The distribution of hereditary erythrocytic disorders associated with malaria, in a lowland area of Nepal: a micro-epidemiological study

Authors: Suzuki, A.1; Hamano, S.2; Shirakawa, T.3; Watanabe, K.4; Endo, T.5; Sharma, S.6; Jha, B.6; Acharya, G. P.6; Nishiyama, K.3; Fukumaki, Y.7; Kobayashi, S.8

Source: Annals of Tropical Medicine and Parasitology, Volume 101, Number 2, March 2007 , pp. 113-122(10)

Publisher: Maney Publishing

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Abstract:

Among four ethnic groups in a lowland area of Nepal, the prevalences of abnormal haemoglobin, thalassaemia, glucose-6-phosphate-dehydrogenase (G6PD) deficiency, hereditary South–east Asian ovalocytosis (SAO) and Duffy blood-group antigen Fy/Fy were determined and related to each group's habitat. The group that has lived for many decades in a malaria-endemic lowland area, the Danuwar, was found to have a high prevalence of ?+-thalassaemia (79.4%) and low prevalences of haemoglobin E and G6PD deficiency. Much lower prevalences of ?+-thalassaemia were observed in the Newar (20.5%), Parbate (16.5%) and Tamang (8.8%), who, until the 1950s, all spent their hot-season nights in malaria-free areas at higher altitudes. No subjects with any other identified abnormal haemoglobin, ?-thalassaemia, SAO or Fy/Fy were detected.

Document Type: Research Article

DOI: http://dx.doi.org/10.1179/136485907X154539

Affiliations: 1: Department of Pediatrics, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, 565-0871, Japan 2: Department of Parasitology, Graduate School of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan 3: Faculty of Health Sciences, School of Medicine, Kobe University, 7-10-2 Tomogaoka, Suma-ku, Kobe, 654-0142, Japan 4: Department of Parasitology, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan 5: Kyushu Junior College of Kinki University, 1-5-30 Komodahigashi, Iizuka, 820-0016, Japan 6: Institute of Medicine, Tribhuvan University, P.O. Box 1524, Kathmandu, Nepal 7: Research Center for Genetic Information, Institute of Bioregulation, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan 8: Department of Geography, Graduate School of Letters, Osaka University, 1-5 Machikaneyama, Toyonaka, 560-8532, Japan

Publication date: 2007-03-01

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