Improving Nephrology around the World March 16-18, 2004 ISN COMGAN Bellagio Conference Prevention of renal diseases in the emerging world: Toward global

Improving NephrologyImproving Nephrology around the World around the WorldImproving NephrologyImproving Nephrology around the World around the World

March 16-18, 2004

ISN COMGAN Bellagio ConferenceISN COMGAN Bellagio Conference

Prevention of renal diseases

in the emerging world:

Toward global health equity


The Bellagio Conference

would like to express

gratitude for the generous

contribution of

The Rockefeller

Foundation

The International Society of NephrologyThe International Society of NephrologyThe International Society of Nephrology


The Bellagio Conference would like to express gratitude for

the generous contribution of:

J&J/Ortho Biotech Europe International Society of

Nephrology Baxter Merck, Sharp and Dohme

Kidney disease and kidney failure is rising globally

A Strategy for Kidney FailureA Strategy for Kidney Failure

1.Rising faster in the

developing countries2.Kidney failure patients

constitute a small fraction of disease but a disproportionately higher cost.

3.If prevention not started, RRT

will increase


Our Goals: to develop and

implement global clinical

strategies for prevention

which are applicable

to emerging countries



To improve education of

nephrologists, primary

doctors and health

professionals



To provide training

focusing on the areas of

epidemiology, clinical

pharmacology and clinical

trials



To activate specific

research projects of early

screening of renal disease

for prevention of

progression of ESRD



To seek global

resources to

fund these goals

of education

and training



To make results of this

meeting available to other

medical leaders worldwide

i.e. research,

the public and the media



Existing Communication

Strategy:

1.3,000 word article in Lancet

2.Video recording

3.Publication on the ISN

website

4.Newsletter

5.Communications with

national bodies



It is urgent to address and reduce global

incidence of chronic renal diseases

especially in emerging countries


Arrigo Schieppati – “Chronic Renal diseases as a public health problem: eidemiology, social and economical implications”

Meguid El-Nahas – “Risk factors of chronic renal diseases”

Peter Bennett – “Global burden of diabetes: prevalence and projections”

Giancarlo Viberti – “Cardiovascular risk in chronic renal diseases”

Why the need to prevent chronic renal diseases?

Speakers:

The Bellagio ConferenceThe Bellagio Conference

Day1, Session 1: Moderator: John Dirks

Giuseppe Remuzzi – “Prevention of progression and remission/regression strategies of chronic renal diseases: can we do better now than 5 years ago?”

Dick de Zeeuw – “Early detection, prediction and potential treatments of renal and cardiovascular risk in the general population”

Speakers:


Development of strategies for prevention relevant to different

regions and countriesDay 1, Session 2: Moderator: Robert Atkins

Bernardo Rodriguez Iturbe – “Prevention strategies in Latin America: from less to more developed countries”

Sarala Naicker – “The need of prevention programs in Africa”

Faisal Shaheen – “Prevention programs in the Middle East and Arab World”


regions and countries

Speakers:


Day 2, Session 1:

Moderators: Robert Atkins and Giuseppe Remuzzi

Sanjay Kumar Agarwal – “The case of prevention of chronic kidney diseases in India”

Giuseppe D’Amico – “Opportunities for a Chronic Disease outreach program in China”

Discussion and Round Table – “Global or local strategies for emerging countries?”

Speakers:



regions and countriesDay 2, Session 1 (cont’d):

Moderators: Robert Atkins and Giuseppe Remuzzi

Dan Kaseje – “Public health in emerging world”

Chitr Sitthi-amorn – “Strengthening health research capacity in developing countries: a critical element for achieving health equity”

Ivor Katz – “International aid and medical practice in the less-developed world: doing it right”

Implementation of strategies relevant to national health care

systems and specific centres in the emerging world

Speakers:


Day 2, Session 3 - Moderator: Jan Weening

Sarala Naicker – “Africa can solve its own health problems?”

Raul Herrera Valdes – “The view of Central American countries”

Ricardo Corréa-Rotter – “An educational Program for Prevention of Diabetic Nephropathy for General Physicians”

Speakers:

How to implement strategies for national health care systems in

emerging countries


Day 3, Session 3:

Moderators: Jan Weening and John Dirks

Sanjay Kumar Agarwal – “How to approach the problem in large countries: India”

Ivor Katz – “The Australian Chronic Disease Outreach Program”

Peter Bennett – “The case of American Indians and Alaskan Natives”

Speakers:


emerging countries


Day 3, Session 3 (cont’d):


JoAnne Epping Jordan – “Integrated approaches to prevention and control of chronic conditions”

Kim Solez – “Electronic stratagies for information and research”

Speakers:


emerging countries


Day 3, Session 3 (cont’d):


Prevalence of 1% (19.2 million)

1. Stage 1 5.9 M

(Albuminuria alone)

2. Stage 2 5 – 13M

Chronic Kidney Disease in the USAChronic Kidney Disease in the USA


1.Increase Basic Knowledge of GU Disease

2.Prevention of Chronic Kidney

Disease• Screening• Interventional Clinical trials• Increase Physician & Health

Professional manpower

3.Extend and Reduce Cost of RRT

4.Establish GU Teaching and

Research Centre

A Global Kidney R & D AgendaA Global Kidney R & D Agenda

1.Expand surveillance studies of GU Disease

2.Special studies in prevalence and intervention of diabetes and hypertension

3.Develop strategic policy aims in international organizations & societies and government health departments

4.Prevent acute renal failure with special attention to major diseases.


5.Increase Public Awareness for kidney Disease

6.Enhance education programs to update specialist and primary care physicians, nurses and technicians

7.Develop selected global centres of Excellence for training, clinical care and research – 10 or more in the next decade

8.Increase Funding resources


Documents

Improving Nephrology around the World March 16-18, 2004 ISN COMGAN Bellagio Conference Prevention of renal diseases in the emerging world: Toward global