Touching the border of Birbhum in West Bengal , in this abjectly poor district of Sahebgunj in Jharkhand the story of despair is stark. In the black stone mines of Pakur and beyond, run the dark narratives of Kala Azar, silicosis, malaria, tuberculosis and rampant malnourishment. Poverty stares brazenly but there is not even the shadow of a government or relief for the people.