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The recommendation by the group that the sickling test be the preferred and sole method for screening, purely on the basis of economics, is disconcerting, while with its observed shortcomings the proposed screening method would be of short-term benefit.
In eastern Uganda, haemoglobin electrophoresis detected 50 AS and 5 SS cases, while the sickling test demonstrated the presence of 26 AS, 5 SS, the solubility test 13 AS, 4 SS and the peripheral blood film method 7 AS and 2 SS.