European Journal of Epidemiology

, Volume 11, Issue 2, pp 181–184 | Cite as

The frequency of anaemia, iron deficiency, hemoglobin S and beta thalassemia in the South of Turkey

  • Rikkat Koçak
  • Z. Nazan Alparslan
  • Gülseren Ağrıdağ
  • Fikri Başlamıslı
  • Pauline D. Aksungur
  • Soner Koltaş
Article

Abstract

A survey on the prevalence of anemia, iron deficiency, and hemoglobinopathies (Hb S and beta thalassemia) was carried out in an ethnically mixed and carefully registered population of 45,000 living in an area in the Southern Turkey. A total of 1223 subjects (representing the population with respect to sex and age group) were surveyed. The rate of anemia was found to be 16.9% overall with a highest prevalence of 18.3% in the children (0–2 ages) and 16.3% in the 14+ age group. The prevalence of iron deficiency using low transferrin saturation as criteria was found to be 17.2% overall, being 48.0% in the infant group, 19.6% in the children, and 14.7% in the 14+ age group. The rate of Hb S using the sickling test was found to be 3.9% in the entire population without separating for ethnic groups. It was more prevalent (9.6%) in the Arabic speaking and not found at all in the Kurdish speaking people. The rate of beta thalassemia with a high HbA2 was 3.4% overall and highest (7.1%) in the Kurdish speaking people.

Key words

Beta thalassemia Hemoglobin S Iron defficiency Turkey 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Köksal O. Nutrition in Turkey. Ankara: UNICEF, 1977: 431–433.Google Scholar
  2. 2.
    Huisman THJ, Schroeder WA, Brodie AN, Mayson SM, Jakway J. Microchromatography of hemoglobins: A simplified procedure for the determination of hemoglobin A2. J Lab Clin Med 1975; 86: 700–702.Google Scholar
  3. 3.
    Koerper MA, Mentzer WC, Brecher G. Developmental change in red blood cell volume: Implication in screening infants and children for iron defficiency and thalassemia trait. J Pediatr 1976; 89: 580–583.Google Scholar
  4. 4.
    De Maeyer, Iron defficiency anemia. Geneva: World Health Organization, 1989: 22–27.Google Scholar
  5. 5.
    Dallman PR, Siimes MA. Percentile curves for hemoglobin and red cell volume in infancy and childhood. J. Pediatr 1979; 94: 26–31.Google Scholar
  6. 6.
    Fairbanks VF, Beutler E. Iron deficiency In: Williams WJ, Beutler E, Erslev AJ, Lichtman MA, eds, Hematology. McGraw Hill, 1990: 487 pp.Google Scholar
  7. 7.
    Aksungur P. Determination of intestinal parasites in primary and secondary school children in Doğankent Village. ÇÜ Tıp Fak Derg 1986(1): 65–70.Google Scholar
  8. 8.
    Yüreğir GT, Aksungur P, Burgut R, Solakoğlu A, Atalay Ö, Aksoy M. A survey of high A2 beta thalassemia, hemoglobin variants, G6PD deficiency and iron deficiency anemia in Karataş, Çukurova, Southern Turkey. Doğa (T J Medical Sciences) 1989; 13 (3): 203–210.Google Scholar
  9. 9.
    Yüregir GT, Isbir T. The incidence and interaction of hemoglobin S and glucose-6-phosphate dehydro-genase (G-6-PD) deficiency in Çukurova, Turkey. Proceedings of the North Cyprus Symposium on Abnormal Hemoglobins and Thalassemia (ed. by M. Aksoy and T.H.J. Huisman). The Scientific and Research Council of Turkey: 65–75.Google Scholar
  10. 10.
    Aksoy M. Hemoglobinopathies in Turkey. Hemoglobin 1985; 9 (2): 209–216.Google Scholar
  11. 11.
    Aksoy M, Ikın EW, Mourant AE, Lechmann. Blood groups, haemoglobins and thalassemia in Turks in Southern Turkey and Eti-Turks. Br Med J 1958; 2: 937–939.Google Scholar
  12. 12.
    Akoğlu T, Üzer FL, Akoğlu E. The coinsidence of glucose-6-phosphate dehydrogenase deficiency and hemoglobin S gene in Çukurova Province, Turkey. Am J Epidemiol 1986; 123 (4): 677–680.Google Scholar
  13. 13.
    Kürkçüoğlu M, Dağcı a, Gençelli Y, Arcasoy A, Ağbas A. Dogu Anadolu Bölgesinde beta thalassemia ve anormal hemoglobin taramasi. Doğa 1986; 10 (3): 318–325.Google Scholar
  14. 14.
    Canatan D, Bor S, Arcasoy A, Yeşil N. Screening of abnormal hemoglobins and high HbA2 beta-tha-lassemia trait in Elbistan area. Doğa (T J of Medical Sciences) 1990; 14: 555–561.Google Scholar
  15. 15.
    Altay Ç, Gürgey A. Distribution of hemoglobinopathies in Turkey. T J Pediatr 1986; 28: 219–229.Google Scholar

Copyright information

© Kluwer Academic Publishers 1995

Authors and Affiliations

  • Rikkat Koçak
    • 1
  • Z. Nazan Alparslan
    • 1
  • Gülseren Ağrıdağ
    • 1
  • Fikri Başlamıslı
    • 1
  • Pauline D. Aksungur
    • 1
  • Soner Koltaş
    • 1
  1. 1.Medical Faculty, Departments of Internal Medicine and Public HealthÇukurova UniversityAdanaTurkey

Personalised recommendations