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Dreadful Disease Appears in Eastern G...
Ghouta
By Mohamad al-jazaare
24 Dec 2014

Hamourieh, Eastern Ghouta, Syria

Harsh humanitarian conditions in besieged Eastern Ghouta near Damascus have caused a rare, grisly disease surface. Young Hiba is being treated from myiasis, a skin infestation caused fly maggots.

Staff at the local Dar al-Rahma Medical Center (DRMC) are doing their best to offer Hiba and other patients proper care, despite the severe shortage of medical supplies in Eastern Ghouta.

The center is also treating many patients from cancer. Tasneem is a five-year-old girl who is diagnosed with leukemia. DRMC’s director Dr. Wissam says that she and her colleagues face a large difficulty in providing cancer medications that will not expire soon.

Shot List

1 Various of Dr. Wissam picking worms out of Hiba (young girl)’s scalp.

Natural Sound (Arabic, Woman and man) conversation between Dr. Wissam, Director of Dar al-Rahma Medical Center and Hiba’s father

Dr. Wissam: “These are pouches. If we do not clean them they might be hiding something bigger. I do not like this area. They should not have remained.”

Father: “Her mother is giving her a shower every day.”

Dr. Wissam: “There is a lack of education and awareness (…). These remaining pouches will not help me. I wanted to see her in two days but I do not want to see anything like this.”

2 SOUNDBITE (Arabic, Woman) Dr. Wissam, Director of Dar al-Rahma Medical Center

(01:12) “Hiba’s case is the first case of miyasis that we diagnosed in Eastern Ghouta. Her scalp is infected. Such diseases are due to the lack of pesticides, which causes the appearance of large houseflies. In addition to that, these diseases are caused by the lack of water in the area.” (01:29)

(01:29) “At the moment, the girl’s condition has improved, and she is healing and under medical observation. We hope not to discover new cases.” (01:35)

3 Wide of Dr. Wissam, Hiba and Hiba’s father at the medical center.

Natural Sound

Dr. Wissam: “This is why she was in pain and could not sleep. After they [the worms] were taken out, she felt better. She has not been complaining of any pain.”

Father: “Not at all.”

Dr. Wissam: “We will only observe her. If anything appears, we will see it immediately. I do not want to cut her [scalp].”

4 SOUNDBITE (Man, Arabic) Ahmad, Hiba’s Father and an unidentified woman

(02:26) “It all started a week ago, and we thought it was an allergy. I took her to the medical dispensary where they prescribed her a medication and ointments. I then took her to another dispensary in Harasta where they told me it was probably impetigo [a skin disease] and they prescribed her an ointment. But my daughter was in a lot of pain, and I thought it does not look like a normal allergy. So I brought her here after her situation got worse and she was in pain at night. We feared that she might had a malignant disease. When we discovered that she had worms in her head, we directly thought that this was not normal. We brought her here.” (03:16)

5 Close up of Dr. Wissam taking worms out of Hiba’s scalp.

Natural Sound (Arabic) Conversation among

Dr. Wissam: “Do we have tweezers? [UNINTELLIGIBLE] Do you know blue flies? These are blue flies’ eggs.”

Father: “What about this?”

Dr. Wissam: “You have to shave her head, brother. Alright?”

Father: “Yes”

Dr. Wissam: “Because they are hiding in the hair. If there is anything that has not come out…”

Unseen woman: “How could they say it is normal and the girl was not hit by a bullet or did cut her head?”

Father: “They diagnosed it as impetigo.”

Unseen woman: “When did this start, doctor?

Doctor Wissam: “Three days ago.”

Father: “Three days ago, she started having a headache.”

Unseen woman:”How did this decay happen?”

Dr. Wissam: “It started before.”

Father: “Her face and neck were swollen.”

Unseen woman: “How did the fly lay its eggs here?”

Dr. Wissam: “Only God knows. One, two, three, four, five, six – six worms from a single spot. I once received a patient whose eye was eaten [by worms].”

6 Various of street. Natural Sound: (Arabic) Call for prayer.

7 Various of Tasneem, young girl in hospital bed

8 Various of Doctor Wissam injecting needle in Tasneem. Natural Sound: “Give me your hand.”

9 Close up of serum dripping

10 Various of Tasneem in hospital bed.

11 Various of Doctor Wissam injecting needle in Tasneem.

Natural Sound: Tasneem crying, Doctor saying to her: “We will only remove this. It is over. We removed it. It is over. It is over. There is nothing.”

12 SOUNDBITE (Woman, Arabic) Dr. Wissam, Director of Dar al-Rahma Medical Center

(09:20) Tasneem is a young girl aged five; she suffers from severe lymphocytic inflammation after her father was martyred. She is currently under treatment, but we are facing obstacles in supplying medicaments that have long shelf lives due to the siege on Ghouta (09:35).

