In the Rio Grande Valley, it’s hard to find anyone who hasn’t been touched by COVID-19.
The pandemic ravaged the region – an overwhelmingly Hispanic area, where poverty, poor health and close-knit families put them on a collision course.
Dr Ivan Melendez, from Hidalgo County Health Authority, describes how obesity and diabetes have contributed to the crisis.
Almost a third of residents are also uninsured, many are undocumented too, afraid to seek medical help.
“I hate cliches, but this was the perfect storm,” he said.
He’s spent months rushing around trying to co-ordinate the coronavirus response.
We start the day with him in a rare moment of quiet – his morning prayer at home.
But he’s soon off to visit Edinburg Regional Medical Centre, a hospital that’s skilfully and thankfully turned a corner.
Dr Ivan Melendez, from Hidalgo County Health Authority, says people have started to take the virus more seriously
They had to adapt when Texas opened up faster than many other states and a surge in infections followed.
We’re taken to what used to be a conference room and has been converted into an intensive care unit.
There’s little more than a handful of patients being intubated, but Dr Melendez said just weeks ago “it was filled to the brim with people everywhere”.
He believes the close-knit community has started to take the virus more seriously, wearing masks and social distancing.
Patient numbers have reduced significantly. But he’s conscious too, that may in part be because some of the most fragile people in the area “who were barely holding on, have just gone”.
Gustavo Ortiz is 55 and has pneumonia from COVID-19. But he’s also terrified his business will fall apart.
So many here are under intense financial pressure. It is a stark reminder of the health and wealth gap that pervades this country.
Another challenge that’s hit this area is the process of transporting the dead – the grim responsibility of Juan Lopez.
Like the doctors in the hospital, he’s seen a reduction in numbers. But he’s still shocked by the volume.
He said he’s still moving up to 20 bodies a day. “For the last six months, I’ve dealt with 1,000 bodies. I’ve lost count,” he said.
Juan Lopez says he has lost count of the bodies he’s had to move
Some have lost more than most of us could imagine.
Both of Priscilla Garcia’s parents died – just four days apart. She hasn’t been able to have a funeral for them yet.
“It’s really sad because it’s not normal to go through that. To mourn our parents and not be able to say goodbye to them,” she said.
Priscilla Garcia’s parents died four days apart
Funeral Director Tim Brown is doing all he can to support bereaved families. But they must mourn at a distance.
Two weeks ago he had 106 COVID-19 victims. Today, he has 69. It’s a decline, but he still feels overwhelmed.
“We went from normal business one day to knocking down walls. It’s taken a huge personal toll,” he said.
“I didn’t sign up to run bodies through homes. I wanted to care for my community… People are talking about first responders. But there’s a big movement of last responders.”
Funeral director Tim Brown says he is overwhelmed by the number of victims
:: Subscribe to the Daily podcast on Apple Podcasts, Google Podcasts, Spotify, Spreaker
Recently he’s been arranging the funeral for his friend, Jorge Cabrera, a celebrated police officer who died with COVID-19.
Colleagues and friends have to drive by the casket in their patrol cars, waving at his family to pay their respects.
It is deeply moving and deeply sobering.
Jorge is now one of more than 148,000 dead in this country.
More than six million have been infected. It is not a nation or a region out of the woods yet.