Nyani Quarmyne/Panos Pictures

Lome, Maritime Region, Togo

Grace Kudzu carries syringes, hypodermic needles and ampoules of the opioid painkiller tramadol and nonsteroidal anti-inflammatory ketoprofen with her at all times as she suffers from sickle cell disease. During a 'sickle cell crises', which in Grace's case may occur twice a month and last a week or more, she is heavily dependent on the opioid painkiller tramadol. However, because illicit and falsified tramadol is widely abused for non-medical purposes in the region, consideration is being given to scheduling it internationally in the manner of other opioid analgesics such as morphine. Some experts are of the opinion that this will further reduce the already limited pain management options for people like Grace, while doing little to curb illicit use.

Part of story
Object Name
Copyright
Nyani Quarmyne/Panos Pictures
City
Lome, Maritime Region
Country
Togo
Restrictions
Max size
High Resolution
5000 x 3333 pixels
42.33 x 28.22 cm (300 dpi)
16.67 x 11.11 inch (300 dpi)
2.8 MB size on disk
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