Affects one out of 400 African-Americans. It's caused by the substitution of a single amino acid in the hemoglobin protein in red blood cells. In homozygous individuals, all hemoglobin is abnormal (sickle-cell). Symptoms include physical weakness, pain, organ damage, and even paralysis. Heterozygotes are usually healthy but may suffer some symptoms. About 1 in 10 African Americans carries the sickle cell allele— heterozygotes are less susceptible to the malaria parasite, so there's an advantage to being hetero