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Pastor Marcos Pereira da Silva and prisoner in Polinter Prison, Rio de Janeiro. © Gary Knight, VII Agency

Pastor Marcos Pereira da Silva and prisoner in Polinter Prison, Rio de Janeiro. © Gary Knight, VII Agency

Dispatches Mag out today with the theme Out of Poverty. It includes Gary Knight’s photo essay from Polinter Prison, Rio de Janeiro.

I have been waiting for Knight to publish these images. An internet-murmur a few weeks ago alerted me to his work in Brazil’s prisons.  As I fleshed out the scenario at Polinter Prison those few weeks ago, I won’t go in to huge detail in this post.

In a nutshell, Pastor Marcos Pereira da Silva visits the critically overcrowded prison with his unique brand of evangelism. It starts with anthems of praise and ends up in wailing convulsions and the exorcism of spirits. He acts generally messianic and the prisoners (at least those pressed against the bars at the front of the cages) seem quite responsive.

Knight is uncomfortable with these enactions and so am I.

Click here or the image below and you’ll be directed to 9 minutes youtube footage of the said pastor doing his thing.

Still from video of Pastor Marcos Periera de Silva in Polinter Prison, Rio de Janeiro, Brazil.

Still from video of Pastor Marcos Periera de Silva in Polinter Prison, Rio de Janeiro, Brazil.

A TB patient at Tomsk Regional Clinical Tuberculosis Hospital, Building #3. Photograph and caption © James Nachtwey/VII.

A TB patient at Tomsk Regional Clinical Tuberculosis Hospital, Building #3. Photograph and caption © James Nachtwey/VII.

“Tuberculosis is a disease of poverty and stress“.

Merrill Goozner, The Center for Science in the Public Interest.

“Sixty percent of all new cases of tuberculosis have resulted from the rapid growth of the post-Communist prison archipelago”.

Proceedings of the National Academy of Sciences. Aug. 26th, 2008

Tuberculosis (TB) was under relative control in the former USSR. Soviets had lifestyles, nourishment and conditions of living that kept disease at bay. When communism fell, so did a civil order in many areas. The phalanx of activity that filled the vacuum involved new systems, new relationships, new businesses and new criminal opportunities.

The prisons filled in a society that needed to organize itself before it could organize it’s transgressors. The prison population swelled to 1.1 million (it is now down to little over 700,000). Post-communist prisons held malnourished, crowded populations with weak immune systems; they have been described as ‘Tuberculosis incubators‘.

Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. TB patient/prisoner gets a chest x-ray. Treatment is supervised by Partners in Health in partnership with the government TB program. James Nachtwey/VII

Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. TB patient/prisoner gets a chest x-ray. Treatment is supervised by Partners in Health in partnership with the government TB program. James Nachtwey/VII

TB is best treated with various labour intensive methods known under the umbrella-term Directly Observed Therapys (DOTs). Due to TB’s many different strains – each with different drug resistancies – case by case treatments differ according to patient reactions to drugs. At the least, a patient must be observed and his/her drug regime modified over a 6 month period. For Multi-Drug-Resistant Tuberculosis (MDR-TB) the treatment can take as long as two years. And, MDR-TB & XDR-TB are increasingly common among prison and civilian populations of Tomsk and other Siberian urban centers. Unfortunately, closely monitored drug regimes are improbable in over-stretched and poorly funded state systems.

It wasn’t always so dire. The former Soviet provided a regular supply of drugs to abate disease amongst its prison population, but those supplies were interrupted in the fall of Communism – sporadic and incomplete treatments gave rise to multiple resistant strains of tuberculosis. To compound this the side effects of drugs were enough to discourage patients, and rarely, if ever, did courses of treatment go with a prisoner into his community following release.

TB patients smoke cigarettes in the smoking room of Tomsk Regional Clinical Tuberculosis Hospital, Building #1. James Nachtwey/VII

TB patients smoke cigarettes in the smoking room of Tomsk Regional Clinical Tuberculosis Hospital, Building #1. James Nachtwey/VII

James Nachtwey‘s mega-promoted TED prize crusade addresses the spread of Extremely Drug Resistant Tuberculosis (XDR-TB), its mutant forms and human tolls. This excellent Guardian article notes Nachtwey has photographed the epidemic worldwide, from Siberian prisons to Cambodian clinics.

A prisoner who was convicted of murder was moved from prison to the TB ward of Battambang Provincial Hospital, Battambang, Cambodia when he was diagnosed with TB. He is coinfected with AIDS. James Nachtwey

A prisoner who was convicted of murder was moved from prison to the TB ward of Battambang Provincial Hospital, Battambang, Cambodia when he was diagnosed with TB. He is coinfected with AIDS. James Nachtwey

Nachtwey stands with Sebastião Salgado in the “super-photographer” stakes. They both make the ugly beautiful.

