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Political Economy of Epidemic Kidney Disease in Sri Lanka

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  • Asoka Bandarage

Abstract

The Chronic Kidney Disease (CKD), taking the lives of thousands in poor farming communities in Sri Lanka, is commonly seen as a problem peculiar to the island’s north central dry zone agricultural region. The prevailing bio-medical focus is on identifying one or more “environmental nephrotoxins.†While delineating important controversies on the etiology of the disease, this article seeks to broaden the discourse on the hitherto neglected political economy of CKD in Sri Lanka. In so doing, it seeks to bring together the bio-medical debate on the impact of widespread and unregulated use of agrochemicals on public health and kidney disease with broader global interdisciplinary perspectives on the industrialization of agriculture and the consolidation of food production by transnational agribusiness corporations. The article concludes pointing out environmentally sustainable and socially equitable development and organic agriculture as the long-term solutions to CKD in Sri Lanka and elsewhere.

Suggested Citation

  • Asoka Bandarage, 2013. "Political Economy of Epidemic Kidney Disease in Sri Lanka," SAGE Open, , vol. 3(4), pages 21582440135, October.
    • Handle: RePEc:sae:sagope:v:3:y:2013:i:4:p:2158244013511827
    DOI: 10.1177/2158244013511827
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    References listed on IDEAS

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    1. Smit, L. A. M., 2002. "Pesticides: Health impacts and alternatives. Proceedings of a workshop held in Colombo, 24 January 2002," IWMI Working Papers H030704, International Water Management Institute.
    2. Udayanganie, A.D.D. & Prasada, Dickwella Vidanage Pahan & Kodithuwakku, K.A.S.S. & Weerahewa, Jeevika & Little, D.C., 2006. "Efficiency Of The Agrochemical Input Usage In The Paddy Farming Systems In The Dry Zone Of Sri Lanka," Annual Meeting, 2006, May 25-28, Montreal, Quebec 34181, Canadian Agricultural Economics Society.
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    Cited by:

    1. Sarath Gunatilake & Stephanie Seneff & Laura Orlando, 2019. "Glyphosate’s Synergistic Toxicity in Combination with Other Factors as a Cause of Chronic Kidney Disease of Unknown Origin," IJERPH, MDPI, vol. 16(15), pages 1-26, July.
    2. Dana Cordell & Elsa Dominish & Mohamed Esham & Brent Jacobs & Madhuri Nanda, 2021. "Adapting food systems to the twin challenges of phosphorus and climate vulnerability: the case of Sri Lanka," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(2), pages 477-492, April.

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