Concerns about human rights and the environment are constantly swirling around the community and mine.

• As the mine was being established in 2005, the community of Sipakapa organized a referendum: The majority voted against allowing mining in their community. Neither the government nor the mine company Goldcorp respected the results. (In 2007 Guatemala's Constitutional Court ruled the referendum was non-binding.)
• By 2008, four different pension funds in Canada and Sweden requested a "human rights impact assessment." This independent report found that the company had not carried out adequate consultation with communities prior to establishing the mine, a violation of the International Labor Organization's Convention 169 Concerning Indigenous and Tribal Peoples, and the right to "free, prior, and informed consent."
• E-Tech International carried out a water study in 2010 that recommended more aggressive management and monitoring of water sources, as well as for a bond to cover cleanup costs after the mine is closed.
• A 2010 environmental health study by experts from the University of Michigan, University of Illinois, and Physicians for Human Rights found heavy metals in rivers downstream from the tailings dam, and called for ongoing monitoring.
• In 2010 the Inter-American Commission for Human Rights issued a set of "precautionary measures" that ask the government suspend mining at Marlin while the government carries out investigations into the pollution and human rights violations.
• The United Nations recently confirmed that the mine did not adequately discuss its plans with local people when it was established: "…the Marlin project was not subject to consultation with indigenous communities," says James Anaya, a special rapporteur appointed by the UN to look at the human rights situation of indigenous people in the country. His report was issued in June of 2011.
• A new cost-benefit analysis by the Tufts University Global Development and Environment Institute finds that the government of Guatemala is getting a relatively small share of profit from the mine: 42 percent of total mine revenues, which is "substantially below best practice in global mining operations." The bulk of revenues and earnings "flow overseas to the company and its shareholders." Local communities, the report says, "bear 100 percent of environmental risk." The conclusion: "...the economic benefits of the mine to Guatemala and especially to local communities... are meager and short-lived."
• Fifteen members of the US Congress sent a letter to the President Colom of Guatemala, urging him to immediately suspend operations and address the concerns of the indigenous communities affected by the mine.

The Marlin Mine now produces more than 300,000 ounces of gold a year.

Conflict and Violence

Critics of the mine in Guatemala and international experts are calling on the government and Goldcorp to accept the precautionary measures issued by the IACHR and suspend operations at the mine. It's a risky stance for local people to take: Amnesty International has noted cases of beatings and death threats against members of the San Miguel Defense Front(known by its Spanish initials, FREDEMI). Community members also report shootings and attempted shootings against mine critics. Aniceto López, a coordinator who works for FREDEMI was beaten in February 2011, along with Miguel Ángel Bámaca, a farmer and public health promoter.

The insecurity is "the worst thing affecting our community now," says Bámaca, who was also shot at late at night in July 2010, just outside his home. Like many other FREDEMI members, he is not comfortable publicly identifying his attackers. He says those who wish him ill "know what we do, where we live, when people meet...they know everything," Bámaca says."Who will help us?" The government, the courts, the police, they are not helping."

Adding to concerns about the environment and security, the ethnic Maya Mam people living in the area consider industrial mining as a form of disrespect for their religion and culture, which worships nature and Mother Earth. "Our spirituality, our vision is that there is harmony between nature, people, and God, we are together and there is balance in our lives," says Maudilia López, an indigenous woman who works for the Catholic church in San Miguel Ixtahuacán. "This mining activity puts our cultural values in danger."

Action in defense of indigenous rights

After the IACHR issued its precautionary measures urging the government to suspend operations at the Marlin Mine, the government initially agreed to do so, then later claimed it did not have enough evidence of environmental damage and human rights violations. Oxfam America has been collecting signatures on an electronic petition urging the government to suspend mining at the Marlin Mine and investigate the human rights violations and environmental problems linked to the mine.

Dr. Almendares is a renowned defender of human rights and the environment. He has a long trajectory of work in the poorest communities of his country, providing people with free health care, organizing them, and passing on his knowledge. In his academic career, he has directed research at prestigious universities and institutions, including the University of Pennsylvania, Harvard University, and the Cardiovascular Research Institute in San Francisco. In his own country, he has dedicated himself to the sciences, first as a professor at the Medical School, later as its dean, and eventually as rector of the Autonomous National University of Honduras.

After the award ceremony we spoke with Dr. Almendares:

What does it mean to you to be nominated and then elected for this prize from InterAction?

I accepted this recognition as a noble and generous act by the organizations in the United States, and also as an act of solidarity with the people we are working with to build a better world that is more respectful of human rights and environmental justice. This honor has been a great act of moral support for me in the face of the all the risks we take in order to defend the life and dignity of human beings and to provide for a great love of humanity and our planet earth.

What inspired you to study medicine?

