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  • Jumatiah Binti Darmansyah - a smallholder palm oil farmer - stands in her protective clothing on her plot next to her home in Toniting, Beluran District, Sabah, Malaysia, on 8 September 2016. Jumatiah has been farming her small plot 1.75Ha since the 1990s. She has been able to increase her yields since becoming part of the Wild Asia Group scheme, which works with the Roundtable on Sustainable Palm Oil to support Malaysian smallholders to become certified sustainable. This includes improving farm management, reducing their use of pesticides and fertilizers, and increasing yields. Smallholders account for 40% of global palm oil production, and as such play an important role in increasing sustainability within the industry.
    JPerugia_Sabah-1141.jpg
  • Jumatiah Binti Darmansyah - a smallholder palm oil farmer - fertilises her plot wearing protective clothing next to her home in Toniting, Beluran District, Sabah, Malaysia, on 8 September 2016. Jumatiah has been farming her small plot 1.75Ha since the 1990s. She has been able to increase her yields since becoming part of the Wild Asia Group scheme, which works with the Roundtable on Sustainable Palm Oil to support Malaysian smallholders to become certified sustainable. This includes improving farm management, reducing their use of pesticides and fertilizers, and increasing yields. Smallholders account for 40% of global palm oil production, and as such play an important role in increasing sustainability within the industry.
    JPerugia_Sabah-1170.jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Patients arrive by car through security to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff wash their hands thoroughly after seeing a patient at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Patients arrive by car through security to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Two people wearing masks walk past the NHS staff Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • An NHS nurse guide a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • The first sign patients see as they arrive by car through to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Patients arrive by car through security to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Patients arrive by car through security to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Patients arrive by car through security to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff prepare to see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff prepare to see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • The first sign patients see as they arrive by car through to see NHS staff at a Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • NHS staff prepare to see a patient who remains in their car at a drive-through Primary Care Clinical Assessment Centre where potentially infectious and symptomatic Coronavirus patients can be assessed and treated by a doctor or a nurse, in a safe site, on the 16th of April 2020 in Dover, United Kingdom. This is not a COVID-19 testing facility, all patients will only be clinically assessed on site as there is no community testing currently available. All patients have been referred to this centre by NHS 111 or their GP.
    UK-Health-Primary-Care-Treatment-Cen...jpg
  • Laundry drying quickly in the equatorial sun, 27th May 1997, on Ascension, a small area of approximately 88 km² isolated volcanic island in the equatorial waters of the South Atlantic Ocean, roughly midway between the horn of South America and Africa. It is governed as part of the British Overseas Territory of Saint Helena, Ascension and Tristan da Cunha. Organised settlement of Ascension Island began in 1815, when the British garrisoned it as a precaution after imprisoning Napoleon I on Saint Helena. In January 2016 the UK Government announced that an area around Ascension Island was to become a huge marine reserve, to protect its varied and unique ecosystem, including some of the largest marlin in the world, large populations of green turtle, and the islands own species of frigate bird. With an area of 234,291 square kilometres 90,460 sq mi, slightly more than half of the reserve will be closed to fishing.
    washing.jpg
  • Radiographer Diana is making a client comfortable and ready to have her x-ray. The woman is pregnant which is why she is wearing a green lead apron to protect her womb against radiation. The radiation levels are extremly low and pose no health hazzard. 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_4996_1.jpg
  • Radiographer Diana is making a client comfortable and ready to have her x-ray. The woman is pregnant which is why she is wearing a green lead apron to protect her womb against radiation. The radiation levels are extremly low and pose no health hazzard. 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_4986_1.jpg
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