Indigenous • Sub Saharan countries north of Zambesi River • Eastern Saudi Arabia • Some States in India Imported • Mediterranean Basin e.g. Greece,Sardinia • USA & Canada • Brazil, Belize Columbia etc • Cuba, Jamaica, Haiti, Barbados, Trinidad etc • UK, France, Holland, Distribution and Names of Indigenous Sickle Gene Haplotypes Region • Western West Africa • *Cameroon (Ekona) • Central West Africa • Central & East Africa East Saudi Arabia & India Haplotype • Senegal – 3 • Cameroon – 17 • Benin – 19 • Bantu – 20 • Arab/India – 31 Note: *Most Cameroonians have the Benin haplotype. The Ekona haplotype is a recent discovery among the small population of the Ekona ethnic group

Table 1: Where SCD is found [45].