Chronic Kidney Disease of undetermined causes (CKDu) is a worldwide epidemic presenting itself in hot, poor agricultural regions. The lack of medical attention and the hesitancy of potential victims to seek a diagnosis due to fear and stigma perpetuates this global disease. CKDu is caused by insufficient hydration, toxic chemicals, poor diets, and inadequate medical care. I have documented CKDu in Nicaragua, El Salvador, India, Sri Lanka, and most recently, Peru. This is a collaboration with NGO’s, global medical and healthcare professionals, labor rights activists and industries.