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Open Access Highly Accessed Correspondence

Importance of Arsenic and pesticides in epidemic chronic kidney disease in Sri Lanka

Channa Jayasumana1*, Ranil Gajanayake2 and Sisira Siribaddana3

Author Affiliations

1 Department of Pharmacology, Faculty of Medicine and Allied Sciences (FMAS), Rajarata University of Sri Lanka (RUSL), Mihintale, Sri Lanka

2 Nephrology Unit, Yale New Haven Hospital, New Haven, CT, USA

3 Department of Medicine, Faculty of Medicine and Allied Sciences (FMAS), Rajarata University of Sri Lanka (RUSL), Mihintale, Sri Lanka

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BMC Nephrology 2014, 15:124  doi:10.1186/1471-2369-15-124

Published: 28 July 2014

Abstract

In a recent study published by the National Project team on chronic kidney diseases of unknown origin in Sri Lanka, we believe there to be flaws in the design, analysis, and conclusions, which should be discussed further. The authors wanted to emphasis Cadmium as the major risk factor for chronic kidney disease of unknown etiology in Sri Lanka while undermining the importance of Arsenic and nephrotoxic pesticides. To arrive at predetermined conclusions the authors appear have changed and misinterpreted their own results. The enormous pressure applied by the agrochemical industry on this issue may be a factor. Herein, we discuss these issues in greater detail.