The Mesoamerican nephropathy: a regional epidemic of chronic kidney disease?

Campese, Vito M.

doi:10.1093/ndt/gfv430

Cited by 11 publications

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“…Choroba po raz pierwszy została opisana w 2002 r. w Salwadorze [10], ale pierwsze zachorowania występowały prawdopodobnie już w latach 70. ubiegłego wieku, a znaczny wzrost ich liczby nastąpił w ciągu ostatnich 2 dekad [11]. W kolejnych latach opublikowano doniesienia o rosnącej liczbie zachorowań nie tylko w krajach Ameryki Środkowej (Nikaragua, Gwatemala, Kostaryka, Belize i Panama), lecz także Ameryki Południowej (Brazylia), Północnej (Meksyk), Azji (Indie, Sri Lanka) i Afryki (Egipt) [6,[12][13][14][15]. Ze względu na to, że pierwsze opisy pochodziły z Ameryki Środkowej, a liczba zachorowań w tym rejonie była największa, chorobę nazwano nefropatią mezoamerykańską (mesoamerican nephropathy -MeN).…”

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Mesoamerican nephropathy – a new challenge for occupational physicians

Kanclerz

Wołyniec

Rutkowski

et al. 2020

Med Pr

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Nefropatia mezoamerykańska (mesoamerican nephropathy-MeN) to endemiczna forma przewlekłej choroby nerek (PChN), która nie ma związku z czynnikami ryzyka rozwoju PChN, takimi jak cukrzyca i nadciśnienie tętnicze. Występuje przede wszystkim u mężczyzn zatrudnionych w rolnictwie, wykonujących ciężką pracę fizyczną w gorącym i suchym klimacie. Od końca lat 90. XX w. zanotowano znaczący wzrost liczby zachorowań na PChN w Ameryce Środkowej i południowym Meksyku, a częstość jej występowania w tym regionie jest prawie 9-krotnie wyższa niż w Stanach Zjednoczonych. Najwyższa na świecie śmiertelność z powodu PChN jest w Salwadorze: w latach 1984-2005 wzrosła 10-krotnie. Patofizjologia MeN pozostaje niewyjaśniona. W materiale histopatologicznym obecne są przewlekłe zmiany cewkowo-śródmiąższowe, którym mogą towarzyszyć zmiany w kłębuszkach nerkowych. Na rozwój choroby mają istotny wpływ powtarzany cyklicznie stres cieplny, związane z nim nadmierne pocenie się oraz odwodnienie. Choroba stanowi ważny problem społeczny i ekonomiczny oraz wyzwanie w zakresie diagnostyki, terapii i profilaktyki dla lekarzy wielu specjalności, szczególnie dla lekarzy medycyny pracy. Med. Pr. 2020;71(3):353-361 Słowa kluczowe: nefropatia mezoamerykańska, nefropatia endemiczna, przewlekła choroba nerek, ocena zdolności do pracy, albuminuria, opieka profilaktyczna nad pracownikami

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“…Pacjenci mają prawidłowe lub nieznacznie podwyższone wartości ciśnienia tętniczego krwi, nie obserwuje się krwinkomoczu, a białkomocz nie występuje lub jest znikomy. Często notuje się podwyższone stężenie kwasu moczowego i hipokaliemię [12].…”

Section: Wyniki Przegląduunclassified

Mesoamerican nephropathy – a new challenge for occupational physicians

Kanclerz

Wołyniec

Rutkowski

et al. 2020

Med Pr

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“…For instance, workers on sugar cane plantations across Central America are exposed to heat stress and heat-related illnesses by working long hours under direct sunlight and amidst high humidity with only short breaks and limited access to clean drinking water (Campese, 2016;Nerbass et al, 2017). Rising temperatures due to climate change and the growing demand for sugar cane exports further exacerbate the situation.…”

Section: Climate Change: Casting Another Shadow On the World Of Workmentioning

confidence: 99%

Jobs in a net-zero emissions future in Latin America and the Caribbean

Climate Change and Law Collection

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contained in derivative works and do not guarantee that such derivative works will not infringe the rights of third parties.Any dispute related to the use of the work that cannot be settled amicably shall be submitted to arbitration pursuant to the UNCITRAL rules. The use of the IDB's or ILO's name for any purpose other than for attribution, and the use of IDB's or ILO's logo shall be subject to a separate written license agreement between the respective organization and the user and is not authorized as part of this CC-IGO license. The link provided above includes additional terms and conditions of the license.The views expressed in this work are those of the authors and do not necessarily reflect the views and policies of the IDB or its Board of Governors or the governments they represent or of the ILO. Unless otherwise stated, boxes, figures, and tables without explicit sources were prepared by the authors.The mention of specific companies or products of manufacturers does not imply that they are endorsed or recommended by IDB and ILO in preference to others of a similar nature that are not mentioned.By making any designation of or reference to a particular territory or geographic area, or by using the term "country" in this document, IDB and ILO do not intend to make any judgments as to the legal or other status of any territory or area.Note: In this work, "$" refers to US dollars and the link provided above includes additional terms and conditions of the license.

