Views of a sugar cane field burning near Isquintla, Guatemala on March 4, 2026

Kekchi men, internal migrant workers from Coban, cutting sugar cane in Santa Ana Company sugar cane fields near Isquintla, Guatemala on March 5, 2026.

Kekchi men, internal migrant workers from Coban, cutting sugar cane in Santa Ana Company sugar cane fields near Isquintla, Guatemala on March 5, 2026.

Irrigation workers for Pantaléon in Parselamiento El Cajon in sector El Betania, Guatemala on March 2, 2026.

A food shop in sector Aguero, Guatemala on March 2, 2026.

Edvin Rafael Sarmiento, 32, a former sugar cane worker who contracted kidney disease 6 years ago, and has been unable to work, at his home with family in Parselamiento El Cajon in sector Aguero, Guatemala on March 2, 2026.

The Sarmiento family in Parselamiento El Cajon in sector Aguero, Guatemala on March 2, 2026.

Blanca Rosa, 35, lost her son, Cesar Omar Flores Fuentes, 20, to CKDnT, chronic kidney disease of non- traditional causes, three months ago, photographed at her home in Canton Colima, El Salvador on March 7, 2026.

Gregorio Perez Garcia, 60, a community leader, farmer and reporter, in Shupa, Guatemala on February 28, 2026. This area is the heart of the dry corridor.

Domestic scene at a sugar cane worker’s home in Los Sitios, El Salvador on March 6, 2026.

Sugar cane workers participating in La Isla Network's PREP program, which incorporates rest, water and shade into their work routine, in Guazapa, El Salvador on March 7, 2026.

Portrait of a sugar cane worker in Guazapa, El Salvador on March 7, 2026.

Sugar cane workers participating in La Isla Network's PREP program, which incorporates rest, water and shade into their work routine, in Guazapa, El Salvador on March 7, 2026.

Maria Catalina Artiga, 72, widowed by CKDnT less than a year ago, at her home in Jocote, El Salvador on March 8, 2026.