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  • Mohamed with x-rays showing healthy lungs. Diana, the van's radiographer shows Mohamed the image of his x-rayed lungs and explains to him that he does not have TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5417_1.jpg
  • Michael, one of the users at St Paul's drop-in has had his lungs x-rayed and the x-ray shows  no TB. Diana, the van's radiographer explains to hime how the lungs and heart connect inside the chest. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5439_1_1.jpg
  • The Air that we Grieve march on July 12th 2019 in East London, United Kingdom. Organised by Extinction Rebellion to draw attention to air pollution and the climate emergency. A mother holds a baby and a placard with a picture of lungs with the words  Stunted by Tower Hamlets air pollution.
    xr_5927.jpg
  • Robert has had his lungs x-rayed and comes back out from the x-ray unit on the van to discuss the results with radiographer Diana. The x-ray shows no TB. Robert is a keen painter and makes drawings from all over London. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5565_1_1.jpg
  • Seamus has had his lungs x-rayed and the x-ray shows no TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5520_1.jpg
  • Seamus has had his lungs x-rayed and the x-ray shows no TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5513_1.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. She shows him his lungs and explains that he does not have TB. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_5012_1.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. She shows him his lungs and explains that he does not have TB. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.The MXU van is a part of the NHS department Find and Treat.
    IMG_5008_1.jpg
  • The Air that we Grieve march on July 12th 2019 in East London, United Kingdom. Organised by Extinction Rebellion to draw attention to air pollution and the climate emergency. A mother holds a baby and a placard with a picture of lungs with the words  Stunted by Tower Hamlets air pollution.
    xr_5930.jpg
  • British-born Flight Nurse Barbara Thompson listens to a Native American patient’s breathing in the ER at the San Carlos Apache reservation hospital. British-born Barbara has worked as a nurse in the UK and US for 20 years and listens to her patient’s lungs with a stethoscope as they poor lady lays back on a gurney with an oxygen line to help her difficulties. San Carlos is a 1.8m acre area of scrub and tiny settlements 100 miles east of Phoenix, Arizona with an 11,000 population, its hospital attracting patients from a radius of 20 miles. By flying her she can have far better specialist care at the Indian Medical Center in Phoenix than can be provided in San Carlos who have only a few doctors and four beds. Native American Air Ambulance (NAAA) is the brainchild of Okalahoma native Cherokee Rick Heape Williams.
    native_american01-16-08-1998.jpg
  • Mohamed stands inside the x-ray unit in the van with the door closed. The exposure time is less than a second and the whole procedure takes only a few minutes. The x-rays shows he has clean and healthy lungs. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5409_1.jpg
  • The Air that we Grieve march on July 12th 2019 in East London, United Kingdom. Organised by Extinction Rebellion to draw attention to air pollution and the climate emergency. Placards drawing attention to lungs stunted by air pollution.
    xr_5911.jpg
  • Pine tree’s lit up by a green light as part of Cheriton light Festival on the 23rd of February 2020 in Folkestone, United Kingdom.
    UK-Nature-Tree-Lungs-6248.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_5006_1.jpg
  • A Met Police officer wears a pollution mask while in traffic in central London. With elastic ties reaching behind his head, the policeman breathes easier in the presence of microscopic background bacteria particles and NO2 gas levels found in areas of heavy traffic, in large UK cities. His work takes him out into polluted areas and the Police Federation insist on protecting its union members from atmospheric harm.
    policeman_mask-12-05-1993_1.jpg
  • Facing its own blood and guts on the blue deck, a yellow fin tuna is dead on the floor of a dhoni boat in the Indian Ocean. After clubbing it death, fishermen from the Maldives have removed its respiratory organs with sharp knives and washes it down with a hose. Next it will be plunged into ice containers to cool the flesh, reducing the risk of self-deteriorating flushed blood which renders it unfit for consumption under EU law (its live internal core temperature is 40 degrees centigrade). When as many fish have been caught (often weighing 50kg) before dark using hand and line method, rather than nets, the boat presses on to the processing factory at Himmafushi where they're filleted and boxed for export to Europe and in particular, for UK supermarkets like Sainsbury's.
    maldives288-14-11-2007.jpg
  • The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5401_1.jpg
  • Richard given a clean bill of health after he has had his chest x-rayed. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5394_1.jpg
  • Richard getting ready for his x-ray. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5382_1.jpg
  • A couple of NHS clients and their social worker go back into the de-tox facility in Angel after they have had their chest x-rayed. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5030_1.jpg
  • A sign reading ‘Please do not smoke in this area, ventilation intake above’ appears in the window of the Foreign and Commonwealth Office below a ventilation intake on the 11th of February 2020 in Westminster, London, United Kingdom. Smoking outside offices in London is a common sight.
