Census data for 18 countries of the region show that vision and mobility impairments were the most common in Latin America and the Caribbean overall. These were followed by hearing and speech disabilities in Latin America and by mental or intellectual impairments and reduced manual dexterity in the Caribbean. Vision and motor disabilities have the least impact on access to education and employment, persons with cognitive and mental disabilities and those with limited capacity for self-care face the greatest difficulties in terms of integration into economic and social activity. For example, school attendance data on persons with disabilities aged between 13 and 18 years in 17 Latin American and Caribbean countries shows huge disparities in access to schooling by type of disability. The percentage attending school range from a low of 17% for persons with mental disabilities in El Salvador to 100% for persons with auditoiy disabilities in Bermuda and those with speech impairments in the Cayman Islands.