Hemodialysis and Water Management in a Dialysis Unit in Morocco, an Approach to Dealing With Water Scarcity.

Abstract

Introduction: Chronic kidney disease is a global public health issue, affecting approximately 10% of the world's population, and more than 3 million people living with kidney failure who are estimated to be on maintenance dialysis programs, with the majority receiving hemodialysis (HD). This treatment is particularly water-intensive, posing a considerable challenge in regions experiencing water scarcity, such as Morocco.

Methods: Our HD center in Oujda, Eastern Morocco, has implemented several key strategies to address water scarcity and ensure uninterrupted HD procedures during periods of hydric stress.

Results: These strategies include expanding water storage capacities to safeguard against shortages, upgrading infrastructure to enhance water efficiency, and employing innovative technology for real-time monitoring and management of water resources. Additionally, we collaborate closely with local water authorities to secure reliable water supplies and explore possibilities for water regeneration and recycling.

Discussion: The rising demand for clean water, coupled with its increasing scarcity, presents a significant challenge for healthcare systems, particularly in the context of HD. Therefore, innovative approaches are essential to mitigate this issue. The concept of green dialysis, which focuses on reducing water usage and minimizing environmental impact, is emerging as a promising solution with measurable benefits. Implementing water-efficient reverse osmosis systems has resulted in significant reductions in water waste, while real-time monitoring and early warning systems have enhanced water security and operational efficiency. Additionally, initiatives exploring the reuse of reject water hold potential for further conservation. These tangible outcomes demonstrate how green dialysis practices can contribute to sustainable HD treatment, ensuring uninterrupted patient care, reduced resource consumption, and improved environmental stewardship in water-scarce regions.