…[S]ugar produced in Nicaragua has most likely been harvested by workers who are not paid enough, endure long working hours and lack enough access to shade and water. On average, workers receive half what is needed to cover their basic expenses. The majority of sugarcane cutters reported they were paid per ton of cane they cut…[which] incentivises long working day…[that] can sometimes increase to more than 12 hours a day seven days a week during the harvest time…far more than international agreements on fair working conditions and ILO regulations would allow. ..[T]he research indicates that many workers surveyed are permitted to take only one or two breaks a day…Dehydration, heat stress and repeated episodes of heavy work in hot climates contribute to the development of Chronic Kidney Disease of Unknown origin, a devastating epidemic effecting sugarcane workers in the region, according to the Pan-American Health Organisation Resolution…[Refers to Ingenio Monte Rosa (part of Grupo Pantaleón) and Ingenio San Antonio (part of Nicaragua Sugar Estates Ltd.); the companies deny allegations]