Sickle cell is not a germ, it's a disease! The spreading of this
disease occurs when two people carry the trait of sickle cell in
their genetic makeup and they have children. The odds of any child
born to parents who carry the trait are different each time. 50%
can be born with just trait, 1 out of 4 will be born with Sickle
Cell Anemia and 1 out of 4 will be born without anything.
Then there are varied levels of Sickle Cell, there's Anemia
(SS), Disease (SC).
it is heredity