This photo was waken by a photographer called Roger Ballen and published in a controversial book called "Platteland". He basically travelled though rural South Africa and took photos of the poor, white Afrikaners. As you can see, inbreeding happens quite a bit in these areas.
If you see the actual photo, the guy on the right (the handsome one) is actually drooling - hence the stains on his shirt.
Us South Africans are genetically disposed to good looks - and our women are even better looking :D