1. KIDNEY FOUNDATION MISSION St. Gregorios Dayabhavan Kunigal

2. Chronic Kidney Disease  Asymptomatic  Irreversible  Silent Killer

3. Chronic Kidney Disease  Can be prevented?  Progression can be delayed?  Life can be sustained?  Yes

4. What are Kidneys? A vital organ to sustain life

5. Functions of Kidney  Removing toxins from blood through Nephrons  Formation of blood  Strengthening Bones  Production of Vitamin D

6. Chronic Kidney Disease (CKD)  Causes Scarring in the Kidney  Irreversible  A Silent Killer

7. Heart Disease.. Ten fold higher in CKD Patients..Risk Factor

8. Causes of CKD  Hypertension  Diabetes

9. Current status  10- 11% - detected – 120milion  Every 5 th Indian is diabetic  India, Diabetic Capital of the world  Increment by two fold in future

10. Medical Treatment  7 out of 100 reach hospital  Survivors - 2 out of 7  Out of 120 million  Dialysis - Above 60,000  Transplant - 10,000 Per Year

11. Experience A Middle Class Family

12.  35yr old bread winner of a middle class family  Diabetic  No Regular follow up  Presents with swelling of legs  Seen by Nephrologist

13. Treatment Dialysis Temporary Life Support Cost Rs 25000 to 30000 per month

14. Treatment Transplantation Cost Rs 5 lakhs to 12 lakhs Plus Monthly Maintenance Rs 10000 per month

15. Patients Problem

16.  The sole earner - income per month 15,000/-  Does not have enough money for treatment  Total Denial  Children - education at risk  Not enough money to sustain family & life

17. What are his options? Bankruptcy Opt to Die

18. Can We save them from the Silent Killer?

19. Key Issues to be addressed  Management of patients with kidney disease  Social issues surrounding with the families of CKD patients  Creating public awareness of kidney disease and its prevention.

20. Implementation Medical Screening & Categorization

21. Screening Test

22. Treatment For CKD Patients

23. Group A  Patients with initial stage of CKD Proper medication - Diet - Exercise Delay the progression by 15 – 20 yrs COST - Rs 6000 –10000 per yr Bread Winners Effective and critical

24. Initial Stage of CKD - Progression Bread Winners Effective and critical

25. Group A  Patients with end stage CKD

26. COST- Rs 25,000 – 30,000 per month FREQUENCY - 2 to 3 times a week Dialysis Temporary Life Support DURATION – 4 hrs Reduction in working efficiency Expensive long term basis Bread Winners - Not preferable

27. Transplant A Second lease of life With Complications 10 – 12 lakhs (4 yrs dialysis Cost ) COST - Rs 5 lakhs (2 yrs dialysis Cost)

28. Could lead normal healthy life with One Kidney Donor

29. Prevention

30. Group B – Potential Candidates  Hypertension and Diabetic Patients Exercise - Diet Proper medication advised by a physician COST- Rs 200-300 per month

31.  Strong family history of diabetic and hypertension Group B - Prevention Prevent diabetic and Hypertension by diet, exercise & annual medical check up

32. What is practical? Prevention or Treatment

33. Pledge of the Mission “Prevent Kidney Disease Save them from the Silent Killer

34. Thank You