Navigation Links
Nephrologists Reassess Disaster Response Strategies

Health services during natural disasters have been in the spotlight especially after recent calamities like the hurricane Katrina . According to kidney specialists, well planned crisis management strategies are need of the hour, so that patients with end-stage renal failure undergoing regular dialysis are not in dire straits due to interruptions caused in the aftermath of natural disasters.

The July Clinical Journal of the American Society of Nephrology presents an update on the nephrology community's efforts to meet the unique needs of people with kidney disease in the aftermath of disaster. Drawing on the experience of nephrologists who responded to Hurricane Katrina, recent earthquakes in Asia, and other disasters, four articles in the special section draw on past lessons to inform future plans for responding to future crises. The articles are preceded by an introduction from Dr. Paul Kimmel, highlighting the role of the ASN and other professional organizations in planning the response to disasters.

Dr. Jeffrey Kopp of the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, and coauthors analyze the lessons of two historic 2005 disasters: Hurricane Katrina and other storms that wreaked havoc along the U.S. Gulf Coast and the devastating earthquake in Kashmir, South Asia. After Katrina, 94 dialysis facilities in the region were closed for a week or longer including more than one-third of all centers in the state of Louisiana. The best guess is that of over 5,800 Gulf Coast dialysis patients affected by Katrina, 2.5 percent died in the month after the storm although given the high mortality rate among dialysis patients, it is difficult to determine how many deaths were storm-related.

The Kashmir earthquake offered different lessons, especially in terms of the risk of acute renal failure (ARF). This is a special concern in earthquakes or other causes of building collapse, because muscle damage from crush injuries can cause a condition called rhabdomyolysis, which can rapidly lead to ARF.

In response to these disasters, the Kidney Community Emergency Response Coalition (KCERC) was formed, with representatives from over 50 governmental and private organizations. A second article by Dr. Kopp and colleagues outlines the KCERC's plans for responding to future emergencies that interrupt dialysis services. The recommendations focus on establishing 'a timeline to safety' for dialysis patients: 'If we accomplish specific tasks at each disaster stage, then it is likely that we can protect the health of these vulnerable patients,' the authors conclude. They note that health care providers should 'create an individualized disaster plan for each patient, and review the plan regularly with each patient.' The KERC's approach may also help to guide disaster preparedness planning for other vulnerable populations.

Dr. Robert J. Kenney of Renal Associates of Baton Rouge, LLC, focuses on the need for every dialysis center to develop a specific disaster plan, addressing issues like communication, which was one of the most critical challenges after Katrina; electrical and water supplies; and special patient populations, such as evacuees and children. 'The lack of organization and miscommunication following Katrina prompted providers at all levels to ask just how prepared dialysis facilities are for future catastrophes,' says Dr. Kenney. 'We hope to stimulate physicians, dialysis facilities, and staff to familiarize themselves with emergency preparedness concepts while noting specific resources where more specific information can be obtained.'

Dr. Masafumi Fukagawa of Kobe University offers insights from the viewpoint of a renal physician in Japan, where various types of natural disasters not only earthquakes and typhoons, but volcanic eruptions and tsunamis are a threat. Drawing on the experience of the Hanshin-Awaji Ear thquake of 1995, Dr. Fukagawa emphasizes the need to reopen medical centers as soon as possible after a disaster. He also emphasizes the need for sharing experiences across generations, as people who haven't lived through them 'forget' how severe such rare disasters can be. 'My hope is to summarize preparedness not only for usual degrees of earthquakes, but also for unexpectedly severe earthquakes once in a lifetime or in centuries,' says Dr. Fukagawa.

Dr. Kopp's work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health. NIH is a component of the U.S. Department of Health and Human Services.




'"/>




Related medicine news :

1. FDAs Failure Urges It to Reassess Its Policies
2. AIDS Disaster in India is Imminent
3. Disaster Planning Guide From Harvard Health Publications
4. Chronic Post-Traumatic Stress Disorder (PTSD) Risk In Young Natural Disaster Survivors
5. Tsunami Unplugged: Natural Disasters Favor the Under-privileged
6. Chernobyl Disaster still Causing Cancer
7. Bicycle-Powered Portable Water Filter System For Disaster Zones
8. PTST Mostly Seen Among Disaster Victims
9. Indian Railways Cannot Deal With Major Disasters
10. US Emergency Rooms ill prepared for Disasters
11. AAP Urges Families To Create Emergency Disaster Plans
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/29/2017)... , ... March 29, 2017 , ... ... with or without a referral to new patients from Burnaby, BC. Patients in ... other full mouth reconstruction services, can see the esteemed team at Wall Centre ...
(Date:3/29/2017)... , ... March 29, 2017 , ... ... FASTBRACES® in Carnegie, OK, from Dr. Jamie Cameron, with or without ... efficiently, compared to traditional orthodontic treatment. Depending on each patient’s case, treatment with ...
(Date:3/29/2017)... ... March 29, 2017 , ... ... developing an ANSI-approved, consensus-based American National Standard for Good Manufacturing Practices (GMPs) ... first ANSI-approved GMP standard for dietary supplements this spring, is hiring an ...
(Date:3/29/2017)... ... March 29, 2017 , ... Altima Technologies, Inc., ... network and data center assets and audio-video devices has recently updated its Visio ... shapes for free and download shapes and stencils from http://www.VisioStencils.com. , ...
(Date:3/29/2017)... ... March 29, 2017 , ... An inventor ... "The rubber bands used in conjunction with my braces always rubbed against the ... a way to prevent this problem." The O.B.S. was the result of his ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)...  Glenmark Pharmaceuticals, a global pharmaceutical company, today ... fixed-dose combination of mometasone furoate (25 mcg) and ... nasal spray being studied for the treatment of ... recently completed Phase 3 trial assessing the efficacy ... mometasone, olopatadine or placebo. "We continue ...
(Date:3/29/2017)... , March 29, 2017  The Pharmaceutical Care Management ... new PhRMA report on patient out-of-pocket spending: ... and Medicaid Services (CMS), the average amount spent out-of-pocket ... of drug spending in 2016, down from 23% in ... pricing problem, not a coverage problem. Health plans don,t ...
(Date:3/29/2017)...  NuVasive, Inc. (NASDAQ: NUVA), a leading medical ... minimally disruptive, procedurally-integrated solutions, today announced U.S. Food ... CoRoent® Small Interbody™ System indicated for intervertebral body ... spine. This marks the first U.S. clearance for ... to four contiguous levels. Cervical radiculopathy ...
Breaking Medicine Technology: