Health information

Thalassaemia cards, explained clearly.

The Maldives colour-card chart is a screening aid for reproductive genetic risk. It does not measure personal or relationship compatibility.

What the cards mean

A card records a screening category associated with alpha or beta thalassaemia, HbS, HbD, HbE, or a non-carrier result. Colour must always be read together with the category name.

Screening, not diagnosis

Confirm card results and family-planning advice with Maldivian Blood Services or a qualified genetic counsellor.

The seven cards

Pink

Beta-thalassaemia carrier

Grey

Alpha-zero carrier

Yellow

Alpha-plus carrier

Blue

HbS / sickle-cell carrier

Purple

HbD carrier

Green

HbE carrier

White

Non-carrier

Risk language

Lower genetic risk

A pairing with a non-carrier; no affected-child risk is identified by this chart.

No identified risk

A carrier combination the chart does not identify as producing an affected child.

At-risk pairing

The combination can result in an affected child. Genetic counselling is recommended.

Highest-risk pairing

The Grey–Grey combination carries a risk of hydrops fetalis. Genetic counselling is strongly recommended.

Compatibility chart

Genetic-risk combinations

Your card ↓ / Other card →PinkGreyYellowBluePurpleGreenWhite
PinkAt riskNo identified riskNo identified riskAt riskNo identified riskAt riskLower risk
GreyNo identified riskHighest riskAt riskNo identified riskNo identified riskNo identified riskLower risk
YellowNo identified riskAt riskNo identified riskNo identified riskNo identified riskNo identified riskLower risk
BlueAt riskNo identified riskNo identified riskAt riskAt riskAt riskLower risk
PurpleNo identified riskNo identified riskNo identified riskAt riskNo identified riskNo identified riskLower risk
GreenAt riskNo identified riskNo identified riskAt riskNo identified riskNo identified riskLower risk
WhiteLower riskLower riskLower riskLower riskLower riskLower riskLower risk

By card

Pink — Beta carrier

White is lower risk. Grey, Yellow and Purple have no identified affected-child risk in this chart. Pink, Blue and Green are at-risk pairings.

Grey — Alpha-zero carrier

White is lower risk. Yellow is at risk for HbH disease. Grey with Grey is the highest-risk pairing because of potential hydrops fetalis.

Yellow — Alpha-plus carrier

White is lower risk. Grey is an at-risk pairing because of potential HbH disease; the other listed carrier colours have no identified risk in this chart.

Blue — HbS carrier

White is lower risk. Grey and Yellow have no identified risk. Pink, Blue, Purple and Green are at-risk pairings.

Purple — HbD carrier

White is lower risk. Blue is an at-risk pairing; the other listed carrier colours have no identified risk in this chart.

Green — HbE carrier

White is lower risk. Pink and Blue are at-risk pairings; the other listed carrier colours have no identified risk in this chart.

White — Non-carrier

All listed colours are lower-risk pairings. A child may still inherit a carrier trait from a carrier parent.

Genetic counselling matters

A red result commonly represents a 25% affected-child probability per pregnancy when both relevant traits are inherited. The precise condition and severity depend on the combination and confirmed genotype.

Ruleset: MV_SHE_CARD_MATRIX_V1

Read the Maldives Ministry of Health guideline

This matrix and page must be confirmed by Maldivian Blood Services or another qualified local authority before production launch.