International Society of Nephrology

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144th session of the Executive Board<br>24 January - 1 February 2019
Agenda Item: 
5.4 Implementation of the 2030 Agenda for Sustainable Development

Honourable chair, distinguished delegates,

The ISN welcomes the draft report on the implementation of the 2030 Agenda for Sustainable Development and in particular its recognition that multisectoral approaches are needed to respond to the social, environmental and economic determinants of health.

ISN fully supports “whole-of-government”, “whole-of-society” and “Health in All Policies” in the report. These approaches are particularly relevant to kidney diseases where the risk is known to begin in fetal life and early childhood and accrue over time, exacerbated by occupational, socio-economic and structural factors. Kidney diseases risk intersects with almost every SDG.1

Kidney disease is intricately linked to increased morbidity and mortality from other diseases including cardiovascular disease, diabetes and hypertension; infections such as HIV, malaria, TB and hepatitis; and upcoming factors driven by climate change.

Successful management of kidney health requires a robust society where inequality is minimized across all sectors, and a strong health system - from prevention to tertiary care – where equity and effectiveness are maximized through integrated care.

Optimization of kidney health promises to deliver far reaching benefits in addition to those to be gained through reducing the burdens of hypertension, cardiovascular disease and diabetes.

In the context of the implementation of the 2030 agenda, we therefore call for:

• Coordinated and effective multi-sectoral action, where the health systems strengthen and are strengthened by other sectors.
• Health systems that strive to deliver integrated and comprehensive services aimed at prevention, early detection and treatment of all NCDs and their risk factors, leaving no disease behind.

Thank you