Dennis, age 19
"When we get sick we go to the hospital and get treated for
dust. Many of us suffer from TB. We work in close quarters, leading to the TB. Many of us smoke marijuana and chew miraa because we can't work without it – it gives us energy. We get local painkiillers – but if they don't work, we use illicit brew, changa, to help against the pain and misery we feel from doing this work. Changa is brewed using water which is boiled and then distilled. We mix with sugar and molasses but it can be very dangerous. We chew miraa so that when we work we won't get tired easily".