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45 minutes out of each hour" in order to adhere in order to comply with Permissible Heat Exposure
Threshold Limit Values (TLVs) mandated by the United States Occupational Safety and Health
Administration (OSHA).][59 Additionally, an unpublished study in ISA sugar cane workers found a
weight loss of 2.6 kg in workers who were uneducated regarding the need for rehydration.
Significantly, this study found that there is strong evidence from our field observations and available
reports that current work practices at ISA could be associated with heat stress and volume depletion,
and strong evidence from our review of the medical literature that volume depletion and muscle
damage are associated with acute kidney damage in humans or animals.] [60] In this way, it is clear
that working conditions at ISA may indeed cause CKDu, and therefore the sugarcane plantation may
have much more of a role in the perpetuation of the disease than previously thought. 3.5 Union
Affiliations Another potential setback in the dialogue and research on CKDu are lack of valid union
affiliations, and therefore, lack of job security. Figures from a mill questionnaire in January 2009
show that temporary workers make up to 85% and 40% of the field and 59 'Industrial Hygiene
/Occupational Health Assessment [...]', pp 45. 60 'Industrial Hygiene/Occupational Health
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Literature Review Pic Literature 19. 2 0 0 9 0 0 5 1 8 - P a g e | 19 refinery workforce at ISA
respectfully. Due to the temporary nature of the work, according to the study carried out by PASE,
subcontracted workers are less likely to affiliate themselves with a union, meaning that their ability to
negotiate better working conditions is significantly reduced[61 . Moreover, when asked, 85% of
workers at ISA responded that they are not free to organise a union. The study also claims that,
although there still exists unions within sugar refineries in Nicaragua, they have lost power in recent
years and, as a result, many permanent workers have decided to retire from the unions. Moreover,
according to the report, there exists “yellow unions” within the refinery, consisting of managerial and
administrative personnel “in order to clean up its public image and respond to the questioning of
some local actors."][62 In this way, we can see that in the attempt to avoid blame, ISA may be
providing propoganda and misinformation in current CKDu studies. 61 'Nicaraguan Sugar: A Macro
View of Today’s Industry', informe por Specialized Technology Resources Inc, pp 15. [accessed 09
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certain conditions. 35. 2 0 0 9 0 0 5 1 8 - P a g e | 35 role to play with regards to the continuing
mortality of the sugarcane cutters. Although it can be argued that the workers themselves have the
responsibility of adhering to working guidelines, resting and rehydrating regularly, it can also be said
that the workers lack the education level that the plantation owners and Government posess.
Additionally, the quota system implemented by ISA perpetuates the workers' need to work
consistently long hours in order to be able to provide enough income to sustain their families. It is
also unclear at this stage whether heat exposure and extreme dehydration are the causes of the
epidemic due to lack of appropriate research. Undoubtedly, ISA have committed many violations in
terms of working conditions, contracts, failure in the provision of personal protective equipment,
freedom of association and potential exposure of the workers to agrichemicals. The Grupo Pellas is a
powerful company both in Nicaragua and throughout Central America and a key contributer to the
Nicaraguan economy. However, although it is the Government's responsibility to regulate private
business in any democratic country, the Grupo Pellas is linked with Daniel Ortega through COSEP,
and this provokes a question of conflicting interests. As Kuhner argues, there must be a complete
separation of state and private business in order for any democratic society to function. It is true that
the international market also has a role to play in the perpetuation of the disease. Promotion of
production of sustainable fuels such as sugarcane ethanol has so far not been done in a sustainable
way. By continuing to award grants to companies with working condition violations such as ISA and
Mill Monte Rosa, the World Bank has Get Expert Help in Deciding the Best Dissertation Topics for
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mit der Top-Navigation! 25. 2 0 0 9 0 0 5 1 8 - P a g e | 25 access to healthcare at the plantation
hospital][78 . The Nicaragua Government have regulations in place to allow equal access to
healthcare to all its citizens, such as the Ley General de Salud][79 . It is even written into the
constitution that “The responsibility lies with the State to coordinate and organise health programmes
and services”][80 . However, no action is being taken against the Grupo Pellas to prevent the
unethical dismissal of the workers, an act which is then effectively procluding them from accessing
proper healthcare systems and therefore perpetuating the occurrence and mortality of CKDu
sufferers. 5.2 Riots and Police Brutality Suppression of riots and police brutality towards those
protesting lack of dialogue on CKDu is another way in which the Nicaraguan Government
perpetuates this disease. On March 18 2013, workers from the ISA plantation and their families
staged a peaceful protest in the Nicaraguan capital of Managua in an attempt to draw attention to the
CKDu epidemic in Chichigalpa. After protesting at the Grupo Pellas Headquarters, as well as at the
Instituto Nacional de Seguridad Social, the families returned to Chichigalpa, where they staged a
legal roadblock. The roadblack is a recognised form of protest in Nicaragua and video footage taken
at the scene supports the assertion that the 78 'Anatomy of a Riot', pp 10. 79 'Ley General de Salud',
por el Gobierno de Nicaragua [accessed 10 November 2013]. 80 'Constitución Política de la
República de Nicaragua, Capítulo 3 – Derechos Sociales, Artículo 59, por el Gobierno de Nicaragua.
