VIVIANE DALLES

Gallery: TB in Belarus

Belarus is among the most affected countries by multi-resistant and ultra-resistant tuberculosis: there are nearly 38 new cases each year per 100,000 inhabitants, an extremely high rate according to the World Health Organization (WHO) . Tuberculosis is a silent killer, it is the world's deadliest infectious disease: with 10 million people reached in 2017 and 1.7 million people who died in the same year, it is also the leading cause of death in people with HIV. An untreated TB patient can infect an average of 10 to 15 people each year. The most disadvantaged social classes are the most affected, becoming increasingly isolated and stigmatized. To fight against tuberculosis in this Eastern European country, Médecins Sans Frontières (MSF) launched in 2015 a program in collaboration with the Ministry of Health to introduce new drugs - bedaquiline and délamanide - provided in the part of the EndTB project. Patients live at the institute and the treatment can last two years.  

  • Dmitry, 48, is dealing with alcool addiction. In this picture, Dmitry telling me a joke 'One idiot told me to pour a bottle of vodka into snow. I said: are you crazy? He told me to pour it out, he wanted to take it from me. But I took it and drank it.  ' Dmitry.  Tb Institute, Minsk, Belarus, 2018.
  • Unit 2, staff and visitors are requested to wear mask to enter this unit. TB Institute, Minsk, Belarus, 2018.
  • Dmitry, 48, is from Minsk. He  is a MDR Tb in-patient. He is a former prisoner, and spent 25 years in jail. He was released in 2010 from Orsha prison. In 1988-1989, he got pleurisy and pneumonia, they pumped out 5 liters of liquid out of him. And then they detected Tb. He is been in this Instute for 7 months.  Like most of the patients, Dmitry prefers to take his lunch alone in his room. Tb Republican Institute, Minsk, Belarus, 2018.
  • Dmitry (on the right) is a MDR Tb in-patient. He is having the visit of Andrey, MSF counsellor who stop by to talk with him. Patients are cut from the world, loneliness is difficult to bear for many of them.Tb Institute, Minsk, Belarus, 2018.
  • Room in Unit 2 where staff can meet patients and get some privacy.Tb Institute, Minsk, Belarus, 2018.
  • I have nowhere to go. Dmitry.  He spends most of his time laying on his bed. Nobody visit him and his children have been adopted in Italy. He is a MDR Tb in-patient in the 2nd unit of the Tb Institute, Minsk, Belarus, 2018.
  • I used to be in the movies, they filmed me in mass scenes, in some war films and TV series as well. When I retired I worked as a model in an art school.  Lida, 79, from Minsk, MDR Tb in-patient. She is been in the institute since January 2018, she doesn't know how long she s gonna stay here. Tb Institute, Minsk, Belarus, 2018.
  • Lida's book and magnifying glass. Tb Institute, Minsk, Belarus, August 2018.
  • In the morning when I wake up I don’t want to live. Yulia  When she entered college, she met people who dragged her into using drugs. By the age of 19-20 she was a completed drug addict. She got diagnosed with HIV during this period. She was sent to prison for two years for drugs. In July 2018, she was diagnosed with Tb of her left lung .Everyday, Yulia goes in front of the Institute to get her methadone delivered by the Minsk City Clinical Narcological Dispensary, Tb Institute, Minsk, Belarus, 2018.
  • Every day, patients must take their pills in front of a nurse to be sure that they follow their treatment. TB Institute, Minsk, Belarus,2018.
  • I want to get outside, to go outdoors. I know I can’t, it’s a forbidden zone. I’m tired of being here. Ludmila. Ludmila , 59, from Minsk, is a widow. She is at the institute  in severe conditions. She has HIV and tuberculosis. She worked as an assistant in a shop and a waitress in restaurants. She does not know how she was contaminated by TB. Ludmila is too weak to walk, so she stays in bed. Her son visits her occasionally.
  • View from Ludmila's window. TB Institute, Minsk, Belarus, 2018.
  • Ludmila during a performing tests. Doctors run the test once a month. Tb Institute, Minsk, Belarus, 2018.
  • Details in a room with a mask and religious icons.TB Institute, Minsk, Belarus, 2018.
  • Before I did go to church but not that often. You know when you become sick it brings you closer to god. Gregory. Chapel at the Institute. Gregory, a Tb patient is in charge of the keys to open the chapel everyday for the others patients. TB Institute, Minsk, Belarus, 2018.
  • Ludmila is too weak, she cannot walk or go outside. TB Institute, Minsk, Belarus, 2018.
  • Alena, MSF nurse, looking at Leonid through the window. Leonid is not allowed to go outside his room. He is been in this room for one month. Intensive Care Unit (ICU), TB Institute, Misnk, Belarus, 2018.
  • Leonid is not allowed to go outside his room which is locked. He is been in this room from the last month. Intensive Care Unit (ICU), TB Institute, Misnk, Belarus, 2018.
  • There’s nothing worse than loneliness. I’m lying here like in a coffin. Leonid. Leonid is 53 years old, extensively drug-resistant (XDR TB), infectious, he was transferred to the Intensive Care Unit (ICU) because of suicidal thoughts, he is not allowed out his room.  TB Institute, Misnk, Belarus, 2018.
  • Leonid's radio. He is not allowed out of ICU spends the whole day in his bedroom, nobody visits him, he reads and listens the radio. Intensive Care Unit (ICU), TB Institute, Misnk, Belarus, 2018.
  • {quote}Nobody is visiting me. Nobody is allowed here. And who would come to visit ? TB patients like me? Why would they? Everybody’s got problems of their own. Who am I for them? Nobody. My sister has a husband, and has grandchildren. So she won’t take risk of communicating with me. Why wouldn’t she visit me, her uncle?  Everybody’s afraid of TB.{quote} Leonid. Intensive Care Unit (ICU), TB Institute, Misnk, Belarus, 2018
  • View from Larissa and Oleg's apartement in Minsk, Belarus, 2018.
  • “I would lie down and I had excruciating pains in my body like a drug addict. I was tired. I’d been through many things in my life, but I’d never experienced anything like it. Oleg, 46, from Ukraine, now lives in an apartement with his with, Larissa. He is completing outpatient treatment in a dispensary in Minsk, Belarus, 2018.
  • Oleg goes everyday to a dispensary to get his treatement. He  doesn't have yet the Belarussian citizenship, he is a migrant from Ukraine. Minsk, Belarus, 2018
  • I’d like to have more friends, more interaction with people.OlegDue to the TB many friends and relatives turn away from him.Every morning Oleg and his wife, Larisa, go together to the dispensary. He is completing out-patient treatment in a dispensary. Minsk, Belarus, 2018
  • Early morning in Minsk, Belarus, 2018.
  • A year ago we were both in hospital, and now we live together and we earn our living. So that means you should not give up when you are on treatment. Vadim   Vadim is 29 years old, from Baranovichi, and Alyona is 19 years old, from Minsk. They are both outpatients in a dispensary. They met during their treatment in the hospital. Minsk, Belarus, 2018.
  • Everyday, except on sunday, Alyona and Vadim go to the dispensary twice a day to take their treatments. They will complete their treatments by the end of this year. Tb dispensary 2, Minsk, Belarus, 2018
  • Local nurse at the dispensary preparing Vadim's treatment. Minsk, Belarus, 2018
  • Vadim taking his treatment. Everyday, except on sunday, Alyona and Vadim go to a dispensary twice a day to take their treatments. They will complete their treatments by the end of this year. Minsk, Belarus, 2018.
  • I learnt that I had Tb in 2016. I wasn’t shocked to learn that I had Tb. I knew about Tb since I was little. My father had Tb from 2005 and up until 2014. And my mom from 2015 to 2016, she got cured in 2016. My father was on treatment for a long time, but he didn’t want it. He was drinking, he wouldn’t go to the polyclinic, and when he made up his mind it was too late: there were no drugs that could help him. He died in 2014. Alyona, 19, Minsk, Belarus, 2018
  • On the valentin day, Vadim proposed to Alyona.  Minsk, Belarus, 2018.
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