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The article calls for making medical and genetic screening before marriage a conscious step to protect children’s health, rather than merely a formal procedure. It recommends expanding screening based on the degree of relatedness and family history, and consulting a genetic counselor. It notes that the risk of certain birth defects or genetic disorders among the children of first cousins may be around 5–6%, compared with 2–3% among unrelated couples, though this varies by community and family history. The article does not call for opposing marriage between relatives or treating it as a guarantee that children will be affected. Rather, it advocates clearly explaining the risks and available options to people planning to marry, since screening can help reduce some risks but cannot guarantee that all diseases will be prevented.
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