Tierra Caliente, Norte and Centro, together with the city of Acapulco, are the most violent areas in the state of Guerrero (and therefore some of the most violent in Mexico). MSF works in these areas, including Acapulco, in 11 communities which, as victims of crime and of the lack of resources, do not have enough medical coverage. They are territories disputed by organised crime gangs for the control of routes, the municipal seats, and subjugation of the people who they extort through protection racketeering, forced recruitment and “tax” collections. Some of these territories have seen their schools closed. And others have also seen their doctors leave for good.