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LA ISLA FOUNDATION Sickly Sweet Human Rights Conditions for Sugarcane Workers in Western Nicaragua

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La Isla Foundation Human Rights Research Report. Online version available at: https://laislafoundation.org/sickly-sweet-report/ Personal Contributions: desk research, data collection, citation, editing.

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LA ISLA FOUNDATION

Sickly SweetHuman Rights Conditions for Sugarcane Workers in Western Nicaragua

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Sickly SweetHuman Rights Conditions for

Sugarcane Workers in Western Nicaragua

By Y-Vonne Hutchinson 08/20/2014

LA ISLA FOUNDATIONBe Part of the Solution

LA ISLA FOUNDATION

www.laislafoundation.org

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Acknowledgements

Authored by: Y-Vonne Hutchinson, Jason Glaser

Research Design/Principal Investigator: Y-Vonne Hutchinson

Desk Research: Y-Vonne Hutchinson, Anita Aufrecht, Purvi Patel, Edwin Wilbert, Ana Butler

Data Collection: Anita Aufrecht, Ana Butler, Purvi Patel, Maria Eugenia Cantillano Romero, Jose Gomez Ramirez, Juan Salgado, Katie Stark,

Cristhian Velasquez, Ilana Weiss, Edwin Wilbert

Data Analysis: Y-Vonne Hutchinson, Ana Butler, Jose Gomez Ramirez

Planning and Logistics: Cristhian Velasquez, Katie Stark, Juan Salgado, Cesar Garcia Esquevel, Y-Vonne Hutchinson, Jason Glaser

Editors: Josephine Weinberg, Jason Glaser, Megan Groves, Purvi Patel, Bennett Kuhn, John Subranni

Design and Layout: Bennett Kuhn, Jammie Mountz

Translation (from English to Spanish): Eva Ibarra, Josephine Weinberg

Funded by:

Council of Protestant Churches of Nicaragua (CEPAD)

Presbytery of the Pacific

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7 Executive Summary

12 Introduction

16 Rationale, Methodology, and Study Design

18 Contextual Background 18 Size of the Industry 18 Foreign Direct Investment, International Trade, and Industry Growth 22 Regulatory Framework

26 Study Results 26 Demographic Data 27 Working Conditions 27 Preliminary Observations on Rights Violations 28 Unsafe Working Conditions 34 Child Labor 37 Remuneration 41 Health 45 Inability to Access Social Security 48 Unionization 51 Treatment of Subcontractors 52 Intimidation and Extra-judicial Violence 55 Involuntary Resettlement and Displacement 58 Enforcement 58 Inspections 60 Access to Justice

62 Conclusion

64 Bibliography

Contents

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The history of sugarcane production is fraught with tragedy. Sugarcane solidified slavery in the Americas and decimated indigenous populations. Therefore, it comes with little surprise that the legacy of tragedy lingers. From the Dominican Republic to Brazil, sugar continues to be mired in controversy. Today, sugarcane cultivation is associated with land grabs, child labor, forced labor, and brutal working conditions. As increased global consumption of the commodity and its byproducts necessitates increased production, human rights abuses associated with sugar cultivation have also become more prominent.

La Isla Foundation was founded in 2008 to address the epidemic of chronic kidney disease of non-traditional causes (CKDnT), a mysterious and fatal illness disproportionately affecting sugarcane workers in western Nicaragua. Since that time, we have been committed to conducting and facilitating public health research, informed advocacy, and community development projects that support workers, their families, and the communities in which they live.

Recently published scientific literature on CKDnT has established a link between harsh working conditions and disease onset. It is the position of La Isla Foundation that despite efforts made to improve working conditions in Nicaragua generally, much remains to be done in the sugar sector. The research contained in the enclosed report is part of LIF’s efforts to improve the working and living conditions of populations affected by CKDnT. The result of qualitative research analyzing rights violations affecting Nicaraguan sugarcane workers in and out of the workplace, this report documents the contrast between legal protection of workers and the reality of work in sugarcane fields. It is the first human rights report of its kind issued within the last ten years. Through the dissemination of these findings, we hope to further efforts towards the improvement of working conditions within the Nicaraguan sugarcane industry in order to reduce disease prevalence and mitigate its impact.

At La Isla Foundation, we believe that positive change is possible. We have seen it happen. In 2004, Human Rights Watch determined that one third of workers in El Salvador’s sugarcane fields were children. Through the cooperative efforts of sugar producers, government agencies, and the International Labour Organization, child labor in sugarcane decreased 72% by 2008. Today, El Salvadoran sugar is widely regarded as a success story in child labor. El Salvador has also led the fight against CKDnT, welcoming independent research to identify the disease’s causes as well as programming to improve working conditions. But it doesn’t have to

Foreward

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stand alone. Those in El Salvador who havestepped forward should be held up as positive examples so that others, both in that country and throughout the region, may follow suit.

Our organization will continue to facilitate and support positive change in working conditions in Nicaragua. It is our hope that this report and our forthcoming research will stimulate an informed, cross-sectorial discussion amongst stakeholders to improve labor rights protection, combat CKDnT, and support affected communities.

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Founded in 2008, La Isla Foundation (LIF) works to address the epidemic of Chronic Kidney Disease of nontraditional causes (CKDnT)1 affecting agricultural workers in Central America, particularly sugarcane workers in Nicaragua.

The primary sugarcane producer in Nicaragua is National Sugar Estates Limited (NSEL), a subsidiary of commercial conglomerate Grupo Pellas, the largest private company in Nicaragua and one of the largest corporations in Central America. NSEL owns and operates the Ingenio San Antonio (ISA) sugar plantation and refinery, the site of the pilot study and the largest sugar refinery in the country, producing almost 17,000 metric tons of sugar per day, which totals more than 63% of the country’s sugar.2 The refinery also produces molasses and is the only refinery in the country equipped to produce ethanol.

LIF contends that the increased prevalence and mortality rates of CKDnT serve as an indicator of the poor living and working conditions in the region. Therefore, while those in the medical and public health communities work to determine causality, LIF has concluded that a rights-based intervention aimed at improving living and working conditions is a critical component of any strategy designed to reduce the prevalence and mitigate the impact of the disease. To that end, from August 2012 to June 2013, researchers developed a comprehensive study of legal compliance with human rights and labor rights protections meant to ascertain the nature and extent of rights violations negatively impacting sugarcane workers and their families.

In July of 2013, researchers piloted a human rights study of 29 current and former workers from ISA. This pilot study was developed to gain a preliminary understanding of rights issues affecting those working in the sugar plantations of western Nicaragua while assessing the viability of the questionnaire tool. Researchers’ preliminary findings show that sugarcane workers at ISA face severe issues both in their place of employment and at home that constitute not only violations of domestic and international labor law, but also violations of fundamental constitutional protections and international human rights treaty obligations.

1 Also referred to as “Chronic Kidney Disease from Non-traditional Causes” (CKDnT), Mesoamerican nephropathy (MeN), and Chronic Kidney Disease of unknown cause (CKDnT).

2 PASE & International Labor Rights Fund, “Labor Conditions In The Nicaraguan Sugar Industry,” [hereinafter “PASE Labor Study”] (2005) available at http://www.laborrights.org/sites/default/files/publications-and-resources/nicaragua_sugar.pdf (last accessed Apr. 11, 2013).

Executive Summary

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Researchers discovered indications of fundamental rights violations, including violations of basic protections found in the Nicaraguan Constitution, the Universal Declaration of Human Rights, and the International Labor Organization’s (ILO) Declaration of Fundamental Rights at Work. Fundamental rights violations uncovered included:

● Child Labor - Several respondents admitted to working for ISA as children. Thirty-four percent of respondents knew child workers under the age of 14, and 83% knew child workers between the ages of 14 and 17. Respondents indicated that children are involved in field-based occupations (such as planting, cutting, weeding) and worked the same number of hours as adults. During the course of their work, respondents claimed child workers were exposed to a variety of hazards, including dust, fumes, gas, flames, extreme heat, dangerous tools, and agrochemicals. Additionally, 65% of respondents believed that ISA knew about the existence of child workers.

● Restrictions on Freedom of Association - Of those interviewed, no one belonged to a union, and one informant did not know what a union was. About one-fourth of participants mentioned the threat of termination and being blacklisted as a deterrent to attempts to unionize. Additionally, 65% of respondents alleged that the unions operating within ISA had been bought by the company or received some form of financial assistance from ISA, while 58% believed the unions never defended their interests to their employer. Only one respondent could name a recent successful achievement of the unions.

● Inability to Access Judicial Mechanisms – Seventy-five percent of respondents felt that their rights were not protected by the justice system. Of these, 40% mentioned that the police were a major problem, citing corruption, ineffectiveness, and discrimination. Furthermore, 24% of respondents reported that they had filed a complaint against ISA. Of those, none reported having received an answer. Complaints related to illegal dismissal, indemnification for contracting CKDnT, and remuneration. Four respondents also mentioned that they were prevented from bringing a claim against ISA by the company or the government. Five respondents claimed they were targeted by government or police forces for speaking out against the company.

● Threats and Intimidation – Seventeen percent of respondents reported that they had received threats from members of the local government or police for speaking out against the sugar producer. Twenty percent of respondents reported having observed company, police, or government officials present at wakes or funerals in order to discourage protest through intimidation or

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bribery. Thirty-one percent reported that company management, the police, or government had told lies or insulted them or their family members.

Furthermore, researchers found pervasively dangerous working conditions that negatively impacted workers’ health, and most likely contributed to the relatively high prevalence rate of CKDnT. On average, during the harvest season, respondents worked 12 hours a day in temperatures that climbed past 100°F (37.8°C). Eighty-six percent of respondents described working conditions as dangerous. Fifty-eight percent of respondents had been involved in an accident at work, whereas only 20% of all workers interviewed received any explanation of the safety conditions at work, and of those who received safety equipment, many complained that it was defective or insufficient. Thirty-four percent of respondents reported access to first aid kits.

Finally, researchers discovered a dearth of basic social protections, which left workers vulnerable to exploitation and exacerbated the impact of the disease. Seventeen percent of respondents reported salaries that fell significantly below the national minimum wage for agriculture, which itself covers less than one-fourth of an average family’s living expenses. Forty-one percent of respondents reported incidents of salary withholding without cause or claimed that they were regularly underpaid. More specifically, 17% reported having wages deducted as punishment. None of the respondents interviewed who have been diagnosed with CKDnT or reported a high creatinine level collect any form of social security, including disability assistance and subsidized medical care.

The sample of participants used in this survey does not reflect the demographic spread of sugarcane workers in Nicaragua, nor is it large enough to be considered statistically significant. Furthermore, because researchers were unable to employ random sampling methods, the sampling methods used could have resulted in a more biased respondent pool. During the conduct of prior research activities, random sampling methods undertaken by LIF resulted in a widespread knowledge of our efforts and, ultimately, intimidation of those who cooperated in research. As a result of participant intimidation, respondent pools quickly became unviable and vulnerable to corruption. Therefore, to effectively ensure security, information integrity, and confidentiality, interviewees were chosen from or referred to researchers by LIF’s established contacts in the region. The interviewers then encouraged the interviewees to refer others in turn.

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On the basis of data obtained in the present study LIF recommends the following:

For government actors:

● Rigorously enforce fundamental international and domestic legal protections for workers, regardless of contractual status, including but not limited to freedom of association, the prohibition of forced and compulsory labor practices, and the prohibition of child labor.

● Guarantee the ability of current and former sugarcane workers to easily access the highest available standard of preventive and specialized medical care and treatment for CKDnT.

● Conduct transparent inspection of sugar production facilities under the special inspections provision of Ley No. 664, 26 June 2008, Ley General de Inspección del Trabajo [General Work Inspection Law], ch. II, art. 7.

● Where violations of domestic laws are found, require compliance of producers within a minimum specified timeframe, and levy economic sanctions sufficient to deter further non-compliance.

● Review disability social insurance requirements for sugarcane workers suffering from CKDnT, and where workers and their dependents qualify, ensure that they receive full entitlements.

● Guarantee due process and equal treatment before the law for affected sugarcane workers and ex-workers.

For sugar producers:

● Comply with domestic and international laws related to the promotion of health, human rights, and decent working conditions.

● Improve access to water and shade for those working in the fields.

● Institute additional measures, including the provision of sufficient protective equipment in good repair and conduct of educational programming, to protect workers from agrochemical exposure, regardless of employee contractual status.

● Provide all employees with unfettered access to medical information

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obtained through medical examinations conducted by the producer or medical personnel affiliated with the producer.

● Adopt working practices that follow internationally recognized guidelines for safe work in hot climates, such as the Occupational Health and Safety Administration’s Water. Rest. Shade. program.

Ultimately, it was determined that more research is needed to capture the rights concerns of these workers in order to effectively inform future rights interventions. During the course of the study, researchers also identified concerning trends in areas related to indigenous rights, land rights, financial barriers to care, and environmental contamination, all of which were outside of the scope of this study. In 2013, LIF also completed a broader mixed-methods (quantitative and qualitative) study of working conditions for two sugar producers in western Nicaragua, as well as a qualitative study of child labor, the results of which will be released later this year. These studies will provide further insight into the specific challenges facing sugarcane laborers in the workplace and highlight potential risk factors for members of the population most affected by CKDnT.

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La Isla Foundation (LIF) was founded in 2008 to address the epidemic of Chronic Kidney Disease from nontraditional causes (CKDnT) affecting agricultural communities across Central America, particularly sugarcane workers in Western Nicaragua.

CKDnT is a progressive degenerative condition characterized by gradual loss of kidney function. Due to limited treatment options, as well as high likelihood of complications arising from available treatment options in Nicaragua, the disease is often fatal. Due to the gradual decline of renal function, death from CKDnT is slow and painful. Since its initial recognition more than 20 years ago, prevalence and mortality rates have increased. 3 It is estimated that across Central America, the disease has killed at least 20,000 men prematurely. 4 In the most severely impacted areas, such as the sugarcane communities of western Nicaragua, mortality rates are five times that of the national average.5 According to the Pan American Health Organization, Nicaragua has the highest mortality rate from kidney disease in the Americas at 42.8 deaths per 100,000.6

Unlike the more familiar Chronic Kidney Disease (CKD) traditionally associated with obesity, hypertension and diabetes, CKDnT is associated with strenuous labor in hot climates, particularly among industrial agricultural laborers. CKDnT also typically presents at a much younger age than CKD. In the communities where LIF works, men as young as 19 have been diagnosed, and patients have died from the illness as early as 21 years old.

Though CKDnT is recognized as an occupational illness under Nicaraguan law, causality is not yet fully understood. Investigators do, however, recognize a relationship between heat stress, volume depletion, acute kidney injury, and

3 Pan American Health Organization, “Chronic Kidney Disease in Agricultural Communities in Central America,” [hereinafter “PAHO Concept Paper”] CD52/8, p. 1 (Jul. 17, 2013) available at http://www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=22781&Itemid=270&lang=en (last accessed Mar. 4, 2014).

4 Catharina Wesseling et al., “The Epidemic of Chronic Kidney Disease of Unknown Etiology in Mesoamerica: A Call for Interdisciplinary Research and Action,” American Journal of Public Health, vol. 103, p. 1927 (2013) available at http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301594 (last accessed Mar. 4, 2014).

