"You were out some place, with tourists, very late. Then you were at Qasim Ali, his house, until late last night. Then you were also gone today, from very early. You were not here. At the first I thought it was just a loose motions. But she is very sick, Linbaba. I tried three times to get her in the hospital, but they will not take her."

"She has to go back to hospital," I said flatly. "She's in trouble, Jeetu."

"What to do? What to do, Linbaba?" he whined, tears filling his eyes and spilling on his cheeks. "They will not take her. There are too many people at the hospital. Too many people. I waited for six hours today altogether-six hours! In the open, with all other sick peoples. In the end, she was begging me to come back to here, to her house. So ashamed, she was. So, I came back, just now. That's why I went searching for you, and called you only.

I'm very worried, Linbaba."

I told him to throw out the water in his matka, wash it out thoroughly, and get fresh water. I instructed Chandrika to boil fresh water until it bubbled for ten minutes and then to use that water, when it cooled, as drinking water for Radha. Jeetendra and Johnny came with me to my hut, where I collected glucose tablets and a paracetamol-codeine mixture. I hoped to reduce her pain and fever with them. Jeetendra was just leaving with the medicine when Prabaker rushed in. There was anguish in his eyes and in the hands that grasped me.

"Lin! Lin! Parvati is sick! Very sick! Please come too fast!"

The girl was writhing in the spasm of an agony that centred on her stomach. She clutched at her belly and curled up in a ball, only to fling her arms and legs outward in a back-arching convulsion. Her temperature was very high. She was slippery with sweat. The smells of diarrhoea and vomit were so strong in the deserted chai shop that the girl's parents and sister held cloths to their mouths and noses. Parvati's parents, Kumar and Nandita Patak, were trying to cope with the illness, but their expressions were equally helpless and defeated. It was a measure of their despondency and their fear that dread had banished modesty, and they allowed the girl to be examined in a flimsy undergarment that revealed her shoulders and most of one breast.

Terror filled the eyes of Parvati's sister, Sita. She hunched in a corner of the hut, her pretty face pinched and cramped by the horror she felt. It wasn't an ordinary sickness, and she knew it.

Johnny Cigar spoke to the girl in Hindi. His tone was harsh, almost brutal. He warned her that her sister's life was in her hands, and he admonished her for her cowardice. Moment by moment, his voice guided her out of the forest of her black fear. At last she looked up and into his eyes, as if seeing him for the first time. She shook herself, and then crawled across the floor to wipe her sister's mouth with a piece of wet towelling. With that call to arms from Johnny Cigar, and the simple, solicitous gesture from Sita, the battle began.

Cholera. By nightfall there were ten serious cases, and a dozen more possible. By dawn the next day there were sixty advanced cases, and as many as a hundred with some symptoms. By noon, on that day, the first of the victims died. It was Radha, my next door neighbour.

The official from the Bombay Municipal Corporation's Department of Health was a tired, astute, condolent man in his early forties named Sandeep Jyoti. His compassionate eyes were almost the same shade of dark tan as his glistening, sweat-oily skin. His hair was unkempt, and he pushed it back frequently with the long fingers of his right hand. Around his neck there was a mask, which he lifted to his mouth whenever he entered a hut or encountered one of the victims of the illness. He stood together with Doctor Hamid, Qasim Ali Hussein, Prabaker, and me near my hut after making his first examination of the slum.

"We'll take these samples and have them analysed," he said, nodding to an assistant who filed blood, sputum, and stool samples in a metal carry case. "But I'm sure you're right, Hamid.

There are twelve other cholera outbreaks, between here and Kandivli. They're small, mostly. But there's a bad one in Thane- more than a hundred new cases every day. All the local hospitals are overcrowded. But this is not bad, really, for the monsoon. We hope we can keep a cap on it at fifteen or twenty infection sites."

I waited for one of the others to speak, but they simply nodded their heads gravely.

"We've got to get these people to hospital," I said at last.

"Look," he replied, glancing around him and drawing a deep breath, "we can take some of the critical cases. I'll arrange it.

But it's just not possible to take everyone. I'm not going to tell you any lies. It's the same in ten other hutments. I've been to them all, and the message is the same. You have to fight it out here, on your own. You have to get through it." "Are you out of your fucking mind?" I snarled at him, feeling the fear prowl in my gut. "We already lost my neighbour Radha this morning. There's thirty thousand people here. It's ridiculous to say we have to fight it out ourselves. You're the health department, for God's sake!"

Sandeep Jyoti watched his assistant close and secure the sample cases. When he turned back to me, I saw that his bloodshot eyes were angry. He resented the indignant tone, especially coming from a foreigner, and was embarrassed that his department couldn't do more for the slum-dwellers. If it hadn't been so obvious to him that I lived and worked in the slum, and that the people liked me as much as they relied on me, he would've told me to go to hell. I watched all those thoughts shift across his tired, handsome face and then I saw the patient, resigned, almost affectionate smile that replaced them as he ran a hand through his untidy hair.

"Look, I really don't need a lecture from a foreigner, from a rich country, about how badly we look after our own people, or the value of a human life. I know you're upset, and Hamid tells me you do a good job here, but I deal with this situation every day, all over the state. There are a hundred million people in Maharashtra, and we value them all. We do our best."

"Sure you do," I sighed in return, reaching out to touch his arm.

"I'm sorry. I didn't mean to take it out on you. I'm just... I'm way out of my depth here and... I guess I'm scared."

"Why do you stay here, when you can leave?"

It was an abrupt question, under the circumstances, and almost rude. I couldn't answer it.

"I don't know. I don't know. I love... I love this city. Why do you stay?"

He studied my eyes for a moment longer, and then his frown softened again in a gentle smile.

"What help can you give us?" Doctor Hamid asked.

"Not much, I'm sorry to say." He looked at the dread in my eyes, and heaved a sigh from the hill of exhaustion in his heart. "I'll arrange for some trained volunteers to come and give you a hand.

I wish I could do more. But I'm sure, you know, I'm sure that you all can handle it here-probably a lot better than you think, just at this moment. You've already made a good start. Where did you get the salts?"

"I brought them," Hamid answered quickly, because the ORT salts had been supplied illegally by Khaderbhai's lepers. "When I told him I thought we had cholera here, he brought the ORTs, and told me how to use them," I added. "But it's not easy.

Some of these people are too sick to hold them down."

ORT, or Oral Rehydration Therapy, had been devised by Jon Rohde, a scientist who worked with local and UNICEF doctors in Bangladesh during the late 1960s and early 1970s. The oral rehydration solution that he developed contained distilled water, sugar, common salt, and other minerals in carefully mixed proportions. Rohde knew that what kills people who are contaminated with the cholera bacterium is dehydration. The ugly fact is that they shit and vomit themselves to death. He discovered that a solution of water, salt, and sugar kept people alive long enough for the bacterium to pass through their systems. Ranjit's lepers, at Doctor Hamid's request, had given me boxes of the solution. I had no idea how much more of the stuff we could expect to receive, or how much we would need.