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The image shows a handwritten note titled "Complication of Certives Diseases". It lists complications such as malabsorption, fat malabsorption due to steatorrhea, increased calcium oxalate stones leading to nephrolithiasis, weight decrease, and decreased absorption of B12 leading to anemia. It also mentions fistulas/abscesses, which can cause connections between organs, and fistulas like entero-vesical fistulas, leading to an increased incidence of UTIs. There is no indication in the image that it was taken in the city of Dar es-Salaam, Tanzania, or any other location.
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