5 Ibid.

6 PAHO Concept Paper, p. 4

Introduction

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chronic kidney disease.7 It is widely hypothesized that repeated episodes of heat stress and dehydration, working in tandem with environmental exposures, are the primary drivers of the disease.8 LIF contends that increased rates of CKDnT serve as an indicator of the poor living and working conditions in the region. Specifically, the researchers who conducted this study found that refusal to observe and enforce the law had a negative impact on the living and working conditions of sugarcane workers, exacerbating poor health outcomes and depressing socioeconomic conditions

On paper, legal protections for workers in Nicaragua are very strong. The state of Nicaragua has enacted many laws related to the protection of the workforce and classified CKD as an occupational illness.9 The Nicaraguan Constitution requires that employers guarantee worker health and reduce occupational hazards.10 More broadly, Nicaragua’s Constitution also protects the rights to privacy, equal protection of the law, freedom of expression, and unionization, while recognizing the principles enshrined in the Universal Declaration of Human Rights; the American Declaration on the Rights and Duties of Man; the International Covenant on Economic, Social, and Cultural Rights; the International Covenant on Civil and Political Rights; and the American Convention on Human Rights. Furthermore, the Nicaraguan Labor Code lays out extensive protections for the workforce, with Article 100 of the Nicaraguan Labor Code explicitly stating that all employers have an obligation to adopt those measures necessary to protect the life and health of their workers.11 Finally, Nicaragua is also bound by international treaty obligations concerning workplace conditions. The state has ratified the fundamental treaties

7 Daniel R. Brooks, et al., “CKD in Central America: A Hot Issue,” American Journal of Kidney Disease, vol. 59 Issue. 4 pp. 481-484 (2012); see also CA Roncal Jimenez et al., “Fructokinase Activity Mediates Dehydration Induced Renal Injury,” Kidney International, (Dec. 11, 2013) available at http://www.nature.com/ki/journal/vaop/ncurrent/pdf/ki2013492a.pdf (last accessed Mar. 4, 2014).

8 PAHO Concept Paper; see also Council of Ministers of Health of Central America and the Dominican Republic (COMISCA), “Declaration of San Salvador,” San Salvador, El Salvador (Apr. 26, 2013) available at http://www.salud.gob.sv/archivos/comunicaciones/archivos_comunicados2013/pdf/Declaracion_San%20Salvador_ERCnT_26042013.pdf (last accessed Mar. 21, 2014).

9 Ley 456, Ley de Adición de Riesgos y Enfermedades Profesionales a la ley No. 185, Código del Trabajo [Law Adding Occupational Risks and Diseases to Law No. 185, Labor Code], art. 1 (Jul. 8, 2004) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/0/dff5d30488273f74062570a100583551?OpenDocument (last accessed Oct. 24, 2013).

10 Constitución Política de la República de Nicaragua [herinafter “Nicaraguan Constitution”] tit. IV, ch. V, art. 82, L.G. (Jan. 1987) available at http://pdba.georgetown.edu/constitutions/nica/nica05.html (last accessed Apr. 11, 2012).

11 Ley 185, Código del Trabajo [hereinafter “Labor Code”], tit. V, ch. I, art. 100, L.G., (Oct. 30, 1996), available at http://www.ilo.org/dyn/natlex/docs/WEBTEXT/45784/65050/S96NIC01.htm#l1t5c1 (last accessed Apr. 11, 2013).

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of the International Labor Organization (ILO),12 several other relevant ILO treaties, and the International Covenant on Economic, Social, and Cultural Rights.13 In the present context, none of these protections are fully enforced.

In March of 2013, health ministers across Central America, including Nicaragua, issued the Declaration of San Salvador, which recognized CKDnT as a serious public health issue requiring urgent attention, and called upon states to treat the potentially preventable illness with interventions that also addressed social determinants related to the disease.14 In July of 2013, citing high prevalence and mortality rates, as well as the unmet health care demand that it creates, the Pan American Health Organization (PAHO) released a concept paper on CKDnT that characterized the disease as a “pressing and serious public health problem.”15 In response to these and other urgent calls for action, in September 2013, the 52nd Directing Council of PAHO issued a resolution on chronic kidney disease in agricultural communities, urging member states to 1) support the Declaration of San Salvador; 2) promote design and implementation of research agendas for CKDnT; 3) promote partnerships to coordinate efforts, mobilize resources, and promote sustainable evidence-based public policies, programs, and actions to urgently mitigate the health, social, and economic consequences of the disease; 4) strengthen their capacities in environmental and occupational health and preventative interventions; and 5) strengthen health services.16

12 These treaties include the Forced Labor Convention, 1930 (No. 29); Freedom of Association and Protection of the Right to Organize Convention, 1948 (No. 87); Right to Organize and Collective Bargaining Convention, 1949 (No. 98); Equal Remuneration Convention, 1951 (No. 100); Abolition of Forced Labour Convention, 1957 (No. 105); Discrimination (Employment and Occupation) Convention, 1958 (No. 111); Minimum Age Convention, 1973 (No. 138); and Worst Forms of Child Labour Convention, 1999 (No. 182). See,NORMLEX Information System on International Labour Standards, “Ratifications for Nicaragua,” International Labour Organization, available at http://www.ilo.org/dyn/normlex/en/f?p=1000:11200:0::NO:11200:P11200_COUNTRY_ID:102780 (last accessed Apr. 11, 2013).

13 See International Covenant on Economic, Social and Cultural Rights [hereinafter “ICESCR”], arts. 6, 7(b),(d), 993 U.N.T.S. 3 (Dec. 16, 1966); International Labour Organization Social Policy (Basic Aims and Standards) Convention, 1962, art. 4(d), available at http://www.ilo.org/dyn/normlex/en/f?p=1000:12100:0::NO::P12100_ILO_CODE:C117 (last accessed Apr. 11, 2013); see also International Labour Organization Plantations Convention, art. 43(1) (1958) available at http://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO:12100:P12100_INSTRUMENT_ID:312255:NO#A43 (last accessed Apr. 11, 2013).

14 Council of Ministers of Health of Central America and the Dominican Republic (COMISCA), Ministry of Health of El Salvador, National Health Institute, “International Conference and High-Level Meeting on Chronic Kidney Disease from Non-traditional Causes (CKDnT) in Central America,” San Salvador, El Salvador (Apr. 24-26, 2013) available at http://www.paho.org/els/index.php?gid=1195&option=com_docman&task=doc_download (last accessed Mar. 11, 2014).

15 PAHO Concept Paper at 1.

16 Pan American Health Organization, “Chronic Kidney Disease in Agricultural Communities in Central America,” Resolution CD52.R10 (Oct. 3, 2013) available at http://www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=23347&Itemid=270&lang=en (last accessed Mar. 5, 2014).

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In line with the recommendations contained within the PAHO resolution, the Declaration of San Salvador, and calls from within scientific communities,17 LIF pursues a cross-sectoral, interdisciplinary approach to research and advocacy. While those in the medical and public health communities work to determine causality, LIF believes that a rights-based intervention, aimed at improving living and working conditions, will be critical in reducing the prevalence and mitigating the impact of the disease.

17 Ibid.; see also Catharina Wesseling et al, “Resolving the Enigma of the Mesoamerican Nephropathy: A Research Workshop Summary,” American Journal of Kidney Disease, p. 5 (2013) available at http://www.ajkd.org/article/S0272-6386(13)01200-6/abstract (last accessed Mar. 11, 2014).

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Rationale

This study was developed to gain a preliminary understanding of the nature and extent of legal compliance with social and labor protections for the populations working in sugar plantations of western Nicaragua while assessing the viability of the questionnaire tool. This report is based on research conducted between August 2012 and July 2013.

Methodology

From August 2012 to May 2013, the LIF Department of Law and Human Rights conducted a comprehensive desk review of international, regional, and domestic legal mechanisms; regulatory and trade regimes; regulatory standards; and third party certification standards; and best practices applicable to manual laborers in the sugarcane industry. The department then developed a legal framework and set of guidelines against which compliance with labor and social protections could be assessed. In July of 2013, a questionnaire was developed on the basis of the legal framework and guidelines to serve as an assessment tool. This questionnaire was deployed in July 2013.

The questionnaire was divided into four parts. Part One collected participant demographic data, including age, gender, marital status, household size, and work history. Part Two examined general working conditions, such as contractual arrangements, pay, working hours, and occupational health and safety. Part Three addressed fundamental rights at work, including forced labor, child labor, and freedom of association. Part Four assessed political and social rights protection.

For the pilot study, LIF interviewed 29 current and former Ingenio San Antonio (ISA) sugarcane workers living in Chichigalpa, Nicaragua. Ingenio San Antonio was chosen as the site of the study because of its prominence in Nicaraguan sugar production, LIF’s presence in surrounding communities, and the existing body of literature concerning working practices at the mill, which could be used as a point of reference for the study. All of the interviews were conducted in person, using the questionnaire. Each interview team consisted of a community-based Nicaraguan staff member and an expatriate staff member, and lasted one to one-and-a-half hours in duration. Interviews were conducted in private, undisclosed locations in the greater Chichigalpa/León areas.

Rationale, Methodology, and Study Design

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For security and confidentiality reasons, interviewees were chosen from or referred to by LIF’s established contacts in the region. All interviewees currently worked or had previously worked at Ingenio San Antonio, the largest sugar plantation in the country. No participants were offered an incentive for participation, although a protection fund was established to temporarily provide for interviewees in the case of employer reprisal or dismissal.

Concerns & Limitations

The sample of participants used in this survey does not reflect the demographic spread of sugarcane workers in Nicaragua, nor is it large enough to be considered statistically significant. Furthermore, because researchers were unable to employ random sampling methods, the sampling methods used could have resulted in a more biased respondent pool. During the conduct of prior research activities, random sampling methods undertaken by LIF resulted in a widespread knowledge of our efforts and, ultimately, intimidation of those who cooperated in research. Participants had their jobs, the jobs of their families, and social benefits threatened. As a result of participant intimidation, respondent pools quickly became unviable and vulnerable to corruption. Therefore, to effectively ensure security, information integrity, and confidentiality, interviewees were chosen from or referred to researchers by LIF’s established contacts in the region. The interviewers then encouraged the interviewees to refer others in turn. It is worth noting that the findings of the pilot study have been confirmed by subsequent larger-scale qualitative and quantitative studies conducted by LIF in the region.

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Size of the Industry

Sugarcane is the largest agricultural industry in Nicaragua, comprising about 4% of the GDP and currently employing 35,000 direct and 140,000 subcontracted workers.18 The sugarcane industry is also rapidly expanding production. In the 2012-2013 season, cane production totaled 698,720 MT, a 13% increase from the previous year.19 In 2012, The Sugar Commission of Nicaragua (CNPA) estimated that by 2015 production would increase by 20%, amounting to over 735,924 metric tons.20

The primary sugarcane producer in Nicaragua is National Sugar Estates Limited (NSEL), a subsidiary of one of the largest corporations in Central America, commercial conglomerate Grupo Pellas. NSEL owns and operates the Ingenio San Antonio (ISA) sugar plantation and refinery, the site of the pilot study and the largest sugar refinery in the country. In 2005, the most recent year for which data is available, ISA produced almost 17,000 metric tons of sugar per day, totaling more than 63% of the country’s sugar.21 The refinery also produces molasses and is the only refinery in the country equipped to produce ethanol.

Foreign Direct Investment, International Trade, and Industry Growth

The sugarcane industry in Nicaragua will only continue to grow as the country struggles to compete with higher-volume Central American producers, like Guatemala and Honduras,22 for both market share and to meet the rising international demand for sugar and ethanol. In an effort to facilitate the growth

18 Massiell Largaespalda E., “Azúcar lista para el AdA,” El Nuevo Diario (May 15, 2013) available at http://www.elnuevodiario.com.ni/economia/286064 (last accessed Oct. 24, 2013).

19 Global Agricultural Information Network, “Nicaragua Sugar Annual Report 2013,” USDA Foreign Agricultural Service, p. 1 (Mar. 15, 2013) available at http://gain.fas.usda.gov/Recent%20GAIN%20Publications/Sugar%20Annual_Managua_Nicaragua_3-15-2013.pdf (last accessed Mar. 5, 2014).

20 Ibid, p. 3.

21 PASE & International Labor Rights Fund, “Labor Conditions In The Nicaraguan Sugar Industry,” (2005) available at http://www.laborrights.org/sites/default/files/publications-and-resources/nicaragua_sugar.pdf (last accessed Apr. 11, 2013).

22 According to FAO estimates for the year 2012, Guatemala produces 21.8 million tons (19.8 million MT) of sugarcane and the next closest Central American producer, Honduras, produces 8.6 million tons (7.8 million MT) of sugarcane.

Contextual Background

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of the industry, meet international demand, and raise the amount of revenue received from sugar exported abroad, foreign direct investment in sugar producers and foreign trade in sugar and sugar byproducts have rapidly increased.

The World Bank has been a key lender to the industry, even amidst controversy over work practices and environmental impact. On October 25, 2006, the International Finance Corporation (IFC), the private lending arm of the World Bank, approved a US$55 million loan to NSEL to expand sugar processing facilities and construct an ethanol production plant at ISA. Members of the communities surrounding ISA production facilities in Chinandega and León responded to news of the issuance with outrage. With the assistance of the Center for International Environmental Law, on March 31, 2008, they filed a complaint with the Office of the Compliance Advisor Ombudsman seeking redress for injuries to their environment, health, and livelihoods resulting from the failure of the IFC to comply with its own social accountability mechanisms in the issuance of the loan to NSEL. In November 2008, the office initiated a dialogue process to address these complaints.23 The case was closed in June of 2013 amidst ongoing protest in the community.24 The IFC issued its second loan for sugar production in Nicaragua in February 2009 to Pantaleon Sugar Holdings Company Limited, the largest sugar producer in Central America, with production facilities in Guatemala, Honduras, and Nicaragua. The loan allocated US$100 million to expand sugar and ethanol production facilities in Guatemala and at Ingenio Monte Rosa (IMR) in Nicaragua.25 Though complaints related to working conditions at IMR were outside of the scope of this study, LIF is aware of ongoing, widespread labor rights violations at Pantaleon production facilities in Nicaragua similar to those reported at ISA.26 Finally, shortly after the CAO closed its process at ISA, on June 27, 2013, the IFC signed a US$15 million loan to the Montelimar sugar plantation,

23 For more information about the case, see Compliance Advisor Ombudsman, “Nicaragua / Nicaragua Sugar Estates Limited-01/León and Chinandega,” (2008) available at http://www.cao-ombudsman.org/cases/case_detail.aspx?id=82 (last accessed Mar. 12, 2014).

24 Most recently, on January 18, 2014, more than 300 men, women and children staged a large-scale protest on behalf of 500 workers who are seeking compensation from ISA after contracting CKDnT. This protest devolved into a violent clash between police and demonstrators, during which police forces killed one man and critically injured a boy. For more information, see La Prensa, “Niño se debate entre la vida y la muerte,” (Feb. 10, 2014) http://www.laprensa.com.ni/2014/01/21/portada/179183-nino-se-debate-vida (last accessed Mar. 12, 2014).

