ABSTRACT

Genetics is traditionally defined as the science of biologic

variation, and has been a scientific discipline for over 100

years. Human genetics makes up a large part of the field of

genetics, but the principal laws of genetics are universal, and

apply equally to all species, including humans. Mendel’s

studies in the 19th century were originally felt to have no

relevance to humans, and it is only in retrospect that their

importance can be seen. Many of the principles of genetics

were discovered through the study of smaller organisms, such

as bacteria, yeast, and fruit flies. The basic genetic mechan-

isms of cell division, development, and differentiation

happen in the same way in widely divergent species. There-

fore it is impossible to look at human genetics in isolation,

and there are large amounts of information from lower

species which have bearing on human disorders. The study of

the genetics of small organisms has had a profound impact

on our understanding of human development, and of how

human diseases develop. It is likely that such basic science

will continue to contribute significantly to the understanding

of human genetic disease. This chapter will attempt to outline

the basic elements of genetics, describe the types of genetic

tests now available to help in neonatal diagnosis, and give an

approach to the diagnosis of congenital abnormalities.