In the Peruvian Andes, the Cerro de Pasco Corporation's La Oroya smelter poisoned surrounding farmland, let the company buy dead fields cheaply, and pushed Andean villagers into the mines as wage labor. La Oroya became one of the most lead-contaminated towns on earth. The story runs through the 1974 nationalization, Doe Run's years after 1997, and a landmark 2023 international court ruling against Peru.
Health statistics, such as the share of children with elevated blood lead, vary by study, year, and safety threshold. Responsibility is also shared among the original company, the state, and later owners.