    UK-FCO-No-Smoking-Sign-5005.jpg
  • An elderly Apache lady patient receives specialist care from a dedicated air ambulance service for Arizonas Native Americans, on 25th August 1998, at Phoenix Native American reservation Hospital, Arizona, USA.
    native_american-25-08-1998.jpg
  • With blood and guts on the blue deck, a fisherman from the Maldives hoses down a yellow fin tuna on the floor of a dhoni boat in the Indian Ocean. After clubbing it death, he has removed its respiratory organs with sharp knives and washes it down with a hose. Next it will be plunged into ice containers to cool the flesh, reducing the risk of self-deteriorating flushed blood which renders it unfit for consumption under EU law (its live internal core temperature is 40 degrees centigrade). When as many fish have been caught (often weighing 50kg) before dark using hand and line method, rather than nets, the boat presses on to the processing factory at Himmafushi where they're filleted and boxed for export to Europe and in particular, for UK supermarkets like Sainsbury's.
    maldives281-14-11-2007.jpg
  • Buddhist priest in Lung Shang Temple, Taipei, Taiwan
    cp_tai_0196_1.jpg
  • A young Nepali boy is measured for lung capacity during a recruitment test for the Gurkha Regiment - part of a tough endurance series to find physically perfect specimens for British army infantry training, on 16th January 1997, in Pokhara, Nepal. 60,000 boys aged between 17-22 or 25 for those educated enough to become clerks or communications specialists report to designated recruiting stations in the hills each November, most living from altitudes ranging from 4,000-12,000 feet. After initial selection, 7,000 are accepted for further tests from which 700 are sent down here to Pokhara in the shadow of the Himalayas. Only 160 of the best boys succeed in the journey to the UK. Nepal has been supplying youths for the British army since the Indian Mutiny of 1857.
    gurkha_selection03-16-01-1997.jpg
  • With the skyline of the capitals financial district, the City of London in the distance, a woman does lunges in Ruskin Park, on 10th August 2018, in London, England.
    ruskin_morning-04-10-08-2018.jpg
  • Tourists lunge over the original 4th century start/finish line in the stadium at Olympia. Hercules is said to have paced out the 600 Greek feet - or Stadion - from which we get the word 'stadium'. On the grassy bank in the background is where the seating once accommodated the many sporting pilgrims who travelled to this place from all over Greece during agreed truces in the weeks of the Olympic festival. The 29th Olympics came home to Greece in 2004 and the birthplace of athletics, amid the woodland of ancient Olympia where for 1,100 continuous years, the ancients held their pagan festival of sport and debauchery. The modern games share many characteristics with its ancient counterpart. Corruption, politics and cheating interfered then as it does now and the 2004 Athens Olympiad echoed both what was great and horrid about the past.
    greek_olympiad006-20-10_2003_1.jpg
  • A shoeless child wanders on to Eldoret’s main dump undeterred or unaware of  the constant  risk of cuts from broken glass and infection from needles dumped here by the hospital . ( model release unavailable) <br />
<br />
The Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret27_1.jpg
  • David ( 58) photographed at the hostel of a friend he collects rubbish with. David was forced to make his living from the dumps following the Violence of the 2007/8 Kenyan elections . He lost his property when it was burned down and his living ( he had cows and would sell milk)  . He is a member of the Kikyu tribe who were targeted. Over a thousand people were killed and many maimed or injured, many from this area. He has a daughter in grade 2 he has to feed who is at school.<br />
<br />
“They looted in everything in my home and set fire to it” he says.  He was in refugee camp for one year before a relative offered him a place to stay in. “I use to make a living at the big dump but I don’t like it the people there are rude and dangerous, they get high and mug people, beat them up - now I collect the rubbish at my local dump and nearby”
    Eldoret26_1.jpg
  • A shoeless child wanders on to Eldoret’s main dump undeterred or unaware of  the constant  risk of cuts from broken glass and infection from needles dumped here by the hospital .<br />
<br />
Eldoret’s main Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret25_1.jpg
  • Eldoret’s main Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret21_1.jpg
  • Alice (7) has her hair braided by a friend on the dump in a quiet moment between trucks arriving . Alice works every day at the dump with her brother Alan sorting through rubbish for recycling. Florence Her mother lives just 50 metres from the “California” dumpsite in a one-bedroom hut with her five children. None of the children go to school – she feels that it’s better that they stay home and help their family to earn a living. They’ve never had any formal education and neither can read or write. Florence does want her children to improve their situation, but so that they can look after her. The family manages to earn just over a dollar a day from sorting rubbish at the dumpsite but that is not enough to buy food for the family.
