BMJ 1995; 311 doi: (Published 25 November 1995) Cite this as: BMJ 1995;311:1414
  1. Rajkumar Ramasamy
  1. consultant physician in Oddanchatram, India

    Chemotherapy cannot combat poverty

    I first met this 20 year old man in 1992 in his isolated village in Tamil Nadu in India. He lived with his elderly, widowed father, who was deaf, in a crumbling stone and mud house and earned a hopelessly low income on the coffee estates. He had sought help for his symptoms from open pulmonary tuberculosis only when they were bad enough to stop him working. He already had some irreversible lung damage. …

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