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Rihem Jelassi (left), 19, at her grandmother's home in a suburb of Tunis with her friend Ryhab Marweni, 18, and cousin Hiba Jelassi, 12. Rihem suffers from sickle cell beta-plus thalasaemia which she is able to manage with medication and diet and lifestyle choices which means she is able to lead a fairly normal life without frequent episodes of hospitalisation. With her (clockwise from front left) are her cousin Mohmmed Ali Jelassi, 12, mother Salma Beji, 43, an aunt and grandmother Hafsiya Jelassi, 94.