The product is a professional education manual published by the US Department of Health, Education & Welfare in the 1970s on the subject of Sickle Cell Anemia and Trait. It is a pamphlet written in English language focusing on the subject area of microbiology and anemia. The manual is intended for a proficiency level and covers topics related to management, making it a valuable resource for those interested in this area of study. Smoke and pet free household. We combine shipping on multiple orders!!!