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Indian, Piyal Sen, a 35 year down syndrome patient looks on as he... News PhotoClimbing,Family,Horizontal,Illness,India,Kolkata,Looking,Patient,Social Issues,StaircasePhotographer Collection: AFP 2012 AFPIndian, Piyal Sen, a 35 year down syndrome patient looks on as he climbs on the staircase of his families house in Kolkata on November 25, 2012. Piyal, an only child, does the regular domestic work to help his parents with their daily routine. Disability is an important public health problem especially in developing countries like India where a majority of the disabled resides in rural areas where accessibility, availability, and utilisation of rehabilitation services and its cost-effectiveness are the major issues to be considered. December 3 is celebrated as the International Day of People with Disability. AFP PHOTO/ Dibyangshu SARKAR (Photo credit should read DIBYANGSHU SARKAR/AFP/Getty Images)