My greatest inspiration was my mother. I call it the theology of dreams. When my mother was pregnant she dreamed she was in paradise and that I worked with plants, the environment, and serving humanity. I come from a poor family. We lived in a poor neighborhood plagued with alcoholism, prostitution, and violence. Thanks to my mother's advice, I didn't get involved in all that. She never physically or psychologically abused me and she taught me a culture of non-violence. But it was a struggle to make it out of that environment. When I was in college sometimes I went hungry. I was malnourished and anemic. When I it was my turn to spend six months in bed, I learned what it meant to be a patient, and that as a doctor, one must be humble. When I graduated from the university with a degree in medicine, I had three callings: to work on behalf of the poor, to educate, and to dedicate myself to science.

These callings led you to establish various projects aimed at improving people's lives...

For many years we have run a clinic for poor people where we provide free medical attention. Mostly we work with the urban poor residents of Tegucigalpa and with indigenous people in some of the most remote communities in the country, where doctors rarely venture. In addition to providing medical attention, we do organizing work. For example, we work with 26 communities in the Tegucigalpa urban areas. We organized the women in these communities into a committee called the Honduran Committee for Peace. Now they have family gardens. Also, with the support of a Canadian organization, we have constructed more than 200 tanks to store the water that they get only once a month. We held natural medicine workshops to teach women how to treat common illnesses themselves. For example, chamomile, mint, and linden flower teas, and massage techniques, can relieve stress and tension. We have taught them how to treat a cough or diarrhea. We are also concerned about the environment and founded the Madre Tierra [Mother Earth] movement. Now we are working on a reforestation project. We asked the kids in the program how many trees they would like to plant. The told us one million trees. So, with the dream of planting a million trees, we are working with them in the poorest neighborhoods. We have already planted more than 15,000 trees and within this movement we have created a school of sorts, where kids are learning how to care for the environment and their health.

How is your work related to Oxfam America's work?

Through our work with Madre Tierra, we have been involved with Oxfam on the issue of mining. Madre Tierra has been studying the health impacts of heavy metals. We have been conducting research for five years in the Siria Valley region of Honduras, where there is a large mine. With the help of a Harvard student, we were able to get baseline data on the health conditions in the community prior to the mine, in order to make a before and after comparison. We go to the communities to conduct research and clinical exams and what we have noticed, interestingly, is that it is mostly the women who are ill, not the men who work in the mines. The women use the water often, to cook, clean, and wash clothes. We have seen many health problems in their skin, eyes, and nervous and respiratory systems. Oxfam America has helped a lot by providing us with information on technical and ethical issues. It has worked on a broad scale in many different areas.

In all these years that you have spent working with the poorest of the poor, have you seen any changes in the people, their situation or policies?

Yes, we have seen changes. The people have a better perception of their situation; they are more aware. This allows them to dissent and make demands of the authorities if they disagree with decisions they make. We also work in human rights. We have a center for torture victims and violence prevention, inspired by the teachings of Gandhi, Martin Luther King, and Francisco Morazán [Morazán, a Honduran politician and defender of democracy, was the last president of the Federal Republic of Central America in the mid-1800s]. We have been able to promote a message of non-violence with government institutions, which we see as directly related to the issue of health. We advocated for the government to incorporate mental health issues in its human rights agenda and women's rights into the health agenda. The government also approved and ratified The United Nations Convention Against Torture.

Your work presents you with some of the toughest situations in your country. What motivates you to keep going?

Despite it all, I always maintain great optimism and a love for the earth. I appreciate the cooperation from the international community. I have found great human beings in all the continents: Africa, Europe, Asia, and America. I am very grateful for this. We must always have love and compassion among us and with all that we do.

According to an Associated Press story, President Correa publicly pledged government support for the case, which began nearly 10 years ago in the United States and was thrown out on appeal in 2003. Since then the court in Ecuador has been conducting judicial inspections of polluted areas, gathering evidence a judge will use to make a decision, possibly in the next year.

During the same week, indigenous leaders representing the people affected by the pollution in the Orellana and Succumbios region of Ecuador attended the annual meeting for shareholders of ChevronTexaco in California. Humberto Piaguaje, a leader of the Secoya indigenous people, called for the company to resolve the case and help clean up the environment. "We want you to give us back our lives," Piaguaje said. "We want you to let us live in peace and harmony with nature. We want you to repair the damage so that our children do not have to continue suffering."

Oxfam America has supported the Amazon Defense Front's legal case for nine years, and assisted in the creation of the Assembly of Delegates of Communities Affected by Texaco, a community-based organization that has ensured those most directly affected by the pollution have a voice in the legal strategy.

"We think it is positive that President Correa has declared his support of those affected by pollution in the Lago Agrio region," said Javier Aroca, who coordinates programs related to indigenous rights for Oxfam America in South America. "We consider this is a signal that the government is interested in investigating and sanctioning those who are responsible."

"It is important to remember that the people affected are demanding compensation for almost 10 years now," Aroca said. "The pollution has affected the health of indigenous peoples and peasants... there have been cases of skin diseases and cancer. Furthermore, the lands are not as productive as they used to be, which has affected the agricultural economy. From our point of view, the government of Ecuador should support the affected population to complete the legal procedures, which are very expensive."

A win for the Amazon Defense Front in this precedent-setting case could change the landscape of the oil industry, and further establish the rights of communities to be compensated for negative social and environmental effects of oil operations.