Revista de nefrología y terapéutica

Following Hurricane Katrina's devastation of New Orleans in 2005, the influence of natural disasters on the supply of dialysis services has gotten more attention in the previous decade. Earthquakes, tsunamis, typhoons (also known as cyclones and hurricanes), storms, and flooding are all extremely dangerous in the Asia-Pacific region. These incidents can substantially disrupt haemodialysis services, resulting in missed dialysis, increased hospitalisation, and post-traumatic stress disorder for patients. Furthermore, haemodialysis patients may be required to relocate and may be separated from their families and social supports for extended periods of time. In contrast to haemodialysis, most research suggests that peritoneal dialysis is easier to maintain and support in a catastrophe situation. It has become clear that dialysis units and patients should be prepared for a disaster, and that proper planning would result in less uncertainty and negative effects in the event of a disaster. A variety of materials are now available to help dialysis units, patients, and staff prepare for a potential tragedy.

The difficulties and dilemmas that poor people with renal illness face are enormous. Patients, health care providers, and researchers are all struggling to cope with and understand the high burden of disease, the practical approach to delivering high-cost renal replacement therapy with limited resources, the implementation of preventive strategies, and the difficult ethical dilemmas. The goal of this special issue is to bring attention to the understudied problem of renal disease in underserved communities.