Sickle cell anemia is a common genetic condition due to a haemoglobin disorder. This distribution reflects the fact that sickle-cell trait confers survival advantage against malaria and that selection pressure due to malaria has resulted in high frequencies of the mutant gene especially in areas of high malaria transmission. Although a single abnormal gene may protect against malaria, inheritance of two abnormal genes leads to sickle cell anaemia and confers no such protection, and malaria is a major cause of ill-health and death in children with sickle cell anaemia.