
Inherited blood disorders common in young children, study suggests
Mumbai: Diagnostic laboratory chain Metropolis Healthcare has released findings from a three-year study (2021–2024) that screened nearly 20,000 children under the age of 12 who were clinically suspected of having
hemoglobinopathies
—genetic disorders that affect red blood cells.
The study reveals that 28.4 per cent of the children tested were affected.
Among the identified cases, the most common conditions were the
beta-thalassemia
trait (38.7 per cent) and
sickle cell disease
or trait (30 per cent).
Notably, over half of the affected children were under the age of three, underscoring the need to integrate prenatal testing, early screening, and
genetic counseling
into routine maternal and
child healthcare
.
The study also highlights regional disparities in prevalence. The North-East recorded the highest positivity rate at 48.44 per cent, with a significant presence of Hemoglobin E.
Central India showed a higher burden of sickle cell disease at 37.36 per cent, while South India reported an overall prevalence of 34.09 per cent. Beta-thalassemia trait was found to be widely prevalent in Northern and Western India.
An earlier pan-India study by Metropolis, which analysed 65,779 cases, further reinforced the importance of
molecular testing
in diagnosing
hemoglobinopathies
.
According to the company, advanced tools like
Next-generation sequencing
(NGS) can analyze key genes—HBB, HBA1, and HBA2—in greater detail, detecting genetic mutations that traditional testing may overlook.
This facilitates accurate diagnosis, identification of carriers, and enables a more personalized approach to disease management.
Metropolis states that the high sensitivity and precision of NGS make it especially suitable for large-scale screening programs, aiding improved clinical decision-making in managing thalassemia and related disorders.
Dr. Smita Sudke, Chief of Laboratory, Pune & Rest of Maharashtra, Metropolis Healthcare, and the lead author of the study, said, 'By incorporating advanced molecular diagnostic tools such as Sanger sequencing, Gap-PCR, and Next-generation sequencing (NGS), we can ensure timely diagnosis, empower reproductive planning, and ease the long-term health and economic burdens on families and the healthcare system.'
Dr. Kirti Chadha, Chief Scientific and Innovation Officer at Metropolis Healthcare Limited, added, 'Molecular testing is pivotal in diagnosing and managing complex blood disorders, particularly beta-thalassemia major and sickle cell disease.
It helps decode unexplained symptoms such as anemia or microcytosis and enables early detection—even before symptoms appear—making it indispensable for prenatal and newborn screening.'
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Hindustan Times
01-06-2025
- Hindustan Times
ICMR-NIV Pune inaugurates high performance computing facility
PUNE The Indian Council of Medical Research (ICMR) launched its first High Performance Computing (HPC) facility at the ICMR–National Institute of Virology (NIV) Pune on Saturday. The advanced system, named NAKSHATRA, was inaugurated by Dr Rajiv Bahl, secretary of the department of health research and director general of ICMR. The facility has been developed under the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) as part of a new project called 'High Performance Computing Next Generation Sequencing (NGS) Hub'. It is designed to boost the country's ability to process large volumes of genomic and bioinformatics data—an area that faced challenges during the Covid-19 pandemic due to limited computing resources. Speaking at the inauguration, Dr Bahl praised the institute for its timely and strategic step towards 'Viksit Bharat 2047' vision by strengthening the country's genomic surveillance and data analysis capacity. He highlighted how enhanced computing resources are crucial in preparing for technology driven pandemic preparedness and future public health emergencies. Dr Naveen Kumar, director, ICMR-NIV, emphasized the critical role the HPC cluster will play in supporting rapid, data-driven responses to outbreaks. The newly commissioned HPC cluster features twelve compute nodes, offering a total of 700 cores and 1 petabyte of storage. The infrastructure is tailored to support complex bioinformatics workflows including next-generation sequencing (NGS), transcriptomics, phylogenetics, metagenomics, and structural bioinformatics. Initially, the facility will serve five ICMR institutes across the country, acting as a central repository for sequencing data and extending support to Viral Research and Diagnostic Laboratories (VRDLs) in the near future. This makes the Pune-based institute a critical hub for outbreak investigations and pandemic preparedness, with the potential to accelerate AI-driven drug and vaccine discovery.
