Long-term intermittent haemodialysis in Egypt

The pattern of mortalities from genitourinary diseases in Egypt was analysed from recent official figures. On the basis of certain assumptions concerning etiology, age, and geographical distribution, it was estimated that 37.7 per million of the general population would benefit from regular dialysis treatment, though the facilities available will permit only 5% of these subjects to receive treatment in 1975. As other diseases and conditions are much more prevalent, no great relative increase in dialysis facilities in Egypt is anticipated in the near future. A computer-controlled plan is suggested for organizing regular dialysis treatment at the national level to ensure an appropriate choice of medically suitable subjects of highest value to the community. Means of reducing the need for dialysis by minimizing the incidence of terminal chronic renal failure and of making best use of the available facilities are discussed.