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Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy

Jason Glaser, Jay Lemery, Balaji Rajagopalan, Henry F. Diaz, Ramón García-Trabanino, Gangadhar Taduri, Magdalena Madero, Mala Amarasinghe, Georgi Abraham, Sirirat Anutrakulchai, Vivekanand Jha, Peter Stenvinkel, Carlos Roncal-Jimenez, Miguel A. Lanaspa, Ricardo Correa-Rotter, David Sheikh-Hamad, Emmanuel A. Burdmann, Ana Andres-Hernando, Tamara Milagres, Ilana Weiss, Mehmet Kanbay, Catharina Wesseling, Laura Gabriela Sánchez-Lozada and Richard J. Johnson
CJASN August 2016, 11 (8) 1472-1483; DOI: https://doi.org/10.2215/CJN.13841215
Jason Glaser
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Jay Lemery
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Balaji Rajagopalan
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Henry F. Diaz
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Ramón García-Trabanino
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Gangadhar Taduri
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Magdalena Madero
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Mala Amarasinghe
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Georgi Abraham
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Sirirat Anutrakulchai
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Vivekanand Jha
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Peter Stenvinkel
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Carlos Roncal-Jimenez
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Miguel A. Lanaspa
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Ricardo Correa-Rotter
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David Sheikh-Hamad
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Emmanuel A. Burdmann
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Ana Andres-Hernando
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Tamara Milagres
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Ilana Weiss
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Mehmet Kanbay
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Catharina Wesseling
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Laura Gabriela Sánchez-Lozada
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Richard J. Johnson
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Abstract

Climate change has led to significant rise of 0.8°C–0.9°C in global mean temperature over the last century and has been linked with significant increases in the frequency and severity of heat waves (extreme heat events). Climate change has also been increasingly connected to detrimental human health. One of the consequences of climate-related extreme heat exposure is dehydration and volume loss, leading to acute mortality from exacerbations of pre-existing chronic disease, as well as from outright heat exhaustion and heat stroke. Recent studies have also shown that recurrent heat exposure with physical exertion and inadequate hydration can lead to CKD that is distinct from that caused by diabetes, hypertension, or GN. Epidemics of CKD consistent with heat stress nephropathy are now occurring across the world. Here, we describe this disease, discuss the locations where it appears to be manifesting, link it with increasing temperatures, and discuss ongoing attempts to prevent the disease. Heat stress nephropathy may represent one of the first epidemics due to global warming. Government, industry, and health policy makers in the impacted regions should place greater emphasis on occupational and community interventions.

  • chronic kidney disease
  • Climate
  • Climate Change
  • Dehydration
  • Health Policy
  • Heat Exhaustion
  • Hot Temperature
  • Physical Exertion
  • Renal Insufficiency
  • Chronic
  • Rural Population
  • Copyright © 2016 by the American Society of Nephrology
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Clinical Journal of the American Society of Nephrology: 11 (8)
Clinical Journal of the American Society of Nephrology
Vol. 11, Issue 8
August 08, 2016
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Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy
Jason Glaser, Jay Lemery, Balaji Rajagopalan, Henry F. Diaz, Ramón García-Trabanino, Gangadhar Taduri, Magdalena Madero, Mala Amarasinghe, Georgi Abraham, Sirirat Anutrakulchai, Vivekanand Jha, Peter Stenvinkel, Carlos Roncal-Jimenez, Miguel A. Lanaspa, Ricardo Correa-Rotter, David Sheikh-Hamad, Emmanuel A. Burdmann, Ana Andres-Hernando, Tamara Milagres, Ilana Weiss, Mehmet Kanbay, Catharina Wesseling, Laura Gabriela Sánchez-Lozada, Richard J. Johnson
CJASN Aug 2016, 11 (8) 1472-1483; DOI: 10.2215/CJN.13841215

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Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy
Jason Glaser, Jay Lemery, Balaji Rajagopalan, Henry F. Diaz, Ramón García-Trabanino, Gangadhar Taduri, Magdalena Madero, Mala Amarasinghe, Georgi Abraham, Sirirat Anutrakulchai, Vivekanand Jha, Peter Stenvinkel, Carlos Roncal-Jimenez, Miguel A. Lanaspa, Ricardo Correa-Rotter, David Sheikh-Hamad, Emmanuel A. Burdmann, Ana Andres-Hernando, Tamara Milagres, Ilana Weiss, Mehmet Kanbay, Catharina Wesseling, Laura Gabriela Sánchez-Lozada, Richard J. Johnson
CJASN Aug 2016, 11 (8) 1472-1483; DOI: 10.2215/CJN.13841215
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    • Mesoamerican Nephropathy
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More in this TOC Section

  • Serious Illness Conversations in ESRD
  • Use of Causal Diagrams to Inform the Design and Interpretation of Observational Studies: An Example from the Study of Heart and Renal Protection (SHARP)
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Keywords

  • chronic kidney disease
  • Climate
  • Climate Change
  • Dehydration
  • health policy
  • Heat Exhaustion
  • Hot Temperature
  • Physical Exertion
  • renal insufficiency
  • chronic
  • Rural Population

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