“Leading the fight against Kidney Disease”

Caribbean Institute of

in collaboration with The University of the West Indies, department of medicine, Mona and University of Michigan, faculty of medical sciences, department of nephrology, Ann Arbor and the international society of nephrology

Presents the 12thAnnual International Conference On Nephrology and Hypertension January 24 & 25, 2020 at the pegasus hotel, kingston,

AN ISN/CME MEETING.

“Targeting Caribbean Kidney Issues Together”

MEDICAL COUNCIL OF JAMAICA - 16 CME CREDITS www.caribbeaninstituteofnephrology.net Friday, January 24, 2020

7:00 - 9:00 am Registration

MODERATOR E. N. BARTON

9:00 – 9:15 am Opening Address - E. Barton

9:15 – 9:25 am Welcome from Dean, Faculty of Medical Sciences, Mona – T. Paul

9:25 – 9:35 am Greetings from University of Michigan, Ann Arbor – R. Saran

9:35 – 9:45 am Benefits of ISN Membership – G. Garcia

9:45 – 9:55 am Greetings from CHASE FUND

9:55– 10:15 am Address from Minister of Health, Jamaica – The Honorable C. Tufton

10:15– 10:45 am Coffee Break/ Viewing of Exhibits

MODERATOR L. Fisher/ R. Lowe-Jones

10:45 – 11:05 am The Political will in the fight against kidney and cardiovascular diseases – P. Glegg

11:05 – 11:25 am Coronary Artery Disease and CKD: An Update - H. Mohammed

11:25 am – 11:45am Data from the Jamaica Lifestyle Study on prevalence of kidney disease - T. Ferguson

11:45 am - 12:05 pm Obesity data in the Caribbean: How can it impact kidney disease? – M. Boyne

12:05 – 12:25 pm Data to Action: Lessons from Kidney Surveillance Systems – R. Saran

12:25 - 12:45 pm - Controlling blood pressure in CKD/ESRD: Ways to achieve the target – F. Brosius

12:45 – 1:00 pm Sugar Sweetened Beverages: Choice and CKD Risks – M. Powell

1:00 – 2:00 pm LUNCH

MODERATORS R. Smith/b. bABOLAL

2:00 – 2:20pm Caribbean Data on CKD, Hypertension and Diabetes – A. Soyibo

2:20 – 2:35 pm Data from Turks & Caicos on CKD – V. Forbes

2:35 – 3:00 pm Data from Antigua and Barbuda on CKD – I. Thomas

3:00 – 3:20 pm Simultaneous Peritoneal Dialysis and Haemodialysis, Is there a role? G. Garcia

3:20 – 3:40 pm Peritoneal Dialysis and Cardio-renal syndrome. R. Lowe- Jones

3:40 – 4:00 pm Acute Kidney Injury in Kidney Trauma – G. Garcia

4:00 – 4:15pm The Impact of a Vascular Access Clinic on Prevelance of native Arterio-Venous Fistula – A. Baker

4:15 – 4:35pm Neointimal Hyperplasia: Insights to Access Failure and Future Directions– M. Salifu

4:35 – 4:50 pm Advance vascular access failure – I. Thomas

4:50 – 5:10 pm Improving outcomes for patients with Sickle Cell Disease and CKD – L. Fisher

5:10 – 5:30 pm Pregnancy and ESKD – A. Oliverio

Saturday, January 25, 2020

7:00-9:00 am Registration

MODERATORS D. Dewar/ L. Johnson-Whittaker

9:00 - 9:20 am SGLT2 Inhibitor in Kidney and Cardiovascular Disease- F. Brosius

9:20– 9:40 am Early Laboratory Markers of Bone Disease in CKD – L. Dilworth

9:40 - 10:00 am Light Chain Disease and Kidney Failure - M. Bromfield

10:00 –10:20 am Nephrotoxin related HA-AKI: First come well served? - K. Hoe

10:20 – 10:40 am Optimizing Post-AKI Care – M. Heung

10:40 – 11:00 am coffee break/ Viewing of Exhibits

MODERATORS L. Douglas/T. McCartney

11:00 – 11: 20 am Health inequities in kidney donation in the Black and South Asian populations in North America – L. Marshall

