Table 1. Estimated prevalences of carriers of haemoglobin gene variants and affected conceptions.
WHO region | Demography
2003 |
% of the population
carrying |
Affected conceptions
(per 1000) |
Affected births (% of under-5 mortality) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Population (millions) | Crude Birth rate | Annual births (1000s) | Under-5 mortality rate | Significant varianta | α+ thalassaemiab | Any variantc | Sickle-cell disordersd | Thalassaemiase | Total | |||||
African | 586 | 39.0 | 22 895 | 168 | 18.2 | 41.2 | 44.4 | 10.68 | 0.07 | 10.74 | 6.4 | |||
American | 853 | 19.5 | 16 609 | 27 | 3.0 | 4.8 | 7.5 | 0.49 | 0.06 | 0.54 | 2.0 | |||
Eastern Mediterranean | 573 | 29.3 | 16 798 | 108 | 4.4 | 19.0 | 21.7 | 0.84 | 0.70 | 1.54 | 1.4 | |||
European | 879 | 11.9 | 10 459 | 25 | 1.1 | 2.3 | 3.3 | 0.07 | 0.13 | 0.20 | 0.8 | |||
South-east Asian | 1 564 | 24.4 | 38 139 | 83 | 6.6 | 44.6 | 45.5 | 0.68 | 0.66 | 1.34 | 1.6 | |||
Western Pacific | 1 761 | 13.6 | 23 914 | 38 | 3.2 | 10.3 | 13.2 | 0.00 | 0.76 | 0.76 | 2.0 | |||
World | 6 217 | 20.7 | 128 814 | 81 | 5.2 | 20.7 | 24.0 | 2.28 | 0.46 | 2.73 | 3.4 |
a Significant variants include Hb S, Hb C, Hb E, Hb D etc. β thalassaemia, α0 thalassaemia. b α+ thalassaemia includes heterozygous and homozygous α+ thalassaemia. c Allows for (1) coincidence of α and β variants, and (2) harmless combinations of β variants. d Sickle-cell disorders include SS, SC, S/β thalassaemia. e Thalassaemias include homozygous β thalassaemia, haemoglobin E/β thalassaemia, homozygous α0 thalassaemia, α0/ α+ thalassaemia (haemoglobin H disease).