Venezuela had its highest inflation rates ever in 2018: 65,374%. The International Monetary Fund (IMF) marked it even higher, at 1,370,000%. A lack of hard currency meant precious few items could be imported. Soaring prices have made it impossible for most Venezuelans to shop at the supermarket.

Only those who can provide their own plate or bowl get something to eat here because even aid organizations cannot afford disposable tableware. The once wealthy country has been suffering a massive supply crisis for years and is now short on everything from food and medicine to everyday items like soap and diapers.

Children in Caracas hold out their hands as aid organizations and church groups distribute food. Many haven't eaten for days. Statistics compiled for a study at the Catholic Andres Bello National University (UNAB) in Chile say 96% of Venezuelan households live in poverty, and 64% in extreme poverty. Few families in the country can afford meat, fish, eggs, fruits or vegetables.

People needing hospitalization, such as here at San Juan de Dios Hospital in Caracas, have to pay for their own medicine and medical instruments like catheters and syringes. More than one-third of Venezuela's 66,000 registered doctors have left the country. Overall, the ranks of medical personnel have been in decline, too, pushing the country's health care system to the verge of collapse.

A child plays in a Bahareque house made of sticks and mud, a building technique dating back to pre-Columbian times and now popular once again due to extreme poverty in the country's rural regions. Such houses have no plumbing or electricity.

Blackouts regularly paralyze the country — opposition politicians say lack of investment as well as corruption and poor maintenance of power plants are to blame for the dire situation. The crisis has also prompted the government to take drastic measures in hopes of saving energy. Experiments with a two-day work week for government employees have done little to help so far.

When the electricity goes out, the climate can become unbearable — air conditioners are useless. Life moves out onto the streets, like here in Maracaibo. Regional and even national blackouts have become common across Venezuela over the past several years. President Nicolas Maduro has repeatedly blamed the outages on acts of infrastructure sabotage committed by the country's enemies.

The water supply in Valencia's Santa Rosa district has collapsed. Now, people there bathe and wash themselves in puddles on the side of the road. There is no drinking water in the district.

These days the only things flowing into the Guaire River are sewage and toxic chemicals. Electricity and water in Venezuela are precariously interconnected: Lack of electricity and maintenance has led to cracks in dams, thus leading to water loss. That has meant less power for the country's hydroelectricity plants, leading to yet more blackouts in what has become a vicious circle.

A resident of the state of Carabobo pushes a canister through the streets of Guacara in hopes of finding drinking water. Some places in Venezuela only have running water for a couple of hours a week. Most families fill up anything they can to have drinking water the next time supplies are shut down.

Venezuelans are swimming in oil, but not in a good way. Fishers floating in inner tubes from tires cast their nets into Lake Maracaibo, even though it's contaminated with oil. The coast has also been affected. Recently, an oil pipeline leak and an accident at a refinery near Puerto Cabello in the northwest caused some 20,000 barrels of crude oil to be pumped into the ocean.

Cars have been lined up waiting for fuel at a Guacara gas station for more than two weeks. Venezuela has been forced to import its gasoline from Iran because its own system is so decrepit that it can barely even pump oil. Ten years ago, Venezuela was pumping some 2.3 million barrels a day. Now it is pumping less than half of that.

In Caracas, people wait in the streets with empty propane tanks in hopes of being able to fill them one day. Since electricity and gasoline have become scarce in Venezuela, many residents have turned to natural gas. Demand has in turn made it scarce too.

Portraits of Hugo Chavez, Fidel Castro, Evo Morales and Rafael Correra adorn the side of a building in Caracas, looking over an overflowing dumpster. Many here worshipped the socialist leaders of Venezuela, Cuba, Bolivia and Ecuador like saints. But in Venezuela, the socialism of the 21st century has been unable to deliver on its promise of prosperity for all.

There is a bloody mafia war raging for control of the unlicensed gold mines in the Venezuelan state of Bolivar. Miners get killed regularly, their bodies mutilated or riddled with bullets. They have flocked to this region as President Nicolas Maduro's Socialist government has struggled with a three-year recession, spiraling inflation and food shortages.

A worker descends into an underground mine on the bank of a river in El Callao. It is believed, that 90 percent of the gold produced in the South American nation comes from illegal mines. In a country where a crushing economic crisis has fueled an epidemic of violent crime, such mines are "primarily in mafia hands," says Venezuelan Mining Chamber head Luis Rojas.

A narrow mine shaft is filled with water and the smell of gases. The handmade wood supports to prevent a collapse look precarious at best. But Ender Moreno is unfazed. At 18 years old, he has already been doing this job for eight years. "I'm not afraid," he says as he climbs through the pitch black, his headlamp lighting the way through the hazardous maze 30 meters (100 feet) underground.

Ender knows three young men who were killed in his neighborhood. "They were miners, but they started running around with gangsters." A while ago, his boss at the mine was killed because he refused to let mobsters take over the business. Two months before that, 28 workers were massacred at a nearby mine, in what authorities called a turf war between rival gangs.

A miner shows a gold-mercury amalgam he found prospecting. At the nearby Nacupay gold mine, workers dig the earth from the bed of a contaminated river as others pour mercury into pans of extracted sediment. The open-pit mine is known as one of the most violent and polluting in the region.

Ender looks for gold in an open pit. After returning back to the surface, he contemplates his future during a short break. "My mom says this is no kind of life. But I can't stop because I need the money to help her," the teenage miner says. Workers make somewhere between 260,000 and one million bolivars a month ($95 to $360 or €88 to €334) - which, they point out, is far higher than minimum wage.

Venezuela was the first nation worldwide to eradicate malaria in its most populated areas, even preceding the United States in 1961. However, the situation now has changed for the worse, as the country has reported an increase in the incidence of malaria cases every year since 2008. The state of Bolivar accounts for the majority of these cases.