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Water Implications in Dialysis Therapy, Threats and Opportunities to Reduce Water Consumption: a Call for the Planet by Mohamed Ben Hmida; Tahar Mechichi; Giorgina Barbara Piccoli; Mohamed Ksibi is a Medicine article available to read on EtoBox.

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Water is a dwindling natural resource and potable water is wrongly considered an unlimited resource. Dialysis, particularly hemodialysis, is a water-hungry treatment that impacts the environment. The global annual water use of hemodialysis is ∼265 million m3/year. In this reference estimate, two-thirds of this water is represented by reverse-osmosis reject water, discharged into the drain. In this review, we would like to draw attention to the complexity and importance of water-saving in hemodialysis. We propose that circular water management may comply with the “3R” concept: Reduce (reduce dialysis need, reduce dialysate flow, and optimize reverse osmosis performance), Reuse (reuse wastewater as potable water), and Recycle (dialysis effluents for agriculture and aquaponic use). Awareness and sustainability should be integrated to create positive behaviors. Effective communication is crucial for water savings since local perspectives may lead to global opportunities. Besides the positive environmental impacts, planet-friendly alternatives may have significant financial returns. Innovative policies based on the transition from linear to circular water management may lead to a paradi

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Author

Mohamed Ben Hmida; Tahar Mechichi; Giorgina Barbara Piccoli; Mohamed Ksibi

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)