WIDER IMAGE-'White death' in Argentina: The hunger of poverty feeds tuberculosis


By Magali Druscovich

BUENOS AIRES, Oct 24 (Reuters) - In a poor Buenos Aires suburb, Cristian Molina's jeans and denim jacket hide his unhealthily slight frame, his legacy from years of a poor diet that left him susceptible to the tuberculosis infection he contracted earlier this year, a disease of poverty that is making a comeback in Argentina.

Molina, 26, lives in the shantytown of Lujan near the wealthy capital with his parents, six siblings and four nephews. Doctors think one brother contracted the disease in prison and then spread it around the family when he returned home.

Cases of the "white death" illness, closely linked to malnutrition and poor housing, have been on the rise since the turn of the decade as Latin America's third largest economy has been battered by repeat recessions and inflation.

Currently, fast-rising prices and recession are driving more people below the poverty line and stoking homelessness and hunger. The poverty rate stood at above 35% in the first half of the year, hurting Argentine President Mauricio Macri, who is expected to lose the general elections this Sunday.

"Tuberculosis is the collateral damage of poverty," said Laura Lagrutta, an Argentine respiratory specialist focused on treating children with the disease.

According to the latest figures from the World Health Organization, there were 10,320 reports of new and relapsed TB cases in Argentina last year. The number of cases, which had dropped steadily since the 1980s, started to rise again after around 2010.

Tuberculosis kills 5,000 people every day globally and is one of the world's biggest killers.

Farm-rich Argentina is still better off than some of its South American neighbors, including Brazil and Peru where incidence of the disease is higher. But the infection rate in Argentina is rising worrisomely.

Marcela Natiello, coordinator of the national TB and leprosy control program, said a declining trend since the 1980s had reversed in 2013, linked to "multiple and complex causes."

"TB primarily affects the most vulnerable populations, with low economic resources, residing in poor, badly ventilated and overcrowded environments," she said, adding that over half of all cases were in the populous area around Buenos Aires.


Doctors said the rise in the number of cases was straining some hospital wards where patients with TB are being treated.

Patricia Figueroa, a social worker at the Muniz public hospital, said the facility was struggling with overcrowding as it faced a growing number of TB patients, which she described as "a record in recent history."

"Due to overcrowding, the hospital is discharging patients with low risk of contagion in order to receive high-risk ones, something very dangerous," she said, adding that the hospital was looking at how to add more beds to other wards to accept more people.

In slums around the country Reuters spoke to many people with the disease, who all described living in cramped and insecure housing and lacking an ample supply of nutritious food.

In Villa 31, a populous shantytown neighborhood in the capital, Luli, 19, has gone through a year of treatment since contracting the disease while she was pregnant. She says her now-months-old baby luckily did not get infected.

Luli lives in a flat with one bedroom, a kitchen and no bathroom together with her son and partner. The three sleep in one room. "We are constantly moving from one house to another because of the high price of the rent," she said.

Daniel, 40, who lives in the same area, is also being treated for HIV, which made him more vulnerable to tuberculosis. He is largely immobilized with an injury to his hip as well as scarring on his lungs.

Brigida Simaniz finished her TB treatment in May. She lives with her two children in the shantytown of Bajo Flores in Buenos Aires, all three sharing a single bed. She feared passing the infection to her kids.

"I was scared when they told me the diagnosis because I did not know it existed. I always followed the treatment as the doctors said for fear of infecting my children," said Simaniz, who works in a textile workshop earning 70 pesos ($1.19) an hour.

"Even though it was cold at night," she said, "I opened the windows of the room to circulate the air."

($1 = 58.6550 Argentine pesos)

Photo essay here

Photo essayhttps://reut.rs/2PeoKWG

(Reporting by Magali Druscovich; Writing by Adam Jourdan Editing by Leslie Adler)

((adam.jourdan@thomsonreuters.com; +54 1155446882; Reuters Messaging: adam.jourdan.thomsonreuters.com@reuters.net))

The views and opinions expressed herein are the views and opinions of the author and do not necessarily reflect those of Nasdaq, Inc.

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