Konozy Emadeldin Hassan E
Department of Biotechnology Africa City of Technology (ACT) Khartoum Sudan.
Pharmaceutical Research and Development Centre, Faculty of Pharmacy Karary University Omdurman Sudan.
Health Sci Rep. 2024 Mar 13;7(3):e1980. doi: 10.1002/hsr2.1980. eCollection 2024 Mar.
Conflicts, akin to other crises, disrupt lives and healthcare infrastructure, disproportionately affecting vulnerable individuals. The ongoing Sudanese conflict, initiated on April 15, 2023, between the Sudanese Armed Forces (SAF) and the Rapid Support Force (RSF), triggers significant population displacement, healthcare facility closures, and a scarcity of medical resources. Amid the intense conflict in Khartoum, reports of deceased individuals in the streets heighten concerns about public health, emphasizing the gravity of the situation. This crisis compounds the challenges faced by Sudan's already fragile healthcare system, impacting over 5 million displaced individuals, including those reliant on life-saving hemodialysis sessions. This commentary aims to illuminate the challenges confronting kidney dialysis patients in war-torn Sudan, emphasizing the impact on the Al-Goled hemodialysis center.
This commentary relies on reports from the American Society of Nephrology (ASN), European Renal Association (ERA), and The International Society of Nephrology (ISN), along with recent journal articles discussing the consequences of ongoing conflicts. Personal observations in Al-Goled contribute to the insights, and data from the Al-Goled hemodialysis center in Sudan illuminate the struggles faced by kidney dialysis patients during the conflict, presented as a case study.
Kidney dialysis patients, crucial for regular hemodialysis sessions, confront severe challenges due to the overwhelming conflict. With an estimated 8000 kidney failure patients in Sudan, disruptions in healthcare services, targeted attacks on medical staff, and a shortage of resources exacerbate their plight. The Al-Goled hemodialysis center, initially designed for 30 daily sessions, experiences a surge in demand, accommodating 85 patients daily-an alarming 183% increase. Limited resources, machine malfunctions, and a shortage of medications contribute to the loss of 13 patients' lives.
The conflict in Sudan disproportionately impacts kidney dialysis patients, causing disruptions in essential healthcare services. The surge in demand at the Al-Goled center underscores the broader impact on healthcare institutions nationwide. Local efforts to source medical supplies face bureaucratic hurdles and complex exportation procedures, impeding support for kidney patients. Patients, once receiving 3 weekly sessions, now struggle to secure even one, jeopardizing their well-being. Urgent international intervention is needed to cease the conflict and ensure the safety of healthcare facilities, especially for vulnerable populations like kidney dialysis patients.
冲突与其他危机一样，会扰乱生活和医疗基础设施，对弱势群体的影响尤为严重。2023年4月15日爆发的苏丹武装部队（SAF）与快速支援部队（RSF）之间的冲突，导致大量人口流离失所，医疗机构关闭，医疗资源匮乏。在喀土穆激烈冲突期间，街头出现死亡人员的报道加剧了对公共卫生的担忧，凸显了局势的严峻性。这场危机使苏丹本就脆弱的医疗系统面临的挑战更加复杂，影响了超过500万流离失所者，包括那些依赖维持生命的血液透析治疗的人。本评论旨在阐明饱受战争蹂躏的苏丹肾透析患者所面临的挑战，强调对戈尔德血液透析中心的影响。
本评论依据美国肾脏病学会（ASN）、欧洲肾脏协会（ERA）和国际肾脏病学会（ISN）的报告，以及近期讨论持续冲突后果的期刊文章。在戈尔德的个人观察提供了见解，苏丹戈尔德血液透析中心的数据以案例研究的形式揭示了冲突期间肾透析患者所面临的困境。
对于定期进行血液透析治疗至关重要的肾透析患者，由于冲突激烈，面临着严峻挑战。苏丹估计有8000名肾衰竭患者，医疗服务中断、对医护人员的针对性攻击以及资源短缺加剧了他们的困境。戈尔德血液透析中心最初设计为每日30次治疗，需求激增，每天要接纳85名患者，增幅高达惊人的183%。资源有限、机器故障和药品短缺导致13名患者死亡。
苏丹的冲突对肾透析患者的影响尤为严重，导致基本医疗服务中断。戈尔德中心需求的激增凸显了对全国医疗机构的更广泛影响。当地采购医疗用品的努力面临官僚障碍和复杂的出口程序，阻碍了对肾病患者的支持。患者曾经每周接受3次治疗，现在甚至连一次治疗都难以保证，危及他们的健康。需要紧急的国际干预来停止冲突，确保医疗机构的安全，特别是对于像肾透析患者这样的弱势群体。
