Yes, it can 100% be hereditary. I have MCS and live in Ohio. My half sister was diagnosed with MCS and she lives in South Carolina, and we didn't know about each other or meet until 2015 when we did DNA to show we are half sisters. We have the same father. On 23andMe (a DNA website) I found a 1st cousin (on my fathers side of the family) who lives in SC, and she was adopted at birth, and we found out my father is her uncle (his sister is the mother who had her adopted at birth), and she (my 1st cousin) was diagnosed with MCS many years ago. My oldest son has shown some signs of mild MCS, as does his 7 yr old daughter. My youngest son shows mild MCS symptoms, too. We all are very aware, so we are all fragrance-free, but this shows there is 100% a genetic component in many cases.