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Original Article

Coexistence of Malaria and Thalassemia in Malaria Endemic Areas of Thailand

Jiraporn Kuesap1, W. Chaijaroenkul2, K. Rungsihirunrat3, K. Pongjantharasatien4, Kesara Na-Bangchang2,*
The Korean Journal of Parasitology 2015;53(3):265-270.
Published online: June 30, 2015

1Faculty of Allied Health Sciences, Thammasat University, Pathumthani, Thailand

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*Corresponding author (kesaratmu@yahoo.com)
• Received: December 19, 2014   • Revised: February 27, 2015   • Accepted: March 5, 2015

© 2015, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Coexistence of Malaria and Thalassemia in Malaria Endemic Areas of Thailand
Korean J Parasitol. 2015;53(3):265-270.   Published online June 30, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.3.265
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Coexistence of Malaria and Thalassemia in Malaria Endemic Areas of Thailand
Korean J Parasitol. 2015;53(3):265-270.   Published online June 30, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.3.265
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Coexistence of Malaria and Thalassemia in Malaria Endemic Areas of Thailand
Coexistence of Malaria and Thalassemia in Malaria Endemic Areas of Thailand
Western region
 Southern region
 Summation (%)
P. falciparum P. vivax Mixed Total P. falciparum P. vivax Mixed Total
Malaria with thalassemia
 Hb Ea 3 9 2 14 5 0 0 5 19 (18.8)
 β-thalassemia 1 0 0 1 0 0 0 0 1 (1.0)
 α-thalassemia 2a 3 6 0 9 2 1 0 3 12 (11.9)
 Hb E/α-thalassemia 2 0 1 0 1 0 0 0 0 1 (1.0)
 β-thal/α-thalassemia 2 1 2 0 3 1 0 0 1 4 (4.0)
Malaria alone 18 23 0 41 6 16 1 23 64 (63.4)
Total 26 41 2 69 14 17 1 32 101 (100)
Number of patients Parasitemia (parasite/μl)
Total P. falciparum P. vivax Mixed infection
Coexistence of malaria with thalassemia 37 15,981 (7,247-81,661) 24,697 (2,500-151,086) 8,525 (280-42,988) 17,080 (11,439-22,720)
 Hb E 19 17,563 (4,444-72,158) 4,888 (865-12,075) 17,080 (11,439-22,720)
 β-thalassemia 1 2,500 - -
 α-thalassemia 2 12 42,545 (9,703-151,086) 12,256 (280-42,988) -
 Hb E/α-thalassemia 2 1 - 14,720 (14,720) -
 β/α-thalassemia 2 4 19,711 (17,631-21,790) 8,738 (4,667-12,808) -
Malaria alone 64 37,207 (7,200-24,761) 83,496 (355-1,427,200) 8,386 (50-74,667) 50,320
Number of patients Parasitemia (parasite/μl) Hb (g/dl) Hct (%)
Coexistence of malaria with Hb E 19 11,508 (4,227-27,243) 11.63 (9.69-13.56) 35.53 (29.50-41.56)
Coexistence of malaria with other types of thalassemia 18 20,702a (13,366-54,770) 10.52b (7.72-13.32) 32.39c (24.17-40.61)
Malaria alone 64 37,207 (14,0758-215,173) 12.25 (9.87-14.63) 37.28 (30.12-44.44)
Table 1. Prevalence of thalassemia in patients with malaria in the western (Tak province) and southern (Ranong province) regions of Thailand

Data are presented as numbers (%).

Including individuals with heterozygous and homozygous.

Table 2. Malaria parasitemia in patients with or without thalassemia

Data are presented as mean (95% CI) values.

Table 3. Malaria parasitemia, hemoglobin, and hematocrit in patients with hemoglobin E thalassemia, other types of thalassemia, and those without thalassemia

Data are presented as mean (95% CI) values.

Hb, hemoglobin; Hct, hematocrit.

Statistically significant difference with patients without thalassemia (P=0.048)

Statistically significant difference with patients without thalassemia (P=0.021)

Statistically significant difference with patients without thalassemia (P=0.018)

Table 1.

Table 2.

Table 3.

PHD : Parasites, Hosts and Diseases

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