Figure 3 - uploaded by Vajira H W Dissanayake
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Karyogram of mother of the baby in figure 2 at 450 band banding level showing a balanced translocation between chromosome no.14 and chromosome no.21. Karyotype is 45, XX, t(14, 21).

Karyogram of mother of the baby in figure 2 at 450 band banding level showing a balanced translocation between chromosome no.14 and chromosome no.21. Karyotype is 45, XX, t(14, 21).

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Chapter
Sri Lanka is a lower-middle-income country that has achieved control over its population growth and maintained better health and education indices compared with her neighbors in South Asia. There is a health service that is nominally free at the point of delivery, but underfunding is a problem. The ending of a crippling civil war has resulted in optimism for an economic recovery and improvements in healthcare funding but it remains to be seen if this optimism is fulfilled. Genetics is becoming recognized as an important cause for predisposition to disease, but the level of public understanding about it is limited. Genetic counseling is available both in the state and private sectors. Genetic testing is funded by the patient. There is a problem in funding genetic testing due to the relative high cost, especially for families already economically disadvantaged by having a chronically sick child. The penal code does not allow termination of pregnancy for genetic disease or fetal abnormalities, which poses ethical problems regarding the use of prenatal diagnosis. This chapter aims to review the current state of medical genetics in Sri Lanka, deficiencies that have not been addressed, and the likely future developments in this field.