Both Nachtwey and Salgado have inspired others to action and both believe firmly in the power of photography to change existences … even in a time when such sentiment is derided as old-fashioned, false idealism.

But, despite the odds, Nachtwey has succeeded in forcing his work into the conscience of millions. For some his work is an inspiration for social justice; but for others his work is a sub-conscious default to guilt, despondency and powerlessness to help others less fortunate.

James Nachtwey puts human faces to global suffering. And we are outraged. Or we feel we should be outraged.

I think Nachtwey wants us to believe in ourselves as agents of change. Nachtwey deliberately chose Tuberculosis – because while the situation is critical, it is not terminal and TB is theoretically entirely curable. Beating TB on a global scale is dependent on the behaviours of individuals and their communities.

Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. A prisoner proves to a nurse that he has swallowed his daily oral TB medication. The prisoners receive treatment through metal bars in order to give security to the nurses. Treatment is supervised by Partners in Health in partnership with the government TB program.

Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. A prisoner proves to a nurse that he has swallowed his daily oral TB medication. The prisoners receive treatment through metal bars in order to give security to the nurses. Treatment is supervised by Partners in Health in partnership with the government TB program. © James Nachtwey/VII.

Nachtwey’s work extended beyond the prison walls in Tomsk and went into the public clinics (some images included here show those facilities); TB is no respecter of human walls or demarcations. Regional, economic poverty will spike rates of TB.

A TB patient has excess fluid drained from his chest a Tomsk Regional Clinical Tuberculosis Hospital, Building #1. James Nachtwey/VII

The worst thing we could do here would be to think that TB is a disease of other nations and other peoples. In Pathologies of Power (2004), Paul Farmer wrote about the New York prison system’s huge Tuberculosis epidemic of the mid-nineties, “By some estimate, it cost $1 billion to bring under control”. The strains that arose in the NYDoC have been directly related to the resistant strains of the former Soviet Union. Tuberculosis is latent within one third of the world’s population. Tuberculosis needs only the conditions for its growth.

Paul Farmer, of Mountains Beyond Mountains fame has taken the lead on combating TB, as well as other infectious diseases, amongst the world’s poorest populations. He worked with Partners in Health partly funded by a Soros Grant to “develop demonstration tuberculosis control projects which could become a model for replication throughout Russia.”

A nurse prepares a daily injection for TB patients at Tomsk Regional Clinical Tuberculosis Hospital, Building #3. James Nachtwey/VII

A nurse prepares a daily injection for TB patients at Tomsk Regional Clinical Tuberculosis Hospital, Building #3. James Nachtwey/VII

Prison Photography blog has focused twice previously on photographers’ responses to the USSR and its aftermath – the Gulag and the new prisons that arose. While Anna Shteynshleyger and Yana Payusova are working with very different issues, regions and populations they – along with Nachtwey’s work – remind us of the severe problems facing parts of modern Russian society. Unfortunately, and certainly in the case of Tuberculosis, these problems exist in other nations also. Nachtwey focused on TB because it was not – despite being a global problem – on the radar of most people. That sounds like something I’d say about prisons and prisoners’ rights.

Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. A patient/prisoner receives a daily medical injection. The prisoners receive treatment through metal bars in order to give security to the nurses. Treatment is supervised by Partners in Health in partnership with the government TB program. James Nachtwey/VII

For more information on XDR-TB read the Action – Advocacy to Stop TB Internationally website, and the Center for Disease Control & Prevention website. For the most accessible and recent article, read Merrill Goozner’s 2008 Scientific American article about Russian Tuberculosis strains which also includes a audio segment with a clear explanation of the situation.

James Nachtwey, A TB patient/prisoner receives his daily oral medication at Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia.

A TB patient/prisoner receives his daily oral medication at Correctional Treatment Unit #1, a TB prison colony in Tomsk, Siberia. © James Nachtwey/VII.

James Nachtwey built his reputation as a combat photographer.

He was always reluctant to be the focus of media attention but after 5 Capa Gold Medals for War Photography he couldn’t escape the curiosity of Christian Frei who made the extraordinary film War Photographer. Nachtwey comes across as an articulate, self-isolated journalist-force devoted to his craft and courteously distant to others; here is a clip.

Nachtwey has done interviews here, here and here. Read an interview about his 9/11 pictures, and associated videos on Digital Journalist. The images were published in TIME.

He worked in Rwanda for his book Inferno.

View his TED Prize acceptance speech and the consequent October 2008 launch of his XDR-TB project and Flickr pool.

