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HuGENet Review

Sickle Hemoglobin (Hb S) Allele and Sickle Cell Disease
Allison Ashley-Koch 1, Quanhe Yang 2, and Richard S. Olney 2

line

Tables

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TABLE 1: Frequency of beta globin gene variants among different ethnic groups in a California newborn population(a)

Ethnicity

Hb SS(b)

Hb AS

Hb S/beta +thalassemia

Hb SC

Hb SD

Hb SE

Asian

0/207551

1/1336

0/207551

0/207551

 

 

Asian Indian

0/15843

1/725

1/15843

0/15843

 

 

Black

1/700

1/14

1/4056

1/1297

1/63885

1/63885

Hispanic

1/45622

1/183

1/729953

1/364976

1/1459906

1/1459906

Middle Eastern

0/21677

1/360

0/21677

0/21677

 

 

Native American

1/16529

1/176

0/16529

0/16529

 

 

White

1/158127

1/625

1/553447

0/1106895

 

 

(a) Source: Lorey et al (1996)
(b) HbSS includes HbS/beta 0-thalassemia

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TABLE 2: Average annual state-specific mortality rates (age-adjusted) for sickle cell disease per 1,000,000 individuals during 1979-1995

Map of USA

State

Overall

Males

Females

Blacks

Other

Alabama

5.5

6.3

4.7

22.16

0.04

Alaska

0.5

0.2

0.9

14.33

.

Arizona

0.8

0.9

0.6

27.13

0.02

Arkansas

2.8

3.2

2.4

18.39

.

California

1.5

1.7

1.4

20.89

0.04

Colorado

0.7

0.7

0.7

17.8

.

Connecticut

1.4

1.5

1.4

17.74

0.02

Delaware

2.8

3.3

2.4

16.92

.

D.C.

14.6

15.2

14.1

23.2

.

Florida

3.5

3.8

3.2

24.69

0.08

Georgia

5.3

5.9

4.7

19.85

0.04

Hawaii

0.3

0.2

0.3

7.73

0.06

Idaho

.

.

.

.

.

Illinois

2.6

2.9

2.4

17.55

0.06

Indiana

1.7

1.8

1.6

21.54

0.02

Iowa

0.3

0.4

0.3

18.46

0.02

Kansas

1.3

1.3

1.3

22.88

0.03

Kentucky

1.3

1.3

1.2

17.68

0.04

Louisiana

5.3

6.4

4.2

17.49

0.06

Maine

0.1

0.1

.

8.76

.

Maryland

2.7

3.0

2.5

10.89

0.02

Massachusetts

0.7

0.6

0.7

13.03

0.05

Michigan

2.5

2.7

2.4

18.49

0.02

Minnesota

0.3

0.4

0.3

17.66

0.01

Mississippi

6.6

7.9

5.4

19.23

.

Missouri

2.1

2.6

1.7

19.44

0.05

Montana

.

.

.

.

.

Nebraska

0.4

0.4

0.4

10.68

0.04

Nevada

1.3

1.7

1.0

20.0

0.05

New Hampshire

0

0.1

.

9.01

.

New Jersey

2.4

2.4

2.4

17.88

0.1

New Mexico

0.4

0.4

0.5

18.55

0.08

New York

2.9

3.0

2.8

18.39

0.25

North Carolina

4.2

4.9

3.6

19.35

0.07

North Dakota

0.1

.

0.2

16.19

.

Ohio

1.9

2.2

1.7

17.61

0.07

Oklahoma

1.5

1.9

1.1

19.32

0.04

Oregon

0.3

0.4

0.2

14.29

0.04

Pennsylvania

1.8

1.9

1.7

19.01

0.05

Rhode Island

0.8

0.4

1.1

20.72

0.05

South Carolina

6.3

6.9

5.7

21.69

0.03

South Dakota

0.2

0.2

0.2

65.78

.

Tennessee

3.3

3.6

3.0

20.50

0.06

Texas

2.1

2.2

2.0

17.78

0.04

Utah

0.2

0.2

0.1

27.05

.

Vermont

.

.

.

.

.

Virginia

2.2

2.3

2.0

11.59

0.06

Wshington

0.5

0.5

0.5

17.54

0.03

West Virginia

0.7

1.0

0.5

22.95

.

Wisconsin

1.0

1.5

0.6

20.83

0.01

Wyoming

0.6

0.5

0.8

76.03

0.16

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TABLE 3: Incidence of sickle cell complications in the US , based on genotype

Complication

HbSS
(per 100 pt-years)

HbSC
(per 100 pt-years)

HbS/beta 0-thalassemia
(per 100 pt-years)

HbS/beta +-thalassemia
(per 100 pt-years)

Age of Study Population

Reference

Acute Chest Syndrome

12.8

5.2

9.4

3.9

All

12

Acute Chest Syndrome

26.8

10.6

 

 

1 year

11

Bacteremia

6.5

5.8

 

 

1 year

11

Cerebrovascular Accidents

0.3

0

 

 

1 year

11

Cerebrovascular Accidents

0.61

0.17

0.10

0.11

All

13

Hand/Foot Syndrome

20.0

3.2

 

 

1 year

11

Pain crisis

24.0

8.5

 

 

1 year

11

Splenic sequestration

6.2

0.5

 

 

1 year

11

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TABLE 4: Median survival of individuals of all ages with sickle cell disease based on genotype and sex (10).

Sex and Genotype

Median Survival

Males with Hb SS

42 years

Females with Hb SS

48 years

Males with Hb SC

60 years

Females with Hb SC

68 years

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TABLE 5: Sensitivity and specificity of tests to detect sickle cell disease

Method

Sensitivity

Specificity

Reference

Cellulose Acetate/Citrate Agar Electrophoresis

93.1 %

99.9 %

2

Isoelectric Focusing

100 %

100 %

2

High-Performance Liquid Chromatography

100 %

100 %

18

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Page last reviewed: July 20, 2005 (archived document)
Page last updated: November 2, 2007
Content Source: National Office of Public Health Genomics