I'm saying that with the rate of travel from that region, it has to be here by now. Think of how fast SARS swept the planet.
No, I don't know what it is, but think about this for a minute: In Central America, there is comparatively poor medical care, minimal food handling technology, refrigeration, or preservation, bad pest control, and rotten waste handling and general sanitation. Meanwhile, the incidence of this disease (although probably under-diagnosed), even under those conditions in a torrid climate, is but a few thousand cases per year. That indicates the disease is not terribly virulent or we'd have heard all about it years ago. It's probably here but producing numbers so low that we don't see it.
Fer pete’s sake, this is NOT a communicable disease. Disease refers to an illness, and in this case these men - who were outdoor laborers in their youth - seem to have gotten kidney failure from either exposure to pesticides or simply dehydration because they didn’t drink enough water during the day while they did heavy physical labor in high temperatures. Eventually the kidneys simply can’t take it.
But this “disease” is not coming here unless Obama sends us all to work on a banana plantation somewhere in Castro’s Cuba.