Private community-based general paediatricians are deeply involved in this area of work. The results raise questions about services for training and for clinical collaboration between public and private child health providers.

Severe mental retardation, growth failure, microcephaly, micrognathia, cleft palate, hooked nose, low‐set thin flabby ears, pronounced elongated philtrum, and generalized decreased subcutaneous tissue characterized a 5 year 9 month old female with karyotype 47,XX, + 15, del(15)(q15).