Two young boys in rural NicaraguaIn Chichigalpa, chronic kidney disease of non-traditional causes (CKDnT) affects more than half of the adult population. CKDnT is associated with heavy labour in hot temperatures, and affects many agricultural workers. These boys have lost two cousins to CKDnT, both men who worked as cutters in sugarcane fields. The boys’ mother still works as a cutter, and they hope to get a chance to do so themselves.