Tiffany L Stallings, Alejandro Riefkohl Lisci, Nathan L McCray, Daniel E Weiner, James S Kaufman, Ann Aschengrau, Yan Ma, Michael P LaValley, Oriana Ramírez-Rubio, Juan Jose Amador, Damaris López-Pilarte, Rebecca L Laws, Michael Winter, V Eloesa McSorley, Daniel R Brooks, Katie M Applebaum
OBJECTIVES: Nicaraguan sugarcane workers, particularly cane cutters, have an elevated prevalence of chronic kidney disease of unknown origin, also referred to as Mesoamerican nephropathy (MeN). The pathogenesis of MeN may include recurrent heat stress, crystalluria, and muscle injury with subsequent kidney injury. Yet, studies examining the frequency of such events in long-term, longitudinal studies are limited. METHODS: Using employment and medical data for male workers at a Nicaraguan sugarcane company, we classified months of active work as either work as a cane cutter or other sugarcane job and determined occurrence of dysuria, heat events and muscle events...
July 1, 2021: Scandinavian Journal of Work, Environment & Health