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  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202475.jpg
    Since the start of the crisis in Venezuela, which coincides with Maduro's arrival in power in 2014, the country has sunk very fast while being one of the most stable in South America. With a currency that is worthless, salaries that are no longer paid, a rate of inflation that skyrockets, a real humanitarian crisis is underway in Venezuela. The most affected inhabitants are, as usual, the poorest. Some then decided to turn to Rio Guaire, the only river in the valley, to try to make a few dollars. By draining the bottom, gold diggers put rings, gold bracelets, earrings and other precious metals back. Thanks to this, they make a few tens of dollars each time, much more than a salary of civil servant.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202476.jpg
    The Rio Guaire is a small river in Venezuela, and the only one in the Caracas Valley. Since the late nineteenth century, it serves as sewer to the entire capital, it is the main voice of sewage disposal. Since the beginning of the 21st century, it has been in a very worrying ecological state.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202477.jpg
    Josue left, 19, crosses every day except weekends the express way to fetch gold in the river. He works to feed his family composed of his mother and his little brother. He has just been released from a 7-month prison term, wrongly accused by the cable theft police. On the right Enzo, 40, in the search for gold for 5 years now. He would like to have a real job, but he earns a lot more thanks to the river.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202478.jpg
    Alexander, aka Barlovento, 49, has been looking for gold for almost 8 years., He presents himself as the leader of the sector because of his seniority.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202479.jpg
    Ignacio, 27, is looking for gold every day to provide for his family. He lives with his wife aged 21, and their 3 children of 4, 2 and 1 year in a government building -Mision Vivienda-. He lost his leg in a motorcycle accident, in Venezuela the disabled do not receive any help from the state, and must work to live. He manages to find an average of one gram of gold a day, and his biggest catch was a ring of 7 grams of gold.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202480.jpg
    A golden alliance found in the waters of Rio Guaire. Larry his owner has enough economy to leave the country. He wants to go live in Spain, unfortunately the country does not issue him a residence permit.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202481.jpg
    The buildings of the -Mission Vivienda- house many Venezuelans in precarious situation, are government buildings HLM style, tenants pay rent directly to the state that grants the apartments. An operation that began 8 years ago, before the inhabitants were happy because they had access to housing and food distribution against their votes, but now many people choose to switch to the opposition because the situation is too hard, and the government no longer maintains the buildings and no longer distributes food rations.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202482.jpg
    In the waters of Rio Cuaire many rubbish floats, this can be dangerous for gold seekers because in Venezuela the slightest injury can become serious.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202483.jpg
    A group of young gold diggers living by the river in very difficult conditions. Just behind them is the great expressway of the capital a 2 times 3 ways with in the middle of the river and its men and women who try to survive by draining the soil of their hands.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202484.jpg
    Life on the banks of the river is hard, it reads on all faces. Caracas is one of the most dangerous cities in the world, the number of killings explodes with the rise of poverty, and living outdoors carries a lot of risks.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202485.jpg
    With water up to the waist, gold diggers must dive to the head to drain the bottom with their hands.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202486.jpg
    A gold digger exposes his booty of the day. This approach began to appear about 3 years ago, the crisis touching the country, the poorest people have to fend for themselves to survive.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202487.jpg
    Many teenagers work in Venezuela, very young they are obliged to support the family, precious metals researchers are many under 20 years old and have been working for several years in the river.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202488.jpg
    Oliver Espana, 16, has been a gold digger for about two years since losing his father. He earns about 40,000 bolivars a day the equivalent of $ 16.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202489.jpg
    3 young gold prospectors descend into the river to go prospecting. They go there only mornings at the beginning of the week. It is a dangerous territory and prized by competition, clashes with other gold seekers are not uncommon.
