The hematological parameters assessment of migrant workers from Lao PDR, Cambodia and Myanmar

Authors

  • Kanchana Tomanakan Department of Medical Technology,Khon Kaen Hospital,Khon Kaen,Thailand 40000
  • Rumphin Phoka Check up Unit,Khon Kaen Hospital,Khon Kaen, Thailand 40000

Keywords:

Hematological parameters, Anemia, Migrant worker

Abstract

Background: Anemia is a major health concern and occurs at all stages of life. The etiology of anemia is multifactorial. Primary causes of anemia include malnutrition, parasitic infection and inherited hemoglobin disorders. Hb concentration is the most common used indicator of anemia at the individual and population level. The increasing foreign migrant workers from Lao PDR, Cambodia and Myanmar in Thailand affect current working status, while no data was presented in our studied areas.

Aim: The study aimed to analyze the situation the burden of anemia in 3 groups of migrant workers from Lao PDR, Cambodia and Myanmar.

Methods: A cross-sectional study was conducted among 499 migrant workers in Khon Kaen Province from October 2017 to September 2018. Venous blood samples were examined for complete blood count and film morphology. Hematology values were determined by automatic analyzer Sysmex XN3000 to provide WBC, RBC, Hb, Hct, platelet count, MCV, MCH, MCHC and RDW.

Results: The 499 blood samples demonstrated anemia in 39 samples with overall 7.8%(39/499). The mean Hb concentration was 10.7 ± 1.04 g/dL (9.48-11.9). For WBC, all blood samples and platelet counts were normal. Mean MCV, MCH and MCHC were slightly decreased but without significant association. (p = 0.07)

Conclusion: The study confirmed that hematological abnormalities in 3 groups of migrant workers were
usually found. Decreased Hb correlated with blood film morphology. Our finding provides information to better manage anemia among migrant workers currently working in Thailand. 

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References

1. WHO,Hemoglobin concentration for the Diagnosis of anemia and assessment of severity, WorldHealthOrganization,Switzerland,2011,http://www.who.int/vmnis/indicators/haemoglobin.pdf.
2. Li L, Luo R, Sylvia S, Medina A, Rozozelle S. The prevalence of anemia in central and eastern China: Evidence from the China health and nutrition survey, Southest Asian Journal of Tropical Medicine& Public Health . 46: 2; 2015.
3. Huguet FW, Punpuing S, International migration in Thailand. Bangkok: International Organization for Migration : 2005
4. International Organization for migration. Number of migrant labour work permits 1 June-30 August 2005 (Online). Availableat: http://www.iomseasia.org/index.phb.module=pagesller&func=viewpub&tid=6&pid=317.
5. Wah ST, Yi YS, Khin AA, Plabplueng C, Nuchnoi P. Prevalence of anemia and hemoglobin disorders among school children in Myanmar. Hemoglobin. 41(1): 26-31.2017.
6. Muslimah Y, Awaluddin SM, Omar M, Amahmad NA, Aziz FA, Jamaluddin R, Aris T, Tan MP. Prevalence of anemia among the elderly in Malaysia and its associated factors: Does Ethnicity matter?. Journal of Environment and Public Health. 1-10; 2018.
7. Kritsiriwuthinan K, Ngrenngarmlert W. Asymptomatic malaria infections among foreign migrant workers in Thailand. Asian Pacific Journal of Tropical Medicine. 560-563; 2011.
8. Thetkthuek A, Jaidee W. Factors that contribute to insecticide poisoning among immigrant agricultural workers in Thailand. International Journal of occupational and environment health.23(1): 60-70; 2017.
9. George J, Yiannakis M, Main B, Gevenish R, Anderso C, An US, Williams SM, Gibson RS. Genetic hemoglobin disorders, infection, and deficiencies of iron and vitamin A determine anemia in young Cambodian children. The Journal of Nutrition. 142: 781-787; 2012.
10. WHO. Iron deficiency anemia : assessment, prevention and control. A guide for programme managers. Geneva : UNICEF/UNU/WHO; 2001.
11. Achoubi N, Asghar M, Saraswathy KN, Murry B. Prevalence of beta thalassemia and hemoglobin E in migrant populations of Manipur, North East India. Genetic Test Molecular Biomarkers. 16(10): 1195-2000; 2012.
12. Bacone G, Gilder ME, Chowwiwat N, Gornsawun G, Win E, Cho WW, Moo E, Min AM, Chrunwatthana P, Carrara V, White NJ, Nosten F, McGready R. Prevalences of inherited red blood cell disorders in pregnant women of different ethnicities living along the Thailand-Myanmar border. Wellcome Open Research. 2(72): 1-21; 2017.
13. Nuchprayoon S, Sanprasert Y, Kaewzaithim S, Saksirisampant W. Screening for intestinal parasitic infection among Myammar migrant workers in Thai food industry: a high-risk transmission. Journal of Immigration minor Health.11(2): 115-121; 2009.

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Published

2020-06-15

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นิพนธ์ต้นฉบับ (Original article)