“The Kidney and the Cane” – Repeating Islands

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    In The Weekly Read, Duke University Press highlights The Kidney and the Cane: Planetary Health and Plantation Labor in Nicaragua by Alex M. Nading. The book argues that the epidemic of chronic kidney disease of non-traditional causes among those living near and working in Nicaragua’s sugarcane plantations is not a result of climate change, it is climate change. [Although most of the country’s sugar production is based on the Pacific coast (northwestern Nicaragua) rather than the Caribbean coast (southeastern Nicaragua) this book should be of interest to readers in the broader Caribbean, where “plantation injustices” and global climate change are realities.]

    Description: The recent unprecedented growth of Nicaragua’s sugarcane industry has brought promises of more jobs, better health care, and cleaner energy. But these promises have been overshadowed by an epidemic of chronic kidney disease of nontraditional causes (CKDnt). Unknown before the late 1990s, this disease has sickened and killed thousands of sugarcane plantation workers. Scientific studies link the disease to rises in mean average annual temperatures, chronic water scarcity, and the overuse of toxic agrochemicals. CKDnt is now understood as a consequence of global climate change.

    In The Kidney and the Cane, Alex M. Nading situates this epidemic within a deeper history of sugarcane plantation violence, arguing that CKDnt is not a result of climate change: it is climate change. Outlining a place-based approach to planetary health, Nading follows activists, scientists, and residents in the sugarcane zone wrestling with the consequences of plantation life. Along the way, he raises critical questions about the capacity of corporations and states to care for people and ecosystems; the ability of citizens and experts to regulate toxic substances; and the future of work on a warming planet.

    Alex M. Nading is Associate Professor of Anthropology at Cornell University and author of Mosquito Trails: Ecology, Health, and the Politics of Entanglement. This title is made open access due to funding from Cornell University.

    For more information, see https://dukeupress.edu/the-kidney-and-the-cane

    Also see related articles, https://www.lshtm.ac.uk/newsevents/expert-opinion/why-are-thousands-sugarcane-workers-northwestern-nicaragua-dying-chronic#%20trend and https://www.theguardian.com/global-development/2020/nov/27/the-mystery-epidemic-striking-nicaraguas-sugar-cane-workers-a-photo-essay



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