    The arm of the river on the edge of the Petare district has become a real open-air dump.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202490.jpg
    Oliver Paredes, 18, looks in the palm of his hands after scouring the ground for every precious metal. Good days can be up to 20 dollars. The bottom of this arm of the Rio Guaire near the popular area of ​​Petare is completely saturated with waste of any kind, a real dump.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202491.jpg
    The cap and the bag of a researcher of gold.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202492.jpg
    Gold diggers can spend whole days in the fresh water. Pollution causes skin problems for some people.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202493.jpg
    The lean booty of the trio, all metal is recovered, here the faucet, a watch strap, a fork and pistol cases. All are looking for lost gold jewelry or fallen in the toilet.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202494.jpg
    In Caracas many men look for gold and precious metals in wastewater. There are not really any precise numbers but they should be several hundreds or thousands across the capital.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202495.jpg
    The bottom of the river is completely saturated with waste of all kinds. Gold diggers pull out several kilograms of trash every day of research. They must be very careful not to get hurt because lack of hygiene and lack of medicine can be fatal to an arm or leg. Many people are amputated minor infections due to lack of medical means.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202496.jpg
    A gold digger pulling his hands from the bottom to try to find every bit of precious metal.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202497.jpg
    A young gold miner under the age of 15 uses a plastic bag braided as a sieve, the lack of tools does not play in their favor to find any piece of precious metal.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202498.jpg
    A young researcher of gold.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202499.jpg
    Many gold seekers live in popular neighborhoods like here in Petare, one of the most dangerous barrios in South America. Many families live in difficult conditions, everyone has to fend for themselves as best they can to make a few dollars.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202500.jpg
    Inside the housing of a sewer gold finder. The extreme poverty in which a large part of the population lives is plunging the country into an unprecedented crisis. Most young people want to see Maduro leave the presidency but not much hope for their future.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202501.jpg
    End of the day for young gold diggers, they meet to discuss and pass the time.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202502.jpg
    In the city many jewels whose stalls are empty offer to buy gold and precious metals at the price of the black market. It is an illegal business because it is highly regulated and supervised by the government, despite the risks of many shops that are well-established and brave the risk.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202503.jpg
    The empty counters of a jewelery store in downtown Caracas. Many stores buy the gold from researchers without declaring it to the state, a completely illegal approach.
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202504.jpg
    In the back shop of a hair salon, a gold buyer tests a little gem. For that he rubs the object on a touchstone, The touchstone is a piece of flat black jasper, hard and rough, on which the metal is rubbed. In addition, acids are used to verify the titration (% of fine metal content).
  • Gold from the sewers of Caracas
    Venezuela
    Adrien Vautier
    LePictorium_0202505.jpg
    Two young gold diggers at the end of their working day. The future remains very uncertain for all those men who work in the river, even if the government changed, the living conditions of the most precarious people would take years to improve.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195043.jpg
    Roubijné, April 13, 2018. As he opens the door to the operating room, the urologist and chief surgeon of Roubijne municipal hospital, Konstantyn Zougan, produces a slight pout of spite. The windows of the room are covered with squares of black plastic. A masked woman makes her way through an old-fashioned bric-a-brac and throws a cloth dripping with blood on the floor. She returns to assist the surgeons in their aortic operation. "At least, in this room, they use one of our new operating lamps," comments Konstantyn Zougan. We in the other room are still with a model dating from 1973 ... "
    In most hospitals in Europe, the operating theater is a sanctuary where delicate operations decide the life and death of patients, with the help of state-of-the-art equipment, electronics and safety protocols. In Roubijné, there is no decent sterilization equipment or air compressor. Only one defibrillator works. The hospital had all the necessary, in the years 1970-1980. But since the collapse of the Soviet system, modernization has only been done sparingly, usually depending on humanitarian organizations. "Even wheelchairs could be museum pieces! Konstantyn Zougan is sorry. Despite this, his operating room is operational 24 hours a day.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195029.jpg
    Droujkivka, April 13, 2018. For the deputy chief physician of Druzhkivka Hospital, Hennadiy Iefremov, the reform is not adapted to the Ukrainian realities, especially in a context of war. "Our situation is already difficult. I am afraid that it will become catastrophic ... "Hennadiy Iefremov also feels the decline of the health system in his flesh, and recalls the memories of his three years as a seconded specialist in Cuba. a Soviet contingent. "At the time, we were spreading our knowledge in other countries ..."
