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Pamela dos Santos Pereira, a 33-year-old mother of six, stands in her home's doorway holding her one-month-old child Joao, with Debora, 4, and Issac, 6, in Brasiliandia, one of the poorest neighborhoods of Sao Paulo, Brazil, on Sept. 29, 2022. (AP Photo/Victor R. Caivano)