&w=3840&q=100)

Business Standard
28-05-2025
- Business Standard
Could gene therapy end thalassemia? China's breakthrough sparks hope
Can a single shot rewrite a child's genetic fate? In a groundbreaking trial, doctors in China have used gene therapy to successfully treat children with thalassemia, a life-threatening inherited blood disorder that has long burdened families with frequent transfusions and lifelong medical care. As reported by media reports, one-time treatment using gene-edited stem cells has enabled multiple children to live transfusion-free for over a year. The promise is immense as it might offer a potential cure for a disease that affects millions across the globe. What is thalassemia and how does it impact the body? According to the Cleveland Clinic, an American nonprofit academic medical center based in Cleveland, Ohio, thalassemia is a genetic blood disorder that affects the body's ability to produce healthy haemoglobin, the oxygen-carrying component of red blood cells. This results in chronic anemia, fatigue, developmental delays, bone deformities, and in severe cases, life-threatening complications. US Centers for Disease Control and Prevention (CDC) classifies Thalassemia based on which part of the haemoglobin molecule is affected, alpha or beta, and the severity of the condition, described as trait, intermedia, or major. Thalassemia types are classified based on which part of the hemoglobin molecule is affected—alpha or beta—and the severity of the condition, described as trait, intermedia, or major. Hemoglobin, responsible for carrying oxygen throughout the body, consists of alpha and beta protein chains. When the body can't produce enough of either, it leads to alpha or beta thalassemia, resulting in reduced hemoglobin levels and varying degrees of anemia. According to severity: How common is thalassemia in India and how is it diagnosed? According to a new study by Metropolis Healthcare, an Indian multinational diagnostic, more than 1 in 4 Indian children clinically suspected of inherited blood disorders found positive. The study highlighted that over 51 per cent of affected children were under age 3, reinforcing the urgent need for prenatal and early childhood screening. 'Our findings reveal an urgent public health concern. Early detection through prenatal and newborn screening can dramatically alter disease outcomes,' said Dr Smita Sudke, Chief of Laboratory, Metropolis Healthcare. Advanced molecular techniques like Next-Generation Sequencing (NGS), Gap-PCR, and Sanger sequencing now make it possible to detect mutations with high precision, even before symptoms appear. 'NGS is a game-changer for identifying rare and novel mutations. It helps decode unexplained symptoms and enables early, even pre-symptomatic, diagnosis,' said Dr Kirti Chadha, Chief Scientific and Innovation Officer, Metropolis Healthcare. Metropolis' earlier study of 65,779 cases across revealed how modern DNA sequencing is improving diagnosis and disease classification, especially for beta-thalassemia. Why premarital and prenatal screening matter in thalassemia Despite the high burden, premarital screening remains rare in India due to social stigma. However, antenatal testing is gaining ground in high-risk groups. Doctors stress the importance of screening both partners before pregnancy. If both are carriers, there's a 25 per cent chance of the child having thalassemia major, a severe, lifelong condition. How is thalassemia treated in India today? Standard treatment in India includes: Regular blood transfusions Iron chelation therapy to remove excess iron Bone marrow transplant (BMT): A potential cure if a matched donor is available Gene therapy: Experimental in India, but now a realistic hope According to Dr Rahul Bhargava, Principal Director & Chief of BMT at Fortis Memorial Research Institute, 'A matched bone marrow transplant offers a curative option. But gene therapy could transform how we approach thalassemia treatment in the future.' What is the cost burden of thalassemia care in India? Annual cost of treatment ranges between ₹1.5–4 lakhs for transfusions and medications Bone Marrow Transplant costs ₹10–25 lakhs (some public hospitals subsidise) Gene therapy is currently unavailable in India and is expected to be expensive initially Can thalassemia be prevented through screening and awareness? According to experts, yes, prevention is possible through: Carrier screening Prenatal testing Genetic counseling Dr Sudke adds, 'We must integrate genetic screening into routine maternal and child health programs. It's the most effective way to reduce the future burden.' What does the gene therapy success in China mean for India?


News18
25-05-2025
- News18
Clinically Differentiating Between Covid-19, Dengue, Influenza, And Other Infections
Last Updated: The challenge to differentiate between COVID-19, Influenza, Dengue, may lead to misdiagnosis in the acute stage of the disease, which may lead to incorrect treatment Clinically differentiating COVID-19, Influenza, Dengue, and other infections can be challenging in tropical regions due to the similarity of symptoms in these infections. These challenges may lead to misdiagnosis or delayed diagnosis in the acute stage of the disease, which may lead to incorrect treatment and undesirable clinical outcomes. Dr. LakshmiPriya R, Senior Consultant Microbiologist and Molecular Biologist, Metropolis Healthcare Limited (Chennai) shares the difference: COVID-19 and Influenza are contagious respiratory illnesses that spread through respiratory droplets. Whereas dengue is a viral illness transmitted by the Aedes aegypti mosquito and is not contagious from human to human directly. The incubation period for COVID and Influenza virus is within 1-4 days after exposure, after which the fever may last for 3-7 days. It is not possible to differentiate between COVID and influenza infection with symptoms alone, since most of the symptoms are similar to both infections. The incubation period for dengue infection is between 4-10 days after the mosquito bite, and the fever may last for 2-7 days. Dengue fever may vary from mild to severe. Only the mild dengue infection mimics flu infection, whereas severe forms may have hemorrhagic fever or dengue shock syndrome. Most common symptoms of COVID 19 and Influenza infection are moderate to high grade fever (from 100°F to 102°F) and is continuous for 3- 4 days, chills, sore throat, cough, runny nose, shortness of breath, fatigue, body ache may be mild to moderate, headache, sometimes COVID infection can cause new loss of smell or taste. The petechial rash in dengue usually begins in the chest and then spreads to other parts of the body. Dengue usually presents in 3 phases. In the febrile phase, the patient presents with high-grade fever that lasts for 2-7 days along with other symptoms. During the critical phase, the fever may drop for a period of 3-5 days. But this is a risky stage, where there may be a drop in platelets. Followed by a recovery phase, where the body reabsorbs the excess fluid, and the patient gradually starts to feel better. Complete blood count (CBC) is the most important test that helps in the initial differentiation of dengue and COVID infection. The blood-based parameters help in the differential diagnosis of the various febrile illnesses. Like Dengue patients have leucopenia, followed by a rapid drop in platelet count with a rise in haematocrit value, COVID patients may present with leucocytosis/leucopenia with eosinopenia and lymphopenia. The most common predictor for COVID is lymphopenia. There is potential cross-reactivity in the serological test of COVID-19-positive patients tested for Dengue and vice versa. This is because there is a similarity in the epitope of the HR2 domain of SARS-CoV-2 and the dengue envelope protein. In such patients, the dengue virus infection is ruled out by no evidence of seroconversion or persistence of a positive serological test. Also, confirmation can be done by performing Dengue RT-PCR. First Published: May 25, 2025, 07:37 IST