{"id":13594,"date":"2026-05-27T09:10:00","date_gmt":"2026-05-27T14:10:00","guid":{"rendered":"https:\/\/expat-times.com\/panama\/?p=13594"},"modified":"2026-05-26T20:30:19","modified_gmt":"2026-05-27T01:30:19","slug":"chronic-kidney-disease-linked-to-extreme-heat-for-panama-laborers","status":"publish","type":"post","link":"https:\/\/expat-times.com\/panama\/health\/chronic-kidney-disease-linked-to-extreme-heat-for-panama-laborers\/","title":{"rendered":"Chronic Kidney Disease Linked to Extreme Heat for Panama Laborers"},"content":{"rendered":"<p>Panama City, Panama \u2013 The Ministry of Health Panama has issued a stark warning to outdoor workers. Officials say laborers in agriculture, construction, and mining face a growing threat from a silent killer. The disease is called Non-Traditional <strong>Chronic Kidney Disease<\/strong> (ERCnT).<\/p>\n<p>This condition attacks healthy young adults. It is not caused by diabetes or high blood pressure. Instead, doctors link it directly to <a href=\"https:\/\/expat-times.com\/panama\/health\/panama-health-ministry-issues-urgent-heat-wave-safety-guidelines\/\" rel=\"internal\"><strong>extreme heat<\/strong><\/a> and dehydration. The warning comes as temperatures across Panama reach critical levels.<\/p>\n<h2>What Is Non-Traditional Chronic Kidney Disease?<\/h2>\n<p>Subdirector of Health Promotion, En\u00e9lida Guerra, explained the disease in detail. She said ERCnT develops silently over time. It has no connection to common risk factors like obesity or hypertension. The primary cause is environmental and occupational exposure.<\/p>\n<p>Guerra emphasized that workers in direct sunlight are most vulnerable. &#8220;If you work exposed to the sun, to thermal stress and dehydration, you must take breaks and rest in the shade,&#8221; she said. &#8220;You also need to consume between two and three liters of water daily.&#8221; [Translated from Spanish]<\/p>\n<p>The condition is closely related to what researchers call <a href=\"https:\/\/en.wikipedia.org\/wiki\/Mesoamerican_nephropathy\" target=\"_blank\" rel=\"noopener noreferrer\">Mesoamerican nephropathy<\/a>. This form of kidney disease has devastated farming communities across Central America. It strikes sugarcane cutters and construction workers in their prime earning years.<\/p>\n<figure id=\"attachment_13595\" aria-describedby=\"caption-attachment-13595\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-13595\" src=\"https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1.webp\" alt=\"construction workers\" width=\"1200\" height=\"800\" srcset=\"https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1.webp 1200w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1-300x200.webp 300w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1-1024x683.webp 1024w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1-768x512.webp 768w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1-150x100.webp 150w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/05\/construction-workers-1200x800-1-450x300.webp 450w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-13595\" class=\"wp-caption-text\">construction workers<\/figcaption><\/figure>\n<h2>Key Risk Factors Identified by Officials<\/h2>\n<p>The Ministry of Health Panama listed several specific risk factors. Heavy physical labor in <strong>extreme heat<\/strong> tops the list. Continuous sun exposure without proper protection is another major concern. Prolonged dehydration without adequate water intake creates dangerous conditions.<\/p>\n<p>Officials also warned about overusing pain medications. Anti-inflammatory drugs can damage kidneys over time. The disease can appear in adults as young as 20 years old. This makes regular medical screening essential for outdoor workers.<\/p>\n<p>Guerra urged anyone working long hours under the sun to get tested. &#8220;Those who present some of these risk factors must go to the doctor for a creatinine test,&#8221; she stated. &#8220;This test shows how their kidneys are functioning.&#8221; [Translated from Spanish]<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11786\" src=\"https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1.webp\" alt=\"free water fast food\" width=\"1062\" height=\"708\" srcset=\"https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1.webp 1062w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1-300x200.webp 300w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1-1024x683.webp 1024w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1-768x512.webp 768w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1-150x100.webp 150w, https:\/\/expat-times.com\/panama\/wp-content\/uploads\/2026\/03\/free-water-fast-food-1062x708-1-450x300.webp 450w\" sizes=\"(max-width: 1062px) 100vw, 1062px\" \/><\/p>\n<h2>Immediate Steps for Employers and Workers<\/h2>\n<p>The Health Ministry called on companies to take immediate action. Employers with staff exposed to the sun must implement mandatory rest breaks. These breaks must happen in shaded areas. Access to clean drinking water must be constant and free.<\/p>\n<p>Proper <a href=\"https:\/\/en.wikipedia.org\/wiki\/Occupational_heat_stress\" target=\"_blank\" rel=\"noopener noreferrer\">occupational heat stress prevention<\/a> is now a critical workplace requirement. The ministry recommends at least one medical checkup per year for all outdoor workers. These checkups should include kidney function tests.<\/p>\n<p>Workers should watch for early warning signs. Fatigue, swelling in the legs, and changes in urination patterns can indicate kidney problems. Early detection dramatically improves treatment outcomes. The disease progresses quickly once symptoms become noticeable.<\/p>\n<p>Panama&#8217;s current heat wave has pushed temperatures to dangerous levels. The thermal sensation has exceeded 41 degrees Celsius in some areas. This creates a perfect storm for kidney damage among unprotected workers.<\/p>\n<p>The Ministry of Health Panama continues to monitor the situation closely. Officials plan to release additional guidelines for specific industries. Construction sites and agricultural fields will receive priority attention. The goal is to prevent a health crisis among Panama&#8217;s essential workforce.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Panama City, Panama \u2013 The Ministry of Health Panama has issued a stark warning to outdoor workers. Officials say laborers in agriculture, construction, and mining face a growing threat from a silent killer. The disease is called Non-Traditional Chronic Kidney Disease (ERCnT). This condition attacks healthy young adults. It is not caused by diabetes or<\/p>\n","protected":false},"author":1,"featured_media":13593,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_sitemap_exclude":false,"_sitemap_priority":"","_sitemap_frequency":"","footnotes":""},"categories":[33],"tags":[4505,4196,4506,1065],"class_list":["post-13594","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-chronic-kidney-disease","tag-extreme-heat","tag-outdoor-workers","tag-panama-health-ministry"],"_links":{"self":[{"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/posts\/13594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/comments?post=13594"}],"version-history":[{"count":1,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/posts\/13594\/revisions"}],"predecessor-version":[{"id":13596,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/posts\/13594\/revisions\/13596"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/media\/13593"}],"wp:attachment":[{"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/media?parent=13594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/categories?post=13594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/expat-times.com\/panama\/wp-json\/wp\/v2\/tags?post=13594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}