Guerra EHC
Guatemala
Review Article
Epidemiology of Endemic Nephropathy of Unknown Etiology in Latin America: A Review on Morbidity and Mortality
Author(s): Lopez AAV, Barahona K and Guerra EHCLopez AAV, Barahona K and Guerra EHC
Endemic nephropathy disease unexplained by diabetes or hypertension is highly prevalent on countries of Latin America. The purpose of this review is to present a brief summary to analyze de epidemiologic data on morbidity and mortality as well as the etiology unexplained by diabetes and hypertension, with emphasis in studies from areas of sugarcane, heat stress or cotton plantation, to understand the contributing social and work factors. From our review we conclude that clinical trials are needed to elucidate the nephropathy unexplained by conventional risk factors in Guatemala, Honduras, Panama, and Mexico, and some other countries, from areas of sugarcane, heat stress or cotton plantation work. Regular monitoring assessment of heat stress during harvesting season needs to be implemented by labor ministries authorities in a way to regulate the compliance of each employer on measures .. View More»
