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Impact of persistent conflict and destabilizing events on dialysis care

Among global destabilizing events, natural disasters often receive widespread attention whereas protracted conflicts and economic crises fade into the background. Low- and middle-income countries bear the brunt of this indifference, resulting in severely weakened health systems. People who require dialysis are particularly vulnerable, necessitating urgent collaboration to ensure equitable and sustainable care during such crises.

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References

  1. Slovic, P., Västfjäll, D., Erlandsson, A. & Gregory, R. Iconic photographs and the ebb and flow of empathic response to humanitarian disasters. Proc. Natl Acad. Sci. USA 114, 640–644 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Tuğlular, S. et al. Lessons learnt during the war in Ukraine: a report from the Renal Disaster Relief Task force of ERA. Nephrol. Dial. Transplant. https://doi.org/10.1093/ndt/gfad053 (2023).

    Article  PubMed  Google Scholar 

  3. Mengistu, Y. T. & Ejigu, A. M. Global dialysis perspective: Ethiopia. Kidney360 3, 1431–1434 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Paltiel, O., Berhe, E., Aberha, A. H., Tequare, M. H. & Balabanova, D. A public-private partnership for dialysis provision in Ethiopia: a model for high-cost care in low-resource settings. Health Policy Plan. 35, 1262–1267 (2020).

    Article  PubMed  Google Scholar 

  5. Berhe, E., Tesfay, B. & Teka, H. The despair of patients with kidney diseases in third world wars: the case of Ethiopia’s crisis. Nephrol. Dial. Transplant. https://doi.org/10.1093/ndt/gfad093 (2023).

    Article  PubMed  Google Scholar 

  6. Sekkarie, M. A., Zanabli, A. R., Rifai, A. O., Murad, L. B. & Al-Makki, A. A. The Syrian conflict: assessment of the ESRD system and response to hemodialysis needs during a humanitarian and medical crisis. Kidney Int. 87, 262–265 (2015).

    Article  PubMed  Google Scholar 

  7. Alasfar, S. et al. Improving and maintaining quality of hemodialysis in areas affected by war: a call to action! Kidney Int. 103, 817–820 (2023).

    Article  PubMed  Google Scholar 

  8. Alasfar, S. et al. Dealing with dramatic health care problems during times of natural disaster and armed conflict. Kidney Int. 104, 221–224 (2023).

    Article  PubMed  Google Scholar 

  9. The World Health Organization Eastern Mediterranean Regional Office (EMRO). Data repository: personnel per 10 000 population-physicians. https://rho.emro.who.int/Indicator/TermID/71 (2021).

  10. Karam, S., Gunasekara, V. N., Abou Jaoudeh, P. & Wijewickrama, E. Preparing for the unexpected, supporting the vulnerable — a perspective from Lebanon and Sri Lanka. Kidney Int. Rep. 8, 383–387 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

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Correspondence to Valerie Luyckx.

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Alasfar, S., Berhe, E., Karam, S. et al. Impact of persistent conflict and destabilizing events on dialysis care. Nat Rev Nephrol 19, 688–689 (2023). https://doi.org/10.1038/s41581-023-00759-0

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