    Eldoret19_1.jpg
  • Alice (left) sstarted coming to the dump last year when she fell pregnant and had to drop out of school. She needs the money to support her. She is holding some plastic  flowers which she might be able to sell it being Valentinies day, a big event in Kenya. She goes to the dump with Fatila who laso lives with her and her dad ( her baby is looked after by relatives) . She helps to protect Fatila from some of the boys at the dump – they ask her to sell Fatila to them but she doesn’t allow them near her. The two girls take care of each other, Fatila says that Alice gives her advice about sex and boys, warning her not to end up in the same situation.
    Eldoret12_1.jpg
  • Alice (left) sstarted coming to the dump last year when she fell pregnant and had to drop out of school. She needs the money to support her. She is holding some plastic  flowers which she might be able to sell it being Valentinies day, a big event in Kenya. She goes to the dump with Fatila who laso lives with her and her dad ( her baby is looked after by relatives) . She helps to protect Fatila from some of the boys at the dump – they ask her to sell Fatila to them but she doesn’t allow them near her. The two girls take care of each other, Fatila says that Alice gives her advice about sex and boys, warning her not to end up in the same situation.
    Eldoret11_1.jpg
  • Lucy (13 ) photographed in one of the classrooms at Attnas Kandie School.<br />
She collects rubbish when she’s not at school. She is one of five children – the eldest is at college but the other siblings help to support him by sorting rubbish. Lucy’s mum sometimes washes clothes for other people but is sick and can’t often earn enough to feed the children. Lucy is now in primary school and gets lunch there every day thanks to Mary’s Meals.<br />
<br />
<br />
Making a living from collecting rubbish is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work at the dumps in Eldoret.  It’s especially hard for the mothers and their children forced through poverty to scrape a living of around $1 dollar a day.
    Eldoret05_1.jpg
  • A gentleman dressed in a pin-stripe suit favoured by older workers in England, exhales the smoke from a fat cigar during a lunch-hour in Trinity Square in the City of London. The man is overweight and leads an unhealthy lifestyle, his chin overlapping his striped shirt. The cigar is held at the tips of two fingers and we can see in profile the billowing of a smoky cloud  from the man's lips. Government statistics suggest that in 2001, 27% of adults aged 16 and over smoked cigarettes in England; 28% of men and 25% of women. 66% of smokers in England wanted to give up smoking but more than 120,000 deaths were caused by smoking in the UK in 1995; that is, one in five of all deaths.
    smokers06-03-09-2007_1_1.jpg
  • Sarah Nasimiyu is 45 years old and is pictured with her two-year-old Joshua. She has four other children ranging in age from three to thirteen years old. They all work on the dumpsite. She separated from her husband in 2008 because he was always drunk and couldn’t be responsible. She brings Joshua with her to the dumpsite – where she sorts through rubbish in the morning and then sells snacks to the other workers in the afternoon, and has been doing so for four years.<br />
<br />
The Mothers who work on Eldoret’s main dump nick named by the locals,  ironically, as ‘California’ raise their children in Extreme poverty. The consequences for these children and their parents are tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret30_1.jpg
  • Sarah  10yrs, with Lucy 13 yrs (left) at the hostel where they live. The girls are good friends, and Lucy is like a member of the family to Sarah’s mother. The block is typical; 20 families  live in one room houses paying 500 -1000 Kenyan shillings a month( £4-£8). The adults are separated from the children by a curtain .  They share a latrine and standpipe .
