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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.36485/1561-6274-2023-27-2-12-20</article-id><article-id custom-type="elpub" pub-id-type="custom">nefr-2212</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПЕРЕДОВАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LEADING ARTICLE</subject></subj-group></article-categories><title-group><article-title>Здоровье почек для всех: готовность к неожиданному в оказании поддержки уязвимым</article-title><trans-title-group xml:lang="en"><trans-title>Kidney health for all: preparedness for the unexpected in supporting the vulnerable</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сяо</surname><given-names>Ли-Ли</given-names></name><name name-style="western" xml:lang="en"><surname>Hsiao</surname><given-names>Li-Li</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бостон, Массачусетс</p></bio><bio xml:lang="en"><p>Boston, Massachusetts</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шах</surname><given-names>Кавья М.</given-names></name><name name-style="western" xml:lang="en"><surname>Shah</surname><given-names>Kavya M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бостон, Массачусетс</p></bio><bio xml:lang="en"><p>Boston, Massachusetts</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лью</surname><given-names>Адриан</given-names></name><name name-style="western" xml:lang="en"><surname>Liew</surname><given-names>Adrian</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новена</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абделлатиф</surname><given-names>Дина</given-names></name><name name-style="western" xml:lang="en"><surname>Abdellatif</surname><given-names>Dina</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каир</p></bio><bio xml:lang="en"><p>Cairo</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балдуччи</surname><given-names>Алессандро</given-names></name><name name-style="western" xml:lang="en"><surname>Balducci</surname><given-names>Alessandro</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рим</p></bio><bio xml:lang="en"><p>Rome</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харис</surname><given-names>Агнес</given-names></name><name name-style="western" xml:lang="en"><surname>Haris</surname><given-names>A´gnes</given-names></name></name-alternatives><bio xml:lang="ru"><p>Будапешт</p></bio><bio xml:lang="en"><p>Budapest</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кумарасвами</surname><given-names>Лата А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kumaraswami</surname><given-names>Latha A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чен-най</p></bio><bio xml:lang="en"><p>Chennai</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лиакопулос</surname><given-names>Василиос</given-names></name><name name-style="western" xml:lang="en"><surname>Liakopoulos</surname><given-names>Vassilios</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салоники</p><p> </p></bio><bio xml:lang="en"><p>Thessaloniki</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Луи</surname><given-names>Сиу-Фай</given-names></name><name name-style="western" xml:lang="en"><surname>Lui</surname><given-names>Siu-Fai</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гонконг</p></bio><bio xml:lang="en"><p>Hong Kong</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Уласи</surname><given-names>Ифеома</given-names></name><name name-style="western" xml:lang="en"><surname>Ulasi</surname><given-names>Ifeoma</given-names></name></name-alternatives><bio xml:lang="ru"><p>Итуку-Озалла, Энугу</p></bio><bio xml:lang="en"><p>Ituku-Ozalla, Enugu</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лэнгхэм</surname><given-names>Робин Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Langham</surname><given-names>Robyn G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мельбурн, Виктория</p></bio><bio xml:lang="en"><p>Melbourne, Victoria</p></bio><xref ref-type="aff" rid="aff-10"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Почечное отделение, медицинский отдел, Женская больница Бригама, Медицинская школа Гарварда</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Renal Division, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Отдел почечной медицины, Больница Маунт Элизабет Новена</institution><country>Сингапур</country></aff><aff xml:lang="en"><institution>Department of Renal Medicine, Mount Elizabeth Novena Hospital</institution><country>Singapore</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Отделение нефрологии, Каирская университетская больница</institution><country>Египет</country></aff><aff xml:lang="en"><institution>Department of Nephrology, Cairo University Hospital</institution><country>Egypt</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Итальянский Почечный Фонд</institution><country>Италия</country></aff><aff xml:lang="en"><institution>Italian Kidney Foundation</institution><country>Italy</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Отделение нефрологии, Больница Петефи</institution><country>Венгрия</country></aff><aff xml:lang="en"><institution>Nephrology Department, Péterfy Hospital</institution><country>Hungary</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Исследовательский Почечный Фонд Тамилнада, Международная Федерация Почечных Фондов-Всемирный Почечный Альянс</institution><country>Индия</country></aff><aff xml:lang="en"><institution>Tamilnad Kidney Research (TANKER) Foundation, The International Federation of