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Examining the WBGT (Wet Bulb Globe Temperature) profiles in the two study locations was intended to show temperature differences during the week of the study. Information obtained from the weather stations that provide contextual long-term information on heat and humidity also showed temperature differences. The average measured temperature and humidity in the past year from each of these weather stations show an average heat index of 22 °C in Bogor and an average heat index of 32 °C in Karawang. Interpretation of the chronic kidney disease (CKD) and chronic kidney disease of unknown etiology (CKDu) findings was more complicated because we also found that farmers in our two locations reported differences in the use of mechanization in their farming, presumably impacting their workloads.

international journal of environmental  research and public health/international journal of environmental research and public health

Reply to “Comment on Fitria et al. ‘Environmental and Occupational Risk Factors Associated with Chronic Kidney Disease of Unknown Etiology in West Javanese Rice Farmers, Indonesia’ Int. J. Environ. Res. Public Health, 2020, 17, 4521”