    Eldoret28_1.jpg
  • David (58) photographed collecting rubbish at a local dump with co workers, David was forced to make his living from the dumps following the Violence of the 2007/8 Kenyan elections . He lost his property when it was burned down and his living ( he had cows and would sell milk)  . He is a member of the Kikyu tribe who were targeted. Over a thousand people were killed and many maimed or injured, many from this area. He has a daughter in grade 2 he has to feed who is at school.
    Eldoret24_1.jpg
  • Alice (left) started coming to the dump last year when she fell pregnant and had to drop out of school. She needs the money to support her. She is holding some plastic  flowers which she might be able to sell it being Valentinies day, a big event in Kenya. She goes to the dump with Fatila who laso lives with her and her dad ( her baby is looked after by relatives) . She helps to protect Fatila from some of the boys at the dump – they ask her to sell Fatila to them but she doesn’t allow them near her. The two girls take care of each other, Fatila says that Alice gives her advice about sex and boys, warning her not to end up in the same situation.
    Eldoret23_1.jpg
  • Samuel Makomi 42 (Photographed on edge of dump). "I use to make bags but was fired from my job so I have worked here ever since , its been over 20 years now. “Its not a safe or nice place to work. You can get injuries here from bottles and infections from needles; I got malaria once and was ill for a month. There is fighting here as well when the boys get high or they are fighting over something valuable; and fatalities. A man was high and slipped and fell under the path of a lorry – another broke his leg. I would like to start my own business selling shoes or clothes but cannot afford to save. I make about 150 – 200 shillings a day ( £1-1.50).”
    Eldoret22_1.jpg
  • Florence Khalumbia (46) With daughter Alice (7 ) lives just 50 metres from the “California” dumpsite in a one-bedroom hut with her five children. None of the children go to school – she feels that it’s better that they stay home and help their family to earn a living. Alice, the youngest, is seven years old, and she spends her days sorting through rubbish with her 14-year-old brother Allan Karani. They’ve never had any formal education and neither can read or write. Florence does want her children to improve their situation, but so that they can look after her. The family manages to earn just over a dollar a day from sorting rubbish at the dumpsite but that is not enough to buy food for the family.
    Eldoret20_1.jpg
  • Eldoret’s main Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret18_1.jpg
  • Eldoret’s main Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret17_1.jpg
  • Vera Atieno,( 18) with her daughter ; Vera fell pregnant when she was 15; the child is looked after by her mother mainly in the rural areas after the father tried to snatch him. Vera makes her living scavenging at the local dump for plastics.  she hasn’t been able to afford to visit the child much and hasn’t seen her since she was a few months old  but is pleased when the child comes to her the day this picture was taken. She is trying to reconnect with the child and is hopeful that she will be able to see more of her. <br />
<br />
 The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret16_1.jpg
  • Father Ken , A spiritual leader to the workers of the dump , he guides them and encourages them to attend his church . He is also a taxi driver. <br />
<br />
Making a living from the local dump in Eldoret is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work at the dump.  It’s especially hard for the mothers and their children forced through poverty to scrape a living of around $1 dollar a day. These pictures were taken with the help of charity Mary’s Meals who are hoping to break the cycle of poverty by providing free school meals .
    Eldoret15_1.jpg
  • Sarah (15) works on the dump every day, she collects Plastic metals and Charcoal ; her parents have casual jobs ( eg cleaning ) . She left school  when she was 8.<br />
<br />
“It can be quite competitive  at the dump and fights break out, recently a man head was split in a fight about the rubbish. Sometimes there is a whole period when they are fighting. I stick together with my friends Alice and Vera. Vera is my closest friend I have know her all my life. we understand each other. Its not safe here because of the health risks, I had a week when I couldn’t work because of chest pains caused by inhalation. The Children that do come often get cut. When they get hurt they get taken to the hospital by the others working here, but its tense here.
