El Angel Sugar Mill outside of Suchitoto, El Salvador. Fatal CKDnT & the Plight of Sugarcane Workers. 01/2015. Chronic Kidney Disease of nontraditional causes is a global epidemic attacking the world’s sugarcane workers. Per the Center for Public Integrity, CKDnT kills more people in Nicaragua & El Salvador, the 2 countries w/ the highest magnitude of mortality, than HIV/AIDS, diabetes, & leukemia combined.