Ciudad del Este is like a rundown Tijuana brought back in time some 40-50 years. Yes, its that bad.
Folks in North America like to say that going from San Diego to Tijuana is like transiting from Heaven to Hell. I always tell them that they need to visit Ciudad del Este to realize that while Tijuana aint no Geneva, nothing is so bad it cant get worse. A visit to Ciudad del Este will remind you that Tijuana is only Purgatory....
Hell on Earth would be having to spend the night in a Ciudad del Este jail, hosted by the (in)famous Policia Nacional del Paraguay...