The document discusses the establishment of sub-regional and global networks for sickle cell disease (SCD). It notes the large disease burden of SCD globally and the disparity in resources and outcomes between wealthy and poor countries. Successful regional networks in Africa, the Caribbean, and other areas are highlighted. The creation of the Global SCD Network is outlined, with the goals of facilitating international partnerships on research, training, education and clinical programs. Priority areas of focus for the network include natural history studies, infectious disease interactions, hydroxyurea trials in developing countries, and understanding genetic factors in phenotypic diversity.