A child has to learn to raise his or her hand whenever a tone is played, for a hearing screening. This is known as conditioning. Those who fail conditioning are referred for formal testing. As evidenced by the perplexed look on this child's face, despite help from his brother, he failed to condition and was referred to the Komfo Anokye Teaching Hospital.
Christopher Liu, Pediatric Otolaryngology Fellow
Founded in the mid-seventies by indigenous migrants, Villa El Salvador is at once one of Lima's poorest and fastest growing districts. The town has received world-wide praise for its rapid, community-led development including the founding of several community-run health centers. This photo depicts two staff members on the rooftop one of those clinics (Centro Medico Parroquial San Martin de Porres). On the left, Ana, one of the clinic's nurses, is crushing expired medicines before they can be thrown away, a critical clinic policy in an area where prescription drug abuse is a significant challenge. On the right, Rafael, the clinic security guard, takes a moment to tease Ana who can't help but break a smile mid-task. The photo captures a moment of joviality in the lives of two dedicated health advocates working in some of the city's most difficult living conditions.
Sourik Beltrán, MD Student
Villa El Salvador, Peru
Ignited be the landfall of Tropical Storm Nock-ten, the 2011 Thailand floods remains one of the most devastating natural disasters in recent history. Nearly a thousand people died throughout the monsoon season that disrupted the daily life and social fabric of the country, leaving damage estimated to exceed $45 billion USD. As sanitation conditions broke down and people lacked basic resources, fecal-oral and vector-born diseases spread rampant, not to mention depression and anxiety. This photograph depicts how challenging it can be to launch effective relief campaigns to the disaster areas.
Christopher Magoon, Medical Student
Few conditions have permeated the human experience as pervasively as alcoholism. It hasafflicted the ill and healthy alike, including members of all socioeconomic statuses across the world. Thebackdrop of this photo, a rusted wrought iron window grate, serves as a poignant reminder thatalcoholism knows no barriers. All hope is not lost, however, for help knows no barriers either. Despitethe severing of diplomatic relations between the United States and Cuba over fifty years ago, AlcoholicsAnonymous has endured as a powerful resource for those struggling with alcoholism in Cuba. The posteritself is also quite striking, embracing the multiracial nature of Cuba to show that help is blind to race.This photo serves as an embodiment of the transcendence of all barriers: geographic, political,socioeconomic, and racial.
Andrew Davis, Medical Student
This photo depicts the outdoor gym where Cubans exercise. Similar structures are throughout the city and serve to provide a place of exercise for the community.
Jaclyn Mauch, Medical Student
This is a photo of a nurse visiting an elderly woman in the villages outside Cusco who had been abandoned by her family and did not have access to medical care.
Carla Zapata del Mar & Anastasia Vishnevetsky, Medical Students
Woman at her appointment during the rural neurology campaigns that I have been a part of this year.
Anastasia Vishnevetsky, Medical Student
This photo was taken by a community health worker (Carlos Noriega) during a PhotoVoice project run by Neha Limaye. Carlos was asked to take photos representing successes and barriers in maternal health. He took this photo of a pregnant woman heading to her prenatal care appointment amidst annual flooding, describing that it represented her commitment to the health of herself and her baby.
Carlos Noriega & Neha Limaye, Medical Student
Parinari District of Loreto, Peru
This photograph was taken during a health outreach trip with the Philippines' ResearchInstitute of Tropical Medicine. We offered health screenings and medications for underserved villages throughout the Leyte province. Despite difficult living conditions and poor access to resources, the children I met in these villages radiated with joy and positivity. I spoke with this girl, Nina, as she played with her pigs. She told me all about her family's pigs, which were her family's primary source of income.
Her village had recently been devastated by a typhoon that swept through the area. Many families lost their crops and animals, but fortunately her father was able to find shelter for their family and their pigs.
Michael Chua, Medical Student
The subject is a child who was born in rural Thailand with a cleft lip. The photograph is taken two years after the repair, as part of a study which proved the feasibility of low-cost patient follow-up in this underserved population. A scar on his upper lip is the only evidence of the boy’s once stigmatizing deformity; a deformity which continues to hinder the formation of critical physical and psychological connections between mothers and their children all over the world.
Ari Wes, Medical Student
Udon Thani, Thailand
Smoking is a public health problem throughout China, especially in the mountainous Yunnan Provence where this photograph was taken. There, tobacco is a major agricultural product, and because many of the tobacco companies remain state owned, cigarette sales are an important source of government revenue. Additionally, tobacco is tied to notions of manhood and friendship. I have seen men who do not smoke be chided--gently and not-so-gently--for being effeminate. It is common for men to share cigarettes among friends, similar to how we might share a stick of gum in the US. I, a non-smoker, even carried a pack of cigarettes with me, to distribute as a sign of appreciation when meeting people in my travels. These cultural and economic forces make smoking cessation campaigns especially challenging, and important, public health issue.
Christopher Magoon, Medical Student
Lincang, Yunnan, China
Until recently, Botswana has had to educate or recruit all of its physicians in other countries.The country's first class of medical students recently graduated. They are a source of great pride and hope. This picture shows a Botswana medical student and her patient in the surgery clinic. Both she and her patient are so pleased to be able to work with each other.
Sarah Mathew, Fellow in Trauma and Surgical Critical Care, Department of Surgery, University of Pennsylvania