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4th of july, active, american, background, birthday, care, carefree, celebration, cheerful, children, chromosome abnormality, color, cute, diagnosis, down syndrome, facial features, food, friends, funny, games, generation z, genes, genetic disorder, girls, happy, holiday, independence day, internet, joyful, junk food, kids, mental disorder, playful, season, sisters, slanted eyes, smiling, snacking, stigma, sunglasses, sunny child, support, technology, trisomy, twins curious,