Across Africa, cancer medications have been found to be substandard or counterfeit. That means people are being given medicine that may not work, or that could even cause them harm.
Archived version: https://archive.is/newest/https://www.dw.com/en/nearly-20-of-cancer-drugs-defective-in-4-african-nations/a-73062221
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I think it was supposed to portray second hand/dubious origin medications being sorted through rather than a pick n mix.
Undoubtedly there was art direction but I expect that from pretty much every photo ever taken.
Either way I think it would be on the articles author for the picture choice rather than the photographer. I don’t think Getty lets you deny who gets to use your photos.
When Oxford was about to liberate its covid vaccine recipe to enable local production in the global south, bill gates swooped in to talk them down. One of his arguments that ultimately won the day is that global south people are too stupid and irresponsible to be in charge of important medicine like that.
This photo is staged to reinforced that kind of stereotype.