The images on social media grab your attention –empty bottles, neck down in a sink. The contents? Flor de Caña rum. A recent article in Vice magazine details the fates of Nicaraguan sugar cane harvesters, who are dying at an alarming rate from Chronic Kidney Disease (CKD). Influential bar owners and rum experts, such as Martin Cate, Ed Hamilton, Bobby Heugel, Andrew Friedman, Nicholas Feris, and Jim Romdall have posted their own empty-bottle photos or links to the Vice article (as well as a previous link in The Guardian that tread similar territory, without the groundswell) on Facebook and Instagram with thoughtful commentary. If you have access to those posts, I urge you to read them.
The crux of the Vice investigation is that in the Chichigalpa region of Nicaragua, in the years between 2002 and 2012, a syndrome called Mesoamerican nephropathy caused 75 percent of the deaths of men aged 35 to 55, numbering in the thousands. The primary employer in Chichigalpa region is Ingenio San Antonio, which harvests the sugar cane used to distill Flor de Caña rum. Sugar cane workers are paid by the harvested ton, rather than an hourly wage, thus many work extremely long days to make enough money to survive. The common term for Mesoamerican nephropathy is Chronic Kidney Disease (CKD); symptoms include nausea, vomiting, cramps, and associated problems, leading to kidney failure. The Vice article suggests two primary causes of CKD: First, insufficient hydration and rest for sugar cane harvesters, who often work in extreme heat in a subtropical climate, leading to kidneys being overloaded. Second, pesticides used for the cane harvest may also contribute to the condition.