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Thalassemia patients in Kerala face declining haemoglobin levels

Why in News?

Thalassemia patients in Kerala face declining haemoglobin levels due to a shortage of leukocyte filter sets and iron chelation drugs, delaying transfusions and risking organ damage, with the government calling tenders to replenish supplies soon.

Description:

  • Thalassaemia is an inherited (genetic) blood disorder.
  • It causes the body to produce less hemoglobin than normal.
  • Hemoglobin (Hb) — a protein in red blood cells (RBCs) — carries oxygen throughout the body.
  • Deficiency of Hb or RBCs leads to anemia, causing fatigue and weakness.

Cause:

  • Genetic mutation in the DNA controlling hemoglobin production.
  • Passed on by inheritance — from one or both parents.
  • The type of thalassemia depends on which gene mutation (alpha or beta globin) is inherited.

Types:

  1. Alpha Thalassaemia – mutation in alpha-globin gene.
  2. Beta Thalassaemia – mutation in beta-globin gene (more common in India).

Symptoms:

Mild to severe anemia, Fatigue and weakness, Pale or yellowish skin, Shortness of breath / dizziness, feeling cold frequently, Slow growth and bone deformities (in severe cases), & Iron overload due to repeated transfusions.

Diagnosis:

  • Blood tests – Hemoglobin electrophoresis
  • Genetic testing – To detect carrier or affected status

Treatment:

Stem cell or bone marrow transplantOnly potential cure, but rarely done due to high risk and cost.

Regular blood transfusions – Maintain normal Hb levels and prevent severe anemia.

Chelation therapy – Medication to remove excess iron buildup due to transfusions.

Folic acid supplements – To support RBC production.

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