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  • Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night
    DUKAS_111642248_COY
    Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night
    EXCLUSIVE. Coleman-Rayner
    Los Angeles, CA. January 5, 2020.
    Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night. The pair hung out by the bar and partied until close to midnight at the starry bash.
    CREDIT MUST READ: Coleman-Rayner
    Tel US (001) 310-474-4343- office
    www.coleman-rayner.com

    (c) Dukas

     

  • Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night
    DUKAS_111642207_COY
    Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night
    EXCLUSIVE. Coleman-Rayner
    Los Angeles, CA. January 5, 2020.
    Taylor Swift gets intimate with long-term boyfriend Joe Alwyn at the CAA party at Sunset Tower in Los Angeles following the Golden Globes on Sunday night. The pair hung out by the bar and partied until close to midnight at the starry bash.
    CREDIT MUST READ: Coleman-Rayner
    Tel US (001) 310-474-4343- office
    www.coleman-rayner.com

    (c) Dukas

     

  • PEOPLE - Promis beim Variety's Power of Women Event in Beverly Hills
    DUK10124292_010
    PEOPLE - Promis beim Variety's Power of Women Event in Beverly Hills
    All-Round Exclusive - no minimums
    Mandatory Credit: Photo by Stewart Cook for Variety/REX (10440217gj)
    Exclusive - Kevin Huvane (Managing Partner, CAA) and Natalie Portman attend VarietyÕs Power of Women presented by Lifetime at The Beverly Wilshire on October 11, 2019 in Beverly Hills.
    Exclusive - Variety's Power of Women Presented by Lifetime, Inside, The Beverly Wilshire, Los Angeles, USA - 11 Oct 2019

    (c) Dukas

     

  • PEOPLE - Promis beim Variety's Power of Women Event in Beverly Hills
    DUK10124292_009
    PEOPLE - Promis beim Variety's Power of Women Event in Beverly Hills
    All-Round Exclusive - no minimums
    Mandatory Credit: Photo by Stewart Cook for Variety/REX (10440217gi)
    Exclusive - Kevin Huvane (Managing Partner, CAA) and Jen Salke (Head of Amazon Studios) attend VarietyÕs Power of Women presented by Lifetime at The Beverly Wilshire on October 11, 2019 in Beverly Hills.
    Exclusive - Variety's Power of Women Presented by Lifetime, Inside, The Beverly Wilshire, Los Angeles, USA - 11 Oct 2019

    (c) Dukas

     

  • EXKLUSIV - Taylor Swift mit Joe Alwyn an der Golden Globes Party im Sunset Tower Hotel
    DUK10111469_002
    EXKLUSIV - Taylor Swift mit Joe Alwyn an der Golden Globes Party im Sunset Tower Hotel
    EXCLUSIVE. Coleman-Rayner.
    Los Angeles, CA, USA. January 6, 2018
    ***Video also available***
    Taylor Swift and boyfriend Joe Alwyn arrive at the Golden Globes after party at Sunset Tower Hotel in West Hollywood. They were stopped for five minutes at the CAA bash as the singer had arrived with too many people and needed a special escort inside the venue. The superstar, looking glamorous in a black glittering gown, was escorted into the party by her actor beau just before 11pm.
    CREDIT MUST READ: Coleman-Rayner
    Tel US (001) 310 474 4343 - office
    www.coleman-rayner.com

    (c) Dukas

     

  • EXKLUSIV - Taylor Swift mit Joe Alwyn an der Golden Globes Party im Sunset Tower Hotel
    DUK10111469_001
    EXKLUSIV - Taylor Swift mit Joe Alwyn an der Golden Globes Party im Sunset Tower Hotel
    EXCLUSIVE. Coleman-Rayner.
    Los Angeles, CA, USA. January 6, 2018
    ***Video also available***
    Taylor Swift and boyfriend Joe Alwyn arrive at the Golden Globes after party at Sunset Tower Hotel in West Hollywood. They were stopped for five minutes at the CAA bash as the singer had arrived with too many people and needed a special escort inside the venue. The superstar, looking glamorous in a black glittering gown, was escorted into the party by her actor beau just before 11pm.
    CREDIT MUST READ: Coleman-Rayner
    Tel US (001) 310 474 4343 - office
    www.coleman-rayner.com

