Kidney Health Considerations for Patients with a Forced Migration History
摘要
The United States has welcomed large numbers of forced migrants seeking safety from political conflict in recent years. According to an August 2025 report from the Pew Research Center, by mid-July 2023, those with humanitarian temporary protections from deportation totaled 1.35 million. Similarly, the number of individuals with pending asylum applications totaled 1.3 million and refugee admissions in FY 2023 totaled 60,050 refugees. The forced migration experience can potentially entail health risks, including to kidney health. These risks may vary by country of origin and migration history, including type of forced migration status such as: people with refugee status, people seeking asylum, and populations receiving temporary protection on humanitarian pathways. These legal and physical pathways can shape exposure to potential risk factors during forced migration, which include: (1) political violence-related injuries such as armed conflict and torture, (2) exposure to exertional injury, dehydration, and infection during transit and (3) climate change-related heat stress. Despite these risks, there is minimal research on kidney health impacts and—importantly, little work on strategies for mitigating them. To understand the risks and potential mitigation strategies, we call for more research, attention in guideline development and clinician consideration of risk factors and screening.