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Difficulties are compounded when attempting to care for children with special needs and genetic disorders such as Down syndrome. International charitable organizations can help to provide much needed specialty medical care. Community associations can encourage local relationship building and education. Collaborative efforts with well\u2010funded laboratories can help to deliver molecular characterization for individuals who have genetic disorders. With community and volunteer effort, a higher standard of care is obtainable in underserved communities.<\/jats:p>","DOI":"10.1002\/ajmg.c.31858","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T08:38:28Z","timestamp":1606811908000},"page":"965-969","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Down syndrome on a small Caribbean island: an uphill battle to obtain services and care for affected individuals"],"prefix":"10.1002","volume":"184","author":[{"given":"Beverly","family":"Nelson","sequence":"first","affiliation":[{"name":"Department of Clinical Skills St. George's University School of Medicine  St. George's Grenada"},{"name":"Grenada Down Syndrome Association  St. George's Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Lanza\u2010Perea","sequence":"additional","affiliation":[{"name":"Grenada Down Syndrome Association  St. 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