Thumb sm
Brazilian Families Affected by Zika i...
Recife
By Flavio Forner
26 Jan 2016

Photos of Brazilian families affected by the outbreak of the Zika virus in the city of Recife, in northeast Brazil, as mothers seek help for their babies born with microcephaly.

The Brazilian army is deployed on the streets of Recife in a door-to-door campaign in search of vestiges of Aedes mosquito larvae, responsible for spreading the Zika virus. The population receives instructions on how best to protect and prevent the emergence of mosquitoes in their homes.

The Zika virus, first detected about 40 years ago in Uganda, has long been seen as a less-painful cousin to Dengue and Chikunguya, which are spread by the same Aedes mosquito. Brazilian health authorities are convinced that microcephaly is related to the Zika virus when a pregnant woman is bitten by this insect. This rare condition known as microcephaly often results in mental retardation.

Thumb sm
zika in brazil 19
Recife
By Flavio Forner
20 Jan 2016

Mother holds her baby, born with microcephaly, waiting medical attention at Oswaldo Cruz Hospital in Recife, Brazil.

Thumb sm
zika in brazil 20
Recife
By Flavio Forner
20 Jan 2016

Pregnant woman waits for consultation at a clinic in Recife, Brazil.

Thumb sm
zika in brazil 17
Recife
By Flavio Forner
19 Jan 2016

Nadja Gomes Bezerra, 42, a telemarketing operator, takes her 4 month-old daughter Alice to a medical consultation by Dr. Vanessa Van Der Linden. Alice was born with microcephaly.

Thumb sm
zika in brazil 18
Recife
By Flavio Forner
19 Jan 2016

Dr. Vanessa Van Der Linden measures Alice's skull. The 4 month-old baby was born with microcephaly. Alice's mother is Nadja Gomes Bezerra, 42, a telemarketing operator.

Thumb sm
zika in brazil 07
Recife
By Flavio Forner
18 Jan 2016

Recife's Health Department workers and soldiers from the Brazilian military work together in detecting mosquito outbreaks.The municipality in Recife wants to introduce penalties for its citizens who don't follow the instructions on preventing the spread of the mosquito Aedes aegypti.

Thumb sm
zika in brazil 08
Recife
By Flavio Forner
18 Jan 2016

A Brazilian army soldier checking a house in Recife for Aedes aegypti mosquitoes. The municipality in Recife wants to introduce penalties for its citizens who don't follow the instructions on preventing the spread of the Aedes Aegypti. The city now gets the help of the Brazilian military in detecting mosquito outbreaks.

Thumb sm
zika in brazil 09
Recife
By Flavio Forner
18 Jan 2016

A Brazilian army soldier and Recife's Health Department worker talk to local resident to check for Aedes Aegypti mosquitoes. The municipality in Recife wants to introduce penalties for its citizens who don't follow the instructions on preventing the spread of the Aedes aegypti. The city now gets the help of the Brazilian military in detecting mosquito outbreaks.

Thumb sm
zika in brazil 10
Recife
By Flavio Forner
18 Jan 2016

A biologist works in a laboratory at Fiocruz Research Institute in Recife, Brazil. Across the country, scientists race against the clock to develop a vaccine for the Zika virus. Other scientists from Africa and the US flew to Brazil to help.

Thumb sm
zika in brazil 11
Recife
By Flavio Forner
18 Jan 2016

Biologist Constancia Ayres from Fiocruz Research Institute in Recife, Brazil. Across the country, scientists race against the clock to develop a vaccine for the Zika virus. Other scientists from Africa and the US flew to Brazil to help.

Thumb sm
zika in brazil 12
Recife
By Flavio Forner
18 Jan 2016

Biologist Constancia Ayres from Fiocruz Research Institute in Recife, Brazil, where she studies the evolution of the mosquito since Africa. Across the country, scientists race against the clock to develop a vaccine for the Zika virus. Other scientists from Africa and the US flew to Brazil to help.

Thumb sm
zika in brazil 13
Recife
By Flavio Forner
18 Jan 2016

The mosquito Aedes aegypti spreads four different types of Dengue and Chikungunya, and now the Zika virus.

Thumb sm
zika in brazil 14
Recife
By Flavio Forner
18 Jan 2016

Biologist Constancia Ayres from Fiocruz Research Institute in Recife, Brazil, where she studies the evolution of the mosquito since Africa. Across the country, scientists race against the clock to develop a vaccine for the Zika virus. Other scientists from Africa and the US flew to Brazil to help.

