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Updated: Jun 10, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Epidemiologic profile of hemoglobinopathies in Benin
Selma Gomez1, Adjile Edjide Roukiyath Amoussa2, Edwige Dedjinou3
1Centre de Prise en charge Médicale Intégrée du Nourrisson et de la Femme Enceinte atteints de Drépanocytose (CPMI-NFED), Benin; Laboratory of Biology and Molecular Typing in Microbiology, University of Abomey-Calavi, Benin.
Insights
Sickle cell disease screening is crucial in Benin, revealing a high prevalence of hemoglobinopathies. Early detection through newborn screening and genetic counseling is vital for prevention.
Area of Science:
- Hematology
- Genetics
- Public Health
Background:
- Sickle cell disease is a major global inherited blood disorder, prioritized by the WHO in Africa.
- Prevention strategies include newborn screening and genetic counseling for at-risk couples.
- Understanding local prevalence is key to effective public health interventions.
Purpose of the Study:
- To investigate the epidemiological profile of sickle cell disease and hemoglobinopathies in Benin.
- To determine current prevalence rates of these conditions in the population.
Main Methods:
- Quantitative electrophoresis was used to analyze hemoglobin profiles of 2910 participants.
- Complete blood counts were performed on samples with abnormal hemoglobin results.
Main Results:
- The study included 1528 males and 1382 females, with a mean age of 26 years.
- Prevalence included Hb AS (21.7%), Hb AC (10.2%), Hb SS (3.1%), Hb SC (3.7%), and rare phenotypes (1.6%).
- Abnormal hemoglobin carriers presented with normochromic normocytic anemia; only 12% knew their status.
Conclusions:
- The study underscores the significant prevalence of hemoglobinopathies in Benin.
- Highlights the critical need for widespread population screening programs.
- Emphasizes the importance of early detection for disease management and prevention.
Background:
Sickle cell disease is the most common inherited blood disorder in the world with the birth of approximately 300,000 newborns screened each year. In 2009, the World Health Organization ranked the fight against sickle cell disease among the priorities for the Africa regions. The best way to prevent this incurable disease remains, on one hand systematic screening at birth, and on the other the proscription of risky union between heterozygous subjects.
Aim:
The aim of this study was to analyze the epidemiological profile of sickle cell disease and other hemoglobinopathies in Benin and determine more up-to-date prevalence rates of the disease within the population.
Methods:
The hemoglobin profiles of 2910 study participants were determined by quantitative electrophoresis. Samples with abnormal hemoglobin results were subjected to a complete blood count.
Results:
Our study population was balanced between males (1528) and females (1382) with a sex ratio of 1.1. The mean age ranged from eight years in the pediatric group to 26 years in adults. The hemoglobin electrophoresis profiles found were as follows: 59.7 % Hb AA (normal), 21.7 % Hb AS, 10.2 % Hb AC, 3.1 % Hb SS, 3.7 % Hb SC, and 1.6 % of the rare phenotypes (Hb AD, Hb AE, Hb AF, Hb A/β-thal, Hb SD, Hb SF, Hb CC and Hb C/β-thal). Participants with abnormal hemoglobin presented a normochromic normocytic anemia. A total of 356 (12 %) people knew their profile compared to 2554 (88 %) who did not.
Conclusion:
The high prevalence of hemoglobinopathies found in this study highlights in importance of screening in the Benin population.
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