Lake Titicaca is a lake located on the border of Peru and Bolivia,  about 3,811 meter above sea level, making it the highest commercially  navigable lake in the world. By volume of water, it is also the largest  lake in South America. 
Titicaca is notable for a population of  pre-Incan people called Uros who live on artificial islands made of  floating reeds called totora. These islands have become a major  tourist attraction for Peru, drawing excursions from the lakeside city  of Puno. The purpose of the island settlements was originally defensive,  and if a threat arose they could be moved. The largest island even  retains a watchtower almost entirely constructed of reeds.
The  totora is a cattail type rush growing native in the lake. Its dense  roots support the top layer, which rots and must be replaced regularly  by stacking more reeds on top of the layer beneath. The islands change  in size, and more are created as the need arises. The surface of the  islands are uneven, thin, and walking on it feels like walking on a  waterbed. The unwary might not notice a thin spot and sink a leg or more  into the frigid waters of the lake.
Much of  the Uros' diet and medicine also revolve around these totora reeds. When  a reed is pulled, the white bottom is often eaten for iodine. When in  pain, the reed is wrapped around the place in pain to absorb it. Also if  it is hot outside, they roll the white part of the reed in their hands  and split it open, placing the reed on their forehead. In this stage, it  is very cool to the touch. The white part of the reed is also used to  help ease alcohol-related hangovers. They also make a reed flower tea.  Food is cooked with fires placed on piles of stones.
The  floating islands are protected within the Bay of Puno and are home to  2000 or so Uros. They live by fishing, weaving and now, tourism. They  catch fish for themselves and to sell on the mainland. Uros also hunt  birds such as seagulls, ducks and flamingos, and graze their cattle on  the islets. They also run crafts stalls aimed at the numerous tourists  who land on ten of the islands each year. 
It is a lot of work  to maintain the islands. Because the people living there are so  infiltrated with tourists now, they have less time to maintain  everything, so they have to work even harder in order to keep up with  the tourists and with the maintenance of their island. Tourism provides  financial opportunities for the natives, while simultaneously  challenging their traditional lifestyle.



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