    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - PAULINA ROSTRAN, 47, shows the photo of her husband Pedro Hernandez, who died 3 years ago at age 49. She has also been working for the sugar company for 10 years. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_026
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - Violent demonstrators face riot police during a protest for patients of CRI due to the lack of support from the Nicaraguan government in Chichigalpa. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - Several riot police are preparing to cover positions at the headquarters of Flor de Cana, a rum company in Ingenio San Antonio, where most of the inhabitants of Chichigalpa work.In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_024
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A group of young people loot a gas station during a protest in favor of the patients of CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - Several sick workers of IRC are organized to start a demonstration against the sugar company for the lack of support for sick workers. If they do not have a minimum number of weeks, the company does not take care of the insurance that gives them a basic basket and financial support to carry out the hemodialysis. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - The Chichigalpa cemetery has become crowded. There is a second cemetery which was opened 15 years ago where it is estimated that there are about 10,000 cane cutters buried there who were suffering from the disease of CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - JOSE ANTONIO ALTAMIRANO, 16, shows photos of his father at his home on the Isle of Widows. His father was a sugar cane cutter, who died at the age of 42 after working for the company for 22 years. His mother, Angela Guevara, also has the disease. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - PEDRO JOSE BONILLA, 33 years old, worked in the company since he was 20, until he was diagnosed with the IRC and was fired. He works as a taxi driver with a bicycle even though he suffers from fatigue and chronic pain. His father and his 6 brothers are also sick of CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - JOSE DOUGLAS TORUNO, 42, holds his wife's hand. There are days that he can barely get out of bed. He was diagnosed with the disease in 2001 after 13 seasons cutting sugarcane. He attributes the disease to fertilizers, heat and unsafe working conditions between dirty waters infected by chemicals. He has to procure, along with other colleagues, his transfer to Managua three times a week to receive hemodialysis, which they pay for themselves. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_018
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - ROBERTO JESUS OLIVA is taken care of by his mother. He is 23 years old. He has been sick since he was 17, two years after starting to work as a cane cutter. Like many other workers, Jesus does not have the minimum number of weeks listed and the insurance is not responsible for defraying the expenses for his treatment. He lives prostrate in a bed and his family performs peritonial hemodialysis. He died three weeks after this image was taken. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_017
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A protester cools off off from the heat under a gutter during a storm at the Chichigalpa Sports Center. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_016
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - ANGELINO VELAZQUEZ is a community leader from Chichigalpa. He has been in jail for demonstrating against the lack of help for people with CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_015
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - LUIS ALFONSO CRUZ, 58, is sitting on the bed of his house. He has been ill since 2003, 6 months after a fumigation plane unloaded the product in the place where he was working with his crew. The doctors have already given him up for lost. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_014
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - Roberto Jesus Oliva is 23 years old. He has been sick since he was 17, two years after starting to work as a cane cutter. Like many other workers, Jesus does not have the minimum number of weeks listed and the insurance is not responsible for defraying the expenses for his treatment. He lives prostrate in a bed and when his family can they perform peritonial hemodialysis. He died three weeks after this image was taken.In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_013
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - ROBERTO JESUS OLIVA accompanied by his mother. He is 23 years old. He has been sick since he was 17, two years after starting to work as a cane cutter. Like many other companions, Jesus does not have the minimum number of weeks listed and the insurance is not responsible for defraying the expenses for his treatment. He lives prostrate in a bed and when his family can perform peritonial hemodialysis. He died three weeks after this image was taken. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - ANGELINO VELAZQUEZ in a hemodialysis room in the health center of Chichigalpa. He is a community leader of Chichigalpa. He has been in jail for demonstrating against the lack of help for people with CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_011
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - BRENDA LIRA, 40 years old, active sugar worker shows her feet with discoloration due to the use of chemical agents in the plantations. The rubber boots that the company gives them do not serve to protect them from the water infected by the use of these products. She is the widow of Felix Hernandez, also a cane cutter, who died at the age of 33 due to the disease that collapsed his kidneys. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A family buries the patriarch. He had fallen ill with CRI 4 years ago and his kidneys could not take it anymore. The family could not bury his body in the municipal cemetery with other relatives because it has been full since the beginning of 2003, when the deaths reached up to five a day. The mayor was forced to inaugurate a new cemetery, although it will not take long to fill it too. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_009
