Luglio Agosto 2022 - Editorial

The experience of a European nephrologist at the SIUT: the largest Nephrology-Urology Transplantation Unit in South East Asia


An Italian nephrologist, during her long experience in the Middle East, is a guest at the SIUT (Sindh Institute of Urology & Transplantation) in Karachi, the largest centre of nephrology-urology and transplantation in South Asia. She discovers the “SIUT model” which guarantees a constant quality of health care, fighting organ trafficking despite the poor economic conditions of the country, Pakistan.


The Islamic Republic of Pakistan is a federation consisting of four provinces. Its capital is Islamabad, and the country borders India to the east, China to the north, Iran and Afghanistan to the west, and the Indian Ocean to the south. With a population of nearly 229 million  over 60% of whom is under the age of 27  it is the sixth most populous country in the world. Pakistan has a fast population growth rate and is expected to have a doubling of the population within 30 years [2]. The United Nations estimates that Pakistan will be the fifth-most populous country by 2030. Its geopolitical location is strategic, as it is at the crossroads between Middle East-Central Asia and South-East Asia; along the oil and gas routes from Central Asia to the Indian Ocean. Therefore, it lends itself to being a hinge for pan-Eurasian integration, attracting interest from China and the Middle East, and making it a very unstable geographic area, in particular, because of its proximity to Afghanistan. 

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