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Indiana University

980 Indiana Avenue
Indianapolis, IN 46202-5167
United States

Juvenile Myelomonocytic Leukemia (JMML) is a rare and aggressive blood cancer mainly affecting young children. It is characterized by the presence of somatic PTPN11 mutations in approximately 35% of cases. Current treatments, like chemotherapy, are not very effective, and stem cell transplants are the only potential cure, but they only work for about half of patients, with relapse being the leading cause of death. Surprisingly, there are currently no FDA-approved medications for treating JMML. Chronic inflammation seems to be involved in JMML development.

Background: Nearly 10 million children live in western Kenya, and based on the incidence of leukemia, 250 children would be expected to develop leukemia there each year. We believe many children are never diagnosed with leukemia because of the lack of proper diagnostic testing, and die without ever having a chance to receive curative therapy. Project Goal: In this study, we propose to increase the case detection rate of leukemia by utilizing a simple, widely available, and standard procedure for diagnosing malaria.

Across the cancer experience, from diagnosis through survivorship, adolescents and young adults (AYA) with cancer are struggling and their needs are not being adequately addressed. AYA survivorship is complicated by physical and psychosocial difficulties and higher participation in risk-taking behaviors. These complications increase AYA risk for secondary cancers and other chronic illnesses. To help minimize long-term health problems and engage in healthy lifestyle behaviors, AYA must establish and maintain a good relationship with their healthcare providers (i.e.