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© Dieter Telemans / Panos Pictures..Muynak, Aral Sea, UZBEKISTAN..Tuberculosis patient Salima Salminova (18) and nurse Gulsara Alimbetova (25) in the Muynak TB sanatorium. Salima takes eight pills each day with yoghurt. Salima was admitted only two days ago and has to stay for at least three months. ?My father, who died in 1998, gave me the disease? she says. ?I was carrying the disease for two years. I thought I was getting another bout of flu. I had a fever, a cough and felt weak. Only when I began to spit blood did I realise how serious my illness was.? She now.receives the standard treatment for TB (DOTS) in accordance with the recommendations of the World Health Organisation (WHO). MSF-Netherlands has taught these to the nursing staff. Salima has never known the Aral Sea. ?I only know the desert sand storms during the summer.  They sting my eyes and I have to cough a lot.? Gulsar claims the changing climate hinders recovery. ?In addition to an uninterrupted treatment, the preconditions for a successful recovery from TB are fresh air, healthy food and drinking water. Muynak used to be able to offer this like a health cure at the seaside. The air is now too full of dust, the food is not nutritious enough and the water.is too salty." Photo:  Dieter Telemans / Panos Pictures/Felix Features