Kidney Foundations-World Kidney Alliance (IFKF-WKA)</institution><country>India</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Отделение нефрологии и гипертензии, 1-й Отдел Внутренней Медицины, Медицинская школа при больнице Эллинской американской образовательной ассоциации, Университет Аристотеля в Салониках</institution><country>Греция</country></aff><aff xml:lang="en"><institution>Division of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital Medical School, Aristotle University of Thes-saloniki</institution><country>Greece</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Международная Федерация Почечных Фондов-Всемирный Почечный Альянс; Школа общественного здравоохранения и первичной медико-санитарной помощи Гонконгского жокей-клуба, Китайский университет Гонконга</institution><country>Китай</country></aff><aff xml:lang="en"><institution>International Federation of Kidney Foundations –World Kidney Alliance; The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong</institution><country>China</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Медицинский факультет, Медицинский колледж Нигерийского университета, Учебная больница Нигерийского университета</institution><country>Нигерия</country></aff><aff xml:lang="en"><institution>Department of Medicine, College of Medicine, University of Nigeria/University of Nigeria; Teaching Hospital</institution><country>Nigeria</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Медицинский факультет, Больница Святого Винсента, Мельбурнский университет</institution><country>Австралия</country></aff><aff xml:lang="en"><institution>Department of Medicine, St.Vincent’s Hospital, University of Melbourne</institution><country>Australia</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>06</day><month>06</month><year>2023</year></pub-date><volume>27</volume><issue>2</issue><fpage>12</fpage><lpage>20</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сяо Л., Шах К.М., Лью А., Абделлатиф Д., Балдуччи А., Харис А., Кумарасвами Л.А., Лиакопулос В., Луи С., Уласи И., Лэнгхэм Р.Г., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Сяо Л., Шах К.М., Лью А., Абделлатиф Д., Балдуччи А., Харис А., Кумарасвами Л.А., Лиакопулос В., Луи С., Уласи И., Лэнгхэм Р.Г.</copyright-holder><copyright-holder xml:lang="en">Hsiao L., Shah K.M., Liew A., Abdellatif D., Balducci A., Haris A., Kumaraswami L.A., Liakopoulos V., Lui S., Ulasi I., Langham R.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.nephrolog.ru/jour/article/view/2212">https://journal.nephrolog.ru/jour/article/view/2212</self-uri><abstract><p>По мере увеличения числа стихийных бедствий и других разрушительных явлений, в том числе и вызванных деятельностью человека, неизмеримо возрастает угроза здоровью и благополучию тех, кто страдает болезнями почек. Общемировое значение приобрела проблема готовности системы здравоохранения, в том числе – необходимость создания устойчивой структуры, способной обеспечивать потребности всего общества в медицинской помощи во время неожиданных сбоев в обычной работе органов здравоохранения. Пандемия COVID-19 выявила множество негативных последствий для лиц с заболеваниями почек. Как это ни парадоксально, но комплекс медицинских нужд лиц, страдающих заболеваниями почек, не обеспечивается системами реагирования на кризис, часто перегруженными большим количеством новых пациентов, появившихся в результате самого кризиса. Сбои в нефрологической помощи в результате неожиданных событий наблюдаются все чаще и, вероятно, еще участятся в ближайшие годы. Поэтому вполне уместно, что тема Всемирного Дня Почки в этом году будет звучать так – Здоровье почек для всех: готовность к неожиданному в оказании поддержки уязвимым.</p></abstract><trans-abstract xml:lang="en"><p>As the rate of natural disasters and other devastating events caused by human activities increases, the burden on the health and well-being of those affected by kidney disease has been immeasurable. Health system preparedness, which involves creating a resilient system that is able to deal with the health needs of the entire community during times of unexpected disruptions to usual care, has become globally important. In the wake of the COVID-19 pandemic, there is a heightened awareness of the amplification of negative effects on the renal community. Paradoxically, the complex medical needs of those who have kidney diseases are not met by systems handling crises, often compounded by an acute increase in burden via new patients as a result of the crisis itself. Disruptions in kidney care as a result of unexpected events are becoming more prevalent and likely to increase in the years to come. It is therefore only appropriate that the theme for this year’s World Kidney Day will focus on Kidney Health for All: preparedness for the unexpected in supporting the vulnerable.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>диализная помощь</kwd><kwd>реагирование на стихийные бедствия</kwd><kwd>готовность к чрезвычайным ситуациям</kwd><kwd>здоровье почек</kwd><kwd>стихийные бедствия</kwd><kwd>общественное здравоохранение</kwd><kwd>социальные сети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dialysis care</kwd><kwd>disaster response</kwd><kwd>emergency preparedness</kwd><kwd>kidney health</kwd><kwd>natural disasters</kwd><kwd>public health</kwd><kwd>social media</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">United Nations Office for Disaster Risk Reduction. Terminology: disaster. 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