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Heroin Addiction in Russia(68 images)

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Russia is facing one of the fastest-growing rates of HIV infection in the world, fueled largely by widespread injection drug use. While treatment programs are available, they are often crowded, expensive, or ineffective. Furthermore, methadone, the gold-standard replacement therapy used around the world, is illegal in Russia, complicating efforts to stem these twin epidemics.
  • Patients undergo initial treatment at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • Patients undergo initial treatment at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • A patient undergoes initial treatment at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • BHoffman_20...jpg
  • Patients share a meal at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • Patients share a meal at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • BHoffman_20...jpg
  • BHoffman_20...jpg
  • A patient relaxes in his room at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.
    BHoffman_20...jpg
  • BHoffman_20...jpg
  • A boy runs up the stairs at a home for disturbed children operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. The program provides food, housing, and supervision for a dozen children who were either homeless or otherwise in a difficult situation. Homeless street children frequently turn to drugs and prostitution.
    BHoffman_20...jpg
  • A portrait of City Without Drugs founder Yevgeny Roizman hangs in a home for disturbed children operated by the organization in Yekaterinburg, Russia, on Monday, September 24, 2007. The program provides food, housing, and supervision for a dozen children who were either homeless or otherwise in a difficult situation. Homeless street children frequently turn to drugs and prostitution.
    BHoffman_20...jpg
  • Ira, a sex worker and heroin addict  waits for clients in Kazan, Russia, on Tuesday, September 25, 2007.
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  • Ira, a sex worker and heroin addict  waits for clients in Kazan, Russia, on Tuesday, September 25, 2007.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov play basketball in Kazan, Russia, on Wednesday, September 26, 2007.
    BHoffman_20...jpg
  • BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov (standing) ride the bus in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov walk through a tunnel under the street in Kazan, Russia, on Wednesday, September 26, 2007.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov do morning exercises in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • A patient in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov plays with a soccer ball in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov play soccer in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov tend to the campfire in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • Patients in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov cool off after a soccer game in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • A patient in a rehabilitation program for heroin addiction operated by the NGO Rosa Vetrov washes his feet in a lake in Kazan, Russia, on Wednesday, September 26, 2007. The dozen patients in the free three-month program take a weekly field trip to a nearby lake, where they learn play soccer, have group therapy sessions, and generally learn how to relax and have fun without using drugs.
    BHoffman_20...jpg
  • BHoffman_20...jpg


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