Prevalence of hemoglobinopathies in Ghat-South Libya
Abstract
Hemoglobinopathies are group of genetic disorders of haemoglobin in which there is a quantitative or qualitative abnormal production or structure of haemoglobin molecule. These hereditary disorders are major public health problem in many parts of the world including Libya. This study was designed to determine the prevalence of Hemoglobinopathies in Ghat Region - South of Libya. In this prospective cross-sectional study, 5 ml of venous blood was collected from 1912 (1176 females and 736 males), aged between 5- 90 years (20.08± 12.52). The hematological picture of all samples were evaluated using SYSMEX KX- 21 N Automated Hematology Analyzer , and all sample were screened for hemoglobinopathies using Sickling test, Solubility test and High Performance Liquid Chromatography (HPLC).The result showed that the overall prevalence of the HbS in Ghat region was 5.75% (110 samples out of 1912 samples), in which there was 0.57% with HbSS and 5.18% with HbAS, no other abnormal hemoglobin's were found in the study.
The result of HPLC study show that the most common hemoglobin in the sickle cell trait sample was HbA (range 56.9 – 70.4%), followed by HbS with range between 24.2 – 37.2%, while the range of HbA2 was 1.0 – 3.9% and HbF was 0.4 – 8.7%. The most common hemoglobin in sickle cells disease was HbS with range 62.7 – 69% followed by HbA with range between 27.0 – 33%, HbA2 with range between 1.1 – 1.3% and HbF with range between 0.9 – 2.0%, and there was no any case of sickle cell disease in the first age group.
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