access to medical care , necessities , food , and more . Currently , depending on their location , residents of Chocó who are in a medical emergency and who do have access to vehicular transport , face an unpredictable journey . This trip could take several hours to several days , depending on their starting point . This is provided that the existing small roads aren ' t flooded , shut down , or otherwise blocked ; some remote indigenous communities have no other option than to canoe or boat by river to Quibdó , a trip which can last anywhere from two days to a week . For those needing more advanced services , Medellín is the closest major city to the capital , Quibdó . Often , a family ’ s resources , along with the patient ’ s potential physical condition , will prevent medical help being sought out ; in August 2016 , Colombian media reported that some 50 children starved in less than three months , creating awareness of the grave condition Choco ’ s inhabitants are facing . That same year , an additional 10 adults and senior citizens of the indigenous Chocó community died due to preventable causes such as malaria and diarrhea .[ 5 ] There is no reliable electrical grid , sewage system or drinkable water ( even in the capital Quibdó ). In spite of the department ’ s ranking of “ world ' s rainiest lowland ” ( the Chocó – Darién moist forests ecoregion ), with close to 400 inches ( 10,000 mm ) of annual precipitation , Quibdó lacks sanitary drinking water . Additionally , Chocó is one of the most violent and corrupt-government territories in Colombia . In 2016 , there were 30 murders per 100.000 habitants , and thousands of people have been displaced by violence in a region with lucrative criminal economies in drug trafficking and illegal gold mining . Furthermore , the Colombian armed conflict has increased the vulnerability of the communities and ecosystems in these territories .
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