Monday, November 23, 2009

Health

Paternity Tests: Not Just for the Rich

By Nancy Shute
Posted 3/1/07

Not so very long ago, fatherhood had a bit of mystery to it. No more. Advances in genetics have made paternity tests one of the most simple and reliable medical tests available.

Being able to be 99.99 percent sure has helped fuel the frenzy over the fate of little Dannielynn, the late Anna Nicole Smith's infant daughter, and her four would-be daddies. It also made Tuesday's announcement that DNA samples would be taken from the body of the late soul legend James Brown before burial to settle several new paternity claims seem almost commonplace.

Far from Hollywood, DNA-based paternity tests are used every day to determine child support and custody, or to put a worried mind at ease.

"It was a relief," says Mandy, 32, of Kansas, who asked that her last name not be used. Her father had died at age 16 and hadn't told his parents he'd gotten a girl pregnant. A few months ago, Mandy decided she wanted a family medical history for her two children, ages 8 and 11. She asked her father's parents, and they said they'd like to do DNA testing first. On Wednesday, she found out that they are indeed her grandparents.

"I was scared to death that maybe my mom wasn't honest with me," she says. "It's neat having the confirmation that everything I had been told was in fact the situation."

As DNA technology has become more precise, paternity tests like Mandy's, which could be done without her father's DNA, are becoming cheaper and easier. It's now possible to determine paternity using DNA from grandparents or cousins, or from a discarded coffee cup. Procedures such as amniocentesis can be used to determine paternity well before a baby's birth. Sometime soon, noninvasive tests may be able to ID Dad through bits of fetal DNA floating in a pregnant woman's blood.

Paternity testing first hit the headlines in 1943, when starlet Joan Berry sued Charlie Chaplin, claiming he was the father of her child. A simple blood-type test proved Chaplin could not be the father, but at the time such tests weren't admissible in court, and Chaplin was ordered to pay child support. The case prompted new laws allowing blood tests in paternity cases, but those tests could eliminate just 40 percent of males as father. In the 1970s, new tests based on variations in white blood cells raised the exclusion rate to 80 percent. DNA testing, which entered the market in the late 1980s, has made paternity testing almost foolproof, raising the accuracy rate to 99.99 percent for the most common tests. Further testing can raise the odds to astronomical levels in contested cases. "The accuracy has greatly increased," says David Gjertson, a professor of biostatistics at the University of California–Los Angeles.

Then there's the CSI approach. "Discreet" paternity testing relies on DNA collected not from the man but from random cells on his razor or toothbrush, or even from earwax on a used Q-tip. Sometimes dental floss tells the tale. In 2003, millionaire Steve Bing alleged that MGM mogul Kirk Kerkorian, then 84, had hired private investigators to go through the trash can outside Bing's London home. Bing had been romantically linked with Lisa Bonder Kerkorian, Kerkorian's ex-wife. DNA on Bing's dental floss fingered Bing as 4-year-old Kira's father.

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