Confidence votes 11. According to Wikipedia, the width of the Atlantic Ocean at its narrowest point is 2,848 kilometers (1,770 mi) between Brazil and Sierra Leone.
Paroxysmal nocturnal hemoglobinuria (PNH) may cause unpredictable episodes of acute red blood cell destruction (hemolysis). This occurs when a part of your immune system called complement attacks red blood cells that lack certain protective proteins.
Low blood counts can have many causes, including vitamin deficiencies, bleeding, and rare bone marrow failure diseases like aplastic anemia, MDS and PNH. If your blood tests are abnormal, your doctor may do other blood tests or take a sample of your bone marrow to find out why.