25 International Finance Corporation, “Pantaleon II Envrionmental & Social Review Summary,” IFC Project Database (Dec. 27, 2008) available at http://ifcext.ifc.org/ifcext/spiwebsite1.nsf/78e3b305216fcdba85257a8b0075079d/112ae77850d723d9852576ba000e2ced?opendocument (last accessed Mar. 12, 2014).

26 For more information of labor rights violations by Pantaleon, see COVERCO & The International Labor Rights Fund, “Labor Conditions in the Guatemalan Sugar Industry,” (May 2005) available at http://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article=2019&context=globaldocs (last accessed Mar. 12, 2014).

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located 65km outside of Managua27. Not counting the cross-border influence of investments in transnational companies, researchers estimate that the IFC has invested almost US$125 million in sugar production in Nicaragua since 2006.

Throughout this period, the country has also strengthened its bilateral and regional trade ties, beginning with the adoption of the US-Dominican Republic, Central American Free Trade Agreement (DR-CAFTA) in August 2004. DR-CAFTA is a regional reciprocal trade agreement between the US, Dominican Republic, Honduras, Guatemala, Costa Rica, El Salvador, and Nicaragua. Essentially, the agreement establishes a free trade area in which tariffs on certain goods are significantly reduced, if not eliminated. The agreement allows for liberalized trade in consumer and industrial goods, agricultural commodities, processed food products, apparel, and services.28 Under the agreement, Nicaragua currently has a 25,080 MT quota allocation of sugar to export at a reduced tariff rate. At the time of its inception, the agreement was criticized by human rights groups for rolling back previous labor protections under US trade law through its exclusive emphasis on the effective enforcement of existing, and occasionally inadequate, domestic labor laws of trading partners, as well as lack of protections for historically marginalized groups.29

In 2013, the country began implementation of two key trade agreements with major importers of Nicaraguan sugar: a bilateral trade agreement with Venezuela and the EU Comprehensive Association Agreement between the EU and Central America. In May 2013, Nicaragua began shipping sugar to Venezuela in accordance with bilateral agreements concluded under the framework of Alianza Bolivariana para los Pueblos de Nuestra América (ALBA). Under the rubric of this agreement, Nicaragua shipped 45,000 tons of sugar to Venezuela during the months of May and June 2013. In total, the government of Nicaragua exported a total of 80,000 metric tons of sugar to Venezuela within the first six months of 2013 alone.30

27 International Finance Corporation, “Summary of Investment Information,” IFC Project Database available at https://ifcndd.ifc.org/ifcext/spiwebsite1.nsf/78e3b305216fcdba85257a8b0075079d/8d7b9f97c4c64fa585257b26007872ff?opendocument (last accessed Mar. 28, 2014).

28 For the full text of the agreement, see Office of the U.S. Trade Representative, “The Dominican Republic – Central America – United States Free Trade Agreement [CAFTA-DR],” available at http://www.ustr.gov/trade-agreements/free-trade-agreements/cafta-dr-dominican-republic-central-america-fta/final-text (last accessed Mar. 12, 2014).

29 “DR-CAFTA Falls Short on Workers’ Rights,” Human Rights Watch (Jul. 27, 2005) available at http://www.hrw.org/news/2005/07/26/dr-cafta-falls-short-workers-rights (last accessed Oct. 24, 2013).

30 La Prensa, “Nicaragua concluyó exportaciones de azúcar a Venezuela,” (Sept. 9, 2013) available at http://www.prensa.com/uhora/economia/nicaragua-venezuela-exportacion-azucar/183478 (last accessed Oct. 24, 2013).

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The EU Association Agreement was signed on June 29, 2012 and governs areas related to political dialogue, cooperation, and trade. The trade portion of the agreement took effect on August 1, 2013 in Nicaragua, Honduras, and Panama. Amongst other goals, it seeks to expand and diversify trade through the elimination and reduction of tariffs.31 Although the agreement emphasizes labor protections and human rights, according to civil society, enforcement mechanisms for all but a few core labor standards are weak.32 On August 14th, 2013, the president of Nicaragua’s National Commission of Sugar Producers (CNPA) confirmed Nicaragua was prepared to send 40,000 tons of sugar to Europe as part of the agreement.33

Currently more than half of all sugar produced in Nicaragua is exported.34 In 2012, Nicaragua exported 383,909 million tons of sugar valued at US$209.8 million.35 According to the CNPA, major importers of Nicaraguan sugar include Venezuela, the United States, Mexico, Taiwan, and Europe. Nicaragua also exports ethanol, made from sugar byproduct. In 2012, Ingenio San Antonio, the only refinery capable of ethanol production, shipped 10 million liters of ethanol to the United States. Ethanol production and exports are also expected to increase in 2013.36

31 For the full text of the agreement, see European Commission, Trade, “EU-Central America association agreement,” available at http://trade.ec.europa.eu/doclib/press/index.cfm?id=689 (last accessed Oct. 24, 2013).

32 Central America Women’s Network, “Update on the Impact of the European Union – Central America Association Agreement on Women,” (Nov. 2012) available at http://www.cawn.org/assets/Update%20on%20EU-CA%20AA.pdf (last accessed Oct. 24, 2013).

33 Digital Journal, “Nicaragua Ready to Export Sugar to European Market,” (Aug. 14, 2013) available at http://www.digitaljournal.com/pr/1412553 (last accessed Oct. 24, 2013).

34 Massiell Largaespalda E., “Azúcar lista para el AdA,” El Nuevo Diario (May 15, 2013) available at http://www.elnuevodiario.com.ni/economia/286064 (last accessed Oct. 24, 2013).

35 Ibid.

36 Global Agricultural Information Network, “Nicaragua Sugar Annual Report 2012,” USDA Foreign Agricultural Service, p. 2 (2012) available at http://gain.fas.usda.gov/Recent%20GAIN%20Publications/Sugar%20Annual_Managua_Nicaragua_4-17-2012.pdf (last accessed Mar. 5, 2014).

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Regulatory Framework

Under the rubric of Nicaraguan national law, workplace conditions and conduct related to the treatment of workers are regulated by several key legal instruments. These include the Constitution of Nicaragua, the 1996 Labor Code, the Health Law, and the Social Security Law. Additionally, in May of 2013, a new Code on the Processes of Labor and Social Security was enacted to ease the process of settling labor disputes. Several ministries share responsibility for the development, implementation, oversight, and enforcement of legal and regulatory protections enshrined in these instruments.

Ministry of Labor - The Ministry of Labor (MITRAB) is the primary regulatory body charged with the development, improvement, and implementation of all laws related to work and the oversight of working conditions in the country. Specifically, the Ministry is empowered by the labor code to 1) formulate programs and create substantive bodies that have administrative authority; 2) issue regulations; and 3) implement administrative provisions.37 Furthermore, according to the code, the Ministry is also empowered to certify employee contracts,38 monitor unsafe workplaces,39 suspend the operation of companies that violate health and safety provisions,40 hear labor disputes,41 review union settlements,42 and facilitate labor negotiations.43 Finally, the Law of Organizations, Competencies and Procedures designates the Ministry of Labor to carry out functions which include the coordination and implementation of government policies related to labor, cooperatives, employment, wages, and health and safety training of the labor force; to exercise, perform, and fulfill the functions related to domestic and international laws, particularly the laws of the ILO; to develop, in coordination with relevant entities, rules pertaining to occupation health, safety, and hygiene, and monitor their implementation; and to provide free legal advice to workers involved in individual or collective labor disputes.44

37 Labor Code.

38 Labor Code, art. 23.

39 Labor Code, art. 54.

40 Labor Code, art. 108.

41 Labor Code, art. 370.

42 Labor Code, art. 371.

43 Labor Code, art. 377.

44 Ley 290, Ley de Organización, Competencia y Procedimientos del Poder Ejecutivo [Organization, Competence and Procedures of the Executive Branch], arts. 27(a-j) L.G. (Jun. 3, 1998) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/D029F5DDED635C34062570A60064217C?OpenDocument (last accessed Mar. 12, 2014).

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The Ministry of Labor is also charged with overseeing Department of Labor Inspectorates, which operate on the regional as well as national level. The Department of Labor Inspectorates are authorized to monitor days of rest,45 regulate exceptions to minimum wage laws,46 issue fines in the case of violations of minimum wage standards,47 address violations of trade unionn immunity,48 hear appeals related to the refusal of union registration,49 certify worker strikes,50 and receive labor union demands.51 The Labor Inspectorate for the Department of Chinandega, a regional area that spans over 4,926 sq. km, is home to 441,300 people and serves the city where ISA is located. It is only staffed with four labor inspectors, one inspector for hygiene and occupational safety, two wage analysts, and one person responsible for collective labor law.52

Finally, the Ministry of Labor oversees the Directorate of Trade Unions, which handles administrative matters related to union registration. The Directorate is empowered by the Labor Code to enroll union charters and bylaws,53 grant and refuse trade union registration,54 and cancel union registration.55

Labor Courts - There are currently eight district labor courts operating across the country. Falling within the broader scope of the judicial system, these labor courts are empowered by the labor code to hear cases related to breach of contract,56 reinstatement of employees in cases of wrongful dismissal related to the exercise of their labor rights or lawful participation in union activities,57 child labor,58 and the dissolution of unions.59 The labor courts in Nicaragua are undergoing a process of reorganization in order to address a crushing backlog of cases. As of 2012, the labor courts in Managua alone had a docket of 1,034 pending cases

45 Labor Code, art. 71.

46 Labor Code, art. 131.

47 Labor Code, art. 135.

48 Labor Code, art. 232.

49 Labor Code, art. 213.

50 Labor Code, art. 250.

51 Labor Code, art. 373.

52 Ministerio del Trabajo, “Delegaciones Departamentales,”available at http://www.mitrab.gob.ni/nuestro-ministerio/delegaciones-departamentales (last accessed Oct. 24, 2013).

53 Labor Code, art. 210.

54 Labor Code, art. 213.

55 Labor Code, art. 219.

56 Labor Code, art. 22.

57 Labor Code, art. 46.

58 Labor Code, art. 135.

59 Labor Code, art. 219.

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and backlog of 5,000 cases.60 The National Labor Court of Appeals, which hears cases referred from the district level, was created on Feb 16, 2011 by the National Assembly to replace the Superior Tribunal of Work.61

Nicaraguan Institute of Social Security - About 17.6% of the workers in Nicaragua62 and 8% of the population of Chinandega is insured under Nicaraguan Institute of Social Security’s (INSS) insurance system.63 As mentioned earlier, INSS administers the state’s contributive pension system, as well as health insurance, disability protection and work-related risk insurance. The department also oversees medical facilities and hospitals for those covered by its social security system, operating through private health care providers (Empresas Médicas Previsionales, or EMPs) from which it procures services. Beyond these responsibilities, the Social Security Act also empowers the department to administer programs for the prevention of occupational accidents and illnesses, supervise and inspect workplace mechanisms for health and safety,64 receive reports of occupational accidents,65 operate rehabilitation centers and job training for workers,66 and construct and improve popular housing for workers.67

Ministry of Health - The Ministry of Health (MINSA) is the primary provider of health services and lead institution in the sector, operating the public health care facilities that serve 82.4% of the workforce.68 Generally, the Ministry of Health is empowered to propose plans and health programs, coordinate and direct the implementation of state health policy, promote environmental sanitation

60 Edgar Solórzano, “CNACJ autoriza creación de tres nuevos juzgados laborales,” La Prensa (Nov. 7, 2012) available at http://www.prensa.poderjudicial.gob.ni/prensa/index2.php?option=com_content&task=view&id=2848&pop=1&page=0&Itemid=88 (last accessed Oct. 24, 2013).

61 Tribunal Nacional Laboral de Apelaciones, available at http://www.poderjudicial.gob.ni/tnla/index.html (last accessed Mar. 12, 2014); see also Ley 755, Ley de Reforma y Adiciones a la ley No. 260, Ley Organica del Poder judicial y Creadora del Tribunal Nacional Laboral de Apelaciones [Judicial Power], tit. V, ch. I, L.G., (Mar. 24, 2011) (Nicar.).

62 Pan American Health Organization, “Health in the Americas: Nicaragua” p. 512 (2007) available at http://www.paho.org/hia/archivosvol2/paisesing/Nicaragua%20English.pdf (last accessed Oct. 24, 2013).

63 Instituio Nicaraguense de Seguridad Social, “2012 Statistical Yearbook,” p. 19 (2012) available at http://www.inss.gob.ni/attachments/article/202/Anuario_2012_INSS.pdf (last accessed Mar. 12, 2014).

64 Ley 539, Ley de Seguridad Social [hereinafter “Social Security Act”], art. 75, (Nov. 20, 2006) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/C0D9072AD24378630625755B0076D0B9?OpenDocument (last accessed Oct. 24,2013).

65 Social Security Act, art. 78; Labor Code, art. 123.

66 Social Security Act, art. 81(b).

67 Social Security Act, art. 81(d).

68 Pan American Health Organization, “Health in the Americas: Nicaragua” p. 512 (2007) available at http://www.paho.org/hia/archivosvol2/paisesing/Nicaragua%20English.pdf (last accessed Oct. 24, 2013).

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campaigns and disseminate hygiene standards amongst the general population, direct and administer the system of supervision and control of health policies and standards, and promote scientific research and dissemination, training, continuing education and professional health personnel.69 Furthermore, the National Health Law enumerates the ministry’s powers and duties in greater detail, authorizing it to impose administrative sanctions,70 coordinate with state agencies for the prevention and control of occupational diseases,71 establish technical standards for occupational health,72 and conduct programs considered necessary for the prevention of occupational disease.73

69 Ley 290, Ley de Organización, Competencia y Procedimientos del Poder Ejectivo, (Jun. 3, 1998) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/D029F5DDED635C34062570A60064217C?OpenDocument (last accessed Mar. 5, 2014).

70 Ley 423, Ley General de Salud [hereinafter “National Health Law”], art. 7(15) (May 17, 2002) (Nicar.) http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/FF82EA58EC7C712E062570A1005810E1?OpenDocument (last accessed March 5, 2014).

71 National Health Law, art. 7(28).

72 National Health Law, art. 7(28)(a).

73 National Health Law, art. 7(28)(c).

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Demographic Data

For the purposes of this study, LIF interviewed 29 current and former sugarcane manual laborers at ISA ranging from 19 to 56 years of age. The study population was comprised of 28 men and one woman. The average age of the respondents was 28. The median age was 26. On average, respondents had one child and lived in a household of six persons. The vast majority of respondents were literate, with 96% reporting they can read and 93% reporting they can write. Respondents reported working a variety of jobs both in the fields and in the processing facilities. These jobs included cutting cane, planting cane, weeding, storage, irrigation, welding, and applying pesticides and herbicides. The most common occupation of those interviewed was cane cutting, with 41% of respondents having worked in some form of cane cutting. Of those interviewed, 73% were currently working or had formerly worked as subcontractors.

