The scale and expense of the MDR issue in Peru made PIH hesitate, forcing them to ask themselves if this was a challenge they should even try to solve. They eventually decided it was, because no one else was doing it and people were dying—and because it would allow them to tackle other public health issues along the way. In August 1996, they started treating TB sufferers in Carabayllo. They combined a team of Peruvian health workers with doctors and medical students from Boston. They ran into problems almost immediately. The Peruvians did not want to...
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