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    Their house, like those of many of their neighbors, discharges its raw sewage via long, aging "straight pipes" that release the effluent aboveground, where it sits in fetid open-air pools.

That's unreal. If you'd asked me ten minutes ago if anyone outside of some hermits had their sewage released above ground, I'd have said no, nowhere in America does a home have their sewage release on the surface. I guess I knew there was extreme poverty in areas like this, but I never would have guessed basic societal obligations like this go unaddressed.