Although this sample was not designed to represent the demographic characteristics of sugarcane workers throughout Nicaragua, the demographic distribution of the survey somewhat reflects the demographic characteristics of the manual workforce at ISA, the site of our study. According to a 2005 report by PASE and the International Labor Rights Fund, 99.2% of field workers are men and 85% of workers are subcontracted.

There is a possibility that there is an overrepresentation of workers employed in areas related to cane cutting in the pilot study sample. Researchers were unable to uncover recent data on the breakdown of field work functions in real numbers or by percentages. By comparing employment numbers for cane cutters in 2005-2006 harvest season pulled from ISA employment records and cited in a 2012 Boston University study74 with overall labor force estimates for ISA from the same period,75 researchers have concluded that for that year, the most recent year for which data was available, about 37% of field staff were employed as cane cutters. However, it must also be noted that many respondents mentioned the prevalence of undocumented laborers, particularly child laborers and laborers working with false identification, who likely would not be accounted for in official company records.

74 Ann Aschengrau, Daniel Brooks, et al. “Cohort Pilot Study Report: Evaluation of the Potential for an Epidemiologic Study of the Association between Work Practices and Exposure and Chronic Kidney Disease at the Ingenio San Antonio,” Boston University School of Public Health (2012).

75 PASE Labor Study, p. 12.

Study Results

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Working Conditions

Researchers found that working conditions for field workers varied significantly across tasks and employment status. However, several general trends were observed. Disparities between subcontracted and directly employed labor will be addressed in subsequent sections of the report.

On average, workers reported laboring 12 hours a day during the zafra, the harvest season that lasts from November until May. During these months, working hours generally lasted from 5 or 6 a.m. to as late as 8 p.m. The harvest season takes place during the hottest months of the year, when temperatures climb to over 100°F (37.8°C) in the fields. Researchers have found that sugarcane workers lose on average 2.6kg (5.7 lbs) of body weight during the course of a day.76 There are few options for shade. Most field workers are paid at piece rates, incentivizing a rapid pace of work and making many reluctant to take breaks. Seed cutters and cane cutters are paid per ton of cane cut; seed planters are paid per furrow planted. Researchers across disciplines recognize heat stress as a significant hazard for workers both in the field and in processing facilities.77

Preliminary Observations on Rights Violations

If properly overseen and administered, the working conditions cited above, while harsh, would not necessarily be seen as a violating the law or fundamental human rights principles. However, researchers’ preliminary findings show that sugarcane workers at ISA face severe issues both in their place of employment and at home, which constitute not only violations of domestic and international labor law, but also violations of fundamental constitutional protections and international human rights treaty obligations.

76 G. Solís-Zepeda, “Impacto de las medidas preventivas para evitar el deterioro de la función renal por el Síndrome de Golpe por Calor en trabajadores agrícolas del Ingenio San Antonio del Occidente de Nicaragua | Ciclo Agrícola 2005-2006,” León: Universidad Nacional Autónoma de Nicaragua, (2007).

77 Michael McClean et al., “Industrial Hygiene/Occupational Health Assessment: Evaluating Potential Hazards Associated with Chemicals, and Work Practices at the Ingenio San Antonio (Chichigalpa, Nicaragua) [hereinafter Chichigalpa Health Assessment”],” Boston University School of Public Health (2010).

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1. Unsafe Working Conditions

“The night is very dangerous; they force us to work without stopping, sometimes for 36-hour shifts. On one occasion, we worked 48 hours [straight] because the factory had been closed and gave us pills so we did not go to sleep.” - male, age 28

Our researchers found that 86% of respondents described working conditions as dangerous. When asked why, respondents cited a litany of complaints that went beyond the risks associated with CKDnT, including dangerous machinery, lack of protective equipment, unqualified/untrained workers, and the risk of getting hit by a vehicle. In the present study, researchers found that for many of those interviewed, the conditions of work and the safeguards put in place to protect workers were non-compliant with labor laws and occupational health and safety recommendations.

As mentioned earlier, conditions for manual laborers in the sugarcane fields are extremely harsh. At times, these conditions are also outside the boundaries of the law. Lack of legal compliance exacerbates poor working conditions and is particularly problematic in the present context, since working conditions have been tied to the epidemic of CKDnT by both sugar producers and external medical researchers. In 2001, Dr. Felix Zelaya Rivas, an internist and medical doctor who coordinates the social medicine program at Ingenio San Antonio, examined the key factors related to working practices that increase the risk of CKDnT. He concluded that exposure to high temperatures in the absence of a comprehensive hydration program, as well as the constant use of anti-inflammatory medication necessitated by long working days spent in uncomfortable physical positions, were important factors in the onset of the disease. Furthermore, Zelaya recommended that Ingenio San Antonio shorten the workday to eight hours, while providing each worker with 12 liters of water and three hydration solution packages.78 Subsequent studies have affirmed the association of hard labor in a hot climate with an elevated risk of disease onset in Nicaragua and other countries impacted by the epidemic.79

Generally, the right to a safe and healthy work environment is recognized across domestic and international law. Article 82(4) of the Nicaraguan Constitution recognizes the rights of workers to safe and healthy working environments and the

78 Felix Zelaya, “Causas de enfermedad renal cronica en la poblacion laborel del Ingenio San Antonio 2000-2001, Chichigalpa, Chinandega 2001,” p. 19.

79 See Daniel R. Brooks, Oriana Ramirez-Rubio & Juan Jose Amador, “CKD in Central America: A Hot Issue,” American Journal of Kidney Disease, vol. 59 Issue. 4, pp. 481-484 (2012); see also Sandra Peraza et al., “Decreased Kidney Function Among Agricultural Workers in El Salvador,” American Journal of Kidney Disease, vol. 59(4) pp. 531-540 (2012); and Jennifer Crowe et al. “Heat Exposure in Sugarcane Harvesters in Costa Rica,” American Journal of Industrial Medecine, vol. 56(10), pp. 1157-1164 (2013).

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obligation of employers to utilize preventative measures to protect the health of their labor force is further enumerated in the Nicaraguan Labor Code.80 The right to a healthy and safe working environment is also recognized in the International Covenant on Economic, Social and Cultural Rights.81 Specific areas of non-compliance are discussed in greater detail below.

Excessive Working Hours - Workers on average worked far more hours than those allowable by law, exceeding previous estimates. The PASE/International Labor Fund report estimates 8- to 12-hour working days for field workers.82 The Boston University Industrial Hygiene report, often cited by ISA and the IFC/WB as an accurate representation of work practices, breaks down hours by occupation, claiming that seed cutters are transported to the fields at 6 a.m. and are required to leave before 2 p.m.; seed planters work from 6 a.m. to 12 p.m.; irrigators work either 9- or 12-hour shifts depending on the method of irrigation; chemical applicators work between 5- and 12-hour shifts, and cane cutters work between 5:30 a.m. and 12 p.m. In contrast, we found that while we could not completely disaggregate data by occupation, no worker reported leaving work before 3 p.m., including cane and seed cutters. Those whose primary occupation was cane or seed cutting reported a working day lasting between nine and 15 hours, with the average working day consisting of 11.76 hours. These average working hours reported by respondents correlate with findings cited in the 2009 report Agrofuels Industry in Central America, which states that field laborers work 84 hours per week on average during the harvest.83 Finally, most respondents, particularly those who worked in the fields, reported only taking a break for lunch, and one respondent reported eating lunch in secret.

The Nicaraguan Labor Code requires that the working day should not be more than eight hours and that the normal working week should not exceed for 48 hours.84 For dangerous occupations, the workday is restricted to six hours. Overtime hours are not allowed for those working in unhealthy conditions.85 For occupations where overtime is permissible, overtime must not exceed three

80 Labor Code, art. 100.

81 ICESCR, art. 7(ii)(b).

82 PASE Labor Study, p. 26.

83 “The Agrofuels Industry in Central America,” Pacific Ecologist (2009) available at http://www.thefreelibrary.com/The+agrofuels+industry+in+Central+America.---a0199069777 (last accessed Oct. 24, 2013).

84 Though agricultural laborers do fall under the exemption for normal work hours which allows for a maximum of 12 hours of daily work; those working in dangerous conditions are still restricted to a 6 hour workday, see Labor Code, arts. 51, 53; see also International Labour Organization, “Nicaragua – Working time – 2011,” (2011) available at http://www.ilo.org/dyn/travail/travmain.sectionReport1?p_lang=en&p_countries=NI&p_sc_id=1001&p_year=2011&p_structure=2 (last accessed Mar. 12, 2014).

85 Labor Code, art. 53.

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hours per day or nine hours per week. The hours reported by respondents far exceed those allowable by law for those working in hazardous and non-hazardous conditions. Furthermore, the US Occupational Health and Safety Administration (OSHA) recommends that for heavy labor in temperatures above 82°F where there is no shade workers be allowed a minimum break of 15 minutes for every 45 minutes that they work. The proportion of minutes rested to minutes worked increases as temperatures rise.86 Given the physically demanding nature of the work, the high temperatures in the fields, and the relationship between harsh conditions and disease onset, the commonality of these burdensome working schedules also suggest a blatant disregard of obligations under Nicaraguan law to protect the life and health of workers.

Access to Water and Shade - Respondents also reported limited access to water and shade during working hours. The majority of respondents brought their own water to the fields in water jugs that carry 2.5 to 5 liters of water. Respondents reported access to water in the sugar processing factories but not in the fields. Furthermore, 24% of respondents complained about the quality of water provided by ISA, saying that they believed it to be contaminated because of its color, smell, and taste. One respondent was terminated for asking for more water while working in the fields. Additionally, workers reported only occasional access to shade during the course of their working day. Study results indicated that there were no shade areas designated for workers; rather, they took breaks in the shade where they could find it.

Given the intensity of the labor required and the high level of heat, sugarcane workers who do not consume adequate amounts of water or periodically rest in the shade are at a higher risk for heat stress. National and international labor laws do not mandate specific requirements for the provision of shade and water in specific working environments. However, several standards have been developed to provide appropriate guidelines for employers seeking to reduce the risk of heat stress amongst their labor force, in compliance with legally mandated requirements to protect the overall health and safety of their workforce. The US Environmental Protection Agency (EPA) recommends that employers provide workers with between 5.68 and 9.46 liters of water per day; and that in severe heat stress conditions, where workers can lose up to 1.89 liters of sweat per

86 U.S. Department of Labor, Occupational Safety & Health Administration, “About Work/Rest Schedules,” available at https://www.osha.gov/SLTC/heatillness/heat_index/work_rest_schedules.html (last accessed Oct. 24, 2013).

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hour and three gallons of fluid per day, all fluid lost through sweat should be replenished.87 Additionally, OSHA recommends that employers provide fully shaded rest areas for workers.88

Availability of Safety Training and Protective Equipment - Several workers cited the lack of safety training and the unavailability of protective equipment as major safety concerns. Only 20% of all workers interviewed received any explanation of the safety conditions at work,89 and of those who received safety equipment, many complained that it was defective or insufficient. According to respondents, ISA provides safety training and safety equipment only to directly employed workers. Subcontractors are not given safety training and often must provide their own protective equipment. A welder for the Ingenio reported that the company did not provide protective cables for welders working in high places because of budgetary constraints.

For the purposes of assessing workplace safety measures, responses related to chemical exposures were particularly illuminating. 65% of respondents reported that they had worked with chemicals, pesticides, herbicides, or fertilizers. Of those, 63% were given some form of protective clothing. However, only two respondents in total reported receiving adequate equipment and one worker claimed that employees are required to work one month before receiving protective clothing. Of those who handled chemicals, fertilizers, herbicides or pesticides, only 26% had been told the risks of handling such products.

Though the determination of the intensity, frequency, and duration of exposure necessary to establish a causal linkage between occupational exposure and CKDnT was outside of the scope of this study, several agents were identified as toxic and/or connected to kidney damage. Several countries where CKDnT is present have taken preventative measures regarding the use of chemicals identified in this study and others to curb disease prevalence. Recently the government of El Salvador proposed a ban on the use of the chemicals Paraquat, Glyphosate, and

87 U.S. Environmental Protection Agency, “A Guide to Heat Stress in Agriculture,” (1993) available at http://www.epa.gov/oecaagct/awor.html (last accessed Mar. 5, 2014).

88 U.S. Department of Labor, Occupational Safety & Health Administration, “About Work/Rest Schedules,” available at https://www.osha.gov/SLTC/heatillness/heat_index/work_rest_schedules.html (last accessed Oct. 24, 2013).

89 This percentage closely matches similar findings in the PASE study, which found only 20% of workers were trained for the jobs that they do, see PASE Labor Study, p.56.

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2,4-D because of their potential link to kidney disease.90 Sri Lanka, where CKDnT is also present, has banned the import of certain chemicals and gone as far as levying a 10% tax on all pesticides in order to pay for patient welfare.91

About half of the respondents who had worked with chemical agents were also able to report the names of the agents with which they had contact. The most common agents cited were 2,4-D, Gramoxone (Paraquat), Urea, Ametrina, and Glyphosate. Of those, 2,4-D, Gramoxone, and Glyphosate have been linked to kidney damage.92 According to a Boston University assessment of industrial hygiene practices at ISA, Gramoxone, a moderate to highly toxic herbicide, is no longer in use.93 Though ISA denies using Gramoxone after 1994, respondents who began working at ISA as late as 2002 claim to have been exposed to it. Researchers also obtained a list of chemicals used during the 2005-2006 harvest season. At least four of the chemicals listed (Comanche, Diuron, Ethrel, and Karmex) have been linked to kidney damage. Three of those (Comanche, Diuron, and Karmex) contain the active ingredient Diuron, the use of which has been banned in France, restricted in Australia, and increasingly regulated in the U.S.94

Reported low levels of provision of safety equipment and training and the disparity in the provision of these services to direct and subcontracted employees indicate a broad lack of compliance by ISA and its subcontractors with national laws concerning occupational health and safety. Generally, Nicaraguan law requires employers to provide safety equipment and instruction on workplace hazards to their workforce. Article 103 of the Nicaraguan Labor Code obligates employers to provide protective equipment for employees.95 Article 105 of the Labor Code requires that workers receive information about inherent risks related to dangerous tasks and sufficient training before operating hazardous machinery

90 Chavkin, “Countries Target Pesticides as Suspected Link to Rare Kidney Disease,” International Consortium of Investigative Journalists, (Sept. 19, 2013) available at http://www.icij.org/blog/2013/09/countries-target-pesticides-suspected-link-rare-kidney-disease (last accessed Mar. 5, 2014).

91 Sri Lanka Foundation – International, “Three Harmful Chemicals Banned,” (Apr. 9, 2013) available at http://srilankafoundation.com/2013/04/three-harmful-agro-chemicals-banned/ (last accessed Mar. 5, 2014).

92 Michael McClean et al., “Industrial Hygiene/Occupational Health Assessment: Evaluating Potential Hazards Associated with Chemicals, and Work Practices at the Ingenio San Antonio (Chichigalpa, Nicaragua) [hereinafter “Chichigalpa Health Assessment”],” Boston University School of Public Health, pp. 25 – 29 (2010).

