Rubinstein-Taybi syndrome in South Africa

1652

2010

Map of South Africa

Cape Town

Inequality

Namibia - 1 South Africa – top 10 China – 34 USA – 58 UK – 83 Netherlands - 90 Denmark - 111

Neighbours

2 systems

State Private 75% Long waiting times Overcrowded Slow referral system – stuck. Less educated patients – late presentations Other problems – HIV Exceptions! 25% Reasonably quick Appointment times Patient chooses doctors/therapists More educated Less diseases of poverty

RTS 9 Geneticists in the whole of South Africa. No ‘expert’. No database of patients. No follow-up No support group (until now) Find our own path – therapists, schools etc Means tested state support – highly limited services

Rest of Africa

“Children are the most vulnerable citizens of our society and the greatest of our treasures”