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how the produced valuables are distributed among different society me… 23. 2 0 0 9 0 0 5 1 8 - P a
g e | 23 Renewable Fuel Standard (RFS) calls for an increase in the use of biofuels in America. As a
result, sugarcane biofuel has become an emerging industry, with the US Environmental Protection
Agency (EPA) claiming that Brazilian sugarcane ethanol reduces greenhouse gases by 61%][72 . In
2007, after ISA had made its first shipment of ethanol, Paul Trivelli, the U.S Ambassador in
Nicaragua stated that the ISA had embraced "the potential to develop the industry and the positive
aspects of biofuels." The following year, according to Trivelli, the US State Department saw
Nicaragua as a "high priority country" for the production of sugarcane ethanol][73 . This promotion
of biofuels by the International Market seems to have overshadowed the requirements for workplace
conditions set out in fundamental treaties of the International Labour Organization (ILO) such as the
Discrimination (Employment and Occupation) Convention 1958 (No. 111)][74 and the Freedom of
Association and Protection of the Right to Organise Convention 1951 (No. 87)][75 . The
International community also has the obligation to ensure that the terms of the International
Covenant on Economic, Social and Cultural Rights are upheld within Nicaraguan industry][76 .
Regardless of the recent prioritisation of biofuels, the international community has the responsibility
to ensure that suppliers do not expose workers to inadequate conditions such as those 72 'US Policy
Overview' en Sugarcane [accessed 19 January 2014]. 73 Chavkin, 'Thousands of Sugar Cane
Workers Die as Wealthy Nations Stall on Solutions'. 74 'NORMLEX Information System on
International Labour Standards, Ratifications for Nicaragua' del Organización Internacional del
Trabajo [accessed 19 January 2014]. 75 'NORMLEX Information System on International Labour
Standards, Ratifications for Nicaragua' de la Organización Internacional del Trabajo [Accessed 19
January 2014]. 76 'International Covenant on Economic, Social and Cultural Rights' CERTIFIED
ORGANIC TOUR- Piermont, NY at writers wanted online: Pete Levin Trio w. John Cariddi &
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literature review for thesis, don’t hesitate to ask our experts for help and professional advice. 32. 2 0
0 9 0 0 5 1 8 - P a g e | 32 recent pact made between COSEP and President Ortega] [98 , Article 98
of the Nicaraguan Constitution was amended to state that "The principal function of the State in the
economy is to materially develop the country."][99 Monica Baltodano, a legislator with the
Movimiento Renovador Sandinista (MRS) says, “Capital is reaching a direct and very good
understanding with the Ortega government. COSEP’s upper echelons and the finance capitalists are
very pleased with the government, because despite the populist and confrontational discourse Ortega
uses when referring to private enterprise, in practice he doesn’t to touch the central interests of those
groups.”][100 Jason Glaser believes that, in terms of the CKDu problem, “This Government really
hasn’t engaged the problem in a proactive way. The relationship with the major sugar producer seems
to be far too cosy.”][101 Moreover, according to Phil Ryan, in 1981 the FSLN would attempt to use
'economic incentives' to induce the bourgeoisie to continue to produce ... such as Alfredo Pellas, who
98 Montalván, W. 'El Pacto Ortega-COSEP', La Prensa [Nicaragua] (23 September 2013) [accessed
23 December 2013]. 99 'Constitución Política de la República de Nicaragua, Título 6, Capítulo 1 –
Economía Nacional, Artículo 98, por el Gobierno de Nicaragua. 100 'The FSLN Government Pieces
Together Its New International Policy Puzzle', Envio Digital (September 2007) [accessed 23
December 2013]. 101 'An Apparent Epidemic in Kidney Disease in Sugar Cane Workers in
Nicaragua'. Looking for an exceptional company to do some custom writing for you? Look no
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a g e | 34 Like this, we can see that ISA owner Grupo Pellas has undue influence over the
Nicaraguan Government, and therefore this could be a factor in the Government's lack of action
