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India has emerged as the country with the highest number of people affected by kidney disease, surpassing China in overall cases, according to recent global health analyses. The development highlights a growing health crisis driven by rising rates of diabetes, hypertension, and lifestyle-related disorders.

Chronic kidney disease (CKD) has become a major non-communicable disease worldwide, but experts say the burden has grown particularly fast in India over the past decade. Researchers estimate that over 140 million Indians are currently living with some form of kidney disease, placing the country ahead of China in total patient numbers.

Health specialists attribute the rise largely to the rapid increase in metabolic conditions such as Diabetes and Hypertension, which are the leading causes of kidney damage. Both conditions have expanded dramatically in India due to urbanization, sedentary lifestyles, and dietary changes.

“Kidney disease often develops silently and many patients are diagnosed only when the condition has progressed significantly,” said public health researchers studying the trend. Because early stages show few symptoms, a large proportion of patients remain unaware of their condition until they require dialysis or transplant.

The rising burden is also linked to demographic and environmental factors. India’s large population, increasing life expectancy, and growing prevalence of obesity have collectively increased the number of people at risk of kidney damage. In addition, limited access to routine health screening in rural areas means early detection remains a challenge.

The surge in cases is placing increasing pressure on India’s healthcare system. Treatments for advanced kidney disease—such as dialysis and kidney transplantation—are expensive and often unavailable outside major cities. Many patients face long waiting lists or high out-of-pocket costs for care.

Public health experts warn that unless preventive measures are strengthened, the number of kidney disease cases could continue to climb in the coming decades. They recommend expanded screening programs for high-risk groups, better management of diabetes and hypertension, and increased awareness about lifestyle changes.

With India now carrying the largest share of the global kidney disease burden, policymakers are being urged to treat the condition as a national health priority and invest more heavily in early detection and treatment infrastructure.

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