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Conflict Nephrology: War and Natural Disasters
Tulasi Gopolan1, Claudia Michelle Ornelas-Brauer2, Tarek Barbar3
1University of Texas Southwestern School of Medicine, Dallas, Texas.
Kidney360
|February 10, 2023
Summary
Emergency preparedness is crucial for patients with end-stage kidney disease (ESKD) facing disasters. Lessons from past crises like Hurricane Katrina and Sandy highlight the need for improved systems and patient education to mitigate risks.
Area of Science:
- Public Health
- Emergency Medicine
- Nephrology
Background:
- Access to care for end-stage kidney disease (ESKD) patients is vulnerable during disasters, public health crises, and conflicts.
- The United States lacked adequate disaster preparedness for ESKD patients prior to Hurricane Katrina (2005).
- Vulnerable populations, including ESKD patients, were disproportionately affected by the COVID-19 pandemic despite improved disaster response systems.
Purpose of the Study:
- To evaluate disaster response effectiveness for ESKD patients.
- To identify shortcomings in past disaster responses.
- To propose recommendations for enhancing future emergency preparedness for ESKD patients.
Main Methods:
- Review of disaster response efforts and outcomes for ESKD patients.
- Analysis of system-level responses to Hurricane Katrina (2005) and Hurricane Sandy (2012).
- Assessment of the impact of the COVID-19 pandemic on ESKD patient care during crises.
Main Results:
- Hurricane Katrina exposed significant unpreparedness in disaster response for ESKD patients.
- Post-Katrina and post-Sandy improvements in disaster systems mitigated some risks.
- The COVID-19 pandemic highlighted persistent vulnerabilities and the need for adaptive strategies for ESKD patients.
Conclusions:
- Proactive emergency preparation, including patient education and government support, is essential for ESKD patients.
- Healthcare systems must be adaptable to evolving global challenges and unforeseen emergencies.
- Continuous improvement and implementation of lessons learned from past events are critical for future disaster resilience in ESKD care.
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