Nyani Quarmyne/Panos Pictures

Lome, Maritime Region, Togo

A 15 year-old boy, is addicted to tramadol, buys the drug from a street stall. The prescription-only opioid analgesic is frequently taken mixed with energy drinks, coffee or the local distilled spirit sodabi. 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.

Object Name
Nyani Quarmyne/Panos Pictures
Lome, Maritime Region
Max size
High Resolution
5000 x 3333 pixels
42.33 x 28.22 cm (300 dpi)
16.67 x 11.11 inch (300 dpi)
5.0 MB size on disk
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