Original Article

VOLUME: 36 | ISSUE: 3 | Sep 30, 2020 | PAGE: (265 - 271) | DOI: 10.24911/BioMedica/5-106

Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan


Authors: Ghulam Jilany Khan , Nadeem Reyaz , Muhammad Bahadur Baloch , Analisa Cassandra , Susanne Schlicht


Authors

Ghulam Jilany Khan

Assistant Professor; Department of Pharmacology and Therapeutics, University of Central Punjab, Lahore-Pakistan.

Nadeem Reyaz

Associate Professor, Department of Pathology, Al-Aleem Medical College, Lahore-Pakistan.

Muhammad Bahadur Baloch

Senior Demonstrator, Department of Anatomy, Shalamar Medical & Dental College, Lahore-Pakistan.

Analisa Cassandra

Postdoc Fellow; Department of Clinical Oncology, Faculty of Medicine, University of Malaya (50603), Kuala Lumpur-Malaysia.

Susanne Schlicht

Research Head Group; Department of Pharmacology, University of Cologne, Gleueler Strasse 24, 50931, Köln-Germany.

Publication History

Received: July 16, 2020

Revised: August 12, 2020

Accepted: September 14, 2020

Published: September 30, 2020


Abstract


Background and Objective: Thalassemia major or βeta-thalassemia is a hereditary blood disorder, necessitating continuous blood transfusions. Frequent blood transfusions often result in the development of hepatitis, hepatocellular carcinoma, acquired immunodeficiency syndrome (AIDS) and many other infectious diseases. Incidence of infection of viral hepatitis in thalassemia patients is majorly associated with infections in the donor population. The objective of this study was to ascertain the frequency of HCV infection in patients with thalassemia in Pakistan.
Methods: This study was conducted from January 2015 to September 2018 in various sections of Punjab and Sindh, Pakistan. A total number of 439 patients were enrolled in this study, samples of blood from the patients were collected and their Anti-HCV antibodies were evaluated by enzyme-linked immunosorbent assay (ELISA); HCV-RNA genome presentation was assessed by HCV-nested-real time-polymerase chain reaction (RT-PCR) for the confirmation.
Results: It was found that major population of the thalassemia patients were male (63%). While the female thalassemia population was almost twice in Sindh province as compared to Punjab. In present study, n = 187 were detected positive among those n = 168 were confirmed by PCR. Only 47% thalassemia patients were found vaccinated against hepatitis B whereas all HCV positive patients were not vaccinated, and (84.96%) thalassemia patients were from the family of first cousin marriage. The patients which are not vaccinated also had significant chance to acquire the viral infection (P < 0.001). Moreover there could be some gender and environmental or geographical factors associated with thalassemia that are yet to be 
explored in detail.
Conclusion: Thalassemia patients carry major risk for acquiring transfusion associated infection


Keywords: β-thalassemia, Hepatitis C Virus, Hepatitis B vaccination, Human immunodeficiency virus, Enzyme-linked Immunoessay, Real time-polymerase chain reaction.


Pubmed Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. BioMedica. 2020; 30 (September 2020): 265-271. doi:10.24911/BioMedica/5-106

Web Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. https://biomedicapk.com/articles/online_first/106 [Access: May 27, 2024]. doi:10.24911/BioMedica/5-106

AMA (American Medical Association) Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. BioMedica. 2020; 30 (September 2020): 265-271. doi:10.24911/BioMedica/5-106

Vancouver/ICMJE Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. BioMedica. (2020), [cited May 27, 2024]; 30 (September 2020): 265-271. doi:10.24911/BioMedica/5-106

Harvard Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht (2020) Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. BioMedica, 30 (September 2020): 265-271. doi:10.24911/BioMedica/5-106

Chicago Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. "Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan." 30 (2020), 265-271. doi:10.24911/BioMedica/5-106

MLA (The Modern Language Association) Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht. "Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan." 30.September 2020 (2020), 265-271. Print. doi:10.24911/BioMedica/5-106

APA (American Psychological Association) Style

Ghulam Jilany Khan, Nadeem Reyaz, Muhammad Bahadur Baloch, Analisa Cassandra, Susanne Schlicht (2020) Frequency of Thalassemia and Its Association with Hepatitis C Infection in Local Population of Pakistan. , 30 (September 2020), 265-271. doi:10.24911/BioMedica/5-106