Man with Down Syndrome taking out garbage bag from dustbin

home caucasian man working usagarbagekitchen disabled chores independent photography disability dustbin massachusetts side view recycling north america one person indoors vertical young men boy 20s color image domestic life only men full length young adult one man only caucasian appearance garbage bin developmental down syndrome trisomy 21 one young man only polythene 25 29 years garbage bag genetic disorder ds north andover dns