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In 2013, at the World Congress of Nephrology, the International Society of Nephrology made the vision statement for the world to prevent deaths due to treatable acute kidney injury (AKI). Each year there were 13.3 million reported cases of AKI, with developing countries burdened with approx 11.3 million. Working towards this ambitious project, International Society of Nephrology launched the #0by25 campaign, to reduce preventable deaths from AKI across the world by the year 2025. The aim was to create global strategies for early diagnosis and treatment of AKI among patients with reversible diseases. 

This initiative focused on bringing in infrastructure, training and education through need based projects. These were particularly designed to meet the needs of developing countries and disadvantaged populations. 

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Women across India, living in rural areas face similar issues: Long working hours, poverty, financial constraints, illiteracy, lack of proper hygiene, unconcerned husbands, and medical complications. Poverty, illiteracy and lack of medical facilities inhibit women from reaching out to the nephrologist in time, thus delaying treatment. Their faith in local quacks proves to be a major hindrance. A vital issue is the marriage of young girls who have been afflicted by the disease. Questions of who will marry them, will they survive, will they concieve? – form an endless list. KWF has started campaigns towards creating awareness amongst these women. 

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All through its three years of work, while Kidney Warriors Foundation has been helping people diagnosed with kidney disease in various ways, we have consistently believed that being diagnosed with kidney disease is not the end of life. A patient should not stop living, and should not give up, but fight back as a warrior. The best way to do this is to know the disease, catch early signs, and know how to manage it, so that one can live life in the best way possible. 

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Our Foundation attempts to question patients currently engaged in some kidney treatment to arrive at some conclusions. One can safely lay the blame to low awareness of kidney disease and treatments leading to psychological, financial and sociological aspects in defining this population which needs to be published.

Analytical studies conducted by nephrologists and healthcare show that high sodium intake through consumption of packaged food with preservatives have led to Hypertension that is  responsible for most cases of kidney diseases. To curtail and manage early detection nephrologists and Government have launched campaigns, such as, “Salt  Satyagraha”, “Ek Chammach Kum” and others to limit intake of sodium and sugar, such that future generations may be saved.

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The coronavirus raised its hood in advanced countries in Europe and the United States of America sometime in December 2019. In early March, when travel restrictions were being applied, foreseeing problems in supply of imported medicines and consumables, KWF took a preemptive step to warn patients to stock medicines. 

When the Government promoted social distancing, dialysis patients found few city autos on the streets. KWF’s Sejal Jobanputra’s tweets caught media’s attention with Hindustan Times carrying a story on 23rd March with interviews of affected patients. By 24th March, complaints came from other parts of India of patients unable to reach their dialysis centers. The police were strictly following orders, immobilizing patients who needed emergency treatments.

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