93 Ibid. p. 30.

94 U.S. Environmental Protection Agency, “Reregistration Eligibility Decision (RED) for Diuron,” (2003) available at http://www.epa.gov/oppsrrd1/REDs/diuron_red.pdf (last accessed Oct. 24, 2013); Australian Pesticides and Veterinary Medicines Authority, “Diuron product registrations affirmed with significant use changes,” (Nov. 28, 2012) available at http://www.apvma.gov.au/news_media/media_releases/2012/mr2012-13.php (last accessed Oct. 24, 2013).

95 Labor Code, art. 103.

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or undertaking dangerous work.96 Employer obligations related to health and safety are enumerated in greater detail in the Law of Occupational Health and Safety, which requires employers to take measures to ensure individual and collective protection and to give workers appropriate information to effectively avoid risks;97 to ensure subcontractor compliance or risk joint liability for breach of the law;98 to provide free protective equipment to workers and repair such equipment as needed;99 and to provide free, appropriate training by qualified accredited teachers on hygiene, health, and safety in the workplace.100

Aside from their general duty to provide their workforce with a safe and healthy work environment, arguably, sugarcane producers are uniquely obligated to protect workers from toxic agrochemical exposures, given the possible relationship between toxic agrochemical exposure and CKDnT. As mentioned earlier, some of the most common agents to which respondents were exposed have been linked to acute kidney damage. Although the link between acute kidney damage and CKDnT is yet to be determined and further research must be done to gauge the extent of occupational exposure, medical researchers still consider agrochemical exposure to be a likely risk factor in the onset of the disease.

96 Labor Code, art. 105.

97 Ley 816, Ley General de Higiene y Seguridad del Trabajo [hereinafter “Health & Safety Act”], tit. II, ch. I, art. 4(c)(6-7), L.G., (Jul. 13, 2007) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/16624DBD812ACC1B06257347006A6C8C?OpenDocument (last accessed Oct. 24, 2013).

98 Health & Safety Act, art. 18(9).

99 Health & Safety Act, art. 18(14).

100 Health & Safety Act, arts. 19-22.

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2. Child Labor

“I began when I was 15 and they should have refused to let me work. There are many boys that need the work and it is good that they work, but not here—they have no rights.” - male, age 30

Though estimates of prevalence vary, child labor is widespread in Nicaragua. A 2005 survey conducted by the Nicaraguan Department of Labor calculated that 239,220 children under the age of 17 participated in the labor force.101 Furthermore, 80% of child workers were found to be engaged in high-risk labor practices.102 Because of the dangerous nature of field work in sugarcane, child workers can be considered to be engaged in one of the most hazardous forms of labor, and therefore one of the most explicitly prohibited practices of child labor.103 The prohibition of child labor is considered a fundamental international labor and human rights principle.104 The International Covenant on Economic Social and Cultural Rights emphasizes the protection of children from exploitation, declaring that, “employment in work harmful to their morals or health or dangerous to life or likely to hamper their normal development should be punishable by law.”105 The Convention on the Rights of the Child recognizes the right of children to be free from economic exploitation and prevented from performing work that will likely be hazardous or harmful to the child’s physical, mental, spiritual, moral or social development. Additionally, the convention requires states to establish minimum ages for admission into employment, provide appropriate regulation of the hours and conditions of employment, and provide appropriate penalties or sanctions for enforcement of legal protections.106 The ILO Minimum Age Convention 138 prohibits admission to hazardous employment for children under the age of 18, and in special cases under the

101 Ministerio del Trabajo, “Encuesta de Trabajo infantil realizada en el año 2005,” available at http://www.mitrab.gob.ni/documentos/informes-estadisticos/infantil.pdf/view (last accessed April 22, 2014).

102 U.S. Department of Labor, “Nicaragua,” available at http://www.dol.gov/ILAB/media/reports/iclp/Advancing1/html/nicaragua.htm#1210 (last accessed Oct. 24, 2013).

103 International Labour Organization Convention No. 182, Worst Forms of Child Labor Convention, arts. 1-3 (Jun. 17, 1999) available at http://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO:12100:P12100_ILO_CODE:C182 (last accessed Oct. 24, 2013).

104 International Labour Organization, “Declaration on Fundamental Principles and Rights at Work,” Art. 2(c) (Jun. 1998) http://www.ilo.org/public/english/standards/relm/ilc/ilc86/com-dtxt.htm (last accessed Oct. 24, 2013).

105 ICESCR, at 10.

106 Convention on the Rights of the Child [herinafter “CRC”], art. 32, 3 U.N.T.S. 1577 (Nov. 20, 1989).

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age of 16. The ILO Worst Forms of Child Labor further requires that states take immediate measures to prohibit and eliminate the worst of forms of child labor, of which dangerous work is a part.107

Nicaraguan law also regulates child labor. The minimum working age is 14; however, the Labor Code prohibits children under the age of 18 from working in unhealthy occupations.108 The Ministerial Agreement on the Prohibition of Hazardous Work for Young People goes even further, expressly prohibiting tasks that require physical strain due to repetitive activities with upper and lower limbs and trunk, working outdoors in temperatures higher than 37°C (98.6°F), environmental exposure to ultraviolet rays, and work with herbicides.109 In all circumstances, the law requires that working children are protected from occupational hazards, work fewer than six hours per day, receive social security benefits, and are given access to union participation.110 The welfare of children is governed by the Ministry of Labor and the Department of the Labor Inspector.111

ISA claims that though children as young as 10 worked in the fields in the past, the minimum working age for cane cutters is now 18.112 Though not previously thought of as a significant problem within the sugar plantations of Western Nicaragua, researchers discovered pervasive use of child labor at Ingenio San Antonio. Several respondents admitted to working for ISA as children;113 34% of respondents knew child workers under the age of 14, and 83% knew child workers between the ages of 14 and 17. Respondents indicated that children are only involved in field-based occupations such as planting, cutting, and weeding, over which company supervision is less intense, and that the children worked the same number of hours as adults. During the course of their work, respondents claimed child workers were exposed to a variety of hazards, including dust, fumes, gas, flames, extreme heat, dangerous tools, and agrochemicals. Additionally, 69% of respondents believe that ISA knows about the existence of child workers. A few respondents asserted that the company generally discouraged child labor and that

107 International Labour Organization, “Worst Forms of Child Labor Convention (No 182),” arts. 1-3 (Jun. 17, 1999) available at http://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO:12100:P12100_ILO_CODE:C182 (last accessed Oct. 24, 2013).

108 Labor Code, arts. 133, 136.

109 Acuerdo Ministerial sobre la Prohibición de trabajos peligrosos para las personas adolescentes [Ministerial Agreement on the Prohibition of dangerous work for adolescents], Acuerdo Ministerial JCHG-08-06-10, available at http://www.mitrab.gob.ni/documentos/acuerdos/ACUERDO%20MINISTERIAL%20JCHG-08-06-10.pdf/at_download/file (last accessed Mar. 5, 2014).

110 Labor Code, art. 134.

111 Labor Code, arts. 135, 137.

112 Chichigalpa Health Assessment, p. 35.

113 Similarly, Yale researchers found field workers from Goyena who began working in the fields at the age of 15, see “The People of León and Chinandega’s Complaint Regarding the Operations of Nicaragua Sugar Estates Limited” S.A. International Finance Corporation Project 25331, p. 14 (Mar. 31, 2008).

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children were fired as soon they were discovered. However, others alleged that ISA doesn’t do more to combat child labor out of fear that such measures would draw undue attention to the issue. No respondent knew of any supervisory mechanisms in place for child workers.

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3. Remuneration

“Sometimes they rob you of your salary and pay you less and tell you that it will be received during the next payment schedule.” - male, age 25

According to the Nicaraguan Institute of Information and Statistical Development, for the month of June 2013, the most recent month for which information was available, the basic basket, or price estimate for a bundle of goods and services used to estimate the cost of living for an average family, was an estimated 11,298.23 Nicaraguan cordobas (approximately US$455) per month.114 As of September 1, 2013, the approved monthly minimum wage for Nicaraguans working in agriculture was 2,566.89 cordobas (approximately US$103.50) per month.115 By this standard, a family of six with two income earners making a minimum wage salary in agriculture would earn less than half of the amount necessary to support itself.116 Even where companies are compliant with minimum wage laws, the disproportionate cost of living in Nicaragua means that individuals earning a minimum wage are highly impoverished, leaving them vulnerable to exploitation, unable to afford basic necessities, and incentivized to engage in overly strenuous work practices to supplement their earnings.

Generally, the right to a living wage is recognized in international and regional human rights law. The International Covenant on Social, Economic and Cultural Rights and the Additional Protocol to the American Convention on Human Rights requires that as part of the right to just conditions of work, all workers have the right to remuneration which guarantees dignified and decent living conditions for them and their families.117 However, in addition to broad concerns about the suitability of the state’s minimum wage for agricultural workers, researchers also uncovered severe violations of fundamental domestic and international laws, which protect the basic right of wage protection and remuneration. They are detailed below.

114 Government of Nicaragua, “Canasta Básica [Basic Basket],” available at http://www.inide.gob.ni/CanastaB/CanastaB.htm (last accessed Oct. 24, 2013).

115 Acuerdo Ministerial Sobre la Aplicación de los Salarios Minimos,” Acuerdo Ministerial ALTB-04-08-13, (Aug. 4, 2013) available at http://www.mitrab.gob.ni/documentos/salario-minimo/Ac_Min_Salario_Minimo_2013.pdf/at_download/file (last accessed Mar. 5, 2014).

116 The average size of a Nicaraguan family is 5.72 people according to the Fourth National Survey of Food Consumption in 2004. Ministerio Agropecuario y Forestal, “Canasta Basica Alimentaria,” (2005) available at http://www.paho.org/nic/index.php?option=com_docman&task=doc_download&gid=97&Itemid= (last accessed Mar. 12, 2014).

117 ICESCR, supra at art. 7(a)(ii); Organization of American States, “Additional Protocol to the Am. Convention on Human Rights in the Area of Econ., Social, and Cultural Rights ‘Protocol of San Salvador,’” (Nov. 17, 1988), O.A.S.T.S. No. 69, 1144 U.N.T.S. 123, art. 7(a).

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Payment Below Minimum Wage - Of those interviewed, 17% of respondents reported salaries that fell significantly below the minimum wage. One respondent who had worked at ISA since 2008 reported receiving 40 cordobas (less than two U.S. dollars) per day for herbicide application. However, minimum wage violations were primarily reported by those working on a piece-rate system, particularly during the winter harvest.

On average, salaries ranged from 300 to 2,000 cordobas (approximately 12 to 80 U.S. dollars) per week. Subcontracted employees earned less than direct employees. Planters tended to be paid the least; mechanics and management were paid more. All cane cutters are paid by piece rate.118 Directly employed cane cutters, earning about 20 cordobas (US$0.90) per ton of cane cut and working 15 days straight, reported making between 3,000 and 4,000 cordobas (approximately 120 to 160 U.S. dollars) every two weeks. To reach the higher end of this scale, workers had to cut at least 13 tons of sugarcane per day.

Failure to pay minimum wage violates both national and international law. The International Labor Organization’s (ILO) Social Aims and Policy Convention, to which Nicaragua is a party, requires that workers are not paid less than determined minimum wage rates, and that workers paid less than those rates be provided with a legal mechanism to recover lost wages.119 Nicaraguan labor law leaves little ambiguity regarding minimum wage requirements for employers, even where a piece-rate system is in place. The Nicaraguan labor code states that though employers are free to establish remuneration schemes on a time or piece rate basis, compensation should never be less than the legal minimum.120 The code goes on to further define minimum wage as the lowest compensation to be paid to an employee for services rendered during a normal working day, to which every worker is entitled.121 Therefore, companies that fail to pay workers a minimum wage for a full day’s work, regardless of the applicable remuneration scheme, are in violation of the law.

Withholding Pay - Generally, 41% of respondents reported incidents of salary withholding without cause, or claimed that they were regularly underpaid. Many of those complained that they were generally paid less than what they earned,

118 Where wages are low, piece rate systems can be problematic, as they encourage workers to labor for as many hours as possible, as quickly as possible, to earn the maximum amount of money that they can. Piece rate pay schemes have also been linked to the incentivization of child labor. For more information, see International Labour Organization, “Decent Work in Agriculture,” (2003) available at http://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_161567.pdf (last accessed Mar. 12, 2014).

119 International Labour Organization Convention No. 122, Social Policy (Basic Aims and Standards) Convention, art. 10(2),(4), (Jun. 22, 1962).

120 Labor Code, art. 81-83.

121 Labor Code, art. 85.

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with a promise by their employer that their wages would be supplemented the following week. More specifically, 17% reported that they had wages deducted as punishment. One employee reported being threatened with termination if he complained about his reduction in pay. Another claimed that workers’ cane was incorrectly or unfairly weighed, resulting in an unfair amount of compensation.

Repeated failure to pay legally mandated earned wages while implicitly or explicitly threatening workers who complain constitutes a form of forced or coercive labor practices. ILO Convention No. 29 broadly defines forced labor as “all work or service that is exacted from any person under the menace of penalty and for which the said person has not offered himself voluntarily.122” In subsequent guidelines for compliance with Convention No. 29, the ILO explores the components of this definition, citing the threat of penalty, including financial penalties, and the influence such penalties have on the provision of consent that workers give to continue working under a certain set of conditions.123 The withholding of pay could be considered both a threat mechanism and a non-consensual condition of labor. Additionally, academics have identified forced labor conditions as indicated by overtime policies, stating that forced labor violations exist when workers work in excess of legally-established limits on working hours out of fear of dismissal, or where productivity-based pay systems require workers to work in excess of nationally established hourly limits to earn a minimum wage.124 The workers that we interviewed repeatedly stated that they felt compelled to work under such conditions out of fear of losing their jobs with the primary employer in the region. Finally, as we established above, low piece rate wages necessitate that laborers work in excess of legally mandated limits to earn a minimum wage.

Outside of the scope of coercive or forced labor practices, failure to pay earned wages also directly violates national and international labor laws. Article 17(a) of the Nicaraguan Labor Code requires that employers pay wages for work in the manner and time agreed upon with the worker. Where salaries are delayed, employers are required to pay affected workers an additional amount for each week of delay.125 Regarding the deduction of wages as punishment, both the

122 International Labour Organization Convention No. 29, Forced Labor Convention (No 29) (1930) available at http://www.ilo.org/dyn/normlex/en/f?p=1000:12100:0::NO::P12100_ILO_CODE:C029 (last accessed Oct 13, 2013).

123 International Labour Organization, “Combating Forced Labour: A Handbook for Employers & Business (2008),” available at http://www.ilo.org/wcmsp5/groups/public/@ed_norm/@declaration/documents/publication/wcms_101171.pdf (last accessed Oct. 27, 2013).

124 Diane F. Fay, “An Institutional Approach to Labor-Related Human Rights Compliance: A Case of Forced Labor in Nicaragua and Honduras,” Advances in Industrial and Labor Relations, Vol. 17 (Aug. 19, 2009) available at http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1364242 (last accessed Mar. 5, 2014).

