The Nicaraguan government offers free health care to all. The sign says "Health is a right of everyone and is free. Any charge is illegal." Unfortunately, the quality of care varies quite a bit, and the best care is obtained from private clinics ,which most people can't afford. Also, medication costs usually aren't covered, so many patients have to pay for their own. Because of this outbreak, the government is distributing free prophylaxis to help stop the epidemic, as well as treatment.
Secondly, the pictured building is Pinocho Preschool in Malpaisillo. It is currently full of patients in beds since the health center across the street is full. Most of the patients have either leptospirosis or dengue, though making exact diagnoses is difficult.
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