At the Instituto de Medicina Legal in San Salvador distraught families arrive at the morgue to pick up the bodies of loved ones brutally cut down in a city torn apart by gang violence.
Staff at the morgue are sometimes so inundated with the dead they are not able to perform autopsies.
"We are living in a time that one has to see, hear and shut up," said a San Salvadoran whose brother was killed. He does not wish to be identified for fear of sharing his brother's fate.
One person is killed every hour in El Salvador with most of the homicides taking place in the capital city San Salvador. In 2015, more than 6500 people were killed, which is 17 times above the global average homicide rate.
Murders jumped in January and February 2016 by 117.6 per cent from the 643 reported in the same period of 2015.