A man stands with decorated human skulls at the General Cemetery during the annual "Natitas" festival, a tradition marking the end of the Catholic holiday of All Saints, in La Paz, Bolivia, Wednesday, Nov. 8, 2023. The sculls are cared for and decorated by those who use them as amulets for protection. "Natitas" means "without a nose" in the Aymara language. (AP Photo/Juan Karita)