Food for Life (Hela Sarana Breakfast Programme) Hela Sarana AGM 25th November 2017

Mystery Kidney Disease

Came to light in the early 1990’s Over 20,000 have died Prevalence up to 20% in endemic areas. Mostly male farmers / breadwinners Whole families/ villages affected Challenge for the provision of healthcare

Possible causes of Chronic Kidney Disease CKDu Fluoride concentration and hardness (due to Ca and Mg) Agrochemicals Heavy metals (Cadmium, Arsenic etc.) Cyanobacteria toxins Genetic factors Ochratoxins Aristalochic acid Long term exposure to sunlight and dehydration  Dr Tilak Abeysekara MD, MRCP Faculty of Medicine University of Peradeniya

National Plan for CKDu Prevention in Sri Lanka Lifestyle for disease prevention Early diagnosis Patient management Welfare of patient, family and society Provision of good quality drinking water Healthy food and nutrition Establishment of databases for CKDu patient management Establishment of surveys, research and policies for CKDu

Basic living conditions

Farmer spraying agrochemicals

Breakfast Programme Started in August 2013 – Now in our 5th year 40 patients for dialysis/ day Some of the poorest in the area. Find it difficult to find the money to come to hospital. Most patients have not had a meal To provide a nutritious meal in the morning prior to treatment. Less than 50p for a food packet & bottle of water (£17.50 for 40 patients)

How you can help We want to extend the programme for another year (6th year) Proceeds from this AGM and raffle allocated for the breakfast programme. Bear the cost of 1 day’s food & water (£20 ) So far we have 183 days covered (50 %). Need to find funds for 182 days.

Thank you for your support ! www.helasarana.org