Public Health – Chronic Kidney Disease
The prevalence and incidence of CKD End Stage Renal Disease in
different countries
The public health policy implications of different rates of disease and
different rates of treatment
The rates of different forms of treatment in different countries
How these different rates relate to medical, demographic and socio-
economic factors
Chronic deterioration of kidney functions occurs over months/years. So what is the
cost on us due to CKD.
Chronic kidney disease is not a disease that is dealt with by the kidney doctors only.
So if you are a GP who is lead clinician for CKD, how do you
-Identify patients with kidney disease? -> By testing GFR, using creatinine! Also by
testing urine for protein etc.
-How do you prevent death and disability caused by CKD? -> REDUCE BP!! As CKD
patients often die due to CVD. Also control diet and any CVS risk factors.
-How do you identify individuals at risk for kidney failure? -> If you see a clear
decline in GFR
-How do you prevent CKD?
Public Health
Public health is the science and art of preventing disease, prolonging life and
promoting health.
-> Through organised efforts and informed choices of society, organisations, public
and private, communities and individuals.
CKD and Public Health, Why is it a Public Health Issue?
CKD is common, easily identifiable and treatable. There is a high mortality associated
with it. CKD also costs a lot of money to manage and resources are limited, most
especially in developing nations. Hence, for this reason CKD is a public health issue.
So the public health things we need to look at with regards to CKD are:
1 – Definition and identification
2 – The prevalence
3 – The epidemiology (age, hypertension, diabetes, ethnicity)
4 – The treatment, (primary prevention -> identify target groups, secondary
prevention -> CVD and dialysis)
Definition—
The prevalence and incidence of CKD End Stage Renal Disease in
different countries
The public health policy implications of different rates of disease and
different rates of treatment
The rates of different forms of treatment in different countries
How these different rates relate to medical, demographic and socio-
economic factors
Chronic deterioration of kidney functions occurs over months/years. So what is the
cost on us due to CKD.
Chronic kidney disease is not a disease that is dealt with by the kidney doctors only.
So if you are a GP who is lead clinician for CKD, how do you
-Identify patients with kidney disease? -> By testing GFR, using creatinine! Also by
testing urine for protein etc.
-How do you prevent death and disability caused by CKD? -> REDUCE BP!! As CKD
patients often die due to CVD. Also control diet and any CVS risk factors.
-How do you identify individuals at risk for kidney failure? -> If you see a clear
decline in GFR
-How do you prevent CKD?
Public Health
Public health is the science and art of preventing disease, prolonging life and
promoting health.
-> Through organised efforts and informed choices of society, organisations, public
and private, communities and individuals.
CKD and Public Health, Why is it a Public Health Issue?
CKD is common, easily identifiable and treatable. There is a high mortality associated
with it. CKD also costs a lot of money to manage and resources are limited, most
especially in developing nations. Hence, for this reason CKD is a public health issue.
So the public health things we need to look at with regards to CKD are:
1 – Definition and identification
2 – The prevalence
3 – The epidemiology (age, hypertension, diabetes, ethnicity)
4 – The treatment, (primary prevention -> identify target groups, secondary
prevention -> CVD and dialysis)
Definition—
