Prevention and early detection of kidney diseases in adults and children should be a priority for any government health department. This is particularly pertinent in the low-middle-income countries, mostly in Asia, Africa, Latin America, and the Caribbean, where up to 7 million people die because of lack of end-stage kidney disease treatment. The nephrology workforce (nurses, technicians, and doctors) is limited in these countries and expanding the size and expertise of the workforce is essential to permit expansion of treatment for both chronic kidney disease and end-stage kidney disease. To achieve this will require sustained action and commitment from governments, academic medical centers, local nephrology societies, and the international nephrology community.

预防和早期发现成人和儿童的肾脏疾病应该是任何政府卫生部门的优先事项。这在中低收入国家尤其重要，主要是在亚洲、非洲、拉丁美洲和加勒比地区，那里有多达 700 万人因缺乏终末期肾病治疗而死亡。这些国家的肾病学劳动力（护士、技术人员和医生）有限，扩大劳动力规模和专业知识对于扩大慢性肾病和终末期肾病的治疗至关重要。要实现这一目标，需要政府、学术医疗中心、当地肾脏病学会和国际肾脏病学界的持续行动和承诺。