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Loss of Livelihood | Tuberculosis in ...
Takeo, Cambodia
By Aman Singh
12 Jul 2013

An old patient waiting for the community health worker to arrive with the daily dose. Tuberculosis render patients weak with severe weight-loss (unable to perform physical work) and stigma at work place (infectious disease, loss of job).

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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The Daily Dose | Tuberculosis in Camb...
Takeo, Cambodia
By Aman Singh
12 Jul 2013

A female peasant in a village consuming her daily dose of TB medication.

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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The Daily Dose | Tuberculosis in Camb...
Phnom Penh, Cambodia
By Aman Singh
12 Jul 2013

Hands of a patient receiving medications for the day from an NGO community health worker.

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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Older population more vulnerable | Tu...
Takeo, Cambodia
By Aman Singh
12 Jul 2013

An old female patient with TB medicines in hand. Though the disease prevalence varies by country, TB tends to infect older people more as compared to other age groups. This is enhanced in poor population due to malnutrition and weak immune systems.

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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Public Health Sector in Cambodia | Tu...
Phnom Penh, Cambodia
By Aman Singh
12 Jul 2013

A patient shown to be undergoing the chest x-ray for the diagnosis of pulmonary negative tuberculosis at CENAT. These tests are supposed to be free under the public sector, but the patients end up paying for quick access and test results.

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Isolation | Tuberculosis in Cambodia
Phnom Penh, Cambodia
By Aman Singh
12 Jul 2013

An old patient waiting for TB test results in Phnom Penh. The patients admitted in the government hospitals are kept in separate wards away from the administration and other areas.

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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Isolation | Tuberculosis in Cambodia
Phnom Penh, Cambodia
By Aman Singh
12 Jul 2013

The TB patients admitted in the government hospitals are kept in separate wards away from the administration and other areas.

Cambodia is one of the 22 countries most affected by tuberculosis in the world. The country ranks second in the prevalence rate of tuberculosis, after South Africa. To get cured, the patients have to go through a stringent six-months daily-dose therapy of multiple medications. Often, these medications cause severe side-effects and co-infections with other diseases like HIV/AIDS, Cancer, etc make the lives of patients impossible due to drug interactions. This leads to lack of compliance which may result in multi-drug resistant TB, a lethal form of the disease and almost a death warrant. Once infected, the cure from this disease under the public sector of such a country is not a small hope to live by. Therefore, there is a stark dejection in the lives of people suffering from tuberculosis.

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Cambodian prime minister Hun Sen's bo...
Siem Reap Cambodia
By George Nickels
05 Jul 2013

With the Cambodian election campaigns now in full swing ruling party CPP leader prime minister Hun Sen makes a highly guarded visit to Siem Reap to attend various meetings. Hun Sen is the second longest serving leader in Southeast Asia and is one of the longest serving prime ministers in the world, having been in power through various coalitions since 1985. In 1987, Amnesty International accused Hun Sen's government of torture of thousands of political prisoners using "electric shocks, hot irons and near-suffocation with plastic bags. Hun Sen's government has been responsible for the sale of vast amounts of land to foreign investors resulting in the forced eviction of thousands upon thousands of residents from their homes throughout the country.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

With the elections approaching on the 28th of July Cambodian prime minister Hun Sen shows considerable force whilst visiting Siem Reap.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

2nd lieutenent Vorn Ratha inspects his chinese made pistol. Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

2nd lieutenent Vorn Ratha loads a clip into his chinese made pistol. Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

Cambodian prime minister Hun Sen's body guards have a joke with each other before starting their next watch. Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

Prime minister Hun Sen's body guards stand proud for a photograph underneath a large sign commemorating the late king Norodom Sihanouk who died on the 15th October 2012. Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

One of the Prime ministers many body guards stands proudly underneath a large sign commemorating the late king Norodom Sihanouk.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

In advance of the Cambodian elections on the 28th of July, 2013, prime minister Hun Sen makes a highly guarded visit to Siem Reap to attend meetings. Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

One of CPP leader and prime minister Of the Kingdom Of Cambodia Hun Sen's body guards takes a well needed sleep in the royal palace gardens, Siem Reap, Cambodia.

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Cambodian prime minister Hun Sen's bo...
Siem Reap, Cambodia
By George Nickels
05 Jul 2013

One of Cambodian prime minister Hun Sen's body guards wears a traditional red bracelet believed to bring good luck after the wearer has been blessed by a buddhist monk. Siam Reap, Cambodia.

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Cambodian Prime Minister Hun Sen's Bo...
Siem Reap, Cambodia
By U.S. Editor
04 Jul 2013

With the Cambodian election campaigns now in full swing ruling party CPP leader prime minister Hun Sen makes a highly guarded visit to Siem Reap to attend various meetings. Hun Sen is the second longest serving leader in Southeast Asia and is one of the longest serving prime ministers in the world, having been in power through various coalitions since 1985. In 1987, Amnesty International accused Hun Sen's government of torture of thousands of political prisoners using "electric shocks, hot irons and near-suffocation with plastic bags. Hun Sen's government has been responsible for the sale of vast amounts of land to foreign investors resulting in the forced eviction of thousands upon thousands of residents from their homes throughout the country.

