A cohort lifetime study from Hamda Khan, MA, and Jason Hodges, PhD, MA, follows patients from pediatric into adult SCD care. Dr. Theodore Wun and Dr. Olubusola Oluwole investigated the causes of rising stroke rates among pediatric and adult patients. A study has assessed cryogenically preserved ovarian tissue samples from women with SCD for any effects from hydroxyurea. Kristen Howell, PhD, MPH, has investigated how transfer gaps in SCD care affect patients as they transition to adult care. The REACH trial’s findings suggest a reduced burden upon transfusion resources worldwide is possible. The gene therapy, which costs $3.1 million, was approved by the FDA in December 2023. Phase III data from the CLIMB SCD-121 trial verified the efficacy of exa-cel in eliminating vaso-occlusive crises in SCD. Age, weight, graft failure, and donor type are some predictors of pain crisis after HSCT in patients with SCD. In the one-year, fixed-dose extension period of the ESTIMATE study, mitapivat showed continued safety and efficacy in SCD. Etavopivat was safe and increased hemoglobin, decreased hemolysis, and improved red blood cells in patients with SCD. Dr. Vadivelan shared her study on pituitary and pancreatic iron deposition in patients with SCD at the 2024 ASPHO Conference. Stuart Orkin, MD, has been named as one of Time’s 100 Most Influential People of 2024 for his work in hemoglobin research. The study compared health care resource use and costs of pediatric patients with SCD compared with matched controls. Dr. Ansong-Ansongton shared what National Minority Health Month and Celebrate Diversity Month mean to him at ASPHO 2024. Dr. Ansong-Ansongton described data on the impact of abnormal mitochondrial retention and cold in red blood cells in SCD. The study evaluated transplant outcomes in pediatric patients with SCD who had a history of red blood cell alloimmunization. A standardized, local TCD supported by central quality review was implemented effectively in resource-constrained settings. The two-year event-free survival was estimated to be 82.6%, and the two-year overall survival was 94.1%. A new bill seeks to add a SCD health home model to state Medicaid programs to improve access and quality of treatment. A myeloablative conditioning regimen containing thiotepa had promising efficacy and safety in patients with severe SCD.