My two-month Masters of Public Health practicum placement with Primeros Pasos in Quetzaltenango, Guatemala started off on a dramatic and tragic note. Upon exiting Guatemala City’s La Aurora Airport, I immediately noticed an odd-textured rain falling down on me while I waited for a taxi to transport me to one of the city’s many bus terminals. Also noticeable was an intense smoky smell and texture of the air, which I at first attributed to air pollution. Once I arrived at the bus terminal, the bus driver urgently shepherded everyone waiting around onto the bus, informing us that the nearby volcano named “Fuego”, Spanish for “fire”, had had a major eruption. In order for the bus to get to its final destination of Quetzaltenango, it was necessary to first drive towards the volcano before passing it for higher ground in the Guatemalan highlands. Traffic, sirens, and noticeably thick and discolored air were a constant until we had traveled for about two hours north. It was at this point that my fellow passengers and I overcame our initial panic enough to realize that we all had what we now knew was volcanic ash coating our hair and clothes. After the strange “rain” had settled and dried, it had a sand-like consistency and a dark-black appearance.