title: Thalassemia screening among Royal Thai Army medical cadets.
abstract: Thalassemia, common in Thailand, varies from mild to severe anemia, resulting in work inefficiency, particularly during exertion. Therefore, it is important for military cadets to be screened. The objective of this study was to screen for thalassemia and hemoglobinopathies among Royal Thai Army medical cadets. We tested 358 third-year Royal Thai Army medical cadets for complete blood count, red blood cell indices, hemoglobin (Hb) typing, inclusion bodies, and Hb A2, and Hb E. DNA analysis confirmed alpha-thalassemia, trait detection. The Hb E trait was the most frequent, respectively, in men and women, at 12.61% and 12%, followed by the a-thalassemia1 trait, at 3.3% and 4% and the beta-trait, at 1.5% and 0%. Two cases of homozygous Hb E were found only in men. Interestingly, a mild form of 1-thalassemia/Hb E was found in one male RTA medical cadet. These findings suggest that consistent thalassemia screening should be considered.
authors.affiliation: Department of Pathology, Phramongkutklao College of Medicine, 315 Rajavithi Road, Rachathewi, Bangkok 10400, Thailand.
authors.forename: Oytip
authors.initials: O
authors.lastname: Nathalang
authors.forename: Pasra
authors.initials: P
authors.lastname: Arnutti
authors.forename: Kamolthip
authors.initials: K
authors.lastname: Nillakupt
mesh_terms: D005260:Female; D005820:Genetic Testing / Q000379:methods*; D006801:Humans; D008297:Male; D008887:Military Medicine / Q000193:education; D008889:Military Personnel / Q000706:statistics & numerical data*; D016036:Seroepidemiologic Studies; D013337:Students, Medical; D013785:Thailand / Q000453:epidemiology; D013789:Thalassemia / Q000097:blood / Q000453:epidemiology* / Q000235:genetics*