Florida Senate - 2023 (NP) SR 1742 By Senator Powell 24-03378-23 20231742__ 1 Senate Resolution 2 A resolution recognizing March 2023 as “Chronic Kidney 3 Disease Awareness Month” in Florida and acknowledging 4 the importance of improving the diagnosis and 5 treatment of chronic kidney disease through community 6 based programs that address racial disparities in the 7 awareness, diagnosis, and treatment of the disease. 8 9 WHEREAS, March is recognized as National Kidney Month, 10 which makes this month an important time for raising public 11 awareness and understanding about chronic kidney and rare kidney 12 diseases, and 13 WHEREAS, more than 1 in 7 adults in the United States — 14 nearly 37 million people — are estimated to have chronic kidney 15 disease (CKD), and it is believed that as many as 9 in 10 adults 16 with CKD are undiagnosed, and 17 WHEREAS, 90 percent of patients with CKD stages 1-3 are 18 undiagnosed, and less than 3 percent of African American 19 patients believe that they are at high risk for CKD, and 20 WHEREAS, kidney disease disproportionately affects 21 communities of color, with African Americans nearly 4 times more 22 likely and Hispanics 1.3 times more likely to experience kidney 23 failure than white Americans, and 24 WHEREAS, CKD is often diagnosed in the late stages of the 25 disease when irreversible damage to the kidneys has already 26 occurred, and 27 WHEREAS, 15 percent of people diagnosed with CKD are 28 unaware of the cause of their disease, and 29 WHEREAS, recent scientific advancements have shown that 30 some of the disparities in the occurrence of CKD have a genetic 31 basis, and 32 WHEREAS, this genetic risk factor for CKD was discovered in 33 2010 when scientists learned that people who inherit two 34 variants of the apolipoprotein L1 (APOL1) gene are at 35 significantly increased risk of developing kidney disease, and 36 WHEREAS, while everyone has the APOL1 gene, only people 37 with African ancestry inherit certain genetic variants, and 38 WHEREAS, 13 percent of African Americans carry two APOL1 39 risk variants, and estimates suggest that up to 1 in 5 people 40 with two APOL1 risk variants will develop kidney disease, and 41 WHEREAS, APOL1-mediated kidney disease causes high levels 42 of protein in the urine, or proteinuria, and decreased kidney 43 function which can lead to various symptoms, including swelling 44 in the legs and feet, fatigue, and weight gain, and 45 WHEREAS, research has also shown that the course of kidney 46 disease progresses more rapidly in individuals with two APOL1 47 risk variants than in patients without them, and 48 WHEREAS, the disease may eventually lead to kidney failure, 49 requiring dialysis or a kidney transplant, and 50 WHEREAS, there are simple tests to diagnose CKD, including 51 blood and urine tests, and a genetic test exists to identify the 52 presence of APOL1 risk variants, and 53 WHEREAS, it is imperative that this state improve the 54 diagnosis and treatment of CKD through community-based programs 55 that address racial disparities in the awareness, diagnosis, and 56 treatment of CKD, NOW, THEREFORE, 57 58 Be It Resolved by the Senate of the State of Florida: 59 60 That March 2023 is recognized as “Chronic Kidney Disease 61 Awareness Month” in Florida and the importance of improving the 62 diagnosis and treatment of chronic kidney disease through 63 community-based programs that address racial disparities in the 64 awareness, diagnosis, and treatment of the disease is 65 acknowledged.