2011 Feature Picture Story
First Place - Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
Martinez is in her second cycle of chemotherapy and has had three operations since she was diagnosed with Acute Lymphoblastic Leukemia six months ago. This series chronicles her quinceanera. ..In this photo taken Tuesday Sept. 20, 2011, leukemia patient Maria Jose Martinez, 15, sits in Dr. Mercedes Arguello's office in the oncology area of La Mascota Children's Hospital in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Friday Aug. 26, 2011, leukemia patient Maria Jose Martinez, embraces her twin sister Maria Mercedes as she lies on her bed in her hospital room at La Mascota Children's Hospital in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Thursday, Aug. 25, 2011, a medicine drip is secured to the hand of leukemia patient Maria Jose Martinez as she tries on the dress she will wear to her Quinceanera, or 15th birthday party, in her hospital room at La Mascota Children's Hospital in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Thursday Aug. 25, 2011, leukemia patient Maria Jose Martinez tries on the dress she will wear at her Quinceanera, or 15th birthday party, in her hospital room at La Mascota Children's Hospital in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Monday Aug. 29, 2011, leukemia patient Maria Jose Martinez, reflected in the car's side view mirror, smiles as she sees her relatives and neighbors awaiting her arrival in La Cuchilla village during her temporary discharge from La Mascota Children's Hospital in order to celebrate her Quinceanera, or 15th birthday, at home in Matagalpa department, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Tuesday Aug. 30, 2011, Maria Jose Martinez, who has leukemia, center, is helped by her sisters Daysi, right, and Etelvina at their home in La Cuchilla village in Matagalpa department, Nicaragua, during her temporary discharge from La Mascota Children's Hospital in order to celebrate her Quinceanera, or 15th birthday, at home. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Saturday Aug. 27, 2011, leukemia patient Maria Jose Martinez, 14, wearing a wig, gets her make-up done in preparation for her Quinceanera, or 15th birthday celebration, at a hotel in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Saturday Aug. 27, 2011, leukemia patient Maria Jose Martinez is pushed in a wheelchair by her father Juan Jose through a line of cadets from Nicaragua's Military Academy during her Quinceanera, or 15th birthday celebration at a hotel in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Saturday Aug. 27, 2011, leukemia patient Maria Jose Martinez dances with a military cadet during a mass Quinceanera, or 15th birthday celebration, as her father, left, looks on at a hotel in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Saturday Aug. 27, 2011, leukemia patient Maria Jose Martinez, 14, sitting left, poses for a group portrait with other patients from La Mascota Children's Hospital as they celebrate their Quinceanera, or 15th birthday, at a hotel in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Sunday Sept. 11, 2011, Maria Jose Martinez, who has leukemia, center, cries due to pain as family members help her walk after a Mass celebrating her Quinceanera, or 15th birthday, during her temporary discharge from La Mascota Children's Hospital, in Las Cuchillas village in Matagalpa department, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press

First Place - 2011 Feature Picture Story
In this photo taken Saturday Aug. 27, 2011, leukemia patient Maria Jose Martinez is pushed by her father in a wheelchair through the oncology area of La Mascota Children's Hospital as she returns to her room after attending a group Quinceanera, or 15th birthday celebration, held for patients turning 15-years-old in 2011 in Managua, Nicaragua. "Maria's Quinceanera"
Esteban Felix/The Associated Press
Second Place - Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
The absence of trade monitoring for generic drugs in India left especially children and teenagers in a vicious and desperate circle of drug addiction. The Source.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Mohammed, an addicted boy at the age of 15, is watching closely while one of the older addicts prepares one of his daily injections. The Worst Role Model.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Mohammed, a 15 year old boy, slowly fades away after injecting on of his daily pharmaceutical cocktails consisting of different painkillers and antihistamines. Lost Childhood.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
A boy at the age of 16 is preparing one of his daily injections. The prescription only medicine is sold to them by shameless pharmacists. Focus on Pharmaceuticals.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Inside an injecting drug user outreach center a drawing shows the users where and where better not to inject. High Risks.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
A young addict sleeps in a run-down house after he passed out while shooting one of his daily pharmaceutical cocktails. Passed Out.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Kalu, a 19 year old addict is threatened with a utility knife by one of the older addicts. False Friendship.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Wasim, 16 years, talks to a psychological counselor of an orphanage in New Delhi. His life is marked by constant heavy drug abuse. Painful Memories.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Wasim, 16 year, is lying on the floor of their family room, his hands and feet tied behind his back, his younger brother watching him. Wasim’s Odyssey.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
A boy stands amidst the evening rush. A close by vegetable and fruit wholesale market is an ideal ground for any kind of illegal trafficking. Lost in Between.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Darminder, 17 years, is transported to a morgue. A few hours before he was brutally beaten by other addicts and left to die. Darminder Last Journey.
Enrico Fabian/Freelance