Thumb sm
zika in brazil 15
Recife
By Flavio Forner
18 Jan 2016

Because of the mild symptoms of Zika virus, few people visit a doctor so the government does not know how many Brazilians are already infected. Pernambuco state is the leader with 33 percent probability of microcephaly. The regional government declared a state of emergency in last September.

Thumb sm
zika in brazil 16
Recife
By Flavio Forner
18 Jan 2016

The mosquito Aedes aegypti spreads four different types of Dengue and Chikungunya, and now the Zika virus.

Thumb sm
zika in brazil 01
Recife
By Flavio Forner
17 Jan 2016

Dr. Angela Rocha, 67, infectologist at the Oswaldo Cruz hospital in Recife, Pernambuco (Brazil).

Thumb sm
zika in brazil 02
Recife
By Flavio Forner
17 Jan 2016

Mothers awaiting care in the waiting room at Oswaldo Cruz Hospital in Recife.

Thumb sm
zika in brazil 03
Recife
By Flavio Forner
17 Jan 2016

Nadja Gomes Bezerra, 42, a telemarketing operator with her 4 month-old daughter Alice, one of many Brazilians babies born in the recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Thumb sm
zika in brazil 04
Recife
By Flavio Forner
17 Jan 2016

Erika Roque with her son Eric, born with microcephaly, at the Oswaldo Cruz Hospital in Recife, where he receives physical therapy.

Thumb sm
zika in brazil 05
Recife
By Flavio Forner
17 Jan 2016

Dr. Angela, infectious disease specialist at the Oswaldo Cruz Hospital in Recife, shows an image of the skull of a child with microcephaly.

Thumb sm
zika in brazil 06
Recife
By Flavio Forner
17 Jan 2016

Rafael, an official from Recife's Health Department at a meeting on actions to combat the Aedes aegypti mosquitoes, insect that spreads the Zika virus.

Thumb sm
zika in brazil 21
Recife
By Flavio Forner
16 Jan 2016

Joao Bezerra, 46, luggage worker at Recife airport, holds his daughter Alice, one of many Brazilian babies born in the recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Thumb sm
zika in brazil 22
Recife
By Flavio Forner
16 Jan 2016

Jonathan Gomes Bezerra, a 14 year-old student, holds his sister Alice, one of many Brazilians babies born in the recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Thumb sm
zika in brazil 23
Recife
By Flavio Forner
16 Jan 2016

Nadja Gomes Bezerra, 42, a telemarketing operator baths her daughter Alice, one of many Brazilians babies born in recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Thumb sm
zika in brazil 24
Recife
By Flavio Forner
16 Jan 2016

Joao Bezerra, 46, worker at Recife airport, and Nadja Gomes bezerra, 42, a telemarketing operator, with their daughter Alice, one of many Brazilians babies born in recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Thumb sm
zika in brazil 25
Recife
By Flavio Forner
16 Jan 2016

Joao Bezerra, 46, luggage worker at Recife airport, holds his crying daughter Alice. She is one of many Brazilians babies born in recent months with microcephaly: a skull that is smaller at birth than 32 cm.

Frame 0004
Physiotherapy Clinic Heals Children a...
Latakia
By Hashem
15 Feb 2015

Latakia, Syria

February 15, 2015

AT THEIR REQUEST THE FACES OF THE DOCTORS AND THERAPISTS INTERVIEWED ARE NOT SHOWN FOR REASONS OF PERSONAL SAFETY AND SECURITY.

At the Flooka Physical Therapy Center in rural Latakia province, Syria, Dr. Khaled treats all manner of patients, from Free Syrian Army (FSA) fighters to children with disabilities. In his small clinic, which sees 25-30 patients a day, Dr. Khaled and his devoted staff use a combination of personal care and up-to-date technology (infrared, radiotherapy) to help residents from near and far recover from war-related injuries and other ailments. A largely Alawite region known for being the birthplace of the Assad family and a stronghold of the regime, parts of rural Latakia have nonetheless fallen under control of the rebels.

TRANSCRIPT

Dr. Mohamad Ajouz
(Man, Arabic) (01:40-02:54)

Our patient was injured by shrapnel two years ago, and came to the center for physical therapy about a year ago because of serious injury to his sciatic nerve. After a year of physical therapy, we did not get desirable results because his injury was too severe. Now, after consulting with an orthopaedic surgeon, he was advised to have surgery. Now we're getting him ready for surgery, preparing the muscles, so that when the surgery is done he can return and we can continue the physical therapy, and he will hopefully be healed.

