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Denis Aguindo, 14, stands in his families stable in Loam Tigre, a Quechua community outside Sacha. His mother Bertha says he’s had the skin rash all his life and remembers when she would bathe her children in the Queinchajota River, which was contaminated. It’s said that respiratory infections, skin rashes and chronic gastritis are most common in the region, along with high rates of cancer