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By the time 38-year-old Irene Munduruku was rushed to a hospital in northern Brazil last year, she could not move her arms and legs. Her husband Jairo Munduruku recalls she was unable to speak or open her eyes.
Doctors told Jairo his wife had tumors in her liver and right lung, but he doubted that cancer was the only cause for her illness.
Recent testing showed Irene's blood with one of the highest levels of mercury in their village of Sawré Aboy, by the banks of the Tapajós river in the Amazon rainforest. He suspected illegal gold mining had something to do with her illness.
Wildcat gold mining has expanded fast in Brazil, where the relaxing of environmental controls under far-right President Jair Bolsonaro has emboldened thousands of miners to invade constitutionally protected indigenous lands since 2019.
Brazil's National Mining Agency estimated that year that wildcat gold miners were extracting some 30 tonnes of gold annually from the Tapajós watershed alone, using the toxic heavy metal mercury to separate gold from sediment.
Driven by sprawling mining camps, deforestation in the indigenous reservation that is home to most of the Munduruku has tripled since Bolsonaro took office, according to government satellite data.
"Since 2019, there has been an immense increase in activity in the region with the opening of new gold mines," said Carol Marçal, a spokesperson for Greenpeace Brazil's Amazon Campaign. "Preventative efforts exist, but little has been done to get illegal gold miners out of the area."
Bolsonaro has called for more mining and commercial farming on indigenous land, pushing a bill to lift legal restrictions and - critics say - emboldening miners breaking existing law.
The presidential press office did not reply to a request for comment. Federal indigenous agency FUNAI said it was working to protect tribal reservations including the Munduruku's and referred questions about their illnesses to indigenous health agency SESAI, which did not answer a request for comment.
Munduruku community leaders told Reuters they fear the advance of illegal mining will poison their rivers, robbing them of their traditions and saddling them with chronic illness.
Irene Munduruku returned home in June, but her condition has deteriorated and she is scheduled to return to hospital this month. Jairo tells his wife's story as a warning of the crisis his community faces.
"Our ancestors never said we had to become rich from destroying the patrimony that we share," he wrote to Reuters. "The greatest wealth is knowledge, to know how to respect life."
Although mercury poisoning has no cure, community leaders and non-profit groups have looked for ways to reduce risks.
This year, Brazilian NGO Saúde e Alegria has collaborated with nine Munduruku villages to develop alternative water systems reducing reliance on the polluted Tapajós. The local Pariri Association aims to cultivate fish in cleaner streams.