Screening for the carriers of thalassemias and abnormal hemoglobins at the community level. 2002

P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
Thalassemia Research Center, Institute of Science and Technology for Research and Development, Mahidol University, Thailand.

Thalassemia and abnormal hemoglobins are common genetic disorders in Southeast Asia. Thalassemia is not only an important public health problem but also a socio-economic problem of many countries in the region. The approach to deal with the thalassemic problem is to prevent and control births of the new cases. This requires an accurate identification of couple at high risk to have a thalassemic child. The diagnosis of thalassemia carriers need several tests that are not practical for screening the population at large. In this study we used two simple laboratory tests to screen for potential thalassemia carriers and hemoglobin E individuals. Three-hundred pregnant women and 40 spouses were recruited in this study. The methods were the red cell osmotic fragility (OF) screening test with 0.36% NaCl and the dichlorophenolindophenol (DCIP) precipitation test to detect Hb E and unstable hemoglobins. Standard methods for red cell indices, hemoglobin analysis and detection of alpha-thalassemia by immunological method were also performed to confirm genotypes of thalassemia. The results showed that 98 women (32.7%) were carriers of thalassemias and hemoglobin E. The number of false positive by OF test was 3.2% and by DCIP test was 0.6%. Sensitivity and specificity of OF test were 89.5% and 93.3%, respectively whereas those of DCIP test were 100%. Of the 40 couples investigated, one was found to be at risk of having beta-thalassemia/Hb E fetus. Screening techniques including one tube osmotic fragility and DCIP precipitation tests are sensitive and specific for the detection of thalassemia and unstable hemoglobins such as Hb E. The techniques are also simple, economic, rapid, and give minimal false negative result.

UI MeSH Term Description Entries
D008297 Male Males
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D002353 Carrier State The condition of harboring an infective organism without manifesting symptoms of infection. The organism must be readily transmissible to another susceptible host. Asymptomatic Carrier State,Asymptomatic Infection Carrier,Inapparent Infection Carrier,Presymptomatic Carrier State,Presymptomatic Infection Carrier,Super-spreader Carrier,Superspreader Carrier,Asymptomatic Carrier States,Asymptomatic Infection Carriers,Carrier State, Asymptomatic,Carrier State, Presymptomatic,Carrier States,Carrier, Super-spreader,Carrier, Superspreader,Carriers, Super-spreader,Carriers, Superspreader,Inapparent Infection Carriers,Infection Carrier, Asymptomatic,Infection Carrier, Inapparent,Infection Carrier, Presymptomatic,Presymptomatic Carrier States,Presymptomatic Infection Carriers,Super spreader Carrier,Super-spreader Carriers,Superspreader Carriers
D005260 Female Females
D006453 Hemoglobinopathies A group of inherited disorders characterized by structural alterations within the hemoglobin molecule. Hemoglobinopathy
D006455 Hemoglobins, Abnormal Hemoglobins characterized by structural alterations within the molecule. The alteration can be either absence, addition or substitution of one or more amino acids in the globin part of the molecule at selected positions in the polypeptide chains. Abnormal Hemoglobins
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 1968, Israel journal of medical sciences,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 1998, Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 1982, Bulletin de la Societe de pathologie exotique et de ses filiales,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
October 1993, Journal of chromatography. A,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 2024, Clinica chimica acta; international journal of clinical chemistry,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
September 1980, Primary care,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 1988, Bulletin of the Pan American Health Organization,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
April 1959, La Medecine infantile,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
January 1960, The American journal of medical technology,
P Winichagoon, and A Thitivichianlert, and T Lebnak, and A Piankijagum, and S Fucharoen
June 1988, Wisconsin medical journal,
Copied contents to your clipboard!