{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:09Z","timestamp":1786977909190,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2024,3]]},"abstract":"Abstract<\/jats:title>\n \n Background and Aim<\/jats:title>\n Conflicts, akin to other crises, disrupt lives and healthcare infrastructure, disproportionately affecting vulnerable individuals. The ongoing Sudanese conflict, initiated on April 15, 2023, between the Sudanese Armed Forces (SAF) and the Rapid Support Force (RSF), triggers significant population displacement, healthcare facility closures, and a scarcity of medical resources. Amid the intense conflict in Khartoum, reports of deceased individuals in the streets heighten concerns about public health, emphasizing the gravity of the situation. This crisis compounds the challenges faced by Sudan's already fragile healthcare system, impacting over 5 million displaced individuals, including those reliant on life\u2010saving hemodialysis sessions. This commentary aims to illuminate the challenges confronting kidney dialysis patients in war\u2010torn Sudan, emphasizing the impact on the Al\u2010Goled hemodialysis center.<\/jats:p>\n <\/jats:sec>\n \n Methodology<\/jats:title>\n This commentary relies on reports from the American Society of Nephrology (ASN), European Renal Association (ERA), and The International Society of Nephrology (ISN), along with recent journal articles discussing the consequences of ongoing conflicts. Personal observations in Al\u2010Goled contribute to the insights, and data from the Al\u2010Goled hemodialysis center in Sudan illuminate the struggles faced by kidney dialysis patients during the conflict, presented as a case study.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Kidney dialysis patients, crucial for regular hemodialysis sessions, confront severe challenges due to the overwhelming conflict. With an estimated 8000 kidney failure patients in Sudan, disruptions in healthcare services, targeted attacks on medical staff, and a shortage of resources exacerbate their plight. The Al\u2010Goled hemodialysis center, initially designed for 30 daily sessions, experiences a surge in demand, accommodating 85 patients daily\u2014an alarming 183% increase. Limited resources, machine malfunctions, and a shortage of medications contribute to the loss of 13 patients' lives.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The conflict in Sudan disproportionately impacts kidney dialysis patients, causing disruptions in essential healthcare services. The surge in demand at the Al\u2010Goled center underscores the broader impact on healthcare institutions nationwide. Local efforts to source medical supplies face bureaucratic hurdles and complex exportation procedures, impeding support for kidney patients. Patients, once receiving 3 weekly sessions, now struggle to secure even one, jeopardizing their well\u2010being. Urgent international intervention is needed to cease the conflict and ensure the safety of healthcare facilities, especially for vulnerable populations like kidney dialysis patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/hsr2.1980","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T01:18:12Z","timestamp":1710379092000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Sudan's healthcare crisis: The struggle of kidney patients amidst conflict"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9478-8633","authenticated-orcid":false,"given":"Emadeldin Hassan E.","family":"Konozy","sequence":"first","affiliation":[{"name":"Department of Biotechnology Africa City of Technology (ACT) Khartoum Sudan"},{"name":"Pharmaceutical Research and Development Centre, Faculty of Pharmacy Karary University Omdurman Sudan"},{"name":"Biomedical and Clinical Research Centre Cape Coast University Cape Coast Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-022-01301-4"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13623699.2023.2299736"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-023-00542-9"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1517"},{"issue":"6","key":"e_1_2_9_6_1","article-title":"Violence in Sudan: a looming public health disaster","volume":"15","author":"Nashwan AJ","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_9_7_1","unstructured":"IOM's\u202fGlobal Crisis Response Platform.\u00a0Internal Displacement in Sudan Nearly Doubles Since Onset of Conflict.\u00a0IOM; September 5 \u00a02023."},{"key":"e_1_2_9_8_1","unstructured":"World Health Organization.\u00a0Sudan Health Emergency. Situation Report No. 3 September\u00a030 2023."},{"key":"e_1_2_9_9_1","unstructured":"Office for the Coordination of Humanitarian Affairs.Number of Children Displaced Across Sudan Now Highest in the World.\u00a0Office for the Coordination of Humanitarian Affairs; 2023."},{"key":"e_1_2_9_10_1","unstructured":"World Health Organization.Sudan health emergency: situation(Report No. 4). Retrieved fromhttps:\/\/www.emro.who.int\/images\/stories\/sudan\/WHO-Sudan-conflict-situation-report-15-December_2023.pdf"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad003"},{"key":"e_1_2_9_12_1","unstructured":"Middle East Monitor.\u00a0Kidney Patients Struggle to Get Dialysis Sessions Amidst Sudan War. Middle East Monitor; 2023."},{"key":"e_1_2_9_13_1","unstructured":"International Society of Nephrology.\u00a0Support the Kidney Care Community in Sudan to Overcome Critical Challenges Caused by the Conflict. International Society of Nephrology; 2023."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01370-3"},{"key":"e_1_2_9_15_1","unstructured":"MakaryA.Sudan's war exacts deadly toll on dialysis patients leaves bodies rotting.Reuters. June 15 2023."}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.1980","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T04:47:53Z","timestamp":1711601273000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.1980"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/hsr2.1980"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.1980","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1980"}}