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Glucose-6-phosphate dehydrogenase deficiency in internationally adopted children
Rachel Spring1, Hanna Schlaack1, Marilyn Rice1
1International Adoption Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Insights
Screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in internationally adopted children is recommended. Prevalence varies by origin, with higher rates in males, impacting malaria treatment and preventing G6PD-related health issues.
Area of Science:
- Genetics
- Pediatrics
- Public Health
Background:
- Conflicting guidelines exist regarding screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in internationally adopted children.
- G6PD deficiency is a common genetic disorder with implications for various medical treatments and health outcomes.
Purpose of the Study:
- To determine the prevalence of G6PD deficiency in a large cohort of internationally adopted children.
- To analyze variations in G6PD deficiency prevalence based on country or region of origin.
- To inform clinical practice and public health recommendations for screening.
Main Methods:
- Retrospective analysis of G6PD deficiency screening results.
- Inclusion of 2,169 multi-ethnic, internationally adopted children.
- Stratification of prevalence data by sex and geographic origin.
Main Results:
- Overall prevalence of G6PD deficiency was 1.6% in the study population.
- Prevalence was higher in males (2.2%) compared to females (1%).
- Significant variation in prevalence was observed based on country/region of origin, ranging from 0% to 13% overall and 0% to 22% in males.
Conclusions:
- G6PD deficiency screening should be strongly considered for internationally adopted children due to varying prevalence.
- Diagnosis aids in malaria treatment and prevents morbidity/mortality associated with G6PD deficiency.
- Origin-specific prevalence data can guide targeted screening strategies.
Abstract:
There are conflicting guidelines about screening of internationally adopted children for glucose-6-phosphate dehydrogenase (G6PD) deficiency, a common genetic disorder. In a multi-ethnic population of 2,169 internationally adopted children, we found that the prevalence of G6PD deficiency was 1.6% overall and 2.2% in males. Prevalence differed by country or region of origin, ranging from 0 to 13% overall and 0 to 22% in males. The prevalence in females was 1%. A diagnosis of G6PD deficiency informs the treatment of malaria and enables education and counseling to prevent morbidity and mortality from G6PD deficiency. Screening for G6PD deficiency should be strongly considered for internationally adopted children.
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