Stranger things than these under the sun, Alger Hiss once said. And I think the photo of Lena in a "wedding dress"??? ((For heaven's sake!))) -- oh, I know... it's her First Communion Dress, right? Right!... Not! --- Yes, Lena was abused, and she was raped, most probably by her father, after he learned that she had already entered "puberty" at the age of 5. I don't think the medical authorities had sufficient technical knowledge in 1933 to make a determination regarding Tiburelo Medina's paternity.
It's difficult for me to picture the village people having "religious festivals" where older men assaulted their own little girls--but I suspect lots of us like watching horror movies, and seeing living aberrations in freak shows.
(Giving birth at the age of 5 must have been a horrendous experience for Lena.) How typical of the doctors (scientists) to want to study that poor child and her infant -- like bugs under a microscope. Sheesh!