125 Labor Code, art. 86.

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Protection of Wages Convention (No. 95) and the Plantations Convention (No. 110), governed by the ILO and of which Nicaragua is a party, prohibit the deduction of wages outside of the extent prescribed by the law.126

Failure to Pay Overtime - As previous analysis pertaining to working hours has shown, the majority of laborers reported that they work far in excess of the six to eight hours mandated by law. Although every worker interviewed reported working more than eight hours per day and 48 hours per week, only 27.5% reported ever receiving overtime. Of the workers we interviewed, only three respondents had ever received a day off with pay from their employer, and only two had ever had a vacation. Several others reported being punished for taking holidays off.

Nicaraguan law requires that overtime work is paid at double the normal salary127 and that for every six days of continuous work or the equivalent hours, employees are entitled to a seventh day of rest with full pay.128 For those that choose to work the seventh day, that day will be treated as overtime.129 Additionally, the Labor Code requires that employers provide workers with 15 continuous days off as paid vacation for every six months of uninterrupted work in the service of the same employer.130 The harvest season lasts for six to seven months during the period between November and May, making almost all of ISA’s workforce eligible to receive vacation time or vacation pay.

126 International Labour Organization Convention No. 95, Protection of Wages Convention, (Jul. 1, 1949); International Labour Organization Convention 110, Plantations Convention (Jun. 24, 1958).

127 Labor Code, art. 62.

128 Labor Code, art. 64.

129 Labor Code, art. 65.

130 Labor Code, art. 76.

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4. Health

“The sick man cannot get help.” – male, age 22

Generally, respondents’ answers indicated a diminished access to care and a lack of awareness of available medical treatment options. These indications appear to contradict Ingenio San Antonio’s claims and suggest possible violation of the law. Ostensibly, employees at ISA have access to onsite medical facilities. According to a 2009 study by Boston University,

ISA has its own hospital, which is directed by Dr. Alejandro Marin and employs eight general practitioners and 24 specialists. As part of its contract with the Social Security Institute, the hospital only provides care to ISA workers and their families (including subcontracted workers) except in emergencies. In the case of an emergency, any patient will be attended to, including residents of Chichigalpa who do not work for ISA… The hospital is also in charge of providing the medications and medical supplies for the first aid kits used in fields where temporal ISA employees work. Contractors are responsible for maintaining first aid kits for jobs that are conducted by subcontracted workers.131

In contrast, researchers found that respondents believed that only directly employed workers were entitled to or able to receive care at the ISA hospital and only 34% reported access to first aid kits.

The lack of efficient and effective health care for sugarcane workers with CKDnT in western Nicaragua has had a tremendous impact on their communities.132 Of those we surveyed, 13% had been diagnosed with CKDnT. Sick workers were primarily employed in field-based occupations such as irrigation, planting, weeding, collecting the seeds, and bundling cane. Many of those we interviewed echoed feelings that they faced a difficult choice between starvation and sickness.

131 Chichigalpa Health Assessment, 12.

132 Ann Aschengrau, Daniel Brooks, et al. “Cohort Pilot Study Report: Evaluation of the Potential for an Epidemiologic Study of the Association between Work Practices and Exposure and Chronic Kidney Disease at the Ingenio San Antonio,” Boston University School of Public Health (2012).

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The International Covenant on Economic, Social, and Cultural Rights;133 the Convention on the Rights of the Child;134 and the Additional Protocol to the American Convention on Human Rights135 all recognize the right to enjoy the highest attainable physical and mental standard of health. Domestically, the Constitution of Nicaragua protects the rights of all Nicaraguans, without distinction to health,136 and the General Law on Health promises access to health services with priority given to vulnerable members of the population.137 In addition to the states’ duty to protect the health of the population, under Nicaraguan law companies also have a duty to protect their workforce. Article 100 of the Labor Code declares that all employers have the responsibility to adopt preventative measures to protect the life and health of their workers. Finally, it could be argued that as part of the employer’s obligation to its employee, employers should treat the risk of causing or contributing to occupation-related illnesses as a potential barrier to accessing health care.138 Because CKDnT is occupationally linked, sugarcane producers have a responsibility to take proactive steps in providing support to prevent their workers from developing CKDnT.139

Regarding the specific conduct of ISA, researchers found in place a system of policies and practices that limited and, in some cases, impeded employees’ access to medical treatment, particularly for those suffering from CKDnT, who are most in need of care.

Inability to Access Medical Records - The survey results also demonstrated a deficiency in communication and access given by ISA to workers about their medical condition and, in turn, a lack of worker understanding of CKDnT. The

133 ICESCR, art. 12(1).

134 CRC, art. 24.

135 Organization of American States, “Additional Protocol to the Am. Convention on Human Rights in the Area of Econ., Social, and Cultural Rights ‘Protocol of San Salvador,’” O.A.S.T.S. No. 69, 1144 U.N.T.S. 123, art. 10, (Nov. 17, 1988).

136 Nicaraguan Constitution, art. 59.

137 National Health Law, arts. 5(3),(8).

138 Special Representative of the Secretary-General on the Issue of Human Rights and Transnational Corporations and Other Business Enterprises, Guiding Principles on Business and Human Rights: Implementing the United Nations “Protect, Respect and Remedy” Framework, U.N. Doc. A/HRC/17/31 (Mar. 21, 2011) available at http://www.business-humanrights.org/SpecialRepPortal/Home/Protect-Respect-Remedy-Framework/GuidingPrinciples (last accessed Oct. 27, 2013); International Finance Corporation, “Performance Standard 2 Labor Conditions Standards,” (Jan. 1, 2012) available at http://www.ifc.org/wps/wcm/connect/2408320049a78e5db7f4f7a8c6a8312a/PS2_English_2012.pdf?MOD=AJPERES (last accessed Oct. 27, 2013); International Finance Corporation, “Performance Standard 4, Community Health Safety and Security Requirement,” (Jan. 1, 2012) http://www.ifc.org/wps/wcm/connect/a40bc60049a78f49b80efaa8c6a8312a/PS4_English_2012.pdf?MOD=AJPERES (last accessed Mar. 5, 2014).

139 Ibid.

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importance of bridging this communication gap lies in the nature of the disease itself. CKDnT is a progressive disease, meaning that if it is not diagnosed within the first two stages of development, it becomes a chronic condition.140

Furthermore, medical records are required of any employee seeking to apply for disability after contracting the disease. ISA conducts mandatory screening of its workers for high levels of creatinine, an indicator of CKDnT, before the start of every harvest season and again in January. Workers with higher levels of creatinine are, at times, asked to repeat the test, or determined to be ineligible for work. Once the results are returned, employees are only told if they can or cannot work. When asked if their medical records were shared with them, 70% of direct employees and 68% of subcontracted employees answered that medical records were not shared with them after their exam. During the course of the study, researchers found that although four respondents said that they were diagnosed with CKDnT, three additional respondents noted high creatinine levels that suggest that they actually have the disease.

As private health care providers, ISA or ISA-sponsored facilities are bound by the laws governing health services in Nicaragua. In cases where it does not breach confidentiality, the right to health-related information is considered to be a component of the right to health.141 Article 8(4) of the General Law on Health elucidates the right of patients to be informed in a complete and continuous manner about their diagnosis, prognosis, and treatment options.142 Where medical records are required as proof of occupational illness or injury; the refusal to provide them could also constitute a violation of the right to health, particularly the rights to equitable access to care, the prevention of occupational illness, restitution for occupationally-related illness or injury, and appropriate medical treatment. Furthermore, where ISA or ISA-sponsored medical facilities, as health care providers, share employee health records with state authorities, the subject of those records has the right to such information.143

Improper Handling of Workplace Accidents - Of the respondents interviewed, 58% had been involved in a workplace accident. Reported injuries included falls, a hernia from carrying too much weight, machete cuts, electric shock, heat exhaustion, and impalement by sugarcane. Of those, four were sent to the hospital and only one respondent reported receiving financial assistance, a subsidy of 350

140 Edward F. Foote and Harold J. Manley, Hemodialysis and Peritoneal Dialysis, (McGraw-Hill Companies, Inc., 2008) p. 109.

141 Committee on Economic, Social and Cultural Rights, General Comment No. 14: The Right to the Highest Attainable Standard of Health, UN Doc E/C.12/2000/4, available at http://www.unhchr.ch/tbs/doc.nsf/(symbol)/E.C.12.2000.4.En (last accessed Oct. 27, 2013)..

142 National Health Law.

143 Nicaraguan Constitution, art. 26(4).

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cordobas (approximately US$14) every two weeks. Otherwise, reported employer responses to accidents varied. Several respondents reported being sent back to work prematurely, and one respondent reported that his employer deducted three times his estimated daily wage per day of his absence.

Generally, the high reported accident rate indicates an overall deficiency in the health and safety conditions in the workplace and a failure on behalf of ISA to adopt the necessary measures to protect the life and health of their workforce in accordance with Nicaraguan law.144 However, interviewees’ responses also indicate widespread non-compliance with domestic laws and procedures concerning employer responsibilities in the case of workplace accidents. Though only four respondents involved in a workplace accident reported being given transportation to a medical facility, Article 124 of the code obliges employers to transfer injured employees to a medical center in all cases of a workplace accident. According to Boston University’s Industrial Hygiene Report, company policy requires all workers injured during the course of their employment to be taken to the ISA hospital after the provision of first aid.145 Furthermore, Article 122 of the Labor Code requires employers to inform the Ministry of Labor within 24 hours of an accident and to submit a report to the Nicaraguan Institute of Social Security (INSS). The inability of workers to receive compensation for medical care expenses and lost wages implies that workplace accidents are not properly recorded and communicated to the government actors charged with worker protection. Finally, Article 113 of the Labor Code requires that in the event of an occupational accident or illness, employers are obligated to notify and assist in any investigation of the accident, compensate workers for accidents or illnesses that occur during the course of their work that are not covered by the social security regime, and provide immediate assistance, free food and free medicine to sick workers.

144 Labor Code, art. 100.

145 Chichigalpa Health Assessment, p. 11.

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5. Inability to Access Social Security

“I’m sick, I can’t continue working and I have paid contributions [into the social security system] but they have denied me [disability benefits].” - male, age 34

The Nicaraguan Institute of Social Security (INSS) administers the state’s contributive pension system, as well as health insurance, disability protection and work-related risk insurance. The state of Nicaragua currently has around 2 million workers in its labor force. The majority of those, almost 1.4 million, are informal workers and therefore not covered by social security.146 Of the 530,000 workers that contribute to the Institute’s medical scheme, 500,000 are covered by medical insurance, which covers medical care and disability benefits for sick workers.147 Currently, 86,000 receive social security payment for disability, old age, family death benefits, and work-related accidents.148 According to a 2013 report by the UN Economic Commission for Latin America and the Caribbean, the percentage of the economically active population contributing to the general pension scheme declined from 4% in 1998 to 3% in 1997, while the percentage of the economically active population receiving a pension marginally increased from 3.1 to 3.5% during that same time period. The same study estimates that in the years 2005-2006, one of the few years for which data is available, between 12 and 18% of the population over the age of 65 received a pension.149

As a condition of future financial agreements, the government is currently under pressure from the International Monetary Fund to reform the pension system by gradually raising the retirement age, aligning pension benefits to amount and length of contribution time, and raising contribution rates.150 The government’s most recent proposal developed in response to these conditions raises the retirement age from 60 to 65 years, increases the minimum years worked from 15 to 30, and doubles the number of weekly contributions from 750 to 1,500.151

146 New Politics, “Nicaragua: Contentious Debate Over social Security Reform,” (Feb. 3, 2013) available at http://newpol.org/content/nicaragua-contentious-debate-over-social-security-reform (last accessed Oct. 27, 2013).

147 Manuel Israel Ruiz Arias, “On Social Security the IMF has Little to Tell Us and Lot to be Told.” (Sept. 2010) available at http://www.envio.org.ni/articulo/4240 (last accessed Oct. 27, 2013).

148 Ibid.

149 Juliana Martínez Franzoni, “Social protection systems in Latin America and the Caribbean: Nicaragua” p. 17 (Feb. 2013) available at http://www.eclac.org/publicaciones/xml/7/49367/2013-119_Social_NICARAGUA_WEB.pdf (last accessed Mar. 12, 2014).

150 International Monetary Fund, Country Report No. 12/256, p. 20 (2012) available at http://www.imf.org/external/pubs/ft/scr/2012/cr12256.pdf (last accessed Oct. 27, 2013).

151 New Politics, “Nicaragua: Contentious Debate Over social Security Reform,” (Feb. 3, 2013) available at http://newpol.org/content/nicaragua-contentious-debate-over-social-security-reform (last accessed Oct. 27, 2013).

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Access to social security serves as an important determinant in a worker’s ability to access certain treatment options and to supplement their income after they have become too ill to work. However, according to respondents, social security, particularly disability claims for occupational illness are difficult to obtain. Four of the respondents surveyed received some form of social security payments. No respondents who had been diagnosed with CKDnT or reported a high creatinine level collected any form of social security. One of these respondents worked directly under ISA for 19 years before dismissal in 2012 for developing the illness.

Notably, many respondents specified that the biggest challenge in getting social security is the requirements set out by the state. In order to qualify for disability, former workers who suffer from CKDnT must show proof that they were well before beginning sugarcane work and became sick during the course of their work in sugarcane, have worked a total of more than 107 weeks, and have worked 26 weeks in the past year. In order to qualify for disability, former workers who suffer from CKDnT must show proof that they were well before beginning sugarcane work and became sick during the course of their work in sugarcane; have worked a total of more than 107 weeks; and have worked 26 weeks in the past year. The “famous 26 weeks,” as one respondent put it, hinders many workers’ ability to collect. The zafra lasts only six months, usually 24 weeks, leaving a worker unable to apply for social security at the end of the season. The survey results support the conclusion that the time requirement has a significant impact on the worker’s ability to apply for social security. For example, one respondent noted that because he got sick before finishing his 26 weeks, he could not collect social security.

Restricted access to employment and health records also prevents workers from qualifying for social security. If ISA or a subcontractor removes or does not register its workers with INSS, then those workers will not receive their social security including access to certain types of medical care. As outlined above, medical records are often not shared with employees. Furthermore, in order to qualify for social security, workers must prepare documentation of their medical records, a declaration of the accident or illness, proof that the worker is not covered by social security, an official medical opinion, and documents that prove that the worker actually worked for the employer. Only seven directly employed employees and two subcontracted employees thought that their employer shared their medical records with INSS. Three respondents noted their employers as a major obstacle in qualifying to collect social security.

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The Universal Declaration of Human Rights and the International Covenant on Economic, Social, and Cultural Rights recognize the right to social security including social insurance.152 For those workers suffering from occupationally related injury or illness, in the case of earnings, international standards also provide that a state should ensure that the administrative process for claiming social security benefits is not overly burdensome to the applicants.153 This includes vetting unnecessary obstacles to the immediate fulfillment of the worker’s right to social security.154

Since CKD is considered an occupational illness, the Social Security Law,155 the Labor Code,156 and the Law on Additions to Professional Risks and Sickness157 require employers to give employees with CKDnT either permanent or temporary disability. Moreover, if social security does not cover the worker, the Labor Code requires the employer to provide medical care and compensation.158 The Social Security Code requires that those suffering from a permanent disability receive a pension based on 60% of the average monthly salary of the worker.159 Additionally, in the case of permanent disability or death, employers are required to pay 620 days worth of compensation from the date of death or disability determination on the same pay schedule as the affected worker’s previous salary.160 Despite this, none of the respondents suffering from CKDnT or disabled by high creatinine levels reported receiving compensation for their illnesses.

