CKDU in Sri Lanka
Chronic Kidney Disease of unknown etiology (CKDu) in Sri Lanka has resulted in a growing toll of illness and death, especially for rural, low-income populations in the North Central and Eastern Provinces. Variations occur in the frequency of occurrence of CKDu across and within districts and villages in the affected provinces. It is likely that there is significant under-reporting and misdiagnosis of the disease and this impedes attempts to identify the source and incidence of the problem and the targeting of specific preventative actions.The goal of the project is to increase the effectiveness of current and future interventions implemented to reduce the burden and impact of CKDu and to increase community welfare and income. This will be pursued through three related objectives: 1) provide technical assistance to the Government of Sri Lanka, civil society, agricultural groups, and universities on water testing to better understand the causes of CKDu in Sri Lanka; 2) establish a broad interdisciplinary team of health, water, agriculture, occupational health, toxicology, and epidemiology experts to better understand and address the impact of CKDu on the agricultural workforce; and 3) develop knowledge sharing networks among relevant CKDu stakeholders in Sri Lanka, including American and Sri Lankan universities, agricultural organizations, and the medical community, to better understand the causes of the disease, results of water testing, and best approaches to prevention and mitigation.