11:20 – 11:40 pm Kidney Transplant in Developing Countries – V. Whittaker

11:40 am – 12:00 pm Kidney transplant: The living related donor – L. Chen

12:00 – 12:20 pm Kidney transplant: Donor-Derived Medical Risks and Anatomic Complexity – K. Woodside

12:20 – 12:40 pm Kidney-Pancreas Transplant in Diabetes – L. Chen

12:40 – 1:00 pm Infections and Vaccination in the Solid Organ Transplant Recipients - D. John

1:00 - 2:00 pm LUNCH

MODERATORS I.Thomas/ K. Hoe

2:00 – 2:20 pm BK Virus Nephropathy in Kidney Transplant – R. Lowe-Jones

2:20 - 2:40 pm Cancer Screening for Transplant candidates and Recipients – R. Parasuraman

2:40 – 3:00 END OF CONFERENCE

3:00 – 4:00 pm End of Conference Meeting with Division of Nephrology, University of Michigan, Ann Arbor

ABOUT THE CARIBBEAN INSTITUTE OF NEPHROLOGY

The Caribbean Institute of Nephrology founded in 2003, seeks to create a specialized and advanced academic environment for the study and science of Nephrology. The Institute has developed postgraduate training and updates in the form of symposia, seminars and conferences in Nephrology. The Institute has facilitated the Caribbean Renal Registry and will assist in the operation and maintenance of such registry in collaboration with the Ministries of Health of the region and other stakeholders. It is active in public education and awareness of kidney diseases and charitable work related to such diseases.

In the treatment of renal disease and the prevention of such, it seeks to share up-to-date knowledge. It has work closely with transplant teams and various associations such as the Caribbean Association of Nephrologist and Urologist to create this advanced academic environment. This Nephrology and Hypertension Conference is one of the activities through which the Institute seeks to bring together scientist and healthcare providers to advance the science of kidney disease and patient care.

The Nephrology and Hypertension conferences over the past 11 years have been successful, spanning three days (in the first instances) with over thirty insightful presentations on Kidney diseases and Hypertension. Attendants ranged from medical professionals, students (medical, nursing and pharmacy), pharmaceutical representatives, and pharmacist to nurses; not only from Jamaica but also from North America, Europe and the Caribbean.

This year’s conference will continue to focus on educating both the academician and civil society about kidney disease and the way to prevent or slow its progression. Treatment strategies, screening the at risk population for kidney diseases, discourse on healthy lifestyle and objectives to reduce the prevalence of the disease will be highlighted.

BIOGRAPHIES

Everard N. Barton Everard N. Barton, BSc (Hons), MBBS, DM, FICD, FACP, FRCP (Ed.), OD, Emeritus Professor of Medicine and Nephrology, in the Division of Nephrology , Hypertension and Kidney Transplantation, Chairman of the Caribbean; Institute of Nephrology, Imitator of the Jamaica Renal Registry and the Caribbean Renal Registry. Director of the Centre for HIV Aids Education and Social Services. Former Head of the Department of Medicine and former Editor of the West Indian medical Journal (WIMJ) and previous Deputy Provost of the International Post-Graduate Medical College, Jamaica Michael Boyne

Michael Boyne is a Professor of & Metabolism and Head of the Department of Medicine, The University of the West Indies and an Honorary Consultant at the University of the West Indies. He received a BSc (Hons) in Biochemistry and his medical degree (MB.BS) from The University of the West Indies. After his residency in at the University of Virginia (Roanoke/Salem Program), he completed a clinical/research fellowship in Endocrinology, Diabetes & Metabolism at the Johns Hopkins University School of Medicine. He was board certified in Internal Medicine and Endocrinology, Diabetes & Metabolism. He is a Fellow of the Royal Colleges of Physicians of Canada, Edinburgh and London. He has authored or co-authored more than 60 papers in peer-reviewed journals as well as several book chapters. His research interests include the roles of factors in early life (such as nutrition, adipocytokines, and cortisol) in the development of the metabolic syndrome. He is a member of several associations including the Endocrine Society, Developmental Origins of Health and Disease, and the Caribbean Endocrine Society. He is the immediate past president of the Association of Consultant Physicians of Jamaica.

