If you have a hemoglobin variant, such as sickle cell hemoglobin (hemoglobin S), you will have a decreased amount of hemoglobin A. This may limit the usefulness of the A1c test in monitoring your diabetes. If you have anemia, hemolysis, or heavy bleeding, your test results may be falsely low.
Who was the president that believed that a US-controlled canal across Central America was a vital strategic interest to America and so was largely responsible for construction of the Panama Canal? Theodore Roosevelt
Construction of the current Panama Canal began in 1904. Casualties among the workers were much lower due to extensive projects to control yellow fever and malaria, and the canal was completed in ten years, three years ahead of schedule.