This is Bajo Chiquito, Panama — the first community where migrants arrive after walking for about a week through the jungle of the Darien Gap.
Hundreds of people people arrive here every day. The villagers pick them up in canoes.
Lorenny left her home in Venezuela with her husband, three children and in-laws. They spent some time in Peru before deciding to make the trek north towards the USA.
The trip through the jungle was brutal: She says they saw terrible things.
(Lorenny Zambrano, Venezuelan migrant)
"They told us that we would find the canoes at a certain point, but they lied. We had to walk four days in the jungle, where we saw dead and bloated bodies of animals and people."
After registering with Panama's immigration authorities, many come to the makeshift health center. Most suffer from severe dehydration, bruises and gastrointestinal ailments. Lorenny's husband has stones in his foot and her daughters have rashes and fungal infections. Her baby has also lost weight. But for Lorenny, the fear and threats she encountered were the worst.
(Lorenny Zambrano, Venezuelan migrant)
"They told us we had to pay a hundred dollars or they would take our children. When we said we didn't have any money, they said they were going to keep us there or rape one of the children."
Most of the people here tell us that on the Colombian side there are guides who take them through the jungle. The guides will also carry backpacks and provide medicine .They charge $350. For some, it's a price worth paying.
(José Saan, Ecuadorian migrant)
"Although the costs are sometimes quite high, they provided us with security all the way to the border. From the Colombian border into Panama, after the military barracks is where we had many problems. We were assaulted."
The canoes leaving Bajo Chiquito navigate four hours to the next Migration Reception Station. There, agents check their bags to confiscate dangerous objects and weapons. Conditions in the camp are better, thanks to the increased presence of international organizations, although some say serious issues remain.
(Woman carrying child)
"Here, we now have problems with food. The food is going bad, there are children who are sick."
This tent is a place for children to feel safe, to play and receive psychological care to overcome the trauma of the trip. More and more children are arriving alone.
(Margarita Sanchez, Unicef coordinator)
"Year to year it's more than tripled, more than 3,000 unaccompanied or separated children have already passed through.
It's a question of survival, when their moms or dads can no longer walk."
As awful as conditions are, these people are the lucky ones to have survived the dangers of the Darien Gap.