regarding CKDu. 6. Conclusion The question of responsibility with regards to Chronic Kidney
Disease of unknown aetiology in the Pacific coast of Nicaragua is an extremely pertinent one.
Having examined several factors relating to perpetuation of the disease, it is clear that the Nicaraguan
Government, the plantation owners and the international market all have a Film Essay Topics
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25. 2 0 0 9 0 0 5 1 8 - P a g e | 25 access to healthcare at the plantation hospital][78 . The Nicaragua
Government have regulations in place to allow equal access to healthcare to all its citizens, such as
the Ley General de Salud][79 . It is even written into the constitution that “The responsibility lies
with the State to coordinate and organise health programmes and services”][80 . However, no action
is being taken against the Grupo Pellas to prevent the unethical dismissal of the workers, an act
which is then effectively procluding them from accessing proper healthcare systems and therefore
perpetuating the occurrence and mortality of CKDu sufferers. 5.2 Riots and Police Brutality
Suppression of riots and police brutality towards those protesting lack of dialogue on CKDu is
another way in which the Nicaraguan Government perpetuates this disease. On March 18 2013,
workers from the ISA plantation and their families staged a peaceful protest in the Nicaraguan capital
of Managua in an attempt to draw attention to the CKDu epidemic in Chichigalpa. After protesting at
the Grupo Pellas Headquarters, as well as at the Instituto Nacional de Seguridad Social, the families
returned to Chichigalpa, where they staged a legal roadblock. The roadblack is a recognised form of
protest in Nicaragua and video footage taken at the scene supports the assertion that the 78 'Anatomy
of a Riot', pp 10. 79 'Ley General de Salud', por el Gobierno de Nicaragua [accessed 10 November
2013]. 80 'Constitución Política de la República de Nicaragua, Capítulo 3 – Derechos Sociales,
Artículo 59, por el Gobierno de Nicaragua. Franklin Lakes, NJ at Custom research paper ghostwriter
siteswith Pat Bianco Band 30. 2 0 0 9 0 0 5 1 8 - P a g e | 30 effect on the mediation process and
therefore a detrimental effect on the search for answers about CKDu. 5.5 Social Security Social
security benefits for diagnosed workers would make it easier for families to cope with the demands
of a chronic kidney problem, and the men affected would be less likely to die. In 2004, Ley 456 was
added to the Labour Code, guaranteeing comprehensive social security protection and provision of
livelihood in cases of disability, old age, occupational hazards, sickness and maternity; and to
families in cases of death in the form and manner prescribed by law.[91] However, sick workers and
families of deceased workers still struggle to receive social security benefits and state pensions. In
order to apply for social security, there are several requirements which are almost impossible for the
sugar cane cutters to meet. Firstly, they are required to have worked a minimum of 150 weeks in the
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Example Sample Literature Review 19. 2 0 0 9 0 0 5 1 8 - P a g e | 19 refinery workforce at ISA
respectfully. Due to the temporary nature of the work, according to the study carried out by PASE,
subcontracted workers are less likely to affiliate themselves with a union, meaning that their ability to
negotiate better working conditions is significantly reduced[61 . Moreover, when asked, 85% of
workers at ISA responded that they are not free to organise a union. The study also claims that,
although there still exists unions within sugar refineries in Nicaragua, they have lost power in recent
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according to the report, there exists “yellow unions” within the refinery, consisting of managerial and
administrative personnel “in order to clean up its public image and respond to the questioning of
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working for 2 or 3 seasons][93 . To qualify for social security, the men would have to work for 6
harvest seasons][94 . Secondly, the workers must prove they were healthy prior to beginning work at
