Jalyssa Batista-Juarez, 12, was diagnosed at birth with the SS genotype of sickle cell disease. Carissa Juarez knew she was a silent carrier of the sickle cell trait. But when her newborn daughter, Jalyssa Batista-Juarez, was diagnosed with the SS genotype of sickle cell, a severe form of the disease, Juarez’s relationship with the illness transformed.
Unfamiliar with what it took to care for a chronically ill child, Juarez began researching the disease and embraced the role of caregiver along with that of mother. Soon after, she leaned into advocacy work in her community and in the Massachusetts State House, spreading the word about the disease not just for her daughter, but for others living with it and their caregivers.
“I just said, ‘Hey, you know what? I’m so into this, my heart is dedicated to this. This is what I’m gonna do,’” said the Hyde Park native.
When Batista-Juarez was just three months old, Juarez connected with the Massachusetts Sickle Cell Association, which provided her with resources and supported her. Now, she’s an ambassador for the Dorchester-based organization, which is among a group of 46 nonprofits across the country that this week will come together to raise awareness for sickle cell disease.
June 19 is World Sickle Cell Awareness Day. Through a movement called “Shine a Light on Sickle Cell,” now in its sixth year, nonprofits and community organizations are set to host activities in their communities to get the word out about the disease.
Several cities, mainly across the northeast, will illuminate the facades of some of their buildings in red, a color that symbolizes the disease, to campaign for universal care. Here in Boston, City Hall is set to be illuminated in red.
In
the U.S., sickle cell disease, characterized by misshapen blood cells,
affects over 100,000 people, an estimated 90 percent of them Black or
African American, according to the Centers for Disease Control and
Prevention. The disease occurs in one in every 365 Black or African
American births in the U.S. Across the globe, millions of people with
sickle cell disease confront health complications such as anemia and
acute and chronic pain. Even so, advocates say sickle cell disease
hasn’t received the warranted attention.
“This
is a disease that has been pushed aside and nobody really speaks about
it. And there’s not much being done for it. And I think there needs to
be more out there, and we need to speak about it more. And we need more
funds,” Juarez said.
Caregivers, she added, need more help, too. “We also need somebody to put our head on…because it is a lot.”
Many
of the challenges sickle cell patients and their caregivers face remain
in obscurity, Juarez said. For many sickle cell patients, life is a
revolving door of medical emergencies.
Since
she was born, Batista-Juarez has required hospitalizations every other
month. This put a strain on the family when Juarez, a single mom of
five, had to quit her job to take care of her daughter. The disease has
also impacted the family dynamic, with Juarez unable to devote as much
time to her other children or to partake in many family activities.
“Not
only did it affect me as the caregiver, but overall, her siblings and
her family because we just want to take her pain away,” Juarez said.
“And we can’t do that, you know, and we hate to see her going through
that.”
“Shine a Light
on Sickle Cell” is just one of the ways that organizations are lifting
the veil off what it’s like to live with sickle cell disease and care
for someone who has it.
For
the last 29 years, the Massachusetts Sickle Cell Association, a
volunteer-run organization, has supported and advocated for sickle cell
patients and their families, aiming to improve the quality of life of
the people it serves and to increase access to care.
Jacqueline
Haley, the organization’s executive director, said a lesser-known
aspect of living with sickle cell is its all-consuming effects.
“We
have warriors who have gone to school, gone through college, trying to
achieve their dreams and have to abandon these dreams because of the
disease,” she said.
She
knows people as young as 20 who have had to have hip replacements due
to sickle cell. For others, the disease affects their eyes, liver, arms,
and other body parts.
In
her lifetime, Juarez’s daughter has been hospitalized over 400 times,
Juarez said, and has undergone a laundry list of operations, including
ones to her gallbladder, spleen and tonsils. This year alone, the
12-year-old has missed 152 days of school.
Every
day is unpredictable. What may begin as a good morning can quickly warp
into a serious health crisis, Juarez said. Beyond the social and
familial consequences, these experiences place a hefty financial burden
on families who already deal with barriers to accessing treatment.
“Equity
in care is an issue for our patients,” Haley said, adding that some
patients “face discrimination when they go into the ER” or enter a
facility that is unfamiliar with sickle cell disease. The level of care
also varies greatly depending on location.
A
bill proposed by the Massachusetts Sickle Cell Association that would
improve sickle cell care is currently under review in the Massachusetts
State House, Haley said. If passed, the bill would establish a standard
of care across the state for sickle cell patients.
“As
an organization, our goal is to create systemic changes, to remove
these barriers, to increase access to these resources,” she said. “So if
our patient goes to Fall River, if you go to Cape Cod, if you come to
Boston, your care should always look the same,” she added.
On
June 27, as part of “Shine a Light on Sickle Cell,” the Massachusetts
Sickle Cell Association will host a webinar about post-hospital crisis
care. The event will educate attendees on the post-hospital adjustment
for both sickle cell patients and their caregivers.
Juarez
has been a sickle cell caregiver and advocate for over a decade now and
said people around her have thanked her for her work. Some patients
have difficulty fighting for themselves because of the physical pain
they experience.
When Juarez steps in, she said, people often tell her that they wish they had a caregiver like her by their side.
Juarez
simply wants to “put a smile on their faces, to show them that I care,”
she said. “I don’t have the disease, but I care. Not just because it’s
my daughter, but I care for all of you. Because I understand now what
this disease does, and I’m here, and I’m going to keep fighting and
advocating for the sickle cell community.”