
Kolya, 31, an intravenous drug user, spent several years in prison. Already living with HIV, while incarcerated he contracted tuberculosis. He died several weeks later in Ukraine.
PHOTOGRAPH BY: Misha Friedman
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A nurse cleans a cart used for serving food to TB patients in Russia. It is also used to transport bodies.
PHOTOGRAPH BY: Misha Friedman
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A man waits to exchange needles and to be tested for HIV in an outreach bus in Russia. Intravenous drug users have a very high risk of contracting tuberculosis.
PHOTOGRAPH BY: Misha Friedman
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A hospital room for five male MDR-TB patients in a TB hospital in Uzbekistan.
PHOTOGRAPH BY: Misha Friedman
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A new patient stares at a hospital worker distributing fish soup while bickering with another patient.
PHOTOGRAPH BY: Misha Friedman
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Polina, 37, has just been brought into the hospital severely malnourished and suffering from numerous diseases, including tuberculosis, hepatitis C and HIV.
PHOTOGRAPH BY: Misha Friedman
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A destroyed building in Grozny, capital of the Chechen Republic, in 2008.
PHOTOGRAPH BY: Misha Friedman
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A Doctors Without Borders (MSF) psychologist holds a group meditation session for MDR-TB patients at Nukus, TB hospital No. 2.
PHOTOGRAPH BY: Misha Friedman
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The dilapidated office of the head nurse in Togliatti, Russia, where all equipment is decades old and paint is peeling from the walls.
PHOTOGRAPH BY: Misha Friedman
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An 18-year old patient with MDR-TB in the intensive care unit in Nukus, TB hospital No. 2 in Uzbekistan. She takes 22 pills every day.
PHOTOGRAPH BY: Misha Friedman
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Having no relatives and no friends left, Oleg, 41, was left to spend his last days in palliative care by himself in Uzbekistan. His only visitors were nurses and social workers.
PHOTOGRAPH BY: Misha Friedman
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A homeless man receives a free consultation in a hospital in St. Petersburg, Russia.
PHOTOGRAPH BY: Misha Friedman
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A metal basin in a processing lab in Donetsk, Ukraine, lists names and blood types of TB and HIV-positive patients.
PHOTOGRAPH BY: Misha Friedman
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A 34-year-old mother of four was beaten by her husband and her relatives for being sick with TB. She received treatment in Uzbekistan.
PHOTOGRAPH BY: Misha Friedman
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Islambek, 19, has XDR-TB. His brother has MDR-TB and is recovering. Their mother died from TB. Doctors just found out Islambek can't be treated.
PHOTOGRAPH BY: Misha Friedman
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A man waits to exchange needles and to be tested for HIV in an outreach bus in Russia. Intravenous drug users have a very high risk of contracting tuberculosis.
PHOTOGRAPH BY: Misha Friedman
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A doctor prepares a TB patient for an X-ray at a clinic in Donetsk, Ukraine.
PHOTOGRAPH BY: Misha Friedman
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A plastic bottle containing used syringes and needles brought in by intravenous drug users for exchange lies on a street in Ukraine.
PHOTOGRAPH BY: Misha Friedman
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During the early morning rush hour, a commuter bus stops next to a tuberculosis clinic in a Donetsk, Ukraine, suburb. Most of the passengers on the bus are relatives of patients or sick with tuberculosis themselves. Commuter buses in areas with high tuberculosis rates are hot spots for transmission of the disease.
PHOTOGRAPH BY: Misha Friedman
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A lab technician looks through an old microscope at tuberculosis bacteria collected from patients in Ukraine.
PHOTOGRAPH BY: Misha Friedman
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In Uzbekistan, a 29-year-old patient has just taken her medication. Every day she has to swallow a multitude of pills and fight the side effects of pain and vomiting.
PHOTOGRAPH BY: Misha Friedman
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At a tuberculosis clinic in a Donetsk, Ukraine, suburb, a doctor checks Andrei for signs of life and finds none. A drug user for many years, he died at 46 from HIV and drug-related tuberculosis. He had checked himself into the hospital three days earlier.
PHOTOGRAPH BY: Misha Friedman
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A 29-year-old patient with advanced MDR in the intensive care unit at a hospital in Uzbekistan.
PHOTOGRAPH BY: Misha Friedman
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Two younger TB patients guide an elderly patient to her ward. Low salaries and difficult working conditions for health professionals lead to inadequate and limited nursing care in most tuberculosis clinics, like this one in a Donetsk, Ukraine suburb.
PHOTOGRAPH BY: Misha Friedman
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Having no relatives and no friends left, Oleg, 41, was left to spend his last days in palliative care by himself.
PHOTOGRAPH BY: Misha Friedman
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