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Understanding Down syndrome

What is Down Syndrome?

Down syndrome (Trisomy 21) is a naturally occurring chromosomal arrangement that has always been a part of the human condition.

A laughing girl with Down syndrome with her hair in a braid

Down syndrome (or Trisomy 21) is a naturally occurring chromosomal arrangement that has always been a part of the human condition. It is universally present across racial, gender and socioeconomic lines, and affects approximately 1 in 800 live births, although there is considerable variation worldwide. Down syndrome usually causes varying degrees of intellectual and physical disability and associated medical issues.

It happens when a person has a full or partial extra copy of chromosome 21. There are three types:

  • Trisomy 21 (about 95%) — every cell has an extra copy of chromosome 21.
  • Translocation (about 3–4%) — part of an extra chromosome 21 is attached to another chromosome.
  • Mosaicism (about 1%) — only some cells have the extra copy.

Down syndrome is not caused by anything a parent did. It is not an illness, and it is not contagious. Find out more in our frequently asked questions.

A short film by actors with Down syndrome on how Trisomy 21 occurs. Made by Shabang Inclusive Learning in collaboration with Mediapreview, Huddersfield, West Yorkshire, UK, with funding from BBC Children in Need.

Characteristics

Every person is unique

Some characteristics are common, but no two people with Down syndrome are alike — each has their own personality, strengths and dreams.

  • Distinctive features

    Such as upward-slanting eyes and a single palm crease — but every person looks like their family too.

  • Low muscle tone

    Common in infancy and improves with physiotherapy and active play.

  • Learning differences

    Mild to moderate intellectual disability; strong visual and social learning.

  • Health considerations

    Higher chance of heart, thyroid, hearing and vision conditions — most are treatable.

Living well

Support at every stage of life

Support

Coordinated healthcare, therapy and emotional support for the whole family make an enormous difference. Regular health checks — heart, thyroid, vision and hearing — help catch treatable conditions early.

Education

Children with Down syndrome learn best with visual teaching, clear routines and encouragement. Under India's Rights of Persons with Disabilities Act, 2016, every child has the right to inclusive education.

Independence

Life skills such as cooking, managing money, travelling and working are learned step by step. Many adults with Down syndrome hold jobs, live semi-independently and contribute to their communities.

Family resources

Families can apply for a UDID (Unique Disability ID) card, which opens access to government schemes, scholarships and concessions. Our Resource Referrals desk can guide you through the process.

Have a question?

Call our helpline on +91 828 101 7777 or send us a message — we're happy to talk with parents, relatives, teachers and students.