Despite political risk to researchers and participants, a new study provides the first glimpse into the COVID-19 pandemic’s impact on health care workers in Nicaragua, a country where the government refuses to acknowledge that there is a pandemic, or do anything about it. Researcher James McKerrow, MD, PhD, discusses his work with colleague Jorge Huete-Pérez, PhD. Richard Feinberg, PhD, provides his insights as an expert on U.S.-Latin American relations.