is back as narrator in this chapter describing the first time he saw Carabayllo in Farmer's company. He arrives at night, and he sees the beauty of Lima with the hillsides smothered in darkness, but dotted with twinkling lights like Japanese lanterns. The next day, the truth emerges. Lima is a vast coastal city with a ramshackle-looking development. On the hills are the huts and shacks where the poor live, and the lights that twinkled the night before are mounted on highway-style pylons over the shacks. Many of the poor come from the Andes Mountains and have come here for the electricity, clean water, schools, medical care, and jobs, as well as distance from the war between the government and the Shining Path. The roads here turn into paths with convenience stores with dirt floors, metal-roofed cook shacks, barbershops, and even graveyards. But it is all surrounded by sewage and disease.

Jaime Bayona has found ten patients with MDR. They take a sputum sample from each one, and because the national labs will not allow PIH to use their facilities, Paul takes them back to Boston. The results are alarming, because most of the patients are, at the least, resistant to the two most powerful drugs, but many are resistant to all five. This is an unusual pattern to Farmer, but here.......

 

Notes

This chapter continues to emphasize the basic premise of Farmer's work: poverty leads to disease that often is not treated or is......

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