Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
WATANABE, Alexandra M. et al. Prevalence of hemoglobin S in the State of Paraná, Brazil, based on neonatal screening. Cad. Saúde Pública [online]. 2008, vol.24, n.5, pp.993-1000. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2008000500006.
The Brazilian Ministry of Health created the National Neonatal Screening Program under ruling no. 822/2001, including neonatal screening for hemoglobinopathies. In the State of Paraná, neonatal screening is conducted by the Ecumenical Foundation for the Protection of the Handicapped. The prevalence rates were determined for homozygous and heterozygous hemoglobin S and Sb-thalassemia. Blood samples drawn on filter paper were examined by isoelectric focusing (IEF) and high-performance liquid chromatography (HPLC). From January 2002 to December 2004, 548,810 newborns were screened, with the detection of 21 with FS, two FSA/FS, and four FSA. After confirmatory tests at six months of age, 12 were defined as sickle-cell anemia, or a prevalence of 2.2:100,000 newborns; Sb-thalassemia was confirmed in 15 (2.7:100,000 newborns); and 8,321 newborns were diagnosed as heterozygous HbS (1,500:100,000 newborns). HbS prevalence in Paraná (in southern Brazil) is lower than in the Central-West, North, and Northeast of the country. Ethnic origin of the population, fetal deaths, and non-random procreation may contribute to the relatively low number of homozygous individuals in the State. Sb-thalassemia interaction suggests the presence of Euro-Mediterranean peoples in this population's miscegenation.
Keywords : Sickle Cell Anemia; Neonatal Screening; Prevalence.