98 prisoners are kept in a cell measuring 25 square meters originally designed for 16 inmates. The longest-serving prisoner in one of these cells has been there for 5 years. The prisoners are locked up for crimes as varied as non-payment of alimony to murder. The long-timers sleep in hammocks up high, the newcomers on the floor. Temperatures reach 50 degrees celsius in the summer. The prisoners are the poorest members of society, have poor legal representation, and are disenfranchised from political representation as they have no vote.

Gary Knight, Private Photo Review

Overcrowding at Polinter pre-trail detention centre, Rio de Janeiro © Gary Knight, VII Agency

Overcrowding at Polinter pre-trail detention centre, Rio de Janeiro © Gary Knight, VII Agency

Originally published in Social Issues #42 last Autumn, Gary Knight‘s astonishing photography at one of the (now closed) overcrowded Polinter Prisons in Rio de Janeiro, Brazil. Polinters are temporary holding facilities used to house police detainees.

There’s a bit of back story in to Knight’s work in his interview with the Financial Times.

Two things intrigue me about this. Firstly, my research tells me this prison closed down late 2006/early 2007. Why has it taken so long for Knight’s photography to get even short coverage? Secondly, I am astounded by Knight’s answer to the question of how he secured access:

I was doing a project on poverty, and a photographer at O Globo newspaper in Rio introduced me to the governor of Polinter prison – a place with conditions so bad the governor herself was appalled. She wanted something to be done but she couldn’t really let in a photographer from a local paper. She felt more comfortable with a foreigner: I guess she thought that stories published overseas might put pressure on the government from abroad.

Can you imagine a reversal of this logic? That US prison wardens would accommodate foreign photojournalists more readily?

Knight does his part in bringing visibility to the situation, but that doesn’t affect the shut out experienced by local photographers. That said, it is a great example of the power of international photojournalist activity bringing new possibilities to bear.

Detailed information on the Polinter prisons is hard to come by. We should share Knight’s relief that the Polinter he photographed is now closed. Amnesty International mentioned it in its 2006 report on Brazil:

In Rio de Janeiro, human rights groups denounced conditions in the Polinter pre-trial detention centre. In August the unit held 1,500 detainees in a space designed for 250, with an average of 90 men per 3m x 4m cell. Between January and June, three men were killed in incidents between prisoners. Officials in the detention centre were also forcing detainees to choose which criminal faction they wished to be segregated with inside Polinter. In November the Inter-American Commission on Human Rights ordered the Brazilian government to take measures to improve the situation.

Finally, let’s consider with necessary dexterity the role that Pastor Marcos Pereira da Silva plays in all of this. He visits, evangelises, “foot-stomps”, exorcises evil and sends prisoners collapsing to the floor. Knight confesses a “real disquiet about him”. Supporters point to the fact that violence in Polinter has abated since da Silva’s visits, but Knight parries that its easy to influence the most vulnerable of groups.

I cannot bring myself to embed the video of the Pastor at work, but you can follow this link and thusly imagine him bouncing around the walls of a prison, agitating its population and putting on a show they’re not likely to witness again or even understand. I guess different eyes experience different wonder.

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UPDATE (06.01.2012): The Open Society Institute published ‪Justice Denied: Brazil’s Polinters, documentary video focusing on “the costs of excessive and unnecessary pretrial detention.”

The poor conditions are obvious. OSI describes the film as part of their broader work on “a Global Campaign for Pretrial Justice […] helping governments develop bail and supervision systems that can make pretrial detention an exception, and not the rule.”

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Gary Knight, born in England, started working as a photographer in Southeast Asia during the 1980s as Indochina emerged from bitter wars and the region came to grips with the end of Cold War. In 1993, he moved to collapsing Yugoslavia where he returned repeatedly from the siege of Sarajevo through the fall of Kosovo. Between assignments for Newsweek, he documented crimes against humanity.

After 9/11, he worked in Afghanistan and two years later independently followed U.S. troops into Iraq. He covered wars in the Middle East, Africa, Europe and Asia and other breaking news, but Knight’s central focus is on the survival of the world’s poor and fundamental human rights issues.

Knight is founding director of VII Photo Agency. He established the Angkor Photo Festival, is a board member of the Crimes of War Foundation, a trustee of the Indochina Media Memorial Foundation and Vice President of the Pierre & Alexandra Boulat Foundation.

His work, widely awarded, published in magazines, is in museums and private collections. He has initiated education programs with universities and voluntary agencies, and is the author of Evidence: War Crimes in Kosovo.

If you are going to spend time with anything though, make it dispatches, a superbly edited magazine co-founded by Kinght. It cuts to the core of the issues, the rest of us skirt from distance.

(Found via Travel Photographer)

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