A Shot in the Dark
They're dangerous, surprisingly expensive, and they don't always work. Yet for many Hispanic women, black-market injections are the contraceptive method of choice.
Cover Story
The names and some of the identifying details of the women who take or administer clandestine injections have been changed.
Nobody asks who she is or what she wants when Isabel Alvarez shows up on the stoop of a Cardozo apartment building on a stifling afternoon in July. Isabel, like many of the building's tenants, is Salvadoran, and her face is familiar. The people on the stoop know—or at least guess—that she is here because it's that time of the month: time to visit the woman. And so, without inquiring, one of them buzzes her inside.
Isabel is here to see Sylvia, a curandera, or healing woman, who traffics not in herbs but in an injectable pharmaceutical. Sylvia peddles the shots from an apartment on the building's first floor, a fact that's generally known to her neighbors if not to the world at large. Isabel, who has been visiting Sylvia at four-week intervals for nearly a year, heads straight for her door and knocks. Sometimes Sylvia is out, and Isabel must come back later the same day. Today, though, the door opens right away.
“Hola,” says Sylvia, seeing that it is Isabel.
“Hola,” Isabel replies.
The noise from the corridor subsides as the two make their way to the back bedroom of Sylvia's apartment. Sylvia asks Isabel how she is feeling; Isabel replies that she's feeling fine. According to Isabel—who later describes the scene at my request—Sylvia then removes a slim package from a cabinet on the wall. She opens the package and extracts a needle and syringe.... Continued
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