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195426.jpg
    Patients in their room of 20m2 to 4 beds, Stanitsa Louhanska Hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195430.jpg
    In Druzhkivka hospital since 1986, head doctor since 1999, Serhiy Neschyotny is at the end of his career and does not want to go anywhere.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195034.jpg
    Roubijné, April 13, 2018. Thermo-disinfection dating back to 1968. "We are doing our utmost," reassures Christian Carrer, president of the AICM-Ukraine Foundation, one of the most active humanitarian organizations in Roubijné. But the needs are immense. And Roubijné is far from the only hospital in distress in the region. "
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195422.jpg
    Waiting room at Stanitsa Louhanska Hospital
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195030.jpg
    a nurse performs a consultation on an elderly person at Roubijné hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195042.jpg
    Konstantin Zougan, urologist, chief surgeon at the Roubijné municipal hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195421.jpg
    Roubijné, April 13, 2018. An assistant nurse of surgeon Konstantyn Zougan folds sheets in another operating room of Roubijné municipal hospital. In this room with poorly insulated windows, dozens of patients pass by week. More than 50,000 people live in the industrial town of Roubijné. A population impoverished by a permanent economic depression, and bruised by the conflict that has persisted since 2014. Clashes between Ukrainian troops and pro-Russian and Russian separatist forces have already claimed more than 10,300 lives, according to the UN. The front line is less than 60 kilometers south of the city. Several thousand displaced people have taken refuge in the city. A destitute population in dire need of care that adds to the burden of the hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195423.jpg
    Stanitsa Louhanska, 14 April 2018. 48,000 people, mainly elderly people, continue to live in Stanitsa Luhanska and the surrounding area. In addition, there are some 15,000 displaced people. "We treated over 18,000 patients in the first three months of the year," says Valeriy Ivanov. However, he only has one surgeon out of the three he counted in 2014, and one out of two traumatologists. The radiologist comes from another district, according to his availability. As for the anesthesiologist, it is a soldier who fills the absence of a civilian professional. Sensitive examinations and operations were previously conducted in the regional capital, Luhansk, 15 kilometers to the south. Today, the separatist Luhansk is isolated behind the front line. There is no alternative but to move north, on at least 80 kilometers of dented roads
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195427.jpg
    The corridors of Druzhkivka Hospital dating from 1953.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195031.jpg
    A man passes an ultrasound for bowel problems.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195032.jpg
    Roubijné, April 13, 2018. The maternity ward of Roubijné municipal hospital is gleaming. It has just been refurbished thanks to the intervention in 2017 of humanitarian organizations. Dr. Svitlana Niskaradiva now has analytical instruments and incubators, well-isolated rooms and bright lights.

