The Oxford University Clinical Research Unit, The Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Br J Haematol. 2010 Aug;150(3):359-64. doi: 10.1111/j.1365-2141.2010.08237.x. Epub 2010 May 20.
In order to obtain an approximate assessment of the public health burden that will be posed by the inherited disorders of haemoglobin in southern Vietnam, several thousand individuals were screened for these conditions. A smaller sample was screened for glucose-6-phosphate dehydrogenase (G6PD) deficiency. The important haemoglobin disorders identified were beta thalassaemia, haemoglobin E and a variety of different forms of alpha thalassaemia. There were sufficient G6PD-deficient individuals to materially affect malaria control programme design. The most remarkable finding was wide variation in the gene frequencies of these conditions among the ethnic groups sampled. The approximate number of babies expected to be born with clinically significant haemoglobin disorders in Vietnam was estimated from the gene-frequency data. This study emphasizes the importance of wide-scale population screening, including ethnic subgroups, to establish the requirements for inherited haemoglobin disorder programmes in resource-limited settings.
为了对越南南部遗传性血红蛋白疾病给公共卫生带来的负担进行大致评估,对数千人进行了这些疾病的筛查。还对较小的样本进行了葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症的筛查。发现的重要血红蛋白疾病包括β地中海贫血、血红蛋白 E 和多种不同形式的α地中海贫血。有足够数量的 G6PD 缺乏症个体对疟疾控制规划的设计产生实质性影响。最显著的发现是在所抽样的族群中,这些疾病的基因频率存在广泛差异。根据基因频率数据,估算了越南预计会有多少婴儿出生时患有具有临床意义的血红蛋白疾病。本研究强调了在资源有限的情况下,通过广泛的人群筛查(包括少数民族群体)来确定遗传性血红蛋白疾病规划需求的重要性。