Skulls are seen at the witch doctor kiosk during the day of offerings to the “Pachamama” (Mother Earth) in El Alto, Bolivia, August 1, 2016. Pachamama is a goddess revered by the indigenous people of the Andes. She is also known as the earth/time mother. In Inca mythology, Pachamama is a fertility goddess who presides over planting and harvesting, embodies the mountains, and causes earthquakes. (Photo by David Mercado/Reuters)

A woman (C) shops for an offering at the witch doctor's street in La Paz, July 31, 2015. According to Andean culture, the all the month of August is a time to give offerings to “Pachamama” to give thanks for their farms and health. The Aymaras use coca leaves, candies, animal fat, llama fetuses, some dried fruits, powdered minerals and alcohol during these rituals. (Photo by David Mercado/Reuters)