Abstract

Background: Voluntary non-remunerated blood donation is a strategy adopted by World Health Organization aimed at ensuring safety and adequacy of blood supply. Sub-Saharan Africa has a high prevalence of hemoglobin disorders and therefore needs to adopt stringent measures in donor selection to ensure safety for the recipient of blood transfusion. This study aimed to analyze normal and variant hemoglobin among voluntary blood donors.
 Methods: In this descriptive cross-sectional study, 100 prospective blood donors including 55 (55%) males and 45 (45%) females, aged 18–34 years were recruited. Capillary electrophoresis using the Minicap system was used for determining the hemoglobin variants in alkaline buffer (PH 9.4). Data analysis was done using SPSS version 20 and p-value < 0.05 was considered as the level of significance
 Results: The mean age of the participants was 22.23 ± 3.3 SD years. The proportion of participants with genotype AA was 67 (67%), those with AS were 17 (22 %), while those with AC were 11 (11 %). While Hb A ≥ 90% was noted in 67 (67%) blood donors, Hb S was seen in 22 (22%) and Hb A2 > 3.5% in 57 (57%). Hb F > 2% was observed in 3% of the studied participants
 Conclusion: Variant hemoglobin is common among blood donors and this should be taken into consideration whenever blood is being crossmatched for recipients of blood transfusion. Data from this study will be useful in raising awareness and genetic counseling.
 Keywords: prevalence, hemoglobin variants, capillary electrophoresis

Highlights

  • Structural abnormalities affecting the polypeptide chain of the globin molecule are disorders inherited genetically as occurs in hemoglobin (Hb) C, Hb S, Hb E

  • Despite stringent measures adopted in blood donor selection criteria, quite a number of blood donors who did not know their carrier status still find their way into blood donor population and this poses a risk to some category of blood transfusion recipients

  • Our study showed Hb A2 > 3.5% in 57 (57%) blood donors which raises the suspicion of a possibility of β-Thalassemia among blood donors in our environment

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Summary

Introduction

Structural abnormalities affecting the polypeptide chain of the globin molecule are disorders inherited genetically as occurs in hemoglobin (Hb) C, Hb S, Hb E. Hemoglobin electrophoretic analysis of hemoglobin variants in previous studies in Nigeria and other part of sub-Saharan Africa was largely carried out with the use of cellulose acetate method at alkaline pH [7, 9]. For the numerical and qualitative analysis of hemoglobin, superlative similarity between use of capillary electrophoresis and high-performance cation-exchange chromatography (HPLC) has been established and reported in several previous studies [10,11,12]. Sub-Saharan Africa has a high prevalence of hemoglobin disorders and needs to adopt stringent measures in donor selection to ensure safety for the recipient of blood transfusion. Hb F > 2% was observed in 3% of the studied participants Conclusion: Variant hemoglobin is common among blood donors and this should be taken into consideration whenever blood is being crossmatched for recipients of blood transfusion. Data from this study will be useful in raising awareness and genetic counseling

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