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.