In the early hours of May 18, the Ministry of Childhood and Adolescence (MINNA) coordinated an inter-institutional operation that removed 42 indigenous children and adolescents from the streets of Ciudad del Este, in the department of Alto Paraná. Three minors were without adult reference; a repeat offender woman and her seven children were taken to the MINNA Open Shelter Refuge by court order. The others underwent medical examinations and were sent back to their communities of origin in Guairá, Caazapá, and Alto Paraná.