Por: Glenda Girón

Los índices de trabajo infantil han aumentado tras la cuarentena

En la casa hogar del programa Ángeles Descalzos, los hijos de los vendedores del mercado Colón, en Santa Ana, encontraban una oportunidad para ser eso, niños. Desde marzo, está cerrado. Lucy Luna, directora ejecutiva de ASAPROSAR, la institución a cargo del programa, habla acerca de todas las estrategias que ejecutan para evitar que el trabajo infantil le siga ganando terreno a la educación.

“Yo andaba más protección que el médico que atendió a mi papi”

El Instituto salvadoreño del Seguro Social da cobertura en salud al 27 % de la población. Lo hace, en buena parte, con el dinero que aportan patronos y trabajadores. La pandemia ha colocado a la institución contra las cuerdas. Por un lado, el covid-19 aumentó de forma exponencial la demanda de atención médica y, por otro, la cuarentena redujo las actividades comerciales e industriales, lo que derivó en desempleo y menos cotizaciones. Este es el relato de una usuaria en un hospital en crisis.

Las casas a la orilla del río

Río Mar y Jute Esperanza son las dos comunidades de La Libertad que, según la alcaldía, más daños sufrieron durante las tormentas Amanda y Cristóbal. Ahí, no hay títulos de propiedad, lo más cercano es un permiso que extendió la municipalidad hace más de diez años, tiempo en el que los habitantes han sufrido tres inundaciones considerables. No ha habido, tampoco, planes de mitigación de riesgo o de reubicación que hayan ido más allá del anuncio. Las familias ya están buscando levantar sus ranchos en el mismo lugar y con las pocas láminas rescatadas de entre el lodo.

Sonia’s little wooden room for dialysis

Chronic Kidney Disease has a mortality rate of 54% in Guatemala. Among the departments with more reported cases is Escuintla; here, 61% of the sugarcane cultivation area is located. On this coast of the Pacific Ocean, many communities are neighbors of large areas of crops. Farmers and their families live among sheets, plastics, environmental contamination, and high temperatures, without access to quality water and with progressive disease. One of them is Sonia, a kidney patient who must have her dialysis done in a makeshift room that is no more than a square meter.

Two diseases on deathly collusion path a story of Jiquilisco, El Salvador

Patients with chronic kidney disease are amongst the most vulnerable sectors of the population and research shows more vulnerable to contracting the worst effects of COVID-19. In Jiquilisco, a coastal municipality of Usulután, El Salvador, the two diseases have merged in its deadly dance within a population that is also battling chronic and multidimensional poverty. The mandatory quarantine – called lockdown in other parts of the world – left this part of the population without the possibility of generating income and confined to houses not fit for allowing isolation.

Living and dying between crops: Chronic Kidney Disease in Chichigalpa

Chichigalpa is a municipality of Chinandega, Nicaragua. Here it is impossible to separate the residency areas from the agricultural ones. The houses grew among the crops of –mainly- sugar cane. The dilemma is that what is good for agricultural production it does not equally beneficial for the residents. Sugar industry workers were the first to be detected with Chronic Kidney Disease.

A house, a job, a disease

At least 90% of people diagnosed with Chronic Kidney Disease in Costa Rica are dialyzed at home. The goal of the entire healthcare system is to ensure that hospitals are not saturated with people who must undergo scrubbing treatment for several hours a day, and three to four times a week. This forces the construction or adaptation of a sterile room. The measure involves a significant expense for families who already live on the poverty line and who, in addition, this disease leaves without income, since the mills, endorsed by the government, test for kidney damage before hiring people. If they find altered results, they don’t use them. The cases are concentrated in one of the provinces with the most agricultural weight: Guanacaste.