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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.
  • Vadim Simashov, a heroin user on and off for 14 years, prepares to shoot up in Kazan, Russia, on Thursday, September 27, 2007.
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  • Vadim Simashov, a heroin user on and off for 14 years, prepares to shoot up in Kazan, Russia, on Thursday, September 27, 2007.
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  • A street scene in Moscow, Russia, on Monday, September 10, 2007.
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  • Svetlana, 29, holds her two-month-old son Yuri in her apartment in St. Petersburg, Russia, on Tuesday, September 11, 2007. Svetlana is HIV-positive, as is her husband; both are former heroin users. It won't be clear whether Yuri has HIV until he is a year and a half old. [Names have been changed.]
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  • Svetlana, 29, holds her two-month-old son Yuri in her apartment in St. Petersburg, Russia, on Tuesday, September 11, 2007. Svetlana is HIV-positive, as is her husband; both are former heroin users. It won't be clear whether Yuri has HIV until he is a year and a half old. [Names have been changed.]
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  • Tolya, 18, sits on his bed at Botkin Hospital in St. Petersburg, Russia, on Wednesday, September 12, 2007. Tolya uses heroin and is HIV-positive, but because he lives in Syevolosk, near St. Petersburg, rather than in the city proper, he is not entitled to free anti-retroviral medication to treat his HIV. Tolya is an orphan living with his uncle, who does not know Tolya has HIV.
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  • Ina, a drug user who is HIV-positive, holds her as-yet unnamed son for the first time at Botkin Hospital in St. Petersburg, Russia, on Wednesday, September 12, 2007.
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  • Ina, a drug user who is HIV-positive, holds her as-yet unnamed son for the first time at Botkin Hospital in St. Petersburg, Russia, on Wednesday, September 12, 2007.
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  • Andrei, 31, a former drug user who is HIV positive, waits for test results at Botkin Hospital in St. Petersburg, Russia, on Wednesday, September 12, 2007. Though he learned his HIV status six years ago, he only gave up drugs and started seeking treatment less than a year ago when he came down with pneumonia. Since then, he has lost 30% of his body weight but will soon start anti-retroviral treatment.
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  • Andrei, 31, a former drug user who is HIV positive, walks to his room at Botkin Hospital in St. Petersburg, Russia, on Wednesday, September 12, 2007. Though he learned his HIV status six years ago, he only gave up drugs and started seeking treatment less than a year ago when he came down with pneumonia. Since then, he has lost 30% of his body weight but will soon start anti-retroviral treatment.
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  • An orthodox priest carries an icon near the Alexander Nevsky Monastery in St. Petersburg, Russia, on Thursday, September 13, 2007.
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  • A street scene on Nevsky Prospekt in St. Petersburg, Russia, on Friday, September 14, 2007.
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  • Nikolai, with the NGO Humanitarian Action, works the needle exchange desk in the organization's mobile outreach bus in St. Petersburg, Russia, on Friday, September 14, 2007. Five days a week, the bus drives to different parts of the city to provide free condoms, clean needles, and blood tests for HIV and hepatitis.
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  • Natalia Golubeva, a worker with the NGO Humanitarian Action, draws blood to test a heroin user for HIV in the organization's mobile outreach bus in St. Petersburg, Russia, on Friday, September 14, 2007. Five days a week, the bus drives to different parts of the city to provide free condoms, clean needles, and blood tests for HIV and hepatitis.
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  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, rides a four-wheeler into town to buy bread for the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
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  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, has the responsibility to look after livestock at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
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  • Sascha, a former drug user who is now in a rehabilitation program run by the orthodox church, cleans up at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
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  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, in the church at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, folds a towel for guests to use as a seat at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, feeds the sheep and goats at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, prepares to milk a cow at the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
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  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, walks his dog through a cemetery near the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
    BHoffman_20...jpg
  • Valera, a former drug user who is now in a rehabilitation program run by the orthodox church, walks his dog through a cemetery near the organization's live-in retreat in Sapernoe, Russia, on Saturday, September 15, 2007. About a dozen people at a time live and work at the remote farm, about two hours from St. Petersburg, for a free one year course of treatment.
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