Health and Medical News and Resources

General interest items edited by Janice Flahiff

[Reblog] Mesoamerica’s Mystery Killer

Structures of the kidney: 1.Renal pyramid 2.In...

Structures of the kidney: 1.Renal pyramid 2.Interlobar artery 3.Renal artery 4.Renal vein 5.Renal hilum 6.Renal pelvis 7.Ureter 8.Minor calyx 9.Renal capsule 10.Inferior renal capsule 11.Superior renal capsule 12.Interlobar vein 13.Nephron 14.Minor calyx 15.Major calyx 16.Renal papilla 17.Renal column (no distinction for red/blue (oxygenated or not) blood, arteriole is between capilaries and larger vessels (Photo credit: Wikipedia)

Interesting blog posting highlighting a few challenges epidemiologists face with kidney complications

From the 13 May 2014 post at robertbryan22

I’m catching up on my stack of periodicals. The 11 April issue of Science featured some fascinating articles related to public health [attn: Lexi].

The first, Mesoamerica’s Mystery Killer, focuses on chronic kidney disease of unknown etiology (CKDu) in Central America and it reads like a novel:

A young doctor in training at the hospital, Ramón García Trabanino, first brought CKDu to light. “The whole hospital was flooded by renal patients,” remembers García Trabanino, who began working at the hospital in the late 1990s. “I thought, ‘Why are all these people here with kidney disease? It’s not normal.’ ” An adviser suggested he do a study.

Over 5 months, García Trabanino interviewed 202 new patients with end-stage renal disease. Medical records and personal histories uncovered an obvious cause for CKD in only one-third of the patients, equally split between men and women. Of the rest, 87% were men and the majority worked in agriculture and lived in coastal areas, he and his co-authors reported in September 2002. Their report in the Pan American Journal of Public Health speculated that patients who had CKD with características peculiares might have developed the disease after exposure to herbicides and insecticides.

Health officials took little interest in this greenhorn’s findings. “I spoke with PAHO and I remember them laughing at me,” García Trabanino says. “They thought I was crazy.” The Ministry of Health in El Salvador took no action, but it did give him an award for his study. “The judges must have been drunk that night,” he says.

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May 14, 2014 - Posted by | Public Health | ,

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