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A young girl observes her father, who has CRF, as he performs hemodialysis in his house. With hardly any sanitary methods and in tiny conditions, it is the only hope they have to be able to stay alive.In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_008
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A cane cutter shoots an explosive during a demonstration at the entrance of Flor de Cana company, owner of Ingenio San Antonio. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_007
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A woman helps her husband, ill with CRI, to perform the hemodialysis in his house. The treatment is the only hope he has to be able to stay alive. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_006
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A cane cutter throws a Molotov cocktail at the doors of the company that owns the Ingenio San Antonio Sugar Mill in Chichigalpa, at the end of one of the demonstrations in support of the sick of CRI. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - JOSE DOUGLAS TORUNO, 42, shows where his blood is being filtered. That gauze on the neck is a sign that he is one of the IRC patients. He was diagnosed with the disease in 2001, after 13 seasons cutting sugarcane. He attributes the disease to fertilizers, heat and unsafe working conditions between dirty waters infected by chemicals. He has to procure, along with other colleagues, his transfer to Managua three times a week to receive hemodialysis, which they pay for themselves. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
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    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - CRISTINO OSORIO, 43 years old, complains of his pain in his home in Chichigalpa. He started working as a cane cutter at the sugar mill in 1993 and was dismissed when they discovered that he was suffering from chronic kidney failure (CRF) in the year 2000. Since then he has been on hemodialysis three days a week. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_002
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - People march in support of the chronically ill of the IRC in Chichigalpa, a town where a large part of the population has fallen ill from working in the sugar company. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - Nicaragua: Chichigalpa
    DUK10084090_001
    REPORTAGE - Nicaragua: Chichigalpa
    September 7, 2017 - Chichigalpa, Nicaragua - A dog walks in front of the national police during a manifestation of CRI patients in Chichigalpa. The government does not attend to the requests of the sick and harshly repels any kind of support for the sick. In Nicaragua and El Salvador, age-adjusted mortality rates from kidney disease are among the highest in the world. Age-specific rates among younger men up to 15 times higher than in the United States. At least 20,000 people are estimated to have died of chronic kidney disease (CKD) in Central America in the last 20 years alone, and many are sugar cane workers along the Pacific coast. In the municipality of Chichigalpa, the disease is responsible for almost half of male deaths in the last decade (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_047
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_046
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_045
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_044
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_043
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_042
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_041
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_040
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_039
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_038
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_037
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_036
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_035
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_034
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_033
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_032
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

  • REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    DUK10070732_031
    REPORTAGE - 'Bittersweet' Krankheit in Nicaragua
    September 7, 2017 - Unspecified, Nicaragua - In the Chichigalpa community, an epidemic of Chronic Kidney Disease of unknown origin (CKDu) is now living in the Nicaraguan Pacific Coast. This disease mainly affects the young men who work in the cane plantations (although children and sick women have also been found). Some scientists attribute the disease to the use of pesticides and fungicides with toxic substances (such as glyphosate) and to extreme working conditions (high temperatures, excessive physical effort, dehydration, hours under the sun, without right to somba spaces). This is a reality throughout the Central American coast, Nicaragua is the most affected country. According to the Pan American Health Organization, between 2005 and 2009, 3,442 men died. The emergency situation has led the communities to settle in organizations such as the Asociación Chichigalpa por la Vida (ASOCHIVIDA), made up of former workers and widows of former workers of Ingenio San Antonio (founded in 1890) owned by Grupo Pella, famous Ron ''Flower of Caña'' and of ethanol (FOTO: DUKAS/ZUMA)
    (c) Dukas

     

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