In 2019, in its 14th year of existence, World Kidney Day will be marked on March 14. The campaign sets out to raise awareness of the high and increasing burden of kidney disease worldwide and of the need for strategies for kidney disease prevention and management. The 2019 theme is “Kidney Health for Everyone Everywhere”, aiming to highlight the growing burden of kidney disease and kidney health disparity and inequity worldwide. 

850 million people worldwide are now estimated to have kidney diseases from various causes and kidney disease is currently the 11th leading cause of global mortality, chronic kidney diseases (CKD) cause at least 2.4 million deaths per year and are now the 6th fastest growing cause of death. Acute kidney injury (AKI), an important driver of CKD, affects over 13 million people worldwide and 85% of these cases are found in low and middle-income countries (LMICs). Moreover, around 1.7 million people are estimated to die annually because of AKI. Moreover, CKD and AKI are important contributors to increased morbidity and mortality from other diseases and risk factors including cardiovascular disease, diabetes, hypertension, obesity, as well as infections such as HIV, malaria, tuberculosis and hepatitis.

CKD and AKI often arise from the social conditions in which people are born, grow, live, and work including poverty, gender discrimination, lack of education, occupational hazards and pollution among others. Transplantation is considered the most cost-effective treatment of CKD. However, it has high set up costs and requires highly specialized teams, availability of organ donors and cannot be done without dialysis backup. In many countries, treatments for kidney disease are often inaccessible due to among others high out-of-pocket costs, lack of infrastructure and of specialized health care professionals.

Given the alarming increase of kidney disease globally, a drastic change and improvement in kidney disease prevention and treatment is needed. Specifically, WKD calls on everyone to advocate for concrete measures in every country to improve kidney care:

  • Encourage and adopt healthy lifestyles (access to clean water, exercise, healthy diet, tobacco control. Many types of kidney diseases can be prevented, delayed and / or kept under control when appropriate prevention measures are in place.

  • Make screening for kidney diseases a primary healthcare intervention including access to identification tools (e.g. urine and blood tests). Screening of high-risk individuals and early diagnosis and treatment is cost effective to prevent or delay end-stage kidney diseases.

  • Ensure kidney patients receive basic health services they need (e.g. blood pressure and cholesterol control, essential medications) to delay disease progression without suffering financial hardship.

  • Call for transparent policies governing equitable and sustainable access to advanced health care services (e.g. dialysis and transplantation) and better financial protection (e.g. subsidies) asIn 2019, in its 14th year of existence, World Kidney Day will be marked on March 14. The campaign sets out to raise awareness of the high and increasing burden of kidney disease worldwide and of the need for strategies for kidney disease prevention and management. The 2019 theme is “Kidney Health for Everyone Everywhere”, aiming to highlight the growing burden of kidney disease and kidney health disparity and inequity worldwide. 

  • 850 million people worldwide are now estimated to have kidney diseases from various causes and kidney disease is currently the 11th leading cause of global mortality, chronic kidney diseases (CKD) cause at least 2.4 million deaths per year and are now the 6th fastest growing cause of death. Acute kidney injury (AKI), an important driver of CKD, affects over 13 million people worldwide and 85% of these cases are found in low and middle-income countries (LMICs). Moreover, around 1.7 million people are estimated to die annually because of AKI. Moreover, CKD and AKI are important contributors to increased morbidity and mortality from other diseases and risk factors including cardiovascular disease, diabetes, hypertension, obesity, as well as infections such as HIV, malaria, tuberculosis and hepatitis.

  • CKD and AKI often arise from the social conditions in which people are born, grow, live, and work including poverty, gender discrimination, lack of education, occupational hazards and pollution among others. Transplantation is considered the most cost-effective treatment of CKD. However, it has high set up costs and requires highly specialized teams, availability of organ donors and cannot be done without dialysis backup. In many countries, treatments for kidney disease are often inaccessible due to among others high out-of-pocket costs, lack of infrastructure and of specialized health care professionals.

  • Given the alarming increase of kidney disease globally, a drastic change and improvement in

  • kidney disease prevention and treatment is needed. Specifically, WKD calls on everyone to advocate for concrete measures in every country to improve kidney care:

  • Encourage and adopt healthy lifestyles (access to clean water, exercise, healthy diet, tobacco control. Many types of kidney diseases can be prevented, delayed and / or kept under control when appropriate prevention measures are in place.

  • Make screening for kidney diseases a primary healthcare intervention including access to identification tools (e.g. urine and blood tests). Screening of high-risk individuals and early diagnosis and treatment is cost effective to prevent or delay end-stage kidney diseases.

  • Ensure kidney patients receive basic health services they need (e.g. blood pressure and cholesterol control, essential medications) to delay disease progression without suffering financial hardship.

  • Call for transparent policies governing equitable and sustainable access to advanced health care services (e.g. dialysis and transplantation) and better financial protection (e.g. subsidies) as more resources become available. Breaking down socioeconomic barriers and expanding access to comprehensive services in order to meet the needs of the population is essential to guarantee equitable kidney care and increase quality.

Bibliography

http://www.worldkidneyday.org