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In this photo taken May 5, 2010, an operating room is seen after a three hour surgery on a man with gunshot wounds and who later died at the San Juan de Dios hospital in Guatemala City, Guatemala. Guatemala is one of the most violent countries in the hemisphere with over 50 murders for every 100,000 residents. In 2009 at least 6,451 people were killed, according to police. (AP Photo/Rodrigo Abd)

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