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Several people gather outside of homes on stilts in the remote indigenous Miskito village in Krin Krin, Nicaragua, located on the Rio Coco. Lumber for homes are cut and sized by hand, using machetes, axes and saws. A typical one-room house will be home to anywhere from three to six families. The area continues to struggle with famine, preventable diseases, lack of clean drinking water, and no access to healthcare, worsened by crop failure in recent years.