Transfusion-Dependent Thalassemia: Iron Overload And Organ Dysfunction Transfusion-dependent thalassemia (TDT) is an inherited blood disorder found most often in the Middle East and Africa. In places like Iran, beta-thalassemia, a more common type, has major and minor subtypes. The severe form, called Cooley's anemia, lacks beta protein in hemoglobin, making regular