World Distribution, Population Genetics, and Health Burden of the Hemoglobinopathies

  1. David J. Weatherall2
  1. 1Kenya Medical Research Institute/Wellcome Trust Programme, Centre for Geographical Research, Kilifi District Hospital, PO Box 230, Kilifi, Kenya
  2. 2Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX39DU, United Kingdom
  1. Correspondence: twilliams{at}kilifi.kemri-wellcome.org

Abstract

Although information about the precise world distribution and frequency of the inherited hemoglobin disorders is still limited, there is no doubt that they are going to pose an increasing burden on global health resources in the future. Their high frequency is a reflection of natural selection combined with a high frequency of consanguineous marriages in many countries, together with an epidemiological transition; whereby, as public health measures improve in the poorer countries of the world, more babies with these disorders are surviving to present for treatment.

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