In Brunei Darussalam, kidney replacement therapies such as dialysis and kidney transplants are accessible to the public free of charge. However, the main focus should be on early detection of kidney disease, as the most effective treatment occurs in the early stages to prevent its progression and related complications, Minister of Health Dato Seri Setia Dr Haji Mohd Isham bin Haji Jaafar said.
The minister reiterated that early detection strategies also help reduce the risk of cardiovascular disease and kidney failure. Kidney disease, even in its early stages, can negatively impact other body systems, including mental health, and increase the risk of dementia. In children, it can affect growth and cognitive development, ultimately impacting their overall quality of life.
The Ministry of Health (MoH), through the Renal Services Department’s annual roadshow project held in conjunction with World Kidney Day, has taken proactive steps to raise awareness of chronic kidney disease and its complications.
One of the key initiatives is conducting community health screenings, including urine tests, particularly for individuals at high risk of developing kidney disease. Diabetes and hypertension are the two primary risk factors for kidney disease, not just in Brunei Darussalam but globally.
Diabetes continues to be the leading cause of end-stage kidney disease in Brunei, contributing to 74 per cent of overall cases.
The minister stressed the importance of monitoring blood pressure and controlling blood sugar levels from an early stage, noting that obesity is also indirectly linked to kidney disease.
Health screenings are not limited to individuals with diabetes or hypertension but also include those with a family history of kidney disease, a history of acute kidney injury, heart disease, pregnancy-related kidney conditions, autoimmune diseases, low birth weight or kidney stones.
The MoH continues to implement preventive measures against kidney disease through the latest therapeutic advancements, including medications designed to slow disease progression and reduce complications.
Such treatments aim to preserve kidney function and improve the quality of life for those affected.
The minister urged the community to take proactive steps in preventing kidney disease by maintaining adequate water intake, engaging in daily physical activity, monitoring blood pressure and blood sugar levels, avoiding nicotine use, refraining from excessive use of painkillers or herbal supplements that may harm kidney function and undergoing regular health screenings.
He described kidney disease as a non-communicable disease often referred to as a “silent killer” because it rarely presents symptoms in its early stages. Many assume it only affects the elderly, when in reality, it can develop in people of all ages, including children and adolescents.
Raising awareness about risk factors such as diabetes, hypertension and obesity, alongside promoting a healthy lifestyle and adherence to recommended treatment strategies, is highly encouraged. The minister emphasised that these measures have proven to provide significant benefits, especially when started early and maintained consistently.
He expressed gratitude that health services in Brunei are accessible to all citizens and residents with the Government of His Majesty Sultan Haji Hassanal Bolkiah Mu’izzaddin Waddaulah ibni Al-Marhum Sultan Haji Omar ‘Ali Saifuddien Sa’adul Khairi Waddien, Sultan and Yang Di-Pertuan of Brunei Darussalam providing various treatments and medications free of charge. These include medical tablets and new injectable treatments proven effective in slowing chronic kidney disease progression. Additionally, a variety of free health screenings are available through multiple healthcare services.
One of the latest initiatives introduced by the MoH is the use of video conferencing through BruHealth, allowing patients to consult doctors and undergo remote health check-ups. The minister encouraged the public to take advantage of this opportunity to assess their health status.
Efforts to prevent and detect kidney disease early will only succeed with awareness, support and commitment from all parties – healthcare professionals, patients and their families. With proactive measures and ongoing precautions, the nation can work towards a healthier and more prosperous society.
“Let us join hands in realising the national vision Ke Arah Warga Sihat for the well-being of current and future generations,” he said. – James Kon