Rajiv Saran, MBBS, DTCD, MD, MRCP (UK), MS,

Professor of Internal Medicine and the Florence E. Bingham Research Professor in Nephrology, Division of Nephrology, Department of Internal Medicine, at University of Michigan (UM). He is also Professor of Epidemiology, Department of Epidemiology, at UM School of Public Health, and plays a leadership role at University of Michigan’s Kidney Epidemiology and Cost Center (KECC. Dr. Saran is an internationally recognized expert in kidney disease surveillance. Until very recently (2014 – 2019) he served as Director of the prestigious United States Renal Data System (USRDS). The USRDS is the ‘gold standard’ for kidney disease epidemiology in this country. Since 2006, he has been Co- Principal Investigator for the Centers for the Disease Control and Prevention’s (CDC’s) National CKD Surveillance System for the US, a one of a kind project that focuses on upstream surveillance of CKD and its risk factors. From 2012- 2016 Dr. Saran led the development of the first National Kidney Disease Information System (VA-REINS), for the Department of Veterans Affairs (VA), funded by the VA’s Center for Innovation. Dr. Saran has recently (2018-2020) been funded on a spin off project from VA REINS for investigation of hot-spots of kidney disease among US Veterans involving both risk-prediction and geospatial analyses. He also serves as Co-Principal Investigator for a cluster randomized, pragmatic trial (DIALYSAFE) in hemodialysis aimed at improving cardiovascular safety, funded by the Patient Centered Outcomes Research Institute (PCORI). Most recently, he is the Chair of a World Congress on Non- communicable Diseases (NCDs), being held on the campus of the University of Michigan from August 1-6, 2020. This Congress aims to bring 1000+ researchers and attendees from around the world, to Ann Arbor, MI. He has published over 200 original papers, editorials and book chapters in prestigious journals.

Moro O. Salifu, MD, MPH, MBA, MACP Dr. Moro Salifu is a tenured Professor of Medicine and Chairman of the Department of Medicine at State University of New York, Downstate Medical Center, Brooklyn. He is also the Edwin C. and Anne K. Weiskopf Endowed Chair in Nephrology and Transplantation. For his exemplary contributions in science and in leadership, Dr. Salifu was recognized as Master of the American College of Physicians in 2018 in the Annual ACP Convocation ceremony in New Orleans. Following completion of medical school, Dr. Salifu completed his residency in internal medicine followed by fellowships in nephrology and transplant nephrology at Downstate, and interventional nephrology fellowship at Emory University. Dr. Salifu is known for his outstanding research, and clinical and administrative skills. He has two additional masters level degrees, one in public health from Downstate and the other in business administration, from the George Washington University. He is highly respected within SUNY Downstate as well as in the national and international nephrology community. He is a productive investigator whose research interests include vascular biology, chronic kidney disease progression, and kidney transplant outcomes. His work in vascular biology has resulted in the discovery of peptides inhibitors of the F11 receptor on platelets, endothelial and smooth muscle cells and now holds a patent on inhibitors of F11 receptor, with therapeutic implications for the treatment of thrombosis, atherosclerosis and smooth muscle disorders such as pulmonary hypertension and dialysis vascular access dysfunction. He is the recipient of numerous grants including being the principal investigator of a multi-million dollar awards from the National Institutes of Health to advance the work of the Brooklyn Health Disparities Center. Dr. Salifu is the recipient of numerous awards, including best educator of the year, Best Doctor US News and World Report, Castle Connelly Top Doctor, Worldwide Registry of Executives and Professionals, Kings of Kings County, just to name a few. He has published extensively in peer-reviewed journals nationally and internationally. He is also a member and journal reviewer for nephrology and transplant societies and has served on many local and national professional committees. He is the past president of the New York Society of Nephrology for the 2013-14 academic year.

