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21 · Chapter

Blood Disorders

From iron-deficiency anaemia — the world's most common nutritional disorder — to inherited haemoglobinopathies and blood cancers, this chapter covers the main UK conditions and where to get specialist help.

Key facts and figures
  • ≈ 1 in 2,000

    people in the UK have a diagnosed bleeding disorder such as haemophilia or von Willebrand disease.

    Source: The Haemophilia Society, 2024

  • ≈ 280,000

    people in the UK are currently living with or in remission from blood cancer.

    Source: Blood Cancer UK, 2024

  • ≈ 40,000

    people in the UK are diagnosed with blood cancer every year.

    Source: Blood Cancer UK, 2024

Anaemia

The most common blood disorder

Iron-deficiency anaemia affects roughly 3% of men and 8% of women in the UK and is usually caused by blood loss (menstruation, gastrointestinal bleeding) or poor absorption. Symptoms include tiredness, breathlessness, pale skin and brittle nails. NICE recommends investigating the cause in any adult — not just treating the iron.[1]NHS[2]NICE CKS

Inherited

Sickle cell, thalassaemia and haemophilia

Sickle cell disease mainly affects people of African and Caribbean heritage. All newborns in England are screened via the heel-prick test. A 2021 APPG report (No One's Listening) found serious failings in NHS care during sickle cell crises.[3]NHS[4]Sickle Cell Society

Thalassaemia is a group of inherited haemoglobin disorders common in people of Mediterranean, Middle Eastern and South Asian heritage. Severe forms require lifelong transfusions and iron chelation.[5]UKTS

Haemophilia A and B and von Willebrand disease are bleeding disorders managed through specialist NHS haemophilia centres with clotting factor replacement.[6]Haemophilia Society

Blood cancers

Leukaemia, lymphoma and myeloma

Blood cancer is the UK's fifth most common cancer and third biggest cancer killer. Around 40,000 people are diagnosed every year. Warning signs include unexplained bruising, persistent fatigue, repeated infections, night sweats and unexplained weight loss — symptoms easily missed.[7]Blood Cancer UK

Where to get help

UK helplines and registries

References
  1. [1] NHS. Iron deficiency anaemia · 2024
  2. [2] NICE. Anaemia — iron deficiency (CKS) · 2024
  3. [3] NHS. Sickle cell disease · 2024
  4. [4] Sickle Cell Society. Support and information · 2024
  5. [5] UK Thalassaemia Society. About thalassaemia · 2024
  6. [6] The Haemophilia Society. Bleeding disorders information · 2024
  7. [7] Blood Cancer UK. Types of blood cancer · 2024
  8. [8] Leukaemia Care. Helpline and support · 2024
  9. [9] Lymphoma Action. Information and support · 2024
  10. [10] Anthony Nolan. Stem cell register · 2024
  11. [11] NHS Blood and Transplant. Give blood · 2024