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Caribbean Rotary Clubs

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Presentation on theme: "Caribbean Rotary Clubs"— Presentation transcript:

1 Caribbean Rotary Clubs
Presentation to Caribbean Rotary Clubs by Rotary Club of Ledbury August 2008 INTERNATIONAL Rotary District 1100

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

3 The Background: World-wide, Diabetes kills more people than HIV/AIDS and Malaria combined

4 380 million people will suffer from Diabetes world-wide by 2025
The Background: 380 million people will suffer from Diabetes world-wide by 2025

5 20% suffer from Diabetes in the Caribbean islands
The Background: 20% suffer from Diabetes in the Caribbean islands Caribbean amputation levels are among the highest in the world…

6 is a killer… and amputation leads to death
The Need: Diabetes is a killer… and amputation leads to death

7 Skin problems treated to allows ulcers to heal
DIABETES CAN RESULT IN FOOT AMPUTATIONS UNLESS REGULAR SCREENING AND SIMPLE TREATMENT IS PROVIDED    DIABETES Causes circulation problems especially in feet Affects nerve endings resulting in loss of feeling   ↓ RESULT   Patient cannot feel minor skin problems eg splinter thorns  The minor skin problem becomes ulcerated  Regular screening Skin problems treated to allows ulcers to heal Foot saved  Untreated The ulcerated skin develops gangrene  Amputation is the only solution

8 The Patients: Lose two legs… 18-month life expectancy

9 social visit by John Greedy to Tobago
The Need: Ledbury Rotary Club identified the need for action during a social visit by John Greedy to Tobago

10 The Patients: Lose one leg – 61% die in 5 years 30% lose other leg

11 Lose two legs - The Patients: The patient will only have an
18-month life expectancy

12 50% to 80% of these legs can be SAVED
The Need: 50% to 80% of these legs can be SAVED

13 The cost of the loss of a single limb is US$50,000 to US$86,000
The Community Cost: The cost of the loss of a single limb is US$50,000 to US$86,000 (Dr Karel Bakker IDF)

14 The proven cost to save a limb is US$300 - US$900
The Price: The proven cost to save a limb is US$300 - US$900 (Tobago data)

15 Ledbury and Tobago Rotary Clubs entered into a joint project
The Strategy: Ledbury and Tobago Rotary Clubs entered into a joint project Working together to provide simple and effective intervention

16 How it Works – Who does What:
Ledbury club: provides facilitators, co-ordinators, marketing, raises funds Caribbean club: provides local leadership, community & medical links, clinical support Canadian Footcare Specialists: Train local staff, treat patients, record results,

17 What does the project do?
Raises awareness of diabetes Wins community confidence Trains local staff in modern techniques Local tutors then expand the service

18 The Outcome – : Following a four-year Tobago pilot scheme… Two weeks community training programme annually Three dedicated footcare clinics have been established

19 54% fewer amputations The Outcome – 2000-2006: 3,750 patients treated
35 staff trained 54% fewer amputations

20 Progress to 2007 2006… The project is adopted and partially funded by Government of Trinidad & Tobago

21 Progress to 2007 2007… The TT Government extended the Project to the island of Trinidad

22 The future? Nine more Caribbean Rotary Clubs have declared a need and asked to join the project Montserrat, Nevis, Dominica, Barbados, Guyana, St Kitts, St Lucia, Grenada, St Maarten

23 This Footcare Project is
Simple Effective Low cost Proven and sustainable Rewarding IT SAVES LIVES AND FAMILIES The Footcare Project is: Simple Effective Low cost Proven and sustainable Rewarding IT SAVES LIVES AND FAMILIES

24 The Project has won RIBI Awards
“Ordinary Rotarians doing Extraordinary things” and “International Service” and it is endorsed by leading academics Professor David Armstrong Dr Karel Bakker Professor Andrew Boulton

25 The future Partnership with International Diabetes Federation (IDF)
Add new training teams More funding Involve new Rotary Club partners

26 Chair IWGDF section of IDF
Our Partners, IDF International Diabetes Federation QUOTE “This project is wonderful example of how a small group of committed people can make a significant difference to the lives of people living with diabetes”. Dr Karel Bakker Chair IWGDF section of IDF

27 Our Partners, IDF QUOTE “Diabetes deaths
equal HIV-AIDS and Malaria combined… …It is worst in low-and middle-income countries… …Lack of education and care”. Rotarian Martin Silink President of International Diabetes Federation and Chair of Rotary International Diabetes Action Group

28 The IDF/Rotary partnership
International Diabetes Federation On February 14, 2008 talks between Ledbury Rotary Club and the IDF were started… …leading to our international agreement and partnership

29 The IDF / Rotary Partnership
International Diabetes Federation The partnership will merge the IDF’s STEP-by-STEP programme (India; Sri Lanka; Bangladesh; Tanzania; Pakistan; Egypt) with the Rotary (Caribbean) programme expanding the life-