Original Article

Magnitude of Beta-Hemoglobinopathies through Biomarkers among the Selected Tribes of Dharmapuri, Tamil Nadu: A Community-Based Cross-Sectional Study

Abstract

Background: Hemoglobinopathies present a growing challenge to global healthcare resources. These disorders are monogenic: caused by a single gene, and they are inherited in an autosomal recessive manner from parents to offspring. Thalassemia and Sickle Cell Disease are the primary forms of Hemoglobinopathies. India has the highest prevalence of children affected by Thalassemia globally, with a population of 1-1.5 lakh children with Thalassemia, and every year, around 10,000-15,000 babies are born with this condition. This study attempted to estimate the disease burden of Beta-Hemoglobinopathies among the selected tribes residing in Dharmapuri, Tamil Nadu, India.

Materials and Methods: This cross-sectional study includes the data from 62 study participants belonging to the tribes residing in Sitteri hills and Balajangamanahalli – a village in the plains of Nallampalli, Dharmapuri. A semi–structured questionnaire was administered to collect socio–demographic details, and 5 ml of blood was collected for hematological tests: Complete Blood Count (CBC), Peripheral Smear, and High-Performance Liquid Chromatography (HPLC).

Results: Out of the 62 study participants, 43% (n=27) were anemic. Chi-square test of association revealed significant associations between Gender and Anemia, Mentzer’s Index and Anemia, and Mentzer’s Index and HbA2. The present study has reported the disease burden of Beta-Hemoglobinopathies to be 37.1%, in which beta-thalassemia trait/minor was 24.19%, sickle cell beta-thalassemia, beta-thalassemia intermedia, beta-thalassemia major/intermedia, and sickle cell disease were 3.23% each.

Conclusion: Family screening may be conducted to clarify the inheritance patterns of the disease, and genetic counseling should be offered to at-risk couples. To confirm the prevalence of hemoglobinopathies, genetic studies are required to confirm the type of mutations that cause Hemoglobinopathies.

1. Keber B, Lam L, Mumford J, et al. Hematologic Conditions: Common Hemoglobinopathies. FP Essent. 2019;485:24-31.
2. Ministry of Health and Family Welfare. Guidelines on hemoglobinopathies in India: Prevention and control of hemoglobinopathies in India – thalassemia, sickle cell disease and other variants: National Health Mission; 2016 [cited 2024 March 18]. Available from: https://nhm.gov.in/images/pdf/infocus/NHM_Guidelines_on_Hemoglobinopathies_in_India.pdf
3. Grow K, Vashist M, Abrol P, et al. Beta Thalassemia In India: Current Status And The Challenges Ahead. Int J Pharm Sci. 2014;6(4):28-33.
4. Williams TN, Weatherall DJ. World Distribution, Population Genetics, and Health Burden of the Hemoglobinopathies. Cold Spring Harb Perspect Med. 2012;2(9):a011692.
5. Yousuf R, Akter S, Wasek SM, et al. Thalassemia: A Review of the Challenges to the Families and Caregivers. Cureus. 2022; 14(12):e32491.
6. De Sanctis V. β-thalassemia distribution in the old world: a historical standpoint of an ancient disease. Mediterr J Hematol Infect Dis. 2017;9(1):e2017018.
7. Rees DC, Brousse VAM, et al. Determinants of severity in sickle cell disease. Blood Rev. 2022;56:100983.
8. Office of the Registrar General & Census Commissioner, India. Census of India 2011: Ministry of Home Affairs, Government of India; 2011 [cited 2024 March 18]. Available from: https://www.censusindia.gov.in
9. Ministry of Health and Family Welfare, Government of India and Ministry of Tribal Affairs, Government of India. Report of the Expert Committee on Tribal Health: Tribal Health in India -Bridging the gap and a Roadmap for the Future - Executive Summary and Recommendations. n.d.
10. Ganesh B, Rajakumar T, Acharya SK, et al. Prevalence of hemoglobinopathies among Malayali tribes of Jawadhu hills, Tiruvannamalai district, Tamil Nadu, India: a community-based cross-sectional study. Hematology 2024;29(1):2350320.
11. Domenica Cappellini M, Motta I. Anemia in Clinical Practice—Definition and Classification: Does Hemoglobin Change With Aging? Semin Hematol. 2015;52(4):261-269.
12. Tabassum S, Khakwani M, Fayyaz A, et al. Role of Mentzer index for differentiating iron deficiency anemia and beta thalassemia trait in pregnant women. Pak J Med Sci. 2022;38(4 Part-II):878-882.
13. Brancaleoni V, Di Pierro E, Motta I, et al. Laboratory diagnosis of thalassemia. Int J Lab Hem. 2016; 38 (Suppl. 1): 32–40
14. Giordano PC. Universal screening for hemoglobinopathies in today’s multi-ethnic societies: How and when. World J Obstet Gynecol. 2015;4(4):86-94.
15. A K, V K, M. Incidence Of Hemoglobinopathies In South Indian Population – 4 Year Study. Ann Lab Med. 2023;10(5):A47-52.
16. Mohanty SS, Parihar S, Huda RK, et al. Prevalence of sickle cell anemia, β-thalassemia and glucose-6-phosphate dehydrogenase deficiency among the tribal population residing in the Aravali hills of Sirohi region of Rajasthan state. Clin Epidemiol Glob Health. 2022;13:100916.
17. Mohanty S, Purohit A, Anand P, et al. Burden of sickle cell disease in tribal students in Maa-Baadi institutions in southern Rajasthan - A pilot study. Indian J Med Res. 2022;156(2):269-274.
18. Dixit S, Das A, Rana R, et al. A community-based study on haemoglobinopathies and G6PD deficiency among particularly vulnerable tribal groups in hard-to-reach malaria endemic areas of Odisha, India: implications on malaria control. Malar J. 2022; 21(1):340.
19. Chourasia S, Kumar R, Singh MPSS, et al. High Prevalence of Anemia and Inherited Hemoglobin Disorders in Tribal Populations of Madhya Pradesh State, India. Hemoglobin. 2020;44(6):391-396.
20. Shaw J, Ray R, Bhattacharjee S, et al. Pattern of hemoglobinopathy among the young tribes of West Bengal: A completely different scenario from Rest of India. Indian J Public Health. 2023;67(1):159-161.
Files
IssueVol 19 No 2 (2025) QRcode
SectionOriginal Article(s)
Keywords
Hemoglobinopathies; Anemia; Tribes, Beta-Thalassemia; Sickle Cell Disease

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Angeline J K, Jennifer H G, C. D. A. Magnitude of Beta-Hemoglobinopathies through Biomarkers among the Selected Tribes of Dharmapuri, Tamil Nadu: A Community-Based Cross-Sectional Study. Int J Hematol Oncol Stem Cell Res. 2025;19(2):109-117.