Adedamola Soyibo A graduate of the University of the West Indies, MBBS and DM program, His professional experience include working as Chief Resident at the University Hospital of the West Indies in 2009. Currently, Dr. Soyibo serves as a Consultant Nephrologist in the Department of Medicine and as a Senior lecturer with the UWI. He has published extensively in peer review journals, oversees the Renal Registry in Jamaica and is the Technical Coordinator for the Caribbean Institute of Nephrology.

Lori-Ann Fisher, MBBS, MD Dr. Fisher is a Consultant Nephrologist and Intensivist at the University Hospital of the West Indies (UHWI). She obtained her MBBS (Hons) in 2007 from the University of the West Indies (UWI). She pursued post graduate training in the United States, completing Internal Medicine Residency at Medstar Good Samaritan Hospital where she was Chief Medical Resident. Afterwards, she began a clinical and research fellowship at Johns Hopkins Hospital in Nephrology. Upon obtaining the American Board certification in Internal Medicine and Nephrology, she obtained further training in Critical Care Medicine completing a clinical fellowship at Montefiore Medical Centre In New York. She is a currently a member of the Society of Critical Care Medicine and American Society of Nephrology. Her research interests include outcomes of acute kidney injury in the Intensive Care Unit and improving quality of care in the AKI and dialysis.

Racquel Lowe-Jones A graduate of the University of the West Mona campus with MBBS & DM (Internal Medicine). During her Medicine Residency training, she embarked on an elective in Toronto Canada with the former president of the ISPD where her interest in general nephrology and PD developed. She then pursued fellowship training in London at St Georges University Hospital NHF under the support of International Society of Nephrology (ISN) and Kidney Research UK as a Clinical and Research Fellow for 2 years. During that time developed special interest in Cardio-renal syndrome and kidney transplantation and became an ISN- Advancing Clinical Trials Fellow, presenting at the World Congress of Nephrology conference in Australia on patient engagement in renal care. She has assumed the post of Consultant Nephrologist in central Jamaica at the Mandeville Regional Hospital and hopes to increase awareness of prevention and progression of CKD.

Trevor Ferguson, DM, MSc, DLSHTM, FACP, FRCP Edin Dr. Ferguson is a Senior Lecturer at the Epidemiology Research Unit (ERU), Caribbean Institute for Health Research, The UWI, Mona and Honorary Consultant in General Internal Medicine for the Department of Medicine, UWI. He received his MBBS and DM Internal Medicine from the UWI. Dr. Ferguson is part of the Chronic Disease Research Group at the ERU and conducts research and holds research grants in the field of cardiovascular disease epidemiology and diabetes with a particular interest in aetiology of hypertension and risk factors for cardiovascular disease. His work has also focused on diabetes complications, in particular diabetic foot problems, cardiovascular disease and chronic kidney disease. Dr Ferguson’s research has been presented at several scientific meetings regionally and internationally and he has authored or co- authored over 70 peer-reviewed publications in scientific journals.

Devon G. Johns Chief, Kidney Transplantation, Westchester Medical Centre, Valhalla, NY.

Kyaw Kyaw Hoe Dr. Hoe is a graduate from Institute of Medicine 1, Yangon, Myanmar, Institute of Medicine 2, Yangon, Myanmar and University of the West Indies, Mona, Jamaica. He achieved his MBBS degree, diploma in Medical sciences (General Medicine), DM (Internal Medicine) and perused a Fellowship in clinical nephrology. Currently, he is working as a consultant/Lecturer in Nephrology in the Department of Medicine, Faculty of Medical Sciences, The University of the West Indies.

M. Bromfield Dr. Mahiri Bromfield is a Consultant Pathologist in Anatomical Pathology at the University Hospital of the West Indies (UHWI) and a Lecturer in the Department of Pathology at the University of the West Indies (UWI), Mona campus. As a member of the Medical Class of 1999, she graduated with an MBBS degree from the Mona campus, University of the West Indies. After working for a few years in General Practice and Internal Medicine, she returned to the Mona campus and pursued postgraduate training in Pathology, obtaining the DM Pathology degree in Anatomical Pathology in 2010. This was followed by a Clinical Fellowship in Nephropathology at the University of Toronto in Canada from 2011-2012, based at the Toronto General Hospital – University Health Network. In addition to Nephropathology, she has a keen interest in medical education and completed the Certificate in University Teaching and Learning offered by the Centre for Excellence in Teaching and Learning, Mona campus, UWI, in 2016.

