Health & Hygiene The children and people of Huacaria have spent decades suffering from poor health. The village water supply was sourced from a contaminated stream, sanitation was virtually non existent, and the community lacking culturally appropriate health care from the local health post. This had taken a toll on the health of the children and families. Upon our arrival in Huacaria in 2003 it was not difficult to see that the health of the children was weak due to contaminated water, poor sanitation conditions, lack of culturally appropriate health care and education, and viruses brought in from outside tourists. Varying degrees of malnutrition, diarrhea, chronic respiratory infections, intestinal parasites and fungal infections, anemia, hepatitis B, protein and vitamin deficiencies, and tooth decay were the leading causes of health problems among children. The parasite problem was critical and babies and children often vomited up large amounts of worms after receiving anti-parasite medicine. Most families in Huacaria only went to the local health post as a last resort when their health or the health of their children reached a critical point. Their past experiences with the local health post were problematic as the health care workers made little effort to understand the special needs of indigenous peoples, or to communicate with them in context to their customs and beliefs. These professionals often brought with them cultural stereotypes that commonly believe Indians are at the lowest rung of the social ladder. As the health of the people improves in Huacaria, a better dialogue has emerged between health care professionals and community members that allowed trust and mutual cultural understanding to develop. However, this relationship will continue to require a dedicated effort from both parties. Health Achievements: Over four years (2004 - 2007), reported cases of diarrhea decreased by 45%, and infestations of whip worm, hook worm and strongyloides (the most dangerous intestinal parasites) have decreased by 95%. Anemia in children under the age of 15 has decreased by 8% and malnutrition in children has decreased by 18%. Mothers no longer wait until their child is critical to seek medical attention.