Abu Mohamad, FSA fighter:
(Man, Arabic) (03:48-04:30)

I sprained my ankle and suffered from ligament rupture. I was not able to walk comfortably, so I came here to the physical therapy center and had many sessions, which are definitely helping. The center provides excellent care, and the workers are doing their best to help us. They spared us a trip to Turkey that we might have been forced to take, but the problem is that this is the only physical treatment center here and there is a lot of pressure, a huge number of people come here, and sometimes we have to wait until they finish treating other injuries before getting a turn.

Abu Hussein
(Man, Arabic) (07:13-07:33)

At an early point, we discovered something was wrong with her and took her to Turkey, Antakya and, from there, were transferred to Adana, where they ran some tests and told us that she suffers from brain malformation and needs physical treatment. So we brought her here to the "Floka al-Hurreya" physical therapy center to get treatment.

Dr. Khaled:
(Man, Arabic) (08:59-10:22)

We are now in the "Floka al-Hurreya" physical therapy center. The center has been open for a while and is operating smoothly. It receives about 25-30 patients a day. We have some machines and equipment to help treat patients injured in war; most people we treat have been injured in the war. We have machines to support the hips, infrared machines, a radiotherapy machine and machines to treat nerves; we have steps, a treadmill and many other machines.

Thumb sm
hearts of zimbabwe 17
Harare, Zimbabwe
By Giovanni Diffidenti
10 Jun 2014

Joe Machipisa, 17, and Perseverance Kambanje, 16 (with the blue cap) in Mutoko at the Luisa Guidotti Hospital, after a blood test.

The boys are drawing blood for follow up checks after both receiving treatment for their congenital heart conditions in Italy.

Follow ups are an ongoing, costly, but necessary process needed to help ensure the ultimate success of the surgeries.

Thumb sm
hearts of zimbabwe 19
Harare, Zimbabwe
By Giovanni Diffidenti
09 Jun 2014

Dr. Massimo Migani, Medical Superintendent and Dental Surgeon treats a patient with a dental problem at the Luisa Guidotti Mission Hospital in Mutoko. Zimbabwe.

Dr Massimo Migani helps with the coordination of the activities and relationships among stakeholders involved implementing the heart surgery exchange program with Italy.

Thumb sm
hearts of zimbabwe 18
Harare, Zimbabwe
By Giovanni Diffidenti
09 Jun 2014

Dr Massimo Migani, Medical Superintendent (left), Marilena Pesaresi, former Medical Superintendent now Hospital Executive Advisory Member (centre), and Lucia Grassi, catholic lay missionary, meet at the Luisa Guidotti Mission Hospital, in Mutoko. Zimbabwe.

Thumb sm
hearts of zimbabwe 01
Harare, Zimbabwe
By Giovanni Diffidenti
05 Jun 2014

Douglas Mudavanhu, 3, with his mother Yennifer in the village of Manyonga, in the Goromonzi District.

Douglas was operated on in 2013 at the Sant’Orsola-Malpighi Hospital in Bologna because of a complex congenital heart disease (Atrioventricular canal, interventricular defect and atrioventricular block). He now has a pacemaker and needs to do follow ups twice a year.

Douglas will need to return to Italy in the future so doctors can assess his current pacemaker and consider a possible substitute. The village where he lives is isolated, but there is hope for him to go to school in the future. Douglas' father, Edmore, has a farm and he makes sure his son eats fresh vegetables all year round and a sufficient amount of protein by raising chickens.

Thumb sm
hearts of zimbabwe 05
Harare, Zimbabwe
By Giovanni Diffidenti
05 Jun 2014

Tanatswa Oliver Chikomwe, 7, with his friend Fana in Mabyuko, in a suburb of Hahare.

Tanatswa was operated on in 2012 at the Sant’Orsola-Malpighi Hospital in Bologna (condition: severe aortic insufficiency and impaired left ventricular function. Aortic valve replacement).

While the operation was successful, he will probably have to undergo a second operation and will require follow-up appointments every two years.

Thumb sm
hearts of zimbabwe 06
Harare, Zimbabwe
By Giovanni Diffidenti
05 Jun 2014

Christopher Chirinda, 7, outside his house in the city of Ruwa.

Operated on in 2007 while he was only four months old, Christopher had a successful surgery that treated his congenital heart defect. The surgery was performed at the Sant’Orsola-Malpighi Hospital in Bologna. He will require follow up every three years.