    Eldoret14_1.jpg
  • Alice Khanali (19 ) with Friend Fatila (13) photographed at the school they once both attended. Alice turned to collecting rubbish after she became pregnant and dropped out of school . <br />
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She goes to the dump with Fatila who also lives with her and her dad ( her baby is looked after by relatives) . She helps to protect Fatila from some of the boys at the dump – they ask her to sell Fatila to them but she doesn’t allow them near her. The two girls take care of each other, Fatila says that Alice gives her advice about sex and boys, warning her not to end up in the same situation.
    Eldoret13_1.jpg
  • A woman collects rubbish for recycling at the dump; plastic, clothes, charcoal, metal even food for humans and livestock are all reclaimed for cash or personal use . <br />
<br />
Making a living from the local dumps in Eldoret is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work here.  The average wage is around $1.5 a day. These pictures were taken with the help of charity Mary’s Meals who are hoping to break the cycle of poverty by providing free school meals.
    Eldoret10_1.jpg
  • Alice Khanali (19 ) with Friend Fatila (13) photographed at the school they once both attended. Alice turned to collecting rubbish after she became pregnant and dropped out of school. <br />
<br />
She goes to the dump with Fatila who also lives with her and her dad ( her baby is looked after by relatives) . She helps to protect Fatila from some of the boys at the dump – they ask her to sell Fatila to them but she doesn’t allow them near her. The two girls take care of each other, Fatila says that Alice gives her advice about sex and boys, warning her not to end up in the same situation.
    Eldoret09_1.jpg
  • Eldoret’s main Dump nick named by the locals, ironically, as ‘California’ is home to a community of Kenyans who make their living here recycling plastic, metal charcoal and even scavenging for food either for themselves or for their pigs. The average adult here earns about 150 -200 Kenyan shillings (£1-1.30) The consequences for those who work here on a regular basis including woman and children as young as 7 is  tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret08_1.jpg
  • The girls of Eldoret dump, left to right: Little Alice (7), Fatila 13), Sarah (15), Vera Atieno (18), Alice Khanali (19) - the last four all live in a slum area called Mwendere, Alice and Vera are mothers, their relatives look after the children so that they can work at the dump.<br />
<br />
Making a living from the local dumps in Eldoret is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work here.  The average wage is around $1.5 a day. These pictures were taken with the help of charity Mary’s Meals who are hoping to break the cycle of poverty by providing free school meals.
    Eldoret07_1.jpg
  • Lucy (13 ) photographed in one of the classrooms at Attnas Kandie School. She collects rubbish when she’s not at school. She is one of five children – the eldest is at college but the other siblings help to support him by sorting rubbish. Lucy’s mum sometimes washes clothes for other people but is sick and can’t often earn enough to feed the children. Lucy is now in primary school and gets lunch there every day thanks to Mary’s Meals. Making a living from collecting rubbish is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work at the dumps in Eldoret.  It’s especially hard for the mothers and their children forced through poverty to scrape a living of around $1 dollar a day.
    Eldoret06_1.jpg
  • Alice ( 7)  has her hair  braided by a friend on the dump in a quiet moment between trucks arriving . Alice works every day at the dump with her brother Alan sorting through rubbish for recycling. Florence Her mother lives just 50 metres from the “California” dumpsite in a one-bedroom hut with her five children. None of the children go to school – she feels that it’s better that they stay home and help their family to earn a living. They’ve never had any formal education and neither can read or write. Florence does want her children to improve their situation, but so that they can look after her. The family manages to earn just over a dollar a day from sorting rubbish at the dumpsite but that is not enough to buy food for the family.
    Eldoret04_1.jpg
  • Sarah Wanjiru, 10yrs with mother Jane Wajira , and Jane’s grandchild pose for pictures next a small tip where they have been picking rubbish to make some money. They recycle mainly plastic; on average they can make up to 150-200 Ksh a day ( $1-2). The dump here is smaller with less pickings but safer than the main dump in Eldoret. <br />
<br />
Jane had her first baby when she was as young as 12-13; she now has four children which she cares for her self . Her husband was killed in the Kenyan riots of 2007/8. Her 10-year-old daughter Sarah comes to help her sort rubbish when she’s not at school. Sarah was lucky enough to find a sponsor to pay her admission fees and cover her uniform and books – barriers that prohibit many of Kenya’s poorest children from attending the country’s free primary schools.
