The wildfire smoke that choked much of the mid-and-eastern U.S. earlier this summer is an added stressor, says Modarai. The smoke carries microscopic particles that can reach the bloodstream, and, eventually, the kidneys, which can be damaged over time. “For any laborer who might already have kidney disease, dehydration caused by excessive heat and air pollution worsened by climate change could accelerate their disease progression, requiring them to depend on dialysis.

https://time.com/6303020/chronic-kidney-disease-climate-change/