In a forest on the outskirts of Zhytomyr city in northwestern Ukraine stand the solid brick buildings of the regional tuberculosis (TB) hospital. While most countries have moved to a model of treatment for TB centred on outpatient care, TB patients in Ukraine still spend months, and sometimes years, confined to isolated hospitals such as this one. The treatment for TB – and particularly for drug-resistant forms of the disease – is not easy, often requiring daily injections and a cocktail of drugs that can cause side effects like nausea, itching, fatigue, irreversible deafness and even psychosis.

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