Some offices also provide birth records from anywhere in the state. Available records include: Long-form birth certificates.

What does Texas HHSC do? ›

Overview. HHSC manages programs that help families with food, health care, safety, and disaster services including the Women, Infants, and Children (WIC), Children's Medicaid, and Supplemental Nutritional Assistance (SNAP) programs.

What does Texas Home Health do? ›

Texas Home Health is a leading provider of comprehensive home health services to private individuals, case managers, insurance companies, health maintenance organizations, nursing homes, and hospitals.

What is the mission of Texas Health and Human Services? ›

MISSION STATEMENT:

Making a positive difference in the lives of the people we serve. The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System.

Does Texas give cash assistance? ›

TANF provides cash payments to help families pay for food, clothing, housing and other essentials.

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