joel topf May 1, 2014 Central American CKD Epidemic joel topf May 1, 2014 Chronic kidney disease blast Central America: http://t.co/7Yxkf8uMfb #renalweek #kidneyweek #NephJC pic.twitter.com/4XyXCbkzma— Xavier F. Vela (@xaviervel) May 1, 2014