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. 2008 Mar 4;86(6):480–487. doi: 10.2471/BLT.06.036673

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).