The Drugs Don't Work

James Nachtwey for TIME

Patients in a TB isolation ward in impoverished Bihar state, which has one of India's highest infection rates

A girl swings her legs from the examination table and glances out the small square window of the doctor's office. The breeze rolling in off Mumbai's Mahim Bay ruffles the papers on the desk, where the girl's grandmother has laid out her upturned hands imploringly. "Please help," she says to Dr. Zarir Udwadia, a chest doctor. "I don't know what to do."

Udwadia glances through the papers that document the family's months of attempts to treat the girl's virulent case of tuberculosis. A lab has just delivered the test results that explain...

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