“…[11][12][13] First, alluvial gold-rich areas are located in zones that are in dispute or occupied by indigenous communities. 4,5,[11][12][13][14][15][16] Second, gold mining has not been a viable solution to the economic hardships experienced by indigenous communities who face barriers in access to adequate health care, education, and employment opportunities. 12,13 Some communities experience greater health disparities (e.g., alcoholism, domestic abuse, rape, child prostitution, illicit drug use) despite the increased income to the local economy.…”