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A mural in a poor MS-13 neighborhood in San Salvador states in spanish "welcome to the inferno of the gangster". Every poor neighborhood has a gang in San Salvador and most people have some type of family connection to gang members. The problem is clearly systemic in all levels of society. After 4 years of unsuccessful Mano Duro (hard hand) police suppression it is clear to many observers that the deeper issues causing gang violence need to be be addressed in tandem with high quality police investigations.