152 Universal Declaration of Human Rights [hereinafter “UDHR”], G.A. Res. 217, U.N. GAOR, 3d Sess., U.N. Doc. A/810, art. 22 (1948); ICESCR, art. 9.

153 Amilcar Menéndez et al., Report 03/01, Case 11.670, Inter-American Commission on Human Rights (Jan. 19, 2001).

154 United Nations Committee on Economic, Social and Cultural Rights, General Comment No. 19: The Right to Social Security, 39th sess, UN Doc E/C.12/GC/19, art. 65 (Feb. 4, 2008).

155 Social Security Act, art. 63.

156 Labor Code, art. 111.

157 Ley 456, Ley de Adición de Riesgos y Enfermedades Profesionales a la Ley No. 185, Código del Trabajo [Law Adding Occupational Risks and Diseases to Law No. 185, Labor Code], art. 1, (Jul. 8, 2004) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/0/dff5d30488273f74062570a100583551?OpenDocument (last accessed Oct. 24, 2013)..

158 Labor Code, art. 114.

159 Social Security Act, art. 68.

160 Labor Code, art. 121.

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6. Unionization

“The company always buys the unions out, the unions agree with the company and leave things with the workers exposed.” - male, age 26

“They’ll fire you for participating in unions, so everyone is scared of participating or believing in unions.” - male, age 26

In 2005, there were five unions representing workers within ISA, according to a PACE labor study. The Ronald Altimarano Union was then comprised of 160 affiliates, equaling 32% of the permanent workforce. The other four unions were organized by the Confederación de Unidad Sindical (CUS) and, in total, covered 210 affiliates.161 The study also found that almost 85% of the ISA workers interviewed felt their freedom to organize was restricted.162

According to a 2012 analysis by Freedom House, freedom of association is protected by Nicaraguan law, but its observance has come under increased pressure.163 In its 2012 Investment Climate Statement, the U.S. Department of State cites the routine violation of collective bargaining agreements with impunity, illegal dismissal of workers for participation in union activities, and the use of company-affiliated, or “yellow,” unions to disrupt independent unionization as impediments to the right to organize.164

Some analysts also believe that the reliance on subcontracted labor discourages unionization in the sugar industry. As mentioned earlier, 85% of workers in the sugarcane industry and 100% of the field workers employed at ISA are subcontracted. Subcontracted laborers are hired through third party intermediaries. Generally, subcontracted laborers communicate only with their assigned foreman during the course of their work and there is very little interaction between these workers and ISA management.165 Traditionally, labor relations for subcontractors are considered to be between the third party contractor and the subcontracted employee. Where third party contractor operations are small or conducted on an individual basis, and subcontractors work on sugar plantations only temporarily, employees may be less incentivized to unionize. Where third party contractor operations are larger and better

161 PASE Labor Study, p. 13.

162 Ibid. at 48.

163 Freedom House, “Freedom in the World: Nicaragua,” (2012) available at http://www.freedomhouse.org/report/freedom-world/2012/nicaragua (last accessed Oct. 27, 2013).

164 U.S. Dept. of State, “2012 Investment Climate Statement – Nicaragua” (2013) available at http://www.state.gov/e/eb/rls/othr/ics/2012/191209.htm (last accessed Oct. 27, 2013)

165 Specialized Technology Resources Inc., “Nicaraguan Sugar: A Macro View of Today’s Industry,” p. 15 (2008) available at http://www.thecoca-colacompany.com/citizenship/pdf/Honduras_Sugar_Industry_Macro_Level_Report.pdf (last accessed Mar. 13, 2014).

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established there is a possibility that the relationship with the sub-contracting entity may distance the worker from direct negotiations with the sugar company and also deter unionization.

Researchers found trends related to intimidation of independent union organizers at ISA. Of those interviewed, no one belonged to a union, and one informant did not know what a union was. Though no workers were currently involved in union activities, several participants mentioned that they had known others who had been punished for union participation or advocating for their rights. About one-fourth of participants mentioned the threat of termination and being blacklisted as a deterrent to unionization.

Additionally, the majority of workers interviewed believed that the unions currently operating within ISA are biased and/or corrupt. Respondents stated that the leaders of these unions were chosen by company management. Sixty-five percent of respondents alleged that the unions operating within ISA had been bought by the company and received some form of financial assistance, while 58% believed the unions never defended their interests to the employer. Only one respondent could name a recent successful achievement of the unions. Another respondent stated that when his cousin attempted to file a claim for wrongful death in the workplace, the union refused to look for the substantiating paperwork, and he had to open a case directly with the mayor’s office.

Internationally, the freedom of association and the right to collectively bargain are recognized by the ILO as one of the four fundamental rights and freedoms at work.166 Article 22 of the International Covenant on Civil and Political Rights guarantees the general freedom of association, including the right to form and join trade unions.167 Furthermore, the right to organize without prior

166 International Labour Organization, “Declaration on the Fundamental Principles and Rights at Work,” art. 2(a) (1998).

167 Ibid. arts. 22(1)-(3).

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authorization,168 to form independent unions and protection from interference with union activities,169 and to be protected from anti-union discrimination170 are also protected by international law.

Nicaraguan law also sets out strong protection of unions. Articles 49, 53, 87 and 88 of the Nicaraguan Constitution recognize the rights of workers to independently organize, peacefully assemble, and collectively bargain.171 Article 30 of the Constitution protects freedom of expression. Finally, the 1996 Labor Code protects the rights of workers to organize and aims to facilitate the procedures for unionization.172

168 International Labour Organization Convention No. 87, Freedom of Association and Protection of the Rights to Organize, 68 U.N.T.S. 17 (1948); International Labour Orgnization Declaration on the Fundamental Principles and Rights at Work (1998), 86th Session, Geneva (Jun. 18, 1998) art. 2(a); International Labour Organization Convention No. 110, Plantations Convention, art. 54 (1958); UDHR, art. 23(4); American Convention on Human Rights, 1144 U.N.T.S. 123, art. 16(1) (Jul. 18, 1978); International Labour Organization Convention No. 144, Tripartite Consultation (International Labor Standards) Convention, art. 1 (1976).

169 International Labour Organization Convention No. 110, Plantations Convention, art. 63(1) (1958); Workers’ Representatives Convention, (No. 135) art. 3 (1971); Tripartite Consultation (International Labor Standards) Convention, (No. 144), art. 3(1) (1976).

170 Right to Organize and Collective Bargaining Convention, (No. 98), art. 1 (1949); Plantations Convention, (No. 110), art. 58 (1958); Tripartite Declaration of Principles Concerning MNE’s and Social Policy, art. 42; International Labour Organization Declaration Concerning the Aims and Purposes of the International Labor Organization (Declaration of Philadelphia), art. III(e) (1944).

171 Nicaraguan Constitution, arts. 49, 53, 88, 97.

172 See Labor Code, arts. 203-252.

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7. Treatment of Subcontractors

“They [direct employees] have direct benefits, they give them more protection and protective equipment, the salary is not equal and the risk is different.” - male, age 21

According to the International Labor Rights Forum, “Labor rights protections are being undermined worldwide as workers are seeing permanent, regular jobs replaced by contract labor and temporary, unstable work,”173 contributing to increased informalization of the labor force and an increased prevalence of precarious work environments. When discussing subcontracted labor in agricultural contexts, the International Labor Organization argues that two trends have clearly emerged: 1) globally, there is a growing reliance on subcontracted labor and, in some cases, labor contracting has become the primary form of employment relationship; and 2) increased subcontracting is spawning a variety of labor rights abuses.174 Across countries, subcontractors find themselves working without written contracts, access to social protection schemes, or the ability to unionize, as employers seek to defer responsibility for worker protection and governments struggle to regulate and monitor more fluid and casual employment entities.

Because subcontracted labor comprises an overwhelming majority of ISA’s workforce, LIF contends that its treatment of subcontracted labor reflects its labor policies generally. Almost half of the workers interviewed said that subcontractors had fewer rights than direct employees. Across rights issues, researchers found that subcontractors were less likely to receive a contract or to be given medical attention in the event of an emergency. They were unable to receive protective equipment or training, or participate in union activities. Subcontractors were also paid less and had restricted access to social benefits.

Despite popular perception, Nicaraguan law does hold employers responsible for the condition of work when third party intermediaries are involved. The General Law of Health and Safety establishes joint liability for the obligations to employees under the Labor Code and Social Security Act for those employers who employ service contractors or subcontracted labor.175 Article 119 of the Labor Code also states that when recruiting through intermediaries, employers are responsible for occupational risks affecting workers.176

173 International Labor Rights Forum, Contract Labor and Precarious Work, available at http://ww.stopfirestone.org/end-violence-against-trade-unions/contract-labor-and-precarious-work (last accessed Mar. 13, 2014).

174 International Labour Organization, “Decent Work in Agriculture” (2003) available at http://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_161567.pdf (last accessed Mar. 6, 2014).

175 Health & Safety Act, art. 34.

176 Labor Code, art. 119.

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8. Intimidation and Extrajudicial Violence

“One time at ISA, a security guard killed a 13-year-old boy for looking for scrap metal, they said that the boy was pleading with the security guard not to shoot because they shot him in the arm, and he begged not to be killed. While this was happening, his uncle was hiding from the security. After they killed the boy, they tried to hide the child in a tube.” - male, age 30

Researchers found that violations of the rights to organize, protest, and speak freely about working conditions were compounded by threats of dismissal from the workplace and an overall culture of intimidation that extended beyond the workplace into the private activities of those living in the sugarcane communities surrounding the plantation. These threats not only pertained to termination of employment, but revocation of benefits, and threats of bodily harm and harm to family members.

Thirty-four percent of respondents reported that they thought their employer exercised an influence on their personal life. All cited restrictions on the freedom to unionize, protest, and associate with certain individuals as the reason for this belief. Seventeen percent of respondents reported that they had received threats from members of the local government or police for speaking out against the sugar producer. Twenty percent of respondents had observed company, police, or government officials present at wakes or funerals. It is widely believed by respondents that such presence is intended to discourage protest through intimidation or bribery. Thirty-one percent reported that company management, the police, or government had told lies or insulted them or their family members. Many stated that these false accusations were used as a false pretext for firing, or as punishment for protest. Several respondents reported collusion between the police and the company in the promulgation of false accusations related to allegations of criminal activity. Only three respondents thought the police were neutral.

Furthermore, respondents reported that this atmosphere of intimidation extended to extrajudicial violence perpetuated by ISA security forces against community members. Fifty-eight percent of respondents thought that company security officials had used excessive force when dealing with community members. Respondents recounted several instances of community members that had been killed or assaulted by security forces for alleged involvement in petty criminal activity. Many mentioned the confirmed 2011 incident in which a young boy was

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killed by security forces for stealing scrap metal.177 Two workers mentioned an incident in which fishermen had been killed for fishing on company property, and two others recounted that security forces had killed a boy for resisting arrest. Another worker cited an incident in which security forces killed a boy who brought his cows on company property to graze. According to the respondent, the security forces then later also intimidated his family.

Beyond violations of workers’ rights of association, free speech, and assembly, the aforementioned intimidation tactics violate the rights of workers and their families to privacy. Article 17 of the International Covenant on Civil and Political Rights states, “No one shall be subjected to arbitrary or unlawful interference with his privacy, family, home or correspondence, nor to unlawful attacks on his honour and reputation,” and requires protection of the law in the case of such interference or attacks.178 The Universal Declaration of Human Rights179 and the American Convention on Human Rights180 also protect citizens’ rights to privacy, and provide for protection from inappropriate attacks on a person’s reputation. Finally, the Nicaraguan Constitution protects the rights of persons and their families to privacy, and to their honor and reputation.

The reported extrajudicial violence perpetrated by company private security forces constitutes a severe violation of the fundamental rights to life, due process, fair trial, and equality before the law. Internationally, these rights are enshrined in the International Covenant on Civil and Political Rights,181 the Universal Declaration of Human Rights,182 and the Convention on the Rights of the Child.183 Article 23 of the Nicaraguan Constitution also protects the right to life, and Article 25 of the Constitution recognizes the rights of persons to individual freedom, security, and recognition of legal capacity. The Constitution

177 Róger Olivas, “Adolescente muere robando chatarra,” El Nuevo Diario (May 27, 2011) available at http://www.elnuevodiario.com.ni/sucesos/103322 (last accessed April 22, 2014). For more information see: Centro Nicaragüense de Derechos Humanos (CENIDH), ‘Informe del CENIDH sobre la represión policial en el municipio de Chichigalpa, Chinandega, el 18 de enero del 2014,’ available at http://www.cenidh.org/noticias/580/ (last accessed April 22, 2014).

178 International Covenant on Civil and Political Rights [hereinafter “ICCPR”], 993 U.N.T.S. 3, art. 17 (Dec. 16, 1966).

179 UDHR, art. 12.

180 American Convention on Human Rights,1144 U.N.T.S. 123, art. 11 (Jul. 18, 1978).

181 ,ICCPR, arts. 6, 9, 10, 14.

182 UDHR, arts. 3, 6, 7, 8, 11.

183 CRC, arts. 6, 37, 40.

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also guarantees protection from arbitrary detention and establishes the right to a fair trial.184 Finally, the Constitution recognizes the right of respect of physical integrity, and prohibits torture and cruel or inhuman treatment.185

184 Nicaraguan Constitution. arts. 33, 34(1),(2).

185 Ibid. art. 36.

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9. Involuntary Resettlement and Displacement

“We have rights but they are not respected, they are violated by the government and the company. There is pollution, tree cutting… they dry the rivers, exposure to work conditions that are dangerous and polluted with chemicals...fires that last for 6 months, even 3 or 4 a day. The expansion of their land is taking land from communities and drying their sources of water.” - male, age 37

Researchers uncovered indications that those occupying the communities surrounding ISA production facilities were subject to involuntary resettlement and environmental degradation. According to the 2008 CAO compliant, beginning in 1998, workers residing on ISA property were forcibly relocated, and both residents and officials from the mayor’s office claim that the quality of life and services for those relocated declined as a result. Across Central America, involuntary resettlement and other forms of displacement have been tied to agricultural production, including sugarcane production .

Three respondents reported being forcefully relocated by their employer. Of those, two reported conditions worse than those where they were living prior to relocation, as well as an overall lack of access to basic services. Furthermore, three of the 11 respondents who knew someone who had sold their land to ISA reported that they had done so unwillingly and for an unfair price. To be clear, the percentage of respondents reporting ISA actions indicative of forced resettlement or displacement are relatively low and further research is needed. However, these responses, when considered in conjunction with the NSEL claim and recent allegations of dispossession of indigenous lands received by LIF staff, indicate problematic practices related to land acquisitions by ISA.