(09:35) “Tasneem is not the only child who suffers from this disease. The number of children diagnosed with such diseases increased lately, due to the conditions under the siege on Ghouta. [Inadequate] nutrition or environment, as well as psychological factors largely increase the rate of these diseases.” (09:52)

13 Various of petri dish preparation

14 SOUNDBITE (Woman, Arabic) Um Imad, Tasneem’s grandmother

(10:17) Tanseem has had leukaemia for almost two years. She was treated in Damascus first, but due to circumstances we could no longer go there, I mean because of the siege. Two months ago, the condition resurfaced and we came to this center where she is being treated, thanks be to God. I wish that God rewards them [medical center workers] well (10:46)

15 Various of Tasneem walking

16 SOUNDBITE (Girl, Arabic) Tanseem, girl suffering from cancer

(11:08) My name is Tasneem. I wake up every morning, I go to school and then I play with Toufic. My grandmother then takes me to the office [clinic]; they insert a needle into my vein [UNINTELLIGIBLE].

17 Wide of Tasneem playing with other children.

18 SOUNDBITE (Girl, Arabic) Tanseem, girl suffering from cancer

(11:40) “Here is my father’s photo. He was going to Dukhanya [town in Eastern Ghouta] when he was shot by a sniper and martyred.”

“This is my cousin, I always play with her. And this is Toufic, he is older than I am. He always plays with me. This is Mohammad, my younger brother. He does not give his mother a hard time.”

“Bye.”

19 Various of decomposing cattle carcasses

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Life In The Graves - La Vie Dans Les ...
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By Marie
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Children living in the Shansharah archeological site swim in the ancient baths. Microbes proliferate in the water of this artificial swimming pool which is used both for washing the dishes and laundry. Those unhygienic conditions exacerbate the spread of disease.

Les enfants qui vivent sur le site archéologique de Shansharah se baignent dans les anciens thermes. Les microbes pullulent dans l’eau de cette piscine artificielle qui sert à la fois à la lessive et à la vaisselle. Ces conditions d’hygiène aggravent la propagation des maladies.

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Life In The Graves - La Vie Dans Les ...
Shanshrah, Idlib province, Syria
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Hygiene is very bad on the Shansharah archeological site, Idlib region. They fled the air strikes without being able to bring their personal belongings.

Les conditions d'hygiène des populations déplacées dans le site archéologique de Shansharah dans la région d'Idleb sont déplorables. Ils ont fui les bombardements sans pouvoir emporter leurs affaires personnelles.

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Garbage City (9 of 29)
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March 23, 2013, Manshiyat Naser, Egypt. A Coptic woman is walking pass a bridal store inside the slum.

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March 23, 2013, Manshiyat Naser, Egypt. A Coptic man is carrying on his back a pack of cartons before loeading it on a truck.

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Garbage City (11 of 29)
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March 23, 2013, Manshiyat Naser, Egypt. A Coptic man is filling his truck with animal carcasses.

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Garbage City (12 of 29)
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March 23, 2013, Manshiyat Naser, Egypt. A Coptic man is showing off his Christian tatoos.

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Garbage City (13 of 29)
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March 23, 2013, Manshiyat Naser, Egypt. A Coptic woman is going inside her home in an area where running water no longer works.

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Garbage City (14 of 29)
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March 23, 2013, Manshiyat Naser, Egypt. A Coptic man is pushing recycled plastic bottles onto a truck.

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Garbage City (16 of 29)
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March 18, 2013, Manshiyat Naser, Egypt. Copts are walking on a side street inside the slum.

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Garbage City (17 of 29)
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March 18, 2013, Manshiyat Naser, Egypt. A young Coptic girl is fixing her front porch inside the slum.

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March 18, 2013, Manshiyat Naser, Egypt. A young Muslim man is using a machine that makes parts for bread making machines sold to bakeries.

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Garbage City (19 of 29)
Cairo, Egypt
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March 18, 2013, Manshiyat Naser, Egypt. A Muslim man who lives and works inside the slum owns a small shop that makes parts for bread making machines.

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Garbage City (20 of 29)
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March 18, 2013, Manshiyat Naser, Egypt. Minah and Anna both owned a plastic recycling shop.

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Garbage City (21 of 29)
Cairo, Egypt
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March 18, 2013, Manshiyat Naser, Egypt. A Coptic watch maker is working late inside his shop.

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Garbage City (22 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. Coptic priests are giving the Communion to locals inside the church of Sint Simon, built over 500 years ago.

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Garbage City (23 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. A Coptic priest is helping a woman with some water inside the church of Sint Simon, built over 500 years ago.

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Garbage City (24 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. A Coptic man is picking up plastic bottles ready to be recycled.

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Garbage City (25 of 29)
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March 20, 2013, Manshiyat Naser, Egypt. Coptic men are digging in the ground to future toilets in the house still under construction.

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Garbage City (26 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. A Coptic woman is standing near a stairwell inside her home next to posters of slain Coptic martyrs.

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Garbage City (27 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. Coptic men are taking tea on a side street of the slum next to a poster of Coptic pope Theodoros II.

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Garbage City (28 of 29)
Cairo, Egypt
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March 20, 2013, Manshiyat Naser, Egypt. A general view of the Garbage City slum.

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Garbage City (29 of 29)
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March 18, 2013, Manshiyat Naser, Egypt. A car is transporting a massive amount of to be recycled material into the slum.

