A member of the National Police stand guards during the incineration of illegal drugs in Panama City on Nov. 23.

Anti-narcotics police officers destroy confiscated drugs before incinerating the them in Panama City on Nov. 23.

Inmates stand by a door at La Esperaza Jail in San Salvador.

Inmates walk out of their cells after the morning counting at La Esperaza.

Inmates walk in line at La Esperaza Jail in San Salvador.

Inmates participate in a religious service at La Esperaza Jail.

An inmate carries tortillas for breakfast at La Esperaza Jail.

Inmates wash themselves at La Esperaza Jail in San Salvador.

Handcuffs hang from a wire netting at La Esperaza Jail in San Salvador.

Members of a rescue team help a relative of a missing person as authorities continue the search for victims & survivors of an earthquake in San Marcos, Guatemala, on Nov. 8, 2012.

Firefighters use heavy equipment to search for people feared buried at a sand mine in San Marcos, Guatemala, on Nov. 8.

A woman looks at one of the coffins of the ten members of the Vazquez Gomez family killed in the earthquake in San Cristobal Cucho, about 155 miles south of Guatemala City on Nov. 8, 2012.

A man walks past debris on Nov. 8, the day after earthquake in San Marcos, Guatemala.

Carlos Daniel Gonzalez, 6, shows authorities the way he hid from unknown gunmen that killed his parents and other relatives in the municipality of Villa Canales on Oct. 9.

Carlos Daniel Gonzalez holds his sister Izabel as they are accompanied by authorities after unknown gunmen killed their parents and other relatives in Villa Canales, Guatemala, on Oct. 9.

Two ducks pass by the crime scene where unknown gunmen killed seven members of a family, including two minors, in the municipality of Villa Canales, Guatemala on Oct. 9.

Carlos Daniel Gonzalez, 6, shows authorities the way unknown gunmen killed their parents and other relatives in the municipality of Villa Canales, Guatemala, on Oct. 9.

Segundo Zapata Palacios' daughter hugs his body as his children mourn for him inside their home in Chichigalpa, Nicaragua, Jan. 26. Zapata, who worked as a sugar cane cutter for 20 years at the San Antonio sugar plantation, died of chronic kidney disease on Jan. 26 at age 49. From left to right are his children Laura Maria, Ababell Paola, and Hector Danilo. A mysterious epidemic is devastating the Pacific coast of Central America, killing more than 24,000 people in El Salvador and Nicaragua since 2000 and striking thousands of others with chronic kidney disease at rates unseen virtually anywhere else. Many of the victims were manual laborers or worked in the sugarcane fields that cover much of the coastal lowlands.

Left: A sugar cane cutter smokes a cigarrette as he rests from cutting cane in the fields, Jan. 20. Center: Sugar cane cutters work as smoke from burning cane rises behind them in the fields of the San Antonio sugar plantation in Chichigalpa, Nicaragua, Jan. 27. Right: A sugar cane cutter drinks an electrolyte solution supplied by his employer at the San Antonio sugar mill in Chichigalpa, Nicaragua, Jan. 20.

In this Thursday, Jan. 19, 2012 photo, former sugar cane cutters Juan Cruz, 50, right, and his brother Hilario Perez Cruz, 30, pose for a portrait in their home in Trohilo, Leon, Nicaragua. Both Juan and Hilario suffer chronic kidney disease and can no longer get hired by the sugar mill due to their illness.

Ernestina Aleman, right, watches over her son Jesus Ignasio Flores, who suffers chronic kidney disease, as he rests in his bed in Chichigalpa, Nicaragua, Jan. 4. Flores, 51, who died of chronic kidney disease on Jan. 19, worked as an irrigator and construction worker for 23 years at the San Antonio sugar plantation and mill.

Segundo Zapata Palacios rests in a hospital as his wife Emma Vanegas sits at his bedside in Chinandega, Nicaragua, Jan. 24. Zapata, who worked as a sugar cane cutter for 20 years at the San Antonio sugar plantation, died two days later of chronic kidney disease.

The body of Segundo Zapata Palacios is driven to the cemetery during his funeral procession past the sugar cane fields where he worded in Chichigalpa, Nicaragua, Jan. 27.

In this Friday, Jan. 27, 2012 photo, Wilson de Jesus Zapata is embraced by his wife at the tomb of his father Segundo Zapata Palacios after his burial at the cemetery in Chichigalpa, Nicaragua.

Francisco Milcoc hoists an oil palm fruit to the top of a trailer truck at a plantation in Sayaxche, Guatemala.

An oil palm plantation worker sharpens his machete that he uses to loosen fruit bunches of the African oil palm in Sayaxche, Guatemala.

Felipe de Jesus, 20, hauls bunches of fruit from the African oil palm at a plantation in Sayaxche, Guatemala.

An ox pulls a cart filled with the fruit of the African oil palm, along a plantation dirt road in Sayaxche, Guatemala.

Fruit bunches from the African oil palm are transported from a plantation to an extraction plant, in Sayaxche, Guatemala.

Oil palm plantation workers are transported back to their pickup point after a day of work in Sayaxche, Guatemala.