
Once considered a disease on the decline, the social and economic downfall that followed after the collapse of the Soviet Union has sparked an escalation of the TB epidemic in many post-USSR countries, including Ukraine. The country’s prisons are a hotbed for the disease, with prevalence rates more than ten times higher than in the rest of society. In the Donetsk region in eastern Ukraine, MSF now provides treatment and support to over 140 inmates and ex-inmates suffering from multi-drug-resistant (MDR) TB. Vladimir Shalashniy, Coordinator for MSF’s post-release activities, is checking up on a 31-year old patient who is staying at the Artyomovsk TB dispensary. Photo: Niklas Bergstrand/MSF“It’s hard to sit up and I’ve got pain...