    Nothing to do with the lower floor where are housed women about to give birth. Run through a dark corridor, the walls are decrepit and floors covered with a disparate assembly of PVC carpets. A typical postcard of a post-Soviet hospital. "We joke that we need a lot of motivation for pregnant women kept under observation here: give birth and you can access the renovated floor! Exclaims Svitlana Niskaradiva.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195035.jpg
    the entrance to the pediatric ward at Roubijné hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195033.jpg
    Roubijné, April 13, 2018. In Roubijné and beyond, the return to maternity standards is beneficial, as "the level of public health has decreased in recent years," says Svitlana Niskaradiva. "There are no children without health problems in the region," she says, due to heavy industrial pollution, poor insulation of apartments and schools, chronic malnutrition, and a low vaccination rate. Some of the diseases, such as sugar diabetes, were previously treated in the regional capital, Luhansk, explains Svitlana Niskaradiva. "We had to restructure a large part of our services to make up for the division of the region. "
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195036.jpg
    Family doctor Vadim Dotsenko (in the background) and his assistant are waiting for the patients to register them. Druzhkivka Hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195037.jpg
    Stanitsa Louhanska, April 14, 2018. An elderly patient prepares to eat her lunch in the collective room she occupies at Stanitsa Luhanska Hospital. 140 kilometers south of Roubijné, the facility operates with only 50% of its doctors and 48% of its nurses. "It's a disaster," says Chief Medical Officer Valeriy Ivanov. No one wants to come here to replace the missing professionals. And I can understand why ... "

    A few hundred meters from the hospital, the Siverskiy Donets River marks the front line. On the other side, Luhansk, the capital of one of the self-proclaimed separatist republics, is only fifteen kilometers away. The bombings remain regular and the prospects for the future are very uncertain. The bridge over the Siverskyi Donets River was destroyed by bombing in 2015. The fragile wooden bridge of Stanitsa Louhanska remains the main crossing point of the front line in the region.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195431.jpg
    A General Service employee removes letters from the former Kramatorsk Technical Faculty. Since the Donbas war, the rectorate of the Donetsk Medical University has been exiled to Ukrainian territory.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195040.jpg
    A professor in front of paintings of Soviet-era doctors in the corridors of the Donetsk faculty.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195039.jpg
    Kramatorsk, April 13, 2018. Working conditions, precarious and sometimes dangerous, push young people to leave. At the Donetsk Medical University, in exile in Kramatorsk under Ukrainian control, most of the 3,000 students seem determined to try their luck in big cities in Ukraine, or even abroad. "Students are free to choose," says Rector Petro Kondratenko. I understand the difficulties of some institutions in attracting young people. But we can not ask our graduates to sacrifice everything at the beginning of their careers. "
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195038.jpg
    Petro Kondratenko, rector of the Donetsk Medical University, exiled to Kramatorsk in Ukrainian territory. From his office in the former technical faculty of Kramatorsk, the rector has his own difficulties. "We had 6,000 students in Donetsk, today we have 3,000 students, half of them foreign students." Forced to leave Donetsk in 2014, the university also lost two thirds of its teachers and all its equipment.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195041.jpg
    Kramatorsk, April 13, 2018. A woman cleans the corridors of the Donetsk Medical School, in exile in Kramatorsk.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195044.jpg
    The central pharmacy of Roubijné hospital.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195424.jpg
    Stanitsa Luhanska, April 13, 2018. Patients are resting on the beds of their collective room, in the hospital of the city.
  • In hospitals of eastern Ukraine, the warriors of health
    Ukraine
    Sadak Souici
    LePictorium_0195425.jpg
    The canteen of Stanitsa Louhanska Hospital.
  • Mostly Sudanese, Afghan, Eritrean or Somali, the migrants accommodated in the centre of the Chapel find there an alternative to the wild camps of Stalingrad.
    France
    Jan Schmidt-Whitley
    LePictorium_0177150.jpg
    Anis, 29 years old is Sudanese. He is from the town of El-Fasher in Darfur. Before France, it iwent through Libya and Italy. Anis has been in La Chapelle humanitarian centre for 6 days and is waiting to find out where he will be sent after the regulation period of 10 days on average.
  • The Gaza Strip's inhabitants are facing a major electricity crisis
    Palestine
    Chloe Sharrock
    LePictorium_0176473.jpg
    View of the wall separating Gaza from Israel, at Erez Crossing, the only way out of the territory on the Israeli side.
    The crossing is submitted to a heavy security plan, and goes through the no-man's land between the two territories.
  • The Gaza Strip's inhabitants are facing a major electricity crisis
    Palestine
    Chloe Sharrock
    LePictorium_0176382.jpg
    Street scenery of Gaza City, the biggest town of the eponym Palestinian strip.
  • The Gaza Strip's inhabitants are facing a major electricity crisis
    Palestine
    Chloe Sharrock
    LePictorium_0176383.jpg
    Street scenery of Gaza City, the biggest town of the eponym Palestinian strip.
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