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The occurrence of a freshwater lens in the Paraguayan Chaco, 900 km away from the ocean, is reported. It is located underneath sandstone hills, surrounded by lowlands with predominantly saline groundwater. Its geometry was delineated using geoelectrical and electromagnetic investigations. The unusual height of the fresh groundwater level can be attributed to the presence of a confining layer at depth. The lens receives its recharge exclusively from rainfall during the hot and humid summer months. It predominantly contains water predating the atmospheric atomic bomb tests, some of it probably up to a thousand or more years old. The water balance shows that extraction currently does not exceed recharge in normal years. However, the available volume of groundwater leaves little room for a further increase of extraction in the future. Recharge is augmented by return flow from thousands of latrines and cess pits, and this has lead to widespread contamination of the groundwater by faecal bacteria.