An old man, weakened by malnutrition. This would appear to be in its early stages, as there appears to be no evidence of skin lesions or ulceration. However, it would appear clear that this patient has severe tissue wastage and a declining metabolic rate, indicated by apparent apathy. This is the body's defence mechanism in the face of lack of food, the little available energy being channelled to vital functions. Photographed at the Merca refugee camp, Somalia.
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