A neonatal screening survey of α-thalassemia (α-thal) among the United Arab Emirates (UAE) nationals was conducted on 418 consecutive cord blood samples. Our findings demonstrate that 49% of the cases studied were found with an α-globin gene defect. The gene frequency of the –α3.7 was 0.2847 and that of the –α4.2 was 0.0072. Four nondeletional α-thal mutations were found; αPA-1, αPA-2, Hb CS and α-5nt del with gene frequencies of 0.0036, 0.0012, 0.0024, and 0.0072, respectively. We also report here the genotype-phenotype correlation in 22 patients with Hb H disease or Hb H-like syndrome. Of these, 6 were homozygous for the αPA-1 mutation, 2 were homozygous for Hb CS, and 14 were compound heterozygous for either αPA-1, Hb CS, α-5nt del or ––MED-I, with the –α3.7. The data reported here demonstrate that a considerable heterogeneity of α-thal mutations occurs in the UAE and that the incidence of α-thal in the indigenous population is one of the highest in the world. Our clinical data suggest that Hb H disease in the UAE has, in general, a mild to moderate phenotypic presentation.