Ethiopia’s Tigray Dialysis Service Cut Due to Dwindling Supplies Amid War

Berhe, Ephrem; Paltiel, Ora; Gebrearegay, Hailemariam; Abraha, Hiluf Ebuy; Tequare, Mengistu Hagazi; Mulugeta, Afework

doi:10.1016/j.ekir.2022.02.024

Cited by 10 publications

(20 citation statements)

References 4 publications

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“…We contacted MSF, UNOCHA, and NRC on 24/10/2022 if there was any report on conflict and health in Tigray between 2020 and 2022, but none of them responded until the submission date of the paper for publication. Finally, we identified 41 documents for data extraction [ 5 – 7 , 15 – 52 ] (Fig. 2 ).…”

Section: Resultsmentioning

confidence: 99%

Perilous medicine in Tigray: a systematic review

et al. 2023

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Background The war in Tigray, North Ethiopia which started in November 2020, has destroyed decades of the region’s healthcare success. There is some emerging published evidence on attacks on health care in the region, and we synthesized the available evidence on ‘perilous medicine’ in Tigray to understand the data source, subjects and content covered, and what gaps exist. Methods We employed a systematic review and performed a systematic search of MEDLINE, PubMed, CINHAL, Web of Science and Scopus. We included English written documents published from 4 November 2020 to 18–19 October 2022 and updated the search on 23 January 2023. HG and NF independently performed title, abstract and full-text screening. We used Joanna Briggs Institute (JBI) tools to appraise and extract data, and applied content synthesis to analyze. The PROSPERO registration number is CRD42022364964. Results Our systematic review search yielded 8,039 documents, and we finally found 41 documents on conflict and health in Tigray. The areas were: (1) attacks on infrastructure, health or aid workers, patients, ambulances or aid trucks identified in 29 documents—the documents reported targeted attacks on health infrastructure and personnel; (2) interruption of health or social services in 31 documents—the documents reported medical and humanitarian siege; (3) outcomes and direct or indirect impacts in 33 documents—the documents reported increased magnitude of illnesses, and catastrophic humanitarian crises including the use of food, medicine and rape as tools of war; and (4) responses, rebuilding strategies, and recommendations in 21 documents—the documents reported improvisation of services, and calling to seize fire, accountability and allow humanitarian. Conclusions Despite promising studies on conflict and health in Tigray, the documents lack quality of designs and data sources, and depth and diversity of subjects and contents covered; calling further primary studies on a prioritized future research agenda.

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Section: Resultsmentioning

confidence: 99%

Perilous medicine in Tigray: a systematic review

et al. 2023

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“…Accommodating the sudden influx of patients posed the dilemma of shortening treatment hours for all patients or adding supplementary shifts, including during the overnight period. 5 The initial days of the war-trapped dialysis recipients in their homes and forced them to miss hemodialysis sessions. In preparation for further escalations that might preclude dialysis attendance, many centers chose to supply patients with emergency kits containing nutritional counseling and potassium-binding medications to help prevent volume excess and life-threatening hyperkalemia.…”

Section: Difficult Medical Decisionsmentioning

confidence: 99%

Delivering Dialysis during Wartime: The Israeli Experience

Cohen-Hagai,

Goldman,

Wald

et al. 2024

Kidney360

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a surprise terror attack happened in southern Israel. This event has had a profound effect on the delivery of maintenance dialysis in Israel. Civilians of all ages were victims of this event. 1 Over 1200 Israeli citizens and foreign nationals were killed in the initial attacks, and more than 200 individuals were abducted and are held hostage in the Gaza Strip. These events have triggered a war between Israel and Hamas, and the conflict has spread to Israel's northern border with Lebanon. As the war continues, we shed light on the multifaceted difficulties that dialysis recipients in Israel have faced to date. 1

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“…Even reagents for basic laboratory investigations, such as haemoglobin, urinalysis and rudimentary organ function tests, are no longer available. In spite of heroic improvisation, our hospital’s dialysis service has collapsed, meaning that patients with acute renal failure – including pregnant women – are now dying from otherwise treatable conditions 10 . The few supplies of antibiotics, anaesthetic agents and oxytocin, which were recently received from the Ministry of Health through the International Red Cross, will run out in a few days.…”

Section: Figurementioning

confidence: 99%