Thumb sm
hearts of zimbabwe 08
Harare, Zimbabwe
By Giovanni Diffidenti
05 Jun 2014

Melody Mutero, 17 years old, in the village of Muchatuta, Goromonzi District.

Melody was operated in October 2013 at the Sant’Orsola-Malpighi Hospital in Bologna. 4 months in Italy.

Melody takes part in the I.N.R. program and has two check-ups per year. In the distant future she will have to change the replacement valve she was given in her initial surgery.

Thumb sm
hearts of zimbabwe 04
Harare, Zimbabwe
By Giovanni Diffidenti
04 Jun 2014

Tadiwa Kataza, 10, in his bedroom in Takudzwa, Chinhoyi city.

Tidiwa was operated on in 2011 at the Sant’Orsola-Malpighi Hospital in Bologna (where he stayed a total of seven months. Condition: congenital heart disease, Tetralogy of Fallot).

He underwent two other operations in 2012, one at the Ceccharini Hospital in Riccione, and the other at the Infermi Hospital in Rimini.

In total, Tadiwa lost a year of schooling to the operations. However, all of his major health problems were resolved successfully. Once a year, he returns to the Luisa Guidotti Hospital for follow-ups on his heart and eyes.

Thumb sm
hearts of zimbabwe 16
Harare, Zimbabwe
By Giovanni Diffidenti
04 Jun 2014

Dylon Mberemgwa, 4, with his collection of toys in the Murombedzi District.

Operated on in 2012 at the Hesperia Hospital in Modena, his surgery was sponsored by the Provincial Administration of Emilia Romagna (3 and a half months in Italy).

He lives partly in the neighborhood of the police station where his mother works, and partly in their house in the village. The family is very resourceful: they perform various farming tasks, raising different kinds of animals and cultivating various plants. Dylon lives with his brothers and parents.

Thumb sm
hearts of zimbabwe 13
Harare, Zimbabwe
By Giovanni Diffidenti
03 Jun 2014

Tariro Johan Kangoni, 4, in Harare.

Teriro was operated on in April 2011 at the Sant’Orsola-Malpighi Hospital in Bologna (3-4 months in Italy). He suffered from a congenital heart disease, known as patent Botallo ductus arteriosus.

He requires follow up every two years.

Thumb sm
hearts of zimbabwe 14
Harare, Zimbabwe
By Giovanni Diffidenti
03 Jun 2014

Salvador Bones, 7, in Harare, doing cartwheels with his brother Sinclair.

Salvador was operated on in 2011 at the Sant’Orsola-Malpighi Hospital in Bologna (Condition: Congenital cardiopathy, Tetralogy of Fallot).

Salvador's condition made him too weak to walk because he had such a low saturation of oxygen in his bloodstream. Both of his parents are unemployed and the family is supported by his grandmother. However, the surgery provided in Italy means that Salvador is now able to live an active and relatively normal life.

Thumb sm
hearts of zimbabwe 15
Harare, Zimbabwe
By Giovanni Diffidenti
03 Jun 2014

Tanaka Matengarufu, 9, in her room in Harare.

Operated on in 2012 at the Sant’Orsola-Malpighi Hospital in Bologna, Tanaka spent 6 months in Italy. She suffered from a complex circulatory illness that inflamed her arteries. She required Angioplasty among other specialized treatments.

Tanaka still has high blood pressure and requires specific ongoing medical therapy and in all probability, more invasive surgeries.

The family (with four children) survives only on the father's wage earned from selling phone charge cards (on average he sells 100 per day with a profit of 8 cents per sale).

Current medical therapy is only able to continue through external help. They share a house built in an illegal zone that is at risk of being demolished.

Tanaka's stay in Italy meant that her sister, 12 years old, missed a year of school looking after her little brother. Her sister had to take over the responsibility from her mother, who was accompanying Tanaka on her trip to Italy.

Thumb sm
hearts of zimbabwe 11
Harare, Zimbabwe
By Giovanni Diffidenti
02 Jun 2014

Bradley Matavire, 6, on a neighbor's swing in the city of Chitungwiza.

Operated on in 2011, at the Hesperia Hospital in Modena (Condition: interventricular defect), his surgery was sponsored by the Provincial Administration of Emilia Romagna.

An only child, Bradley lives with his father, his father's new wife, and his maternal grandmother. His father is the only breadwinner.