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Updated: Jun 8, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Sickle cell disease in India: Not just a mild condition
Manpreet Kochhar1,2, Patrick T McGann1,2
1Division of Pediatric Hematology/Oncology, Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Insights
Sickle cell disease (SCD) significantly impacts Indian patients, families, and healthcare systems. This study highlights the urgent need to recognize SCD as a serious health issue in India.
Area of Science:
- Hematology
- Global Health
- Public Health
Background:
- Sickle cell disease (SCD) is a major global health concern, affecting over 500,000 infants annually.
- While prevalent in sub-Saharan Africa, SCD's significant burden in India is often underestimated.
- SCD is frequently perceived as less severe in India, necessitating a re-evaluation of its impact.
Purpose of the Study:
- To assess the substantial impact of sickle cell disease on patients, families, and healthcare systems in India.
- To provide evidence supporting the recognition of SCD as a common and severe condition in India.
- To advocate for increased attention and resources for SCD management in India.
Main Methods:
- A national study was conducted in India to evaluate the burden of SCD.
- The study analyzed the impact of vaso-occlusive crisis, its management, and effects on quality of life.
- Data was collected to quantify the disease's reach across the Indian population.
Main Results:
- The study demonstrated a significant burden of SCD across patients, families, and the healthcare system in India.
- Findings challenge the notion that SCD is less severe in the Indian context.
- Vaso-occlusive crisis and its management present considerable challenges impacting patient quality of life.
Conclusions:
- Sickle cell disease poses a serious and common health challenge in India.
- There is a critical need for greater recognition and action to address SCD in India.
- The findings support a call to action for improved SCD care and public health strategies in India.
Abstract:
Sickle cell disease (SCD) is a common and life-threatening global health problem, with more than 500 000 affected infants born annually. The burden of SCD in sub-Saharan Africa is well established, but the comparably high prevalence in India is not well recognized and many consider SCD in India to be less severe. In their paper, a national study in India demonstrated the significant impact of SCD for patients, families and the healthcare system, supporting a call to action to recognize and address SCD as a serious and common health condition in India. Commentary on: Seth et al. Burden of vaso-occlusive crisis, its management, and impact on quality of life of Indian sickle cell disease patients. Br J Haematol 2025; 206:296-309.
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