Workshops Reports

Below are the reports from the First CKD meeting, First, Second, and Third International Workshops on Mesoamerican Nephropathy held in San José Costa Rica in 2012, 2015 and 2019. The 2015 report is available in both English and Spanish.  


2019 Workshop Report

The Third International Workshop on Chronic Kidney Diseases of Uncertain/Non-traditional Etiology in Mesoamerica and Other Regions was held in San José, Costa Rica March 20-22, 2019, with the participation of 137 participants from 15 countries. The meeting was hosted by SALTRA-IRET of the National University and represented a collaboration between CENCAM, NIEHS, NIDDK, PAHO and SEARO. Workshop participants included specialists from diverse backgrounds including nephrology, epidemiology, occupational health, environmental health, toxicology, nephropathology, anthropology, and exposure assessment. 

2015 Workshop Report

Three years after the first workshop, the Central American Program for Work, Environment and Health (SALTRA) and the Central American Institute for Studies on Toxic Substances (IRET), organized the “Second International Workshop on the Epidemic of Mesoamerican Nephropathy (MeN)”, which was held in San José, Costa Rica, on November 18-20, 2015. A total of 75 experts from 18 countries discussed the evidence regarding possible causes of MeN, pathophysiologic pathways, and similarities and differences with other epidemics of CKDu in Sri Lanka and other parts of the world. The workshop concluded that Mesoamerican Nephropathy has a predominantly occupational component, which is demonstrated and discussed in the Technical Report.   

2012 Workshop Report

In order to provide an academic response to the search for the causes of Chronic Kidney Disease (CKD), the Central American Program of Health, Environment and Work (SALTRA) organized the “First International Workshop of Research on the Epidemic of Mesoamerican Nephropathy” in November 2012, with the participation of 52 researchers from 15 countries. The workshop resulted in three important products for scientific advancement in this topic:

  1. The publication of a Technical Report summarizing the state of art of the hypotheses about the causes and specific recommendations for the design of coordinated scientific research in the region.
  2. The signing of a Declaration of the participating researchers.
  3. The creation of a consortium of researchers to facilitate collaboration among scientists conducting research on the topic.

First CKD meeting report 2005

In Central America there is public concern about the increasing prevalence of CKD and ESRD, although this varies by country due to the lack of reliable information on the true rates of prevalence, incidence and related risk factors. Recently, several reports have been compiled, most notably in Nicaragua and El Salvador, on kidney disease and mortality in different populations. Due to lack of resources those reports were not conclusive, the Central American Program of Health and Environment and Work (SALTRA) and ASDI SAREC cooperation organized the first CKD meet in Nicaragua in 2005, with participation of 18 researchers/clinicians from 5 Central America countries. The main aims of this meeting were to assess the available information on chronic kidney disease in Central America with respect to prevalence and related risk factors and to establish a preliminary network.