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Children in poverty, Cambodia (9 of 20)
Siem Reap, Cambodia
By hiroko tanaka
21 Apr 2013

Cambodian girls rest from gathering water bottles while taking shelter from the rain on Angkor Wat site in Siem Reap, Cambodia in July 2008. Gathering bottles, which each bottle is akin to $1, is one of the ways to make money for children in Cambodia.

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Blood Sugar 016
By Ruom
29 Mar 2013

January 8, 2013
Omliang, Kampong Speu, Cambodia

Trucks offload the sugar cane onto a belt that takes the cane into a crusher.

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Blood Sugar 010
By Ruom
17 Feb 2013

February 17, 2013
Omliang, Kampong Speu, Cambodia

Manual labourers work at the plantation harvesting sugar, Phnom Penh Sugar plantation.

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Blood Sugar 007
By Ruom
17 Feb 2013

February 17, 2013
Omliang, Kampong Speu, Cambodia

Manual labourers arrive at the Phnom Penh sugar plantation to start harvesting.

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Blood Sugar 026
By Ruom
17 Feb 2013

February 17, 2013
Omlaing, Kampong Speu, Cambodia

Von and his son return home after he finishes work on the plantation.

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Blood Sugar 021
By Ruom
16 Feb 2013

February 16, 2013
Omliang, Kampong Speu, Cambodia

A 'city' was built around the Phnom Penh Sugar factory.

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Blood Sugar 019
By Ruom
13 Feb 2013

February 13, 2013
Omliang, Kampong Speu, Cambodia

Ranlyn works clearing land for her 'adopted family', she works for them in exchange for her father's debt.

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Blood Sugar 008
By Ruom
12 Feb 2013

February 12, 2013
Omliang, Kampong Speu, Cambodia

Savy collects water with her two grand-children. Svay's daughter left to work in Thailand, she has not had news since she left six months ago. Savy cares for her daughter's two sons.

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Blood Sugar 002
By Ruom
26 Jan 2013

January 27, 2013
Omliang, Kampong Speu

Labourers head to work in the fields of the Phnom Penh Sugar plantation.

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Blood Sugar 023
By Ruom
26 Jan 2013

January 26, 2013
Omliang, Kampong Speu, Cambodia

A young laborer sick with dengue fever. Manual laborers camp at the Phnom Penh Sugar plantation.

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Sickness born out of poverty
kampong cchnang Cambodia
By George Nickels
26 Jan 2013

Leprosy, or Hansen’s disease, is the sickness of the developing world - sickness born out of poverty. Leprosy is a chronic infectious disease which attacks the skin, the peripheral nerves, the mucous air passages and the eyes. The transmission of leprosy is similar to that of tuberculosis. To date, science has not been able to produce a vaccine against leprosy.

The physical handicap caused by the disease stigmatises its victims: it renders the sufferers social outcasts, excluded from their familial and social environment.

Today there are more than a million cases of leprosy identified worldwide, excluding the large number of ex-patients needing specialised mid-term medical and surgical treatment or social assistance because of the handicap caused by the disease.

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Sickness born out of poverty (7 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

One of the first signs of leprosy are pale patches on the skin. The fingers start to stiffen up and eventually without the proper medication lose the feeling as the nerves slowly die.

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Sickness born out of poverty (6 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

Me and my family are shunned by our local community, my family now by our food from a market nearly 2 miles away.

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Sickness born out of poverty (5 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

Leprosy, or Hansen’s disease, is the sickness of the developing world - sickness born out of poverty. Leprosy is a chronic infectious disease which attacks the skin, the peripheral nerves, the mucous air passages and the eyes. The transmission of leprosy is similar to that of tuberculosis. To date, science has not been able to produce a vaccine against leprosy.

The physical handicap caused by the disease stigmatises its victims: it renders the sufferers social outcasts, excluded from their familial and social environment.

Today there are more than a million cases of leprosy identified worldwide, excluding the large number of ex-patients needing specialised mid-term medical and surgical treatment or social assistance because of the handicap caused by the disease.

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Sickness born out of poverty (4 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

In only seven years I lost all my fingers. If the antibiotics were available to me when i realised that I had contracted leprosy, things may have been different for me now.

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Sickness born out of poverty (3 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

My son and wife have to help me with everything that I do in daily life , my eyes have now lost there sight, I cant even see to wash my self. My community has shunned me, they are scared that they will catch this terrible disease that is slowly eating me away.

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Sickness born out of poverty (2 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

I have now lost the feeling in my feet and constantly injure myself.

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Sickness born out of poverty (1 of 8)
Kampong Chhnang Cambodia
By George Nickels
26 Jan 2013

Life is extremely difficult, my son helps me to dress myself, clean my wounds and now that I have completely lost my sight navigate through my house. CIOML provide me with antibiotics which has helped calm the disease spreading but I feel that it is now too late.

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Cham fisher folk fear their future (1...
Phnom Penh, Cambodia
By Kristof Vadino
23 Jan 2013

Karim and his wife Amrah fish almost every day in the Tonle Sap river. Karim jumps on his small fishing boat after diving into the waters to free his fishing net, which got stuck between the rocks. Karim says, "The only thing we can do is go fishing. I found peace in that, but if we have to leave this place, I don’t know where to go.”