The little girl does not smile. She doesn't have the energy. Hopefully she will soon.
She is in a rehabilitation clinic in Jocotan, Chiquimula, a province in the far east of Guatemala, near to Honduras. Her name is Domitila, she is nine years old. Her body is emaciated, she is fragile. Patches of her hair are missing, the veins in her legs show through her skin. Her face has a perpetual look of sorrow – the muscles are too weak to change expression. Other children in her family were in similar shape, the nurse tells me.