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“…Payment is often based on the amount of crop harvested, which discourages workers from taking enough breaks during each shift. These poor working conditions are a cause of significant concern in terms of occupational safety and health, especially in view of the chronic kidney disease (CKD) epidemic that has spread among plantation workers in the region (Campese, 2016;Nerbass et al, 2017). In Costa Rica, heat and dehydration symptoms were experienced more frequently among harvesters than non-harvesters (office and service workers, supervisors), and the frequency was higher for those categories of workers who were more exposed to heat (Crowe et al, 2015).…”

Section: Box 42 Heat Stress Poor Working Conditions and Health Impact...mentioning

confidence: 99%

Working on a WARMER planet The impact of heat stress on labour productivity and decent work

Kjellström¹,

Maitre²,

Saget³

et al.

Climate Change and Law Collection

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Boxes 3.1 Heat stress and vulnerable outdoor workers in the city of Bulawayo in Zimbabwe 37 4.1 Vulnerability to heat exposure among farm workers in North America 44 4.2 Heat stress, poor working conditions and health impacts among workers on Central American sugar cane plantations 45 5.1 Heat-related risks and occupational safety and health measures in the GCC countries 53 6.1 Occupational heat stress and brickmaking workers in India 59 6.2 The impact of outdoor occupational heat stress in the Islamic Republic of Iran 60 6.3 Extreme heat and migration in Pakistan 60 6.4 Low-income outdoor workers and heat stress risks in Da Nang, Viet Nam 61 6.5 The impact of climate change on the labour market in Thailand 62 7.1 Ambient temperature, heatwaves and occupational injuries in Europe and Central Asia 68 8.1 Heat stress as a driver of migration: Implications for policy action 78 8.2 Adapting to heat stress in the agricultural sector 81 7. Europe and Central Asia 65 7.1 Current and projected heat levels 65 7.2 Labour market trends 66 7.3 Subregional and national estimates 67 7.4 Conclusion and key findings 718. Employment and labour market policies Part I. Adapting to heat-related hazards through international labour standards and tripartism 73 8.1 The role of international labour standards 75 8.2 The role of governments 77 8.3 The role of employers 79 8.4 The role of workers 80 8.5 The role of social dialogue 82 9. Employment and labour market policies Part II. Complementary mitigation efforts to reduce heat-related hazards 83 9.1 Mitigation pathways and occupational heat stress 83 9.2 Long-term projections of the impact of heat stress 84 9.3 Employment opportunities resulting from mitigation efforts 86 Conclusion 87 Appendix I. Detailed methodology 89 Appendix II. Comparison of in-shade and in-sun estimates 93 Bibliography 97 Contents Contents Heat is an occupational safety and health hazard Excessive heat during work creates occupational health risks; it restricts a worker's physical functions and capabilities, work capacity and productivity. Temperatures above 24-26°C are associated with reduced labour productivity. At 33-34°C, a worker operating at moderate work intensity loses 50 per cent of his or her work capacity. Exposure to excessive heat levels can lead to heatstroke, sometimes even with a fatal outcome. Workers in all sectors are affected, but certain occupations are especially at risk because they involve more physical effort and/or take place outdoors. Such jobs are typically found in agriculture, environmental goods and services (natural resource management), construction, refuse collection, emergency repair work, transport, tourism and sports. Industrial workers in indoor settings are also at risk if temperature levels inside factories and workshops are not regulated properly. At high heat levels, performing even basic office and desk tasks becomes difficult as mental fatigue sets in. Heat stress is projected to reduce total working hours worldwide by 2.2 per cent and global GDP by US$2,400 billion in ...

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The Mesoamerican nephropathy: a regional epidemic of chronic kidney disease?

Cited by 11 publications

References 13 publications

Mesoamerican nephropathy – a new challenge for occupational physicians

Mesoamerican nephropathy – a new challenge for occupational physicians

Jobs in a net-zero emissions future in Latin America and the Caribbean

Working on a WARMER planet The impact of heat stress on labour productivity and decent work

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