Moises, 17, left, and Jaime look down on the patchwork of neighborhoods outside San Pedro Sula, a city in Honduras where gang rivalries play out. The violence is so bad that “no one goes in” the neighborhoods, says photojournalist Tomas Ayuso. “Food delivery trucks, ambulances don’t want to go in because they’re afraid something will happen.”

Moises, 17, left, and Jaime look down on the patchwork of neighborhoods outside San Pedro Sula, a city in Honduras where gang rivalries play out. The violence is so bad that “no one goes in” the neighborhoods, says photojournalist Tomas Ayuso. “Food delivery trucks, ambulances don’t want to go in because they’re afraid something will happen.”