Do not overlook the children: the unique needs of children with kidney diseases during disasters.

PURPOSE OF REVIEW: Children with kidney diseases are among the most vulnerable populations in disaster settings due to their age-specific physiological features, need for specialized care, and dependence on caregivers. This review highlights the importance of disaster preparedness tailored to pediatric kidney patients and proposes practical measures.

RECENT FINDINGS: Natural and man-made disasters continue to disrupt healthcare globally, often leading to poor outcomes in patients with chronic diseases. Despite international efforts, preparedness for pediatric kidney patients - including those with chronic kidney disease not on dialysis, those on hemodialysis or peritoneal dialysis, and transplant recipients - remains limited. Disasters frequently cause medication shortages, treatment interruptions, underdialysis, and increased risk of infection. Pediatric patients face unique logistical and clinical challenges, such as lack of age-appropriate dialysis supplies and trained personnel.

SUMMARY: Disaster preparedness strategies at the unit, regional, and national levels are essential to reduce risks and improve outcomes for pediatric kidney patients during disasters. These strategies must include pediatric-specific resources, trained personnel, caregiver education, and integration with broader emergency systems and official authorities. International nephrology societies and humanitarian organizations can also provide valuable support.