Health screening for people with Down's syndrome

All adults over the age of 18 years with Down's syndrome living in a boroug h of London, England, were identified through a case register. A questionna ire seeking information on health status and screening was sent to their ca rers. The reply rate was 70%. The attendance for general health care is rea sonable, but there are some gaps in screening. The implications for primary health care and health promotion are discussed.