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Teku dump. The only day off for a group of kids who work in the landfill. They bivouac in a concrete pipe, the only day they do not work into a dump, on Saturdays. With the only good clothes and a mobile. Otherwise, they have nothing. They know what they live, they know what to hoped for. They are 12-14 years old and they are the major hit of air pollution.
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Construction workers exposed to the carcinogenic fumes of bitumen, to dust and smog of adjacent traffic. This is a group of workers in Baluwatar that have never used any personal protective equipment in the two weeks of work. They work about 12 hours every day and they sleep in a camp on the workplace. They are fully exposed to emissions.
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Thamel. A worker on the construction site dirty by dust on the face. He admits that have lung disorder since several years ago, when he started to work on the roads. He doesn’t knows what has, but he feels pain on the lungs and have and unstoppable cough. His unique protection device is a plastic bag.
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Teku. In a house without electricity, the only source of light is a kerosene lantern. Another plague is the use of kerosene indoor. Few people use the kerosene for cooking or heating because the cost of a tank is the a bit cheaper than gas and who haven’t money prefers use wood or charcoal. But kerosene is frequently used for lighting in the slums where there isn’t electricity. This mother lives with is family and his son (2 years old) and use kerosene all the day because in the tight spaces of slum, in the day hours, every home are in the dark. As the rest of inhabitants of Teku slum, she ignore the risk of kerosene combustion gases.
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Inside a slum along the Bagmati, an elderly woman (in the company of her grandchildren) holding an aerosol to alleviate the lung pains she accuses. She not knows what problem exactly she has. She admits that sometimes takes drugs without any medical prescription and recognize his pills/aerosol only by colors.
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The Respiratory ward at T. U. Teaching Hospital. A father, hospitalized, is sleeping with his son. In the ward, that is full of hospitalized people, there aren’t checks for relatives. Every relatives is free to visits the patient, but this behaviour is not safe because expose children, the most weakest, and adults to an unhealtly ambient.
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The isolation room for patients with active tuberculosis. After the first treatments in hospital, the patient have a long and complex therapy. A course of treatment can last from 6 months to 18-24 months depending on the patient's adherence to the prescription. In order for the treatment to be effective and to prevent resistance to anti-tuberculosis drugs, the World Health Organization has proposed a strategy called Directly Observed Therapy or DOT, which consists of a treatment regimen in which there is a doctor that make sure that the patient regularly takes his dose of medication. Several studies have shown that the DOT strategy is able to reduce the duration of treatment to 6-8 months.