Lowell Dilworth Dr. Dilworth is a Senior Lecturer at the University of the West Indies Mona Campus and Consultant Chemical Pathologist at UHWI. He has been the recipient of numerous grants and awards including the Government of Jamaica Millennium Postgraduate Scholarship and has participated in the Fogarty AIDS International Training and Research Programme at the Institute of Human Virology, University of Maryland. He has also received the principal’s award for excellence in research on two occasions. In addition to teaching and research, Dr. Dilworth is integrally involved in Outreach and Development at the community level and is the current president of the Rotary Club of New Kingston.

Michael Heung MD MS Dr. Michael Heung is a Professor of Medicine at the University of Michigan, where he serves as the Associate Chief of Nephrology. He has a longstanding interest in the areas of critical care nephrology and specifically acute kidney injury (AKI). His research examines risk factors and prevention of AKI, as well as describing outcomes following AKI. As a member of Michigan’s Kidney Epidemiology and Cost Center (UM-kECC), he has worked on the United States Renal Data System, the US CDC CKD Surveillance Program, and the VA-REINS project.

Hafeezula Mohammed Dr. Mohammed graduated from McGill University in Neurobiology and Comparative Physiology in 1976; and later with his MBBS (Hons) from the University of the West Indies, Mona. He has served as associate lecturer in the Department of Medicine, UWI from 1989-2013 and as a consultant Cardiologist from 1993 to 2013. Dr Mohammed has completed post graduate training as a clinical Fellow at V. A. Medical Center, Washington, DC. He has extensive training and has worked as a research fellow at the then Tropical Metabolism Research Unit amongst other organizations. His professional associations includes Fellow of the Royal College of Physicians of London; Fellow of the American College of Physicians and Fellow of the American College of Cardiology. Dr. Mohammed likes travelling and cricket.

Frank C. “Chip” Brosius ΙΙΙ MD Professor of Medicine, Interim Chief, Division of Nephrology, University of Arizona College of Medicine. He secured his MD from the University of Kansa- Lawrence in 1979 and completed his Residency training at the University of Michigan Hospital, Internal Medicine. He Obtained two fellowships in 1985 – 1989. Frank is certified by the American Board of Internal Medicine 1983 and the American Board of Internal Medicine, Nephrology – Sub-specialty 1988. He has amassed numerous accolades to his name and has given a number of presentations at home and internationally.

Dr. Guillermo García García, FACP, FASN, FNKF Chair, ISN Committee on Kidney Health in Disadvantaged Populations, Immediate Past-President, International Federation of Kidney Foundations (IFKF) Co-Chair, World Kidney Day Steering Committee Director, Postgraduate Training Program in Nephrology CONACYT PNPC, International Level Member, CONACYT's National Research Network (SNI), Level II Full Time Research Professor, University of Guadalajara Health Sciences Center (CUCS) Chief, Nephrology Service, Hospital Civil de Guadalajara "Fray Antonio Alcalde" Hospital 278, Guadalajara, Jal. 44280 Mexico.

Akil Baker Dr. Akil Baker received his MBBS degree in 2002 and completed his General Surgery degree in 2010, both from the University of the West Indies, Mona. During his General Surgery training, he completed an elective in Vascular Surgery at Toronto General Hospital in Canada. He has also completed certification courses and electives in minimally invasive surgery and endoscopy. Dr. Baker worked as acting consultant surgeon at the Kingston Public Hospital in Jamaica from 2010-2011 and as a consultant general and vascular surgeon at the Mandeville Regional Hospital from 2011 - 2017 where, in addition to his general surgery duties, he established a vascular access clinic, established an endovascular service, and was active in expanding the hospital’s laparoscopic service. He is now employed to the University Hospital of the West Indies where he is a part of the vascular service and heads the vascular access clinic. He also works in private practice in the capacity of general and vascular surgeon.

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