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Prevalence of glucose-6-phosphate dehydrogenase deficiency in Cameroonian blood donors
Stephanie M Lauden1, Stella Chongwain2, Anzeh Achidi2
1Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Insights
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is common in West African blood donors, affecting 7.9%. G6PD deficiency may be linked to increased exposure to certain infectious diseases like hepatitis C and syphilis.
Area of Science:
- Hematology
- Genetics
- Epidemiology
Background:
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent enzymopathy globally.
- It disproportionately affects individuals of African descent, potentially leading to severe hemolytic reactions.
- Its prevalence and impact on morbidity in West Africa remain under-researched.
Purpose of the Study:
- To determine the prevalence of G6PD deficiency among West African blood donors.
- To explore potential associations between G6PD deficiency and infectious disease markers in this population.
Main Methods:
- A cross-sectional study was conducted on 1001 adult male blood donors in Cameroon.
- G6PD deficiency status was assessed.
- Donors were screened for infectious diseases including Hepatitis C virus (HCV), syphilis (RPR), Hepatitis B surface antigen (HBsAg), HIV-1, and HIV-2.
Main Results:
- The prevalence of G6PD deficiency among the study participants was 7.9%.
- No significant differences in hemoglobin levels or ABO blood subtypes were observed between G6PD-normal and deficient individuals.
- G6PD-deficient donors showed a higher likelihood of screening positive for HCV and syphilis compared to G6PD-normal donors.
Conclusions:
- G6PD deficiency is a common condition in West African male blood donors.
- The findings suggest a potential association between G6PD deficiency and exposure to specific infectious agents, warranting further investigation.
Objective:
Deficiency in G6PD is the most common enzymopathy worldwide. It is frequently found in individuals of African descent in whom it can lead to hemolytic crises triggered by the use of certain antimalarial medications and infection. The prevalence of G6PD deficiency and its contribution to morbidity in West Africa is under-studied. To understand the prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency in West African blood donors.
Results:
We evaluated the G6PD status and infectious disease screening tests of 1001 adult male Cameroonian blood donors (mean age 31.7 ± 9.8 years). The prevalence of G6PD deficiency was 7.9%. There was no difference in levels of hemoglobin or ABO subtype between those who were G6PD-normal compared to those that were deficient. Interestingly, G6PD-normal vs. deficient blood donors were less likely to have screened positive for hepatitis C virus (p = 0.02) and rapid plasma reagin (indicative of syphilis, p = 0.03). There was no significant difference in hepatitis B sAg, HIV-1, or HIV-2 reactivity between those with vs. without G6PD sufficiency. These data suggest that G6PD deficiency is common among West African male blood donors and may be associated with specific infectious disease exposure.
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