A resident wades in the garbage-littered waters of the Sao Joaquim canal in the Barreiro neighborhood of Belem, Brazil, Wednesday, Aug. 9, 2023. According to the Instituto Trata Brasil, specializing in research of basic sanitation and water protection, Belem has one of the worst sanitation rates in Brazil, with a sewage system available to only 17.1 % of its residents. (AP Photo/Paulo Santos)