1. Caribbean Diabetic Footcare Project
Presentation to
Caribbean Rotary Clubs
By the
Rotary Club of Ledbury D1100
September 2010

2. Caribbean Diabetic Footcare Project
A humanitarian programme
by the
Rotary Club of Ledbury
and the
International Diabetes Federation
A District 1100
preferred project

3. Annually, 3.8 million people worldwide die from diabetes – more than HIV/AIDS and malaria combined By million people will have diabetes

4. amputation levels among the world’s highest
Caribbean Islands:
20% have diabetes
amputation levels among the world’s highest

5. Person cannot feel minor skin problems, e.g. splinters
Diabetes...
Affects nerve endings resulting in loss of feeling and circulation problems
Person cannot feel minor skin problems, e.g. splinters
The minor skin problem becomes ulcerated

6. Regular screened diabetes...
Skin problems treated to allow ulcers to heal
Foot saved

7. Untreated, the ulcerated skin develops gangrene
Diabetes untreated...
Untreated, the ulcerated skin develops gangrene
Amputation is the only solution
Lose one leg:
61% die in 5 years
30% lose second leg
Lose two legs:
18 months to live

8. Diabetes is a killer and amputation leads to death
50%-80% of these legs can be saved

9. How to save a limb

10. for the loss of a single limb
The community cost
38,000 – 65,000
for the loss of a single limb
225 – 675
to save a limb
Figures are in US Dollars

11. Dr Lloydan Joseph Tobago RC
Initiators
Dr Lloydan Joseph Tobago RC
John Greedy Ledbury RC

12. How it works Ledbury Club Tobago club Canadian Footcare Specialists
Facilitators,
co-ordinators, marketing,
raises funds
Tobago
club
Provides local leadership, community & medical links, clinical support
Canadian Footcare Specialists
Train local staff, treat patients, record results

13. What does the project do?
Raises awareness of diabetes
Wins community confidence
Trains local staff in modern
techniques
Trains local tutors to expand the
service

14. Outcome:
Tobago pilot scheme, 2 weeks community training programme annually for 4 years
Established 3 footcare clinics
3,750 patients treated
35 staff trained
and…

15. 54% fewer amputations 2009 now 70% and funded by TT Government
Outcome:
54% fewer amputations
2009 now 70% and funded by TT Government

16. Footcare project is proven to be
Simple
Effective
Low cost
Sustainable
Rewarding
Saving
limbs,
lives and families

17. In partnership with

18. Ledbury Rotary Club and the
Partnership
February 2008
Ledbury Rotary Club and the
International Diabetes Federation (IDF) set up an international agreement and partnership

19. IDF provided 80,000 US$ as start-up fund
Partnership
IDF provided 80,000 US$ as start-up fund
Expansion into other Caribbean islands and South American countries

20. Partnership Set up joint Rotary/WHO and Rotary/UN projects
Australian Rotarian
Martin Silink
IP President of IDF
Secretary of Rotary Action Group on Diabetes
Set up joint Rotary/WHO
and
Rotary/UN projects

21. Blue lit building throughout World Strasbourg Parliament
United Nations
“The United Nations passed Resolution 61/225 which called on all UN Member States to develop national policies for the prevention, treatment and care of diabetes”
UN World Diabetes Day
14 November
Blue lit building throughout World
Strasbourg Parliament
Sydney Opera House
Ledbury Market House

22. Partnership By
end
2008
Survey assessed, islands identified and allocated to Rotary clubs
Matching Grants approved for
Montserrat & Nevis (Ledbury),
and
British Virgin Islands, St Maarten (Gloucester Severn)

23. Matching Grant applications put on hold by RI Foundation
Partnership
2009
Matching Grant applications put on hold by RI Foundation
Emergency funding
from IDF, WDF and the Rotary host clubs means that Barbados and St Lucia started on time as planned

24. Island projects started Island projects planned
Partnership
Island projects started
2008-9
Barbados
BVI
Montserrat
Nevis
St Lucia
St Maarten
Island projects planned
St Kitts (Lichfield St Chad)
Antigua (Central Chester County, USA)
Dominica (Hereford Group of Rotary Clubs??)
Grenada
Guyana

25. Partnership
To date:-
Our International Partnerships raised $211,000 to
support projects in 6 Caribbean countries.
Rotary has provided $83,000 – ie 40% of funding.
(IDF $73,000 and WDF $55,000).
District 7030 to set up a District Diabetes committee
10 years work resulted in, at least, 277 staff trained
and 70% reduction in limbs lost.

26. Plus personal donations and donations from other organisations
Partnership
Support from Clubs
UK – Canada - Caribbean
Plus personal donations and
donations from other organisations
including Inner Wheel

27. Comments from Montserrat
Partnership
received 27 November 2009
“The footcare project deals with a very important health issue.”
“Your club is in our hearts!”
Comments from Montserrat

28. trained another 84 colleagues. “The Flow of Knowledge”
Partnership
Since the initial session in July 2009:
The qualified 27 trainees have now
trained another 84 colleagues.
“The Flow of Knowledge”
Interim Report from St Lucia (Jan 2010)

29. 2010 and beyond RI Strategic Plan
Rotary Foundation’s Future Vision puts the emphasis on strategic projects with NGO partners
RI Strategic Plan
Includes the view to
“Carry out a service project recommended by the RI resource group for health and hunger”

30. Future Vision criteria and
2010 and beyond
Our project fits
Future Vision criteria and
the RI Strategic Plan for Health & Hunger
Disease Prevention & treatment
Education
Economic & Community Development

31. LOOKING AHEAD 2010 and beyond Ledbury Rotary Club
Our International Partnerships
Ledbury Rotary Club
International Diabetes Federation
District 7030 Diabetes Committee
exploring how to work within the proposed
Rotary Future Vision Programme

32. Rotary District 1100 INTERNATIONAL Rotary How you can help
Support the programme to ensure that this effective and essential life-saving programme is sustained and
continues to expand
Rotary
Humanity in motion
INTERNATIONAL
Rotary District 1100

33. Rotary District 1100 INTERNATIONAL Rotary Thank you for your interest.
For further information and updates
please visit our website
Rotary
Humanity in motion
INTERNATIONAL
Rotary District 1100