In the case of protection of indigenous communities, the UN Declaration on the Rights of Indigenous People mandates that states provide effective mechanisms for the prevention of and for redress for “Any action which has the aim or effect of dispossessing them of their lands, territories or resources.”186 The convention goes further to prohibit forcible removal of indigenous people from their lands or territories.187 Though international law does not explicitly address involuntary resettlement for the non-indigenous with hard law, where governments have

186 United Nations Declaration on the Rights of Indigenous Peoples, GA Res 61/295, UN GAOR, 61st sess, 107th plen mtg, UN Doc A/RES/61/295 (Sept. 13, 2007) art. 8(2)(b)

187 Ibid. art. 10.

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forcibly resettled with impunity, human rights laws are often violated.188 The rights include rights to housing, education, health, means of sustenance, and political participation.

ISA is bound to meet the Performance Standards established by the International Finance Corporation throughout the duration of IFC’s investment in the company. IFC Performance Standard 5 addresses Land Acquisition and Involuntary Resettlement. Performance Standard 5 requires the avoidance and mitigation of involuntary resettlement. It defines involuntary resettlement as forms of both physical and economic displacement, stating,

Involuntary resettlement refers both to physical displacement (relocation or loss of shelter) and to economic displacement (loss of assets or access to assets that leads to loss of income sources or other means of livelihood) as a result of project-related land acquisition and/or restrictions on land use. Resettlement is considered involuntary when affected persons or communities do not have the right to refuse land acquisition or restrictions on land use that result in physical or economic displacement.189

Where displacement has occurred, the IFC requires that borrowers provide 1) compensation and benefits for displaced persons; 2) community engagement; and 3) resettlement and livelihood restoration planning and implementation.190 Where ISA has acquired land from nearby residents or prevented them from accessing natural resources that have provided them revenue or helped sustain their livelihoods, the company is involved in involuntary resettlement.

The Constitution of Nicaragua contains a general framework for involuntary resettlement which requires just compensation in cases of expropriation. Article 615 of the Civil Code of Nicaragua recognizes the right of Nicaraguan citizens to enjoy and dispose of property under the law. Furthermore articles 1715 to 1812 of the Code recognize ownership where possession has been continuous, peaceful, and uninterrupted for a year, during which time the residents have also searched in good faith for the true owner. Law 309 also recognizes rights of ownership obtained through occupation of homes in urban areas. In cases of expropriation or involuntary resettlement, Article 50 of the Constitution recognizes the right

188 Forced Migration Online, “Policies and international instruments relevant to DIDR,” available at http://www.forcedmigration.org/research-resources/expert-guides/development-induced-displacement-and-resettlement/policies-and-international-instruments-relevant (last accessed Mar. 12, 2014).

189 International Finance Corporation, “Performance Standard 5: Land Acquisition and Involuntary Resettlement,” p. 1 (Jan. 1, 2012) available at http://www.ifc.org/wps/wcm/connect/3d82c70049a79073b82cfaa8c6a8312a/PS5_English_2012.pdf?MOD=AJPERES (last accessed Oct. 27, 2013)

190 Ibid.

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to political participation through rights of petition, complaint, and review. Furthermore, Article 14 of Law 229, the Law of Expropriation, recognizes the right of citizens to a hearing in cases when their land is to be taken.191

More research should be done t o determine the nature and extent of land expropriation, involuntary resettlement, and any forms of economic or physical displacement that have occurred as a result of ISA activities. However, where such activities have taken place without consultation with members of the affected community, just compensation for resettlement and restoration of livelihoods and resources for those affected by resettlement policies; ISA could be in violation of both domestic law and lending requirements.

191 Ley 229, Ley de Expropiación [Law of Expropriation], L.G. (Mar. 9, 1976) (Nicar.).

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Enforcement

“If you fight for a right that they do not agree with, they discriminate against us and they ignore us.” - male, age 43

Nicaragua has enacted extensive regulatory and legal mechanisms for the protection of its workforce generally, and agricultural workers specifically. Furthermore, its Labor Code and Constitution both recognize the state’s duty to implement international standards.192 However, like many developing countries, Nicaragua lacks either the capacity or willingness to implement its laws fully. In the absence of full implementation and enforcement of protections, researchers observed that laws and regulations were violated with seeming impunity and that victims of these violations had few options for recourse. The following section examines mechanisms for labor and social protection, reported gaps in enforcement, and responses related to access to justice for those victimized.

Inspections

The Ministry of Labor (MITRAB) has designated two departments responsible for labor inspections: the General Labor Inspectorate, which monitors conditions of work, hours, wages, disciplinary issues, and social security; and the Director General of Hygiene and Security at Work, which monitors occupational health and safety.193 Inspectorates are organized at the regional, departmental, and municipal level.194 Labor Inspectors are authorized to conduct several different types of inspection including: 1) agreed-upon inspections announced with prior notice to the employer and employees; 2) ordinary inspections performed without prior notice; 3) extraordinary inspections conducted at the request of a party, authority, or the Minister of Labor to investigate a specific situation or complaint; 4) re-inspection to assess compliance after a previously ordered inspection; and 5) special inspections performed by the Labor Inspectorate in areas related to child labor, collective labor rights, trade unions, temporary suspension of employment contracts, and non-payment of minimum wage s or social benefits.195 In the case of violations, inspectors are authorized to advise and recommend measures

192 Labor Code, art. 46; see also, Labor Code, Preliminary art. IX.

193 International Labour Organization, “Nicaragua | Structure and Organization of the Labour Inspectorate,” (May 29, 2011) available at http://www.ilo.org/labadmin/info/WCMS_156053/lang--en/index.htm (last accessed Mar. 6, 2014).

194 Ley 664, Ley General de Inspección del Trabajo [General Work Inspection Law], ch. II, art. 7, L.G. (Sept. 19, 2008) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/58F5F2ED6CAB86C6062574FF0054B96E (last accessed Mar. 6, 2014).

195 Ibid.

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to promote proper compliance, inform the Institute of Social Security about the situation so that measures may be taken to ensure social protection for affected workers, order the immediate and temporary suspension of work activities, and levy economic sanctions.

As of 2007, inspections conducted by the Ministry of Labor to monitor compliance with occupational illness and accident reporting standards covered 6.4% of the working population.196

According to the U.S. State Department,

During the first six months of the year, MITRAB reported conducting 1,276 health and safety inspections and registered 6,820 workplace accidents, including 13 registered deaths. In 2011 MITRAB reported 9,942 registered labor accidents and 46 deaths. According to data submitted to the ILO, the government reported that in 2011, labor inspectors conducted 9,749 inspections and 481 reinsp ections, imposing fines totaling approximately 423,000 cordobas ($17,700) in 34 cases.197

Additionally, according to the State Department, the Ministry of Labor lacked the adequate resources to enforce child labor laws. In the first six months of 2012, the Ministry of Labor conducted 2,546 special child labor inspections, resulting in the removal of 759 children under the age of 14 and the identification of 4,509 adolescent workers. The most recent national survey of child labor approximates that there were 239,000 children between the ages of five and 17 working in Nicaragua.198

Almost 38% of respondents interviewed had seen a labor inspection taking place at ISA. Respondents had observed inspectors from Institute for Social Security (INSS), the Ministry of Labor, and internal company management. According to these workers, the INSS inspectors inquired about water intake and inspectors from the Labor Ministry investigated hydration, treatment of the workers, and the availability of certain tools. Four workers mentioned that management had given them prior warning before inspections, ordering them to alter their behavior or to bring protective clothing from home.

196 Pan American Health Organization, “Health in the Americas: Nicaragua” p. 512 (2007) available at http://www.paho.org/hia/archivosvol2/paisesing/Nicaragua%20English.pdf (last accessed Oct. 24, 2013).

197 U.S. Dept. of State, “Nicaragua 2012 Human Rights Report,” p. 32 (2012) available at http://www.state.gov/documents/organization/204677.pdf (last accessed Mar. 6, 2014).

198 U.S. Dept of State, “Country Reports on Human Rights Practices for 2012,” Bureau of Democracy, Human Rights and Labor, available at http://www.state.gov/j/drl/rls/hrrpt/humanrightsreport/index.htm#wrapper (last accessed Oct. 27, 2013).

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The State of Nicaragua has not ratified the 1947 Labor Inspection Convention (No. 81) or the 1969 Labor Inspection (Agriculture) Convention (No. 129). However, the preamble to the General Law of Inspections recognizes that labor inspections must meet the criteria set out in 1947 Labor Inspection Convention.199

Access to Justice

District Courts, Labor Courts, and the National Labor Court of appeals are empowered to hear cases related to labor rights violations. The newly enacted 2013 Labor and Social Security process code aims to simplify the process of case adjudication while addressing the backlog of labor and social security cases currently facing courts around the country. However, in its present form, the justice system remains difficult for many to access. According to Freedom House, overall, the judiciary suffers from a lack of independence from political influence and corruption.200 Specifically, courts that deal exclusively with labor claims suffer from structural deficiencies and issues of impartiality, which impede access to justice for workers.

As mentioned earlier, case backlog is a concern, but issues concerning long wait times and complicated procedures have also been identified.201 The U.S. State Department claims that MINTRAB boasted a 98% rate of favorable rulings for workers; but according to the International Labor Organization (ILO), fines were only imposed in 0.84% of cases and that these penalties were not significant enough to prevent violations.202

ISA specifically has also been the subject of citizen complaints, legal cases, and administrative orders. According to a 2008 complaint to the Compliance Advisor Ombudsman (CAO) accountability mechanism for the International Finance Corporation:

199 Ley 664, Ley General de Inspección del Trabajo [General Work Inspection Law], L.G., (Sept. 19, 2008) (Nicar.) available at http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/58F5F2ED6CAB86C6062574FF0054B96E (last accessed Oct. 27, 2013).

200 Freedom House, “Countries at Crossroads: Nicaragua,” (2012) available at http://www.freedomhouse.org/report/countries-crossroads/2012/nicaragua (last accessed Oct. 27, 2013).

201 U.S. Dept of State, “Country Reports on Human Rights Practices for 2012,” Bureau of Democracy, Human Rights and Labor, available at http://www.state.gov/j/drl/rls/hrrpt/humanrightsreport/index.htm#wrapper (last accessed Oct. 27, 2013).

202 Ibid.

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Members of the communities, including the complainants, have filed legal complaints against NSEL with the Nicaraguan Ministry of the Environment and Natural Resources (“MARENA”), the Ministry of Agriculture, Animal Husbandry, and Forestry (“MAGFOR”), the mayor’s offices in Chichigalpa and León, among other relevant agencies.203

In our study, 75% of respondents felt that their rights were not protected by the justice system. Of these, 40% mentioned that the police were a significant concern, citing corruption, ineffectiveness, and discrimination as major problems. Furthermore, 24% of respondents reported that they had filed a lawsuit of complaint against ISA, and of those, none received an answer. Complaints related to illegal dismissal, indemnification for contracting CKDnT, and remuneration. Four respondents also mentioned that they were prevented from bringing a claim against ISA by the company or the government. Five respondents claim that they were targeted by government or police forces for speaking out against the company.

Domestically, the Constitution protects the right of everyone to equal protection under the law and the state protection of their inherent human rights in accordance with international law.204 In the case of international human rights law, states not only have the obligation to respect the rights of citizens, but also to provide a mechanism for redress when those rights are violated. Article 2(3) of the International Covenant on Civil and Political Rights requires States Parties to ensure that 1) a person whose rights have been violated has the right to an effective remedy; 2) any person claiming such a remedy shall have right to have his/her case heard before a competent authority; and 3) competent authorities enforce remedies when granted. General Comment 31 of the UN Human Rights Committee further elaborates that, in accordance with the obligations enumerated in the Covenant, State Parties must also take appropriate measures to punish, investigate, or redress harms caused by private persons or entities.205

203 “The People of León and Chinandega’s Complaint Regarding the Operations of Nicaragua Sugar Estates Limited” S.A. International Finance Corporation Project 25331, p. 3 (Mar. 31, 2008).

204 Nicaraguan Constitution, arts. 27, 46.

205 General Comment No. 31 [80], Nature of the General Legal Obligation Imposed on States Parties to the Covenant, UN Doc CCPR/C/21/Rev.1/Add.13 (May 26, 2014) available at http://www.unhchr.ch/tbs/doc.nsf/0/58f5d4646e861359c1256ff600533f5f (last accessed Mar. 12, 2014).

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Overall, researchers found that workers were exposed to a wide range of rights violations in and out of the workplace that exacerbated existing vulnerabilities, impeded access to healthcare, blocked access to justice, and restricted the ability of those affected to advocate on their own behalf. Furthermore, the frequency of fundamental rights violations of international and domestic labor, human rights, and constitutional legal obligations indicate systemic legal non-compliance; rather than individual infractions. In addition to these findings, researchers identified concerning trends in areas related to indigenous rights, land rights, financial barriers to care, and environmental contamination, all of which were outside of the scope of this study.

On the basis of data obtained in the present study LIF recommends the following:

For government actors:

● Rigorously enforce fundamental international and domestic legal protections for workers, regardless of contractual status, including but not limited to freedom of association, the prohibition of forced and compulsory labor practices, and the prohibition of child labor.

● Guarantee the ability of current and former sugarcane workers to easily access the highest available standard of preventive and specialized medical care and treatment for CKDnT.

● Conduct transparent inspection of sugar production facilities under the special inspections provision of Ley No. 664, 26 June 2008, Ley General de Inspección del Trabajo [General Work Inspection Law], ch. II, art. 7.

● Where violations of domestic laws are found, require compliance of producers within a minimum specified timeframe, and levy economic sanctions sufficient to deter further non-compliance.

● Review disability social insurance requirements for sugarcane workers suffering from CKDnT, and where workers and their dependents qualify, ensure that they receive full entitlements.

● Guarantee due process and equal treatment before the law for affected sugarcane workers and ex-workers.

Conclusion

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For sugar producers:

● Comply with domestic and international laws related to the promotion of health, human rights, and decent working conditions.

● Improve access to water and shade for those working in the fields.

● Institute additional measures, including the provision of sufficient protective equipment in good repair and conduct of educational programming, to protect workers from agrochemical exposure, regardless of employee contractual status.

● Provide all employees with unfettered access to medical information obtained through medical examinations conducted by the producer or medical personnel affiliated with the producer.

● Adopt working practices that follow internationally recognized guidelines for safe work in hot climates, such as the Occupational Health and Safety Administration’s Water. Rest. Shade. program.

Currently there is a dearth of research concerning cross-cutting rights violations affecting workers in Nicaraguan sugarcane. In an effort to fill this knowledge gap, LIF also completed a broader study of working conditions for two sugar producers in western Nicaragua and a qualitative study of child labor in 2013, the results of which will be released this year. We believe these studies will provide further insight into the specific challenges facing sugarcane laborers in the workplace and highlight potential risk factors for members of the population most affected by CKDnT.

Going forward, researchers recommend continued interdisciplinary approaches to research across medical, legal, and scientific disciplines that aim to establish the nature of rights violations and examine their possible connection to increased disease prevalence rates in an effort to identify alternative approaches to incidence and prevalence reduction. Researchers also contend that such research would constitute a strong basis for informed policymaking aimed at tackling the underlying factors that contribute to and/or exacerbate the epidemic. Ultimately, we hope that efforts undertaken by both the public and private sectors to improve the living and working conditions described herein will constitute a significant first step towards eradicating CKDnT.

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