Second Place - 2011 Feature Picture Story
Two boys, 14 and 15, share a cigarette. Most of the children start their drug career with inhaling dilution or smoking heroin. Within the Mist of Uncertainty.
Enrico Fabian/Freelance
Third Place - David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
A poppy bulb oozes opium paste in a field in Badakhshan Province. To harvest opium, farmers score the bulbs and then wait for the sticky paste to dry before scraping it into containers. Most of the opium is pressed into bricks and sent to refineries to be made into heroin, which is then smuggled out of Afghanistan.AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Using eradication, interdiction, alternative farming, drug rehabilitation, and various economic programs, Afghan and international parters are trying rid Afghanistan of its opium... Afghan police use sticks to destroy a poppy field in Badakhshan Province. Despite such efforts, Afghanistan is the world's top opium supplier. The United Nations Office on Drugs and Crime estimates that Afghan opium kills more people worldwide—up to 100,000 per year—than any other drug. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Sunlight pours through shrapnel holes in a shipping container in Kabul where opium addicts gather to smoke. The numbers of Afghans addicted to drugs has risen sharply in the past five years. Only one in ten addicts receives any drug treatment, because programs are rare and underfunded. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Afghan police climb through a gorge as they search for poppy fields in the mountains of Afghanistan's Badakhshan Province.AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
A mother and her children weep as Afghan policemen flatten her poppy field in the mountains of Afghanistan's Badakhshan province during a raid in northeastern Afghanistan. According to the woman, her husband was killed by insurgents, and poppies are her only income.AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Khudadidad, age 37, smokes opium as his 2-year-old son Idrees sleeps in a hammock inside their home in the village of Sar Ab, Afganistan. The child became addicted after the family blew opium smoke into his mouth when he is sick because there are no medical facilities in the area. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Afghan recovering addicts put on new clothes and garlands of flowers to celebrate after graduation from a two-month-long opium and heroin rehabilitation program at the Jangalak center in Kabul. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
An Afghan opium addict has his head shaved as he is accepted into a two-week-long drug rehabilitation program at an Afghan-run clinic in Kabul. Because of limited numbers of beds and doctors at the center, only 5 addicts can enter the two-week program each week. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
Afghan migrant workers harvest wheat outside near Bagram, Afghanistan. More than six million Afghans lack enough to eat. Instead of direct food handouts, some aid groups are providing high-quality seeds, so wheat farms can increase yields. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
U.S. Marines unload bags of fertilizer from a truck at a combat outpost in Helmand Province as part of a program encouraging farmers to renounce poppies for alternative crops like corn and beans. The goal is to bolster agriculture rather than destroy poppy fields. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
A U.S. Marine's uses a handheld digital device to scan the iris of a farmer who cultivates poppies in Helmand Province, where most of Afghanistan's opium is grown. Coalition personnel use the scans and other biometric measurements to create identity cards that they compare against a security database. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press

Third Place - 2011 Feature Picture Story
A U.S. Marine in charge of the civil affairs area that communicates with local people and registers poppy farmers for fertilizer and seeds, rests near an elder awaiting news of his son, arrested for allegedly building roadside bombs. Restoring security will depend in part on reviving a once thriving agricultural economy—one that does not depend on opium. AFGHAN OPIUM WARS
David Guttenfelder/The Associated Press
Honorable Mention - Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
The impoverished community of Ulingan, a small squatter community in Vitas, Tondo, Manila, Philippines rely on the charcoal industry to survive.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Enrique and his friend collect wood for charcoal production in the heavy toxic fumes in Tambakan
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Precious sifts through charcoal in search of nails to sell at the junkyard where she will make 17 pesos, about 25 cents, which she must give to her elders.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Enrique drags a soggy box of wood to deliver to his father for charcoal production
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
A young boy uses his shirt to repel the toxic fumes after working in the charcoal pits collecting small bits of wood to sell to the corner shop. Many of the workers in Ulingan are small children. Some are teenagers and a few were even as young as six or seven
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Ate stands in the charcoal pits of Ulingan, a squatter community in the North Harbour of Manila, where families work as Ulingeros, or charcoal workers. Many of the workers in Ulingan are small children. Some are teenagers and a few were even as young as six or seven, unable to attend school because of poverty.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Portrait of Enrique in the Charcoal burning camp of Ulingan, in Vitas, Tondo, Manila.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Precious and Valerie resting after working in the charcoal pits collecting small bits of wood to sell to the corner shop. Many of the workers in Ulingan are small children.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
A young boy carries a sack of charcoal through the toxic fumes of Ulingan, or charcoal pit, in order to sell for a few pesos. Many of the workers in Ulingan are small children who are unable to attend school and forces to work due to poverty with no other means.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Christine washes the soot and charcoal off her body after a days work in the charcoal pits. Christine and her sister do not attend school and must work everyday to provide for their family..
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
A young girl listens to imaginary headphones as children pry nails from old wood to earn money for school.
Lisa Wiltse

Honorable Mention - 2011 Feature Picture Story
Boys from the squatter community of Ulingan swimming in effluent waters of the Pasig river in Manila Bay, Philppines
Lisa Wiltse