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Garbage City (2 of 29)
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March 16, 2013, Manshiyat Naser, Egypt. Mased Abd El Yamin is holding a picture of his late father inside the family home.

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Garbage City (1 of 29)
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March 16, 2013, Manshiyat Naser, Egypt. A Coptic man who recycles plastic bottles inside the Coptic slum is talking to his workers.

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Garbage City (3 of 29)
Cairo, Egypt
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March 16, 2013, Manshiyat Naser, Egypt. Children of the Yamin family are playing inside the family home. The Yamin family makes a living recycling used clothing.

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Garbage City (4 of 29)
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March 16, 2013, Manshiyat Naser, Egypt. Members of the Yamin family are taking a rest inside the family home. The Yamin family makes a living recycling used clothing.

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Garbage City (5 of 29)
Cairo, Egypt
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March 16, 2013, Manshiyat Naser, Egypt. A neighbor is visiting the Yamin family. The Yamin family makes a living recycling used clothing.

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Garbage City (7 of 29)
Cairo, Egypt
By Jonathan Alpeyrie
17 Mar 2013

March 23, 2013, Manshiyat Naser, Egypt. An elder Coptic man is taking in the sun on the main street inside the slum.

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Garbage City (8 of 29)
Cairo, Egypt
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March 16, 2013, Manshiyat Naser, Egypt. Coptic children are playing on the roof top of one of the many builsings inside the slum.

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Garbage City (6 of 29)
Cairo, Egypt
By Jonathan Alpeyrie
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March 16, 2013, Manshiyat Naser, Egypt. Mased Abd El Yamin is walking out of the family home where he and his family recycles used clothing for a living.

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Garbage City (15 of 29)
Cairo, Egypt
By Jonathan Alpeyrie
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March 23, 2013, Manshiyat Naser, Egypt. Coptic women are going about their day inside the slum.

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Garbage City
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Mokattam village, or Garbage City, as it is known by the locals, is a slum settlement at the base of Mokattam Hill on the outskirts of Cairo, Egypt. The slum is populated by a community of workers called Zabbaleen, who personally collect, sort, re-use, re-sell or otherwise repurpose Cairo’s waste. Over 90 percent of the population is Coptic Christian.
This shocking photo essay reveals the reality of thousands of Egyptians who for generations have been living and working among mountains of stinking rubbish, with no access to running water, sewage, or electricity.

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Farm to fork part 3/3
kathmandu, Nepal
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It is strange to observe that despite the sacred statute of food in Nepal, it is paradoxically the origin of many diseases sometimes leading to death. We know that millions of people don’t have enough to eat, and that some of them even face severe conditions of malnutrition. Of all facts, food security remains a major problem in Nepal. But what we know less is that 50% of the diseases come from a misuse of food and water. This alarming figure is more than ever a topical issue. In order to find answers and solutions, we investigated the backstage of food, from where it is produced – the farm – to our final consumption – the fork!

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Farm to fork part 2/3
kathmandu, Nepal
By PIKTO VIDEO
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It is strange to observe that despite the sacred statute of food in Nepal, it is paradoxically the origin of many diseases sometimes leading to death. We know that millions of people don’t have enough to eat, and that some of them even face severe conditions of malnutrition. Of all facts, food security remains a major problem in Nepal. But what we know less is that 50% of the diseases come from a misuse of food and water. This alarming figure is more than ever a topical issue. In order to find answers and solutions, we investigated the backstage of food, from where it is produced – the farm – to our final consumption – the fork!

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Hand washing
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A man cleans the basin of a dry toilet. The sanitation facility that requires no water is gradually being embraced in Tanzania. Proponents of this project say the facility is a better option to many people in the world with many countries still facing water shortage problems.

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DAILY LIFE IN ZAATARI REFUGEE CAMP - ...
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Zaatari Refugee Camp: Washing (12 of 16)
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A woman washes her family’s clothes in a basin in the bathroom provided by Unicef in Jordan’s Zaatari refugee camp. The woman did not want to give her name, but she complained, “Look, the water, it’s dirty,” she said. This particular area includes shower stalls, toilets, basins, and one long steel metal sink. Not only does this serve as a wash and restroom, but also a place where women can get their hair cut.

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Zaatari Refugee Camp: Outside Baths (...
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There are shower stalls and basins set up in the WASH stations coordinated by Unicef throughout the camp, but according to this Syrian mother pictured, sometimes it is easier for women to wash their small children outside their tents in Jordan’s Zaatari refugee camp with UNHCR-issued buckets. October 31, 2012.

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Tanzanian Homestead Complete With Toilet
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This homestead at Mapinga in Bagamoyo, Tanzania is complete with a toilet. Approximately 1 billion people around the world defecate in the open, contaminating their environments and water sources, as well as spreading diseases like diarrhea, which kills 2,000 children less than 5 years old every day. 6.5 million people in the country defecate in the open according to Unicef, causing illnesses related to poor hygiene that could have been avoided, and which costs the government millions that could otherwise be used for development.