Nyani Quarmyne/Panos Pictures

Lome, Maritime Region, Togo

Ayao (not his real name) with the ball during an informal neighbourhood football tournament. The 15 year-old is addicted to tramadol, a prescription-only opioid analgesic. In West Africa there is a proliferation of illicit and counterfeit versions of the drug that are manufactured in high, non-therapeutic dosages and sold outside the legitimate pharmaceutical supply chain.

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Object Name
Nyani Quarmyne/Panos Pictures
Lome, Maritime Region
Max size
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High Resolution
5000 x 3146 pixels
42.33 x 26.64 cm (300 dpi)
16.67 x 10.49 inch (300 dpi)
4.2 MB size on disk
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