[Comment] Kidney disease must be counted everywhere

History was made on May 23, 2025, when the resolution submitted by Guatemala on “Reducing the burden of noncommunicable diseases through promotion of kidney health and strengthening prevention and control of kidney disease” was adopted at the 78th World Health Assembly.1 All countries now acknowledge that kidney disease is an important public health concern. Speaking to nephrologists from low-income settings, one understands unequivocally that the burden of kidney disease is high, patients present late, and morbidity and mortality are high.