    Eldoret03_1.jpg
  • Sarah Wanjiru, 10yrs with mother Jane Wajira , and Jane’s grandchild pose for pictures next a small tip where they have been picking rubbish to make some money. They recycle mainly plastic; on average they can make up to 150-200 Ksh a day ( $1-2). The dump here is smaller with less pickings but safer than the main dump in Eldoret. <br />
<br />
Jane had her first baby when she was as young as 12-13; she now has four children which she cares for her self . Her husband was killed in the Kenyan riots of 2007/8. Her 10-year-old daughter Sarah comes to help her sort rubbish when she’s not at school. Sarah was lucky enough to find a sponsor to pay her admission fees and cover her uniform and books – barriers that prohibit many of Kenya’s poorest children from attending the country’s free primary schools.
    Eldoret02_1.jpg
  • Sarah Nasimiyu is 45 years old and is pictured with her two-year-old Joshua. She has four other children ranging in age from three to thirteen years old. They all work on the dumpsite. She separated from her husband in 2008 because he was always drunk and couldn’t be responsible. She brings Joshua with her to the dumpsite – where she sorts through rubbish in the morning and then sells snacks to the other workers in the afternoon. The Mothers who work on Eldoret’s main dump nick named by the locals,  ironically, as ‘California’ raise their children in Extreme poverty. The consequences for these children and their parents are tough; with disease, injury, substance abuse and even the threat of violence an everyday reality.
    Eldoret01_1.jpg
  • Four office workers are outside their place of employment in central London for a quick cigarette break. Puffing guiltily on their fags that have sought a dark place on the pavement beneath some shelter although it is warm enough for two of the men to wear only shirts and ties while the only lady present is in a jumper. One member of the group draws heavily on his cigarette, a sign of his addiction and enjoyment of taking a five or ten-minute pause from his office job. A recent report showed smokers each lose an average of 30 minutes a day from their  workplaces to satisfy their habit. The average smoker takes at least three breaks from the office, each lasting around 10 minutes, research for the Benenden Healthcare Society found. The healthcare group estimates that 290,000 working days are being lost by people leaving their office to smoke.
    smokers02-03-09-2007_1.jpg
  • Striking a light in an outdoor café, a young businessman puts a match to his cigarette as a colleague talks in Frankfurt.  Cupping his hand over the lit end, against a shrill wind, the man inhales the nicotine-rich smoke to enjoy another cigarette. On the table in front, an empty glass of German Pilsener, its froth still clinging to the sides of the glass showing that this otherwise healthy gentleman is abusing his body with the addictive tobacco and the thirst-quenching taste of fine beer that has a high percentage of alcohol and rich in carbohydrates. He is smartly dresses, with cufflinks, a good watch and neat hair. In the background are other drinkers and their glasses on tables at this sociable street corner in the city’s financial district, a symbolic powerhouse of economic recovery that Germany built in the post-war era.
    german_smoker-16-05-2000_1.jpg
  • Seen from slightly behind, a young woman stands taking shelter from early evening rain in Goodge Street, London England. Holding a lit cigarette in her left hand and with an unused ashtray to her right, she is chatting with friends who are also enjoying a relaxing hour after work. Under the UK Government's recent laws on smoking in public places, the work mates are forced outside the pub to smoke on the street in a special area away from the anti-smoking people indoors. Lit by glowing red lights that also provide warmth on this chilly January night, the friends are comfortable in their own company.
    electricity113-17-01-2008 _1.jpg
  • Extinction Rebellion - East London Uprising on July 13th 2019 in Hackney, London, United Kingdom. Hackney Downs to London Fields march.
    xr_6378.jpg
  • Sarah, at Atnas Kandie Primary School. Sarah was lucky enough to find a sponsor to pay her admission fees and cover her uniform and books – barriers that prohibit many of Kenya’s poorest children from attending the country’s free primary schools. Thanks to the charity Marys Meals she also gets school meal, hugely important when Sarah’s mother is so poor they are often made homeless while saving for the rent. When she is not at school she works on the dumps collecting rubbish for the family to survive. <br />
<br />
Making a living from collecting rubbish in Eldoret is no easy job; disease, injury, substance abuse and even the threat of violence is an everyday reality for the people who live and work at the dump.  It’s especially hard for the mothers and their children forced through poverty to scrape a living of around $1 dollar a day.
