{"id":151,"date":"2021-10-15T17:45:23","date_gmt":"2021-10-15T21:45:23","guid":{"rendered":"https:\/\/sites.bu.edu\/buckdntresearch\/?page_id=151"},"modified":"2022-03-10T10:02:57","modified_gmt":"2022-03-10T15:02:57","slug":"cao-process-dialogue-between-nsel-and-asochivida-busph-studies-2008-2012","status":"publish","type":"page","link":"https:\/\/sites.bu.edu\/buckdntresearch\/our-research\/additional-studies\/cao-process-dialogue-between-nsel-and-asochivida-busph-studies-2008-2012\/","title":{"rendered":"CAO Process, Dialogue Between NSEL and ASOCHIVIDA, BUSPH Studies: 2008-2012"},"content":{"rendered":"

In 2008, the BUSPH team responded to a competitive request for proposals by the Office of the Compliance Advisor Ombudsman (CAO) of the International Finance Corporation (IFC) and Multilateral Investment Guarantee Agency (MIGA) of the World Bank Group. The proposal submitted by BUSPH was selected by members of a Dialogue Table, which included representatives of the Chichigalpa Association for Life (ASOCHIVIDA) and Nicaragua Sugar Estates Limited (NSEL). ASOCHIVIDA is an association of ~2,000 former sugar cane workers afflicted with CKD, as well as the widows of deceased former workers. NSEL is,a major sugar producer in western Nicaragua that operates the Ingenio San Antonio (ISA) and formerly employed the members of ASOCHIVIDA. BUSPH first conducted a scoping study to compile a review of existing literature on CKD, identify hypotheses, and propose research activities. Next, from 2009-2012, BUSPH conducted an industrial hygiene\/occupational health assessment, <\/span>a preliminary investigation of <\/span>water quality, interview<\/span>s with<\/span> physicians and pharmacists, a pilot cohort study of ISA workers, a biomonitoring study of Nicaraguan workers, and a biomonitoring study of adolescents.\u00a0Finally, we prepared a final report than summarizes all of the work described above. Additional information about the CAO process<\/a> is available on their website<\/span>. Links to the reports that provide the details of each activity are provided below. The results are also in various stages of publication in peer-reviewed journals (see <\/span>Publications<\/a>).<\/span><\/span><\/p>\n

Scoping Study<\/h5>

<\/span>December 2009<\/span><\/strong><\/p>\n

This report summarized the available information on CKD in the region, identified data gaps, and recommended research activities to address those gaps.<\/p>\n

Scoping study executive summary, pdf in English
<\/a>Scoping study full report, pdf in English<\/a><\/p>\n

Resumen ejecutivo del estudio de alcance, pdf en Espa\u00f1ol<\/a>
Informe de alcance completo, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Industrial Hygiene\/Occupational Health Assessment<\/h5>

<\/span>August 2010<\/strong><\/span><\/p>\n

This study evaluated the potential hazards associated with chemicals and work practices at ISA.<\/p>\n

Industrial Hygiene\/Occupational Health Assessment study, pdf in English<\/a><\/p>\n

Estudio de higiene industrial\/evaluaci\u00f3n de la salud ocupacional, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Investigation of Water Quality<\/h5>

<\/span>August 2010<\/strong><\/span><\/p>\n

A large number of contaminants in water samples collected from locations selected by ASOCHIVIDA were sampled in this study.<\/p>\n

Investigation of Water Quality report, pdf in English<\/a><\/p>\n

Informe de investigaci\u00f3n de la calidad del agua, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Qualitative Analysis of Interviews with Physicians and Pharmacists<\/h5>

<\/span>February 2012<\/strong><\/span><\/p>\n

This analysis included semi-structured interviews with 19 health professionals in Nicaragua to assess their perceptions regarding the burden, etiology and treatment of renal disease in the region. The final analysis and findings are published in the BMC Public Health Journal (Ramirez-Rubio et al. \u201cChronic Kidney Disease in Nicaragua: a qualitative analysis of semi-structured interviews with physicians and pharmacists.\u201d BMC Public Health. 2013 Apr 16; 13:350. PubMed<\/a>).<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Pilot Cohort Study<\/h5>

<\/span>February 2012<\/strong><\/span><\/p>\n

This pilot study assessed the feasibility of conducting a complete retrospective cohort study to evaluate the relationship between work practices at ISA and CKD.<\/p>\n

Pilot Cohort Study report, pdf in English<\/a> <\/a><\/p>\n

Informe del estudio de cohorte piloto, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Investigation of Biomarkers in Workers<\/h5>

<\/span>April 2012<\/strong><\/span><\/p>\n

Biological markers of kidney injury and CKD in ISA workers, miners, construction workers, and port workers were analyzed in this study.<\/p>\n

Investigation of Biomarkers in Workers report, pdf in <\/span>English<\/a><\/p>\n

Informe sobre la investigaci\u00f3n de biomarcadores en los trabajadores, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Investigation of Urinary Biomarkers in Adolescents<\/h5>

<\/span>June 2012<\/strong><\/span><\/p>\n

This project evaluated evidence of subclinical kidney damage among adolescents in different areas of Nicaragua.<\/p>\n

Investigation of Urinary Biomarkers in Adolescents report, pdf in <\/span>English<\/a> <\/a><\/p>\n

Informe de Investigaci\u00f3n de Biomarcadores Urinarios en Adolescentes, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n

Summary Report<\/h5>

<\/span>August 2012<\/strong><\/span><\/p>\n

This report summarizes the work conducted by BUSPH from 2009-2012. It offers the researchers\u2019 perspective on the possible causes of the CKD epidemic, and suggests some areas for future research.<\/p>\n

Boston University investigation of chronic kidney disease in Western Nicaragua summary report, pdf in English<\/a><\/p>\n

Informe de la Universidad de Boston sobre la enfermedad renal cr\u00f3nica en el occidente de Nicaragua, pdf en Espa\u00f1ol<\/a><\/p>\n

<\/div>\n<\/div>\n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

In 2008, the BUSPH team responded to a competitive request for proposals by the Office of the Compliance Advisor Ombudsman (CAO) of the International Finance Corporation (IFC) and Multilateral Investment Guarantee Agency (MIGA) of the World Bank Group. The proposal submitted by BUSPH was selected by members of a Dialogue Table, which included representatives of […]<\/p>\n","protected":false},"author":19802,"featured_media":0,"parent":138,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/pages\/151"}],"collection":[{"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/users\/19802"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/comments?post=151"}],"version-history":[{"count":18,"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/pages\/151\/revisions"}],"predecessor-version":[{"id":897,"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/pages\/151\/revisions\/897"}],"up":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/pages\/138"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/buckdntresearch\/wp-json\/wp\/v2\/media?parent=151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}