G6PD and metabolic disease: Third, the reasons why some cases of hyperbilirubinemia led to ET are unknown because medical examinations are limited in Myanmar; routine examinations are limited to G6PD screening and ABO/Rh incompatibility, and do not include blood complete picture, bleeding and clotting profiles, cerebral hemorrhage, metabolic diseases, abnormalities on thyroid gland, or scrutiny on infection.