A form of Chronic Kidney Disease of unknown etiology (CKDu) has reached epidemic proportions among sugarcane workers in Western Nicaragua. In the municipality of Chichigalpa, Nicaragua, 68% of the men have CKDu. Current medical research is being conducted by CISTA of UNAN-Leon, La Isla Foundation, SALTRA, and various universities including Boston University, Mt. Sinai University, and others. This is a human rights issue where intimidation is being utilized against the affected members and their families in the communities within the context of systemic violence.