Abstract
As environmentally produced diseases become less common, so others which are largely or even entirely genetically determined assume greater importance and the need for genetic counselling in disease prevention increases. The results of studies of the families of individuals referred to a genetic clinic over the last few years indicate that there are many people in the population at risk of having a child with a serious genetic disorder, yet are unaware of this. However, there is no defined procedure for tracing and following up such individuals. It is suggested that the answer to this problem may lie in a computerized genetic register system. Such a system is being developed in Edinburgh under the acronym RAPID (Register for the Ascertainment and Prevention of Inherited Disease). If such a system is to be effective it would have to be organized on a national basis.

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