    Eldoret29_1.jpg
  • Norman Cook warms up in football attire in South Africa where he is helping the charity, Coaching for Hope. In 2006 Norman Cook aka “Fatboy Slim” agreed to be the patron of Coaching for Hope.  His record company “Skint” had long been the sponsors of Brighton and Hove Albion, one of the football clubs that has supported Coaching for Hope from the start. The charity is an innovative programme, which uses football to create better futures for young people in West and Southern Africa.
    07-cfh_4430.jpg
  • Sunrise over the Ridge in New Delhi, India. The Ridge is forest land on the outskirts of the city that act as the green lungs of the capital and extend for about thirty five kilometres.
    SFE_140323_045.jpg
  • A young "Glue" sniffer high on solvent. Glue-sniffing<br />
Inhalation of the fumes from organic solvents of the type found in paints, lighter fuel, and glue, for their hallucinatory effects. As well as being addictive, solvents are dangerous for their effects on the user's liver, heart, and lungs. It is believed that solvents produce hallucinations by disrupting the cell membrane of brain cells, thus altering the way the cells conduct electrical impulses, London, UK
    cp_uk_0219_1.jpg
  • A Phillip Morris ad using the famous Marlboro Man cowboy character on a downtown Atlanta billboard. The Marlboro Man is a figure used in tobacco advertising campaign for Marlboro cigarettes. In the United States, where the campaign originated, it was used from 1954 to 1999. The Marlboro Man was first conceived by Leo Burnett in 1954. The image involves a rugged cowboy or cowboys, in nature with only a cigarette. The advertisements were originally conceived as a way to popularize filtered cigarettes, which at the time were considered feminine. The Marlboro advertising campaign, created by Leo Burnett Worldwide, is said to be one of the most brilliant advertisement campaigns of all time though two of the Marlboro cowboy actors died of lung cancer.
    atlanta_city02-05-11-1995_1.jpg
  • 77 year old Lu Zhitian sorts through stacks of medical scans from his lung cancer treatment in a rural village near Fuyang, Anhui Province,  China on 28 August  2013.  As able-bodied adults seek work in cities in hopes of better income, more and more villages in China are inhabited mostly by the elderly and children.
    QS130829Fuyang056_1_1.jpg
  • In evening city mist, a car park attendant stands guard over his downtown Atlanta parking lot. Next to him is a giant billboard for Marlboro with the classic face of the Marlboro cowboy, depicted drawing on a cigarette and wearing the traditional wide-brimmed stetson. They are low in the frame and the gloomy and eerie mist sits oppressively around the tall buildings, obscuring their top floors. Office lights still burn and a bright street light shines with the intensity of a small solar flare. The Marlboro Man is part of a tobacco advertising campaign for Marlboro cigarettes. The Marlboro Man was first conceived by the Leo Burnett agency in 1954. The image involves a rugged cowboy or cowboys, in nature with only a cigarette. The ads were originally conceived as a way to popularize filtered cigarettes, which at the time were considered feminine. Actor and author William Thourlby is said to have been the first Marlboro Man. The models who portrayed the Marlboro Man were New York Giants Quarterback Charley Conerly, New York Giants Defensive Back Jim Patton, Darrell Winfield, Dick Hammer, Brad Johnson, Bill Dutra, Dean Myers, Robert Norris, Wayne McLaren, David McLean and Tom Mattox. Two of them, McLaren and McLean, died of lung cancer.
    RB-0170.jpg
  • A male swimmer performs the Crawl across this scene of frewsh water bathing in the Serpentine Lake in London's Hyde Park. As the man twists his head to gulp in air, breathing a lungful of oxygen, he passes the lettering stencilled on the poolside warning of shallow water. This bathing area is where the normally busy Serpentine Swimming Club has the use of this Royal Lake known as Lansbury's Lido. It is now normally open only in the summer, but one traditional event occurs each year on New Year's Day, when the ice is broken and brave bathers dive into the cold waters of the lake. The Serpentine will be used for the swimming leg of the triathlon at the London 2012 Olympics. The pool was formed in 1730, its name from a snakelike, curve. Queen Caroline wife of George II ordered the damming of the River Westbourne and other natural ponds in Hyde Park.
    deep_swimmer-21-06-1994_1.jpg
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