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Home » Topics » Biomarkers » Hemoglobinopathies in Cambodia (Misclassification)
Hemoglobinopathies in Cambodia [message #15847] Fri, 28 September 2018 01:01 Go to previous message
kendra is currently offline  kendra
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Registered: September 2018
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The Cambodia DHS states that the majority of children had normal hemoglobin (HBA1). However, with only 32% having normal Hb, and 20% having missing data, it seems that the majority of children actually have abnormal hemoglobin i.e. a hemoglobinopathy. This may be in part what is causing 47% of children to have elevated stfr (using a cut-off which has not been validated to detect iron deficiency), thus inflating iron deficiency estimates. However, it is impossible to tell, given that ferritin has not been corrected for inflammation. In the next version of the DHS, it would be nice to see the estimated prevalence of children with iron deficiency, to develop more targeted programs and policies.
 
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