the sugar plantations. Although ISA regularly performs creatinine testing, the workers are prohibited
access to these records due to the fact that the tests are carried out in the ISA's private clinic, and
therefore the medical records are the property of the company] [95 . Additionally, meeting these
criteria does not necessarily guarantee provision of social security benefits][96 . The fact that the
Government makes it difficult to access social security means that the diagnosed workers often
cannot access adequate healthcare and therefore are more likely to die from the disease. 5.6
Nicaraguan Business Interests Another factor which potentially perpetuates the incidence of CKDu
in Nicaragua are economic influences. In a research paper published in the Journal of Banking and
Finance, the authors argue that "Government ownership is generally harmful to the corporate
governance of the firm" and that "this finding intensifies as the government's power increases, and it
is specifically linked to central government ownership."][97 After a 93 'Anatomy of a Riot', pp 15. 94
'Labour Conditions in the Nicaraguan Sugar Industry', pp 12. 95 'Anatomy of a Riot', pp 16. 96 'Ley
Número 539 - Ley de Seguridad Social' por el Gobierno de Nicaragua. 97 Borisova, G., Brockman,
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8 - P a g e | 26 protesters complied with Government regulations, periodically allowing cars to
pass][81 . However, on arrival of the Nicaraguan police, eyewitness accounts cite excessive use of
force against the protesters. Despite the fact that the roadblock was compliant with the law, tear gas
canisters were fired into a crowd of less than 200 people, including women and children who were
retreating from the conflict. After people had dispersed and returned home, police began to arrive at
houses, arresting civilians. Protesters, bystanders and even children were severely beaten by police
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arrested. They were all young and all beaten. One of them told [the police] that he would report them
and they beat him more.”][83 In this way, the excessive force of Government officials can only be
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Convention on Human Rights] [85 . Despite the fact that the Government 81 'Nicaragua: Peaceful
protest turns violent, former sugarcane workers demand rights' en Climate Connections (22 March
2013) [accessed 19 November 2013]. 82 'Anatomy of a Riot', pp 2. 83 'Anatomy of a Riot', pp 19.
84 'Declaración Universal de los Derechos Humanos' de los Naciones Unidos [accessed 19
November 2013]. 85 'Convención Americana sobre Derechos Humanos' por la Organización de los
Estados Americanos Show submenu for "Read" section A Guide To Writing The Dissertation
Literature Review 30. 2 0 0 9 0 0 5 1 8 - P a g e | 30 effect on the mediation process and therefore a
detrimental effect on the search for answers about CKDu. 5.5 Social Security Social security
benefits for diagnosed workers would make it easier for families to cope with the demands of a
chronic kidney problem, and the men affected would be less likely to die. In 2004, Ley 456 was
added to the Labour Code, guaranteeing comprehensive social security protection and provision of
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families in cases of death in the form and manner prescribed by law.[91] However, sick workers and
families of deceased workers still struggle to receive social security benefits and state pensions. In
order to apply for social security, there are several requirements which are almost impossible for the
sugar cane cutters to meet. Firstly, they are required to have worked a minimum of 150 weeks in the
last 6 years[92 . Normally the workers begin to get sick after 91 'Ley Número 456 - Ley de Adición
de Riesgos y Enfermedades Profesionales' por el Gobierno de Nicaragua [accessed 10 December
2013]. 92 'Ley Número 539 - Ley de Seguridad Social' por el Gobierno de Nicaragua [accessed 10
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and this practice could be a good preventative measure against CKDu. However, the plantation uses
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