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Sickle Cell Disease and Hemoglobin S Prevalence in Botswana
Setho Ruth Taboka Kgakatsi1, Somolekae Katlego Galetlale2, Leabaneng Tawe1,2
1Botswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Pediatric Blood & Cancer
|November 17, 2025
Summary
The sickle cell trait (Hb-AS) was found in 1.9% of children in Botswana, with an S allele frequency of 0.0094. This indicates sickle cell disease is a potential contributor to chronic hemolytic disorders in the region.
Area of Science:
- Genetics
- Hematology
- Epidemiology
Background:
- Sickle cell disease is an inherited blood disorder caused by a mutation in the beta-globin gene.
- Sickle cell trait offers protection against severe malaria.
- The frequency of the sickle cell (HbS) allele in Botswana was previously unknown.
Purpose of the Study:
- To determine the frequency of the HbS allele in the Ngami and Okavango health districts of Botswana.
- To assess the potential public health implications of sickle cell disease in Botswana.
Main Methods:
- Analysis of residual DNA samples from asymptomatic children.
- Detection of HbS allele using PCR-restriction fragment length polymorphism (PCR-RFLP).
Main Results:
- 159 children's DNA samples were analyzed.
- Sickle cell trait (Hb-AS) was present in 1.9% of subjects.
- The overall frequency of the S allele was 0.0094; no homozygous sickle cell (Hb-SS) cases were found.
Conclusions:
- The S allele is present in Botswana at a low frequency.
- Sickle cell disease may contribute to chronic hemolytic disorders in Botswana.
- Further research is needed to understand the full impact of sickle cell in Botswana.
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