There are 7 different types of haemoglobin D. The only clinically relevant variant is haemoglobin DPunjab.
Test partner, if not done previously (that includes haemoglobin screen, full blood count and ferritin levels).
If the couple has children, only test them if the partner is a carrier of a haemoglobin variant. Otherwise, there is no need to test them unless they are present with health problems. It is normally recommended to postpone testing until the age of 16, to enable them to make their own informed decision.
Stress that other family members can be carriers, so it is advisable to circulate the information to first-degree relatives (parents and siblings).
Give the appropriate information leaflets.
Make sure the patient has received his/her Haemoglobinopathy card.
Explain that it is still important to have malaria prophylaxis if visiting an area where malaria is endemic.
If you would like more information about haemoglobinopathies and testing, please do not hesitat to contact:
Community Genetic Counsellors on Tele: 0141 354 9201 / 0141 354 9229 (secretary)
Email: [email protected]