This juridical monograph discuss about sickle cells (sickle cell disease), a disease that is found in our legal system like orphan under law 1392 from 2010 which recognizes that its lower prevalence should be 1 per 2,000 characters, our public politics that are in force a subject in this paragraph locate the specific needs of people of african descent who most vulnerable and this will guide us statistics provided by the sispro and the 2005 census in valle del cauca. interviewing a characters they have worked towards in this disease, consulting your opinion about which must be north of a public politic to help patients and their family nucleus, optimally in the prevention and promotion of disease, adapting some criteria’s established by oms and implemented by spain.