In a town whose problems already include air pollution, water contamination and poverty, the California drought has spurred a growing health crisis, worsening respiratory conditions and burdening those with other illnesses, such as 49-year-old Manuel León.

“Sometimes I think I’m just about to fall asleep,” said Juana Garcia, a mother with five children, two chronic diseases, one waterless home and zero income. “But then I start thinking, what am I going to do about water? Will I last much longer here? Yes, mentally I get very stressed out.”