When Wildfires Disrupt Kidney Care

Wildfire season has become a familiar part of summer in Oregon and Washington. This year, smoke and fire activity have affected communities across both states, bringing poor air quality, road closures, evacuation concerns, and other disruptions. In late July, the Oregon Health Authority reported nearly 80 wildfires burning across Oregon, while the Washington State Department of Health issued an alert in early August about widespread wildfire smoke affecting much of the state.

For people who depend on regular kidney dialysis, preparing for wildfire season means thinking beyond smoke exposure. Road closures, evacuations, or power outages can make it harder to reach a scheduled treatment or continue treatment safely at home.

For patients receiving kidney dialysis in a clinic, the most important step is staying connected with the kidney dialysis provider. Providers have emergency response plans and resources to help patients maintain access to treatment when a regular clinic cannot be reached. DaVita Guest Services, for example, offers 24-hour emergency assistance and can help locate an alternate kidney dialysis center, including for people who normally receive care from another provider. Fresenius Kidney Care also operates a 24-hour emergency hotline and can help coordinate treatment during disasters.

Preparation looks somewhat different for people receiving kidney dialysis at home. Home kidney dialysis can depend on electricity, clean water, equipment, and treatment supplies. Emergency planning should include following the instructions provided during home training, keeping necessary medications and supplies accessible, and staying in contact with the home kidney care team if conditions change. Both DaVita and Fresenius provide detailed emergency preparedness guidance for home kidney dialysis patients.

Wildfire smoke itself also deserves attention. Oregon and Washington health officials recommend monitoring local air quality, limiting smoke exposure, keeping indoor air as clean as possible, and making sure medications are readily available during smoke events.

Wildfires are unpredictable, but a plan does not have to be. For kidney dialysis patients across Oregon and Washington, knowing how to reach the kidney dialysis provider, understanding emergency treatment options, and preparing ahead can help maintain continuity of care when conditions change quickly.