
We have had many seminars, symposia and public discussions pertaining to Chronic Kidney Disease of Uncertain Origin (CKDu) during the past two years, but very little action has been initiated to alleviate the suffering of CKDu patients, their families and communities. This writer visited several CKDu endemic villages during the last two months, and it was clearly evident that the villagers in these areas were frustrated and even cynical about the ‘outsiders’ who visit them, "lecture to them, take many photographs, and depart- never to return". Clearly, it is time to give a kick start to well formulated action programmes in CKDu endemic villages based on available knowledge of the problem.