Management

Management: ongoing efforts and outcomes

Although the cause of CKDu/Mesoamerican nephropathy remains unknown, the devastating consequence of kidney failure in populations with few resources to support dialysis, one of the most expensive therapies in the world, makes preventative measures a matter of urgency.

Several groups in Mesoamerica are working with employers to implement adequate rest and hydration during strenuous work periods in high-risk populations.

References here:

In Sri Lanka, the government and other NGOs provide water-based interventions: upgrading drinking water to public supplies, tankers of water, or RO (reverse osmosis) water plants.

  • Jayasumana, C., Ranasinghe, O., Ranasinghe, S. et al. Reverse osmosis plant maintenance and efficacy in chronic kidney disease endemic region in Sri Lanka. Environ Health Prev Med 21, 591–596 (2016). https://doi.org/10.1007/s12199-016-0580-9
  • Sachithra Imbulana, Kumiko Oguma, Satoshi Takizawa,Evaluation of groundwater quality and reverse osmosis water treatment plants in the endemic areas of Chronic Kidney Disease of Unknown Etiology (CKDu) in Sri Lanka, Science of The Total Environment, Volume 745, 2020, 140716, ISSN 0048-9697, https://doi.org/10.1016/j.scitotenv.2020.140716.
  • A. DE SILVA,SUN-133 THE EFFECTS ON PATIENTS WITH CHRONIC KIDNEY DISEASE OF UNKNOWN ETIOLOGY IN SRI LANKA OF THE USE OF PURIFIED AND REVERSE OSMOSIS WATER FOR DRINKING, Kidney International Reports, Volume 5, Issue 3, Supplement, 2020, Pages S256-S257, ISSN 2468-0249, https://doi.org/10.1016/j.ekir.2020.02.661.