Men work in Nicaragua sugar fields

In this Friday, 20 January 2012 photo, two men work in the fields of the San Antonio sugar mill in Chichigalpa, Nicaragua. A mysterious epidemic is devastating the Pacific coast of Central America, killing more than 24,000 people in El Salvador and Nicaragua since 2000 and striking thousands of others with chronic kidney disease at rates unseen virtually anywhere else. Many of the victims were manual laborers or worked in the sugarcane fields that cover much of the coastal lowlands. (AP Photo/Esteban Felix)