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Fighting tuberculosis in Peru's village of hope 
In Peru, at least 30,000 Peruvians have tuberculosis, an ancient infectious disease that killed 1.8 million globally last year - more than AIDS-related and malaria deaths combined, according to data from the World Health Organization.

Peru is home to the highest rates of multi-drug resistant tuberculosis in the Americas, and one in four patients abandon the treatment needed to kill the bacteria, said Dr. Leonid Lecca, the executive director of Boston-based non-profit Partners in Health (PIH) in Peru. 
PERU-HEALTH/
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November 22, 2016 
Jazmin, 6, sister of Jose Luis, receives Isoniazid Preventive Therapy in Carabayllo in Lima, Peru. In... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Jazmin, 6, sister of Jose Luis, receives Isoniazid Preventive Therapy in Carabayllo in Lima, Peru. In Peru, at least 30,000 Peruvians have tuberculosis, an ancient infectious disease that killed 1.8 million globally last year - more than AIDS-related and malaria deaths combined, according to data from the World Health Organization.

REUTERS/Mariana Bazo 
PERU-HEALTH/
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November 22, 2016 
Orlando Lajo,54, receives medicine for multidrug-resistant tuberculosis from health worker Gladys Trujillo... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Orlando Lajo,54, receives medicine for multidrug-resistant tuberculosis from health worker Gladys Trujillo from organization Partners in Health, at a homeless shelter in Carabayllo in Lima, Peru. Tuberculosis, which tends to attack the lungs and can prompt drastic weight loss and fevers, is curable with proper treatment.

REUTERS/Mariana Bazo 
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November 22, 2016 
William Campos, 49, receives medicine for tuberculosis from Guadalupe Quispe, a health worker from Partners... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
William Campos, 49, receives medicine for tuberculosis from Guadalupe Quispe, a health worker from Partners in Health, at his home in Carabayllo in Lima, Peru. But the disease continues to thrive in the poorest corners of the world, where drug-resistant forms are now taking root.

REUTERS/Mariana Bazo 
PERU-HEALTH/
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November 22, 2016 
A health technician analyses blood samples for tuberculosis testing in a high-tech tuberculosis lab in... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
A health technician analyses blood samples for tuberculosis testing in a high-tech tuberculosis lab in Carabayllo in Lima, Peru. Peru is home to the highest rates of multi-drug resistant tuberculosis in the Americas, and one in four patients abandon the treatment needed to kill the bacteria, said Dr. Leonid Lecca, the executive director of Boston-based non-profit Partners in Health (PIH) in Peru.

REUTERS/Mariana Bazo 
PERU-HEALTH/
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November 22, 2016 
A health technician analyses blood samples for tuberculosis testing in a high-tech tuberculosis lab in... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
A health technician analyses blood samples for tuberculosis testing in a high-tech tuberculosis lab in Carabayllo in Lima, Peru. The problem is not a lack of medicines but their harrowing side effects and inadequate health services to help patients follow through with six months to years of treatment.

REUTERS/Mariana Bazo 
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November 22, 2016 
Orlando Lajo, 54, receives medicine for multidrug-resistant tuberculosis from health worker Gladys Trujillo... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Orlando Lajo, 54, receives medicine for multidrug-resistant tuberculosis from health worker Gladys Trujillo from organization Partners in Health, at a homeless shelter in Carabayllo in Lima, Peru. "Some medicines change the color of your skin. Some cause bouts of psychosis," Lecca said, blaming a lack of investment in medicine for "the disease of the poor."

REUTERS/Mariana Bazo 
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November 22, 2016 
Margarita Valle, a health worker with organization Partners in Health walks towards the home of a patient... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Margarita Valle, a health worker with organization Partners in Health walks towards the home of a patient who has tuberculosis that her organization supports, in the neighborhoods of Carabayllo in Lima, Peru. In the shantytown Carabayllo on the outskirts of Lima, where clusters of pastel-colored homes cling to dusty hills, tuberculosis patients in a low-budget PIH program have been sticking to their drug regimens.

REUTERS/Mariana Bazo 
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November 22, 2016 
Jose Luis, 20, worked in a print shop before being diagnosed with tuberculosis six months ago, seen at... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Jose Luis, 20, worked in a print shop before being diagnosed with tuberculosis six months ago, seen at his home in Carabayllo in Lima, Peru. PIH trains community volunteers to tend to tuberculosis patients in their homes, making sure they take medicine daily and helping them navigate the public health bureaucracy, Lecca said.

REUTERS/Mariana Bazo 
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November 22, 2016 
Liseth, 40, sits in her home next to a sign which reads 'Welcome Liseth, we all love you, God is with... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Liseth, 40, sits in her home next to a sign which reads 'Welcome Liseth, we all love you, God is with you, be strong'. She was diagnosed with tuberculosis six months ago whilst being treated for leukemia. The volunteers, nearly all women already active in the community, have proven better at finding and curing people with tuberculosis than white-coated professionals, said Lecca.

REUTERS/Mariana Bazo 
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November 22, 2016 
Margarita Valle, a health worker with Partners in Health talks to Carmen Zumaeta who carries her two... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Margarita Valle, a health worker with Partners in Health talks to Carmen Zumaeta who carries her two year old son Evans who receives medicine at their home in Carabayllo in Lima, Peru. Guadalupe Quispe, 61, has treated eight patients as a volunteer in her neighborhood Villa Esperanza, or Village of Hope, where the stigma of tuberculosis can cost jobs and relationships.

REUTERS/Mariana Bazo 
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November 22, 2016 
Luis Miguel, 21, who has multidrug-resistant tuberculosis which was diagnosed 6 months ago, seen at his... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Luis Miguel, 21, who has multidrug-resistant tuberculosis which was diagnosed 6 months ago, seen at his home in Carabayllo in Lima, Peru. The position doesn't pay, but has other rewards, Quispe said as she walked up a slanted street. She pointed to a small house where she once persuaded a woman coughing up blood to see a doctor. The woman would've likely died otherwise, Quispe said. "After she got better she went to school. And now she's a nurse and has a family. When I think of her I feel happy," Quispe said.

REUTERS/Mariana Bazo 
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November 22, 2016 
A man sits by a homeless shelter in Carabayllo in Lima, Peru. So far, no tuberculosis patient in PIH's... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
A man sits by a homeless shelter in Carabayllo in Lima, Peru. So far, no tuberculosis patient in PIH's year-and-a-half-program has dropped out - a key step to stopping the spread of drug-resistant forms of tuberculosis that result from unfinished treatment, said Lecca.

REUTERS/Mariana Bazo 
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November 22, 2016 
Orlando Lajo, 54, receives medicine for multidrug-resistant tuberculosis at a homeless shelter in Carabayllo... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Orlando Lajo, 54, receives medicine for multidrug-resistant tuberculosis at a homeless shelter in Carabayllo in Lima, Peru. REUTERS/Mariana Bazo 
PERU-HEALTH/
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November 22, 2016 
Francisco Verastegui, 56, receives his medicine for multidrug-resistant tuberculosis at El Progreso Health... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Francisco Verastegui, 56, receives his medicine for multidrug-resistant tuberculosis at El Progreso Health Centre in Carabayllo in Lima, Peru. REUTERS/Mariana Bazo 
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November 22, 2016 
Jorge waits to receive his medicine for tuberculosis at El Progreso Health Centre in Carabayllo in Lima,... 
Lima, Peru 
The Wider Image: Fighting tuberculosis in Peru's village of hope 
Jorge waits to receive his medicine for tuberculosis at El Progreso Health Centre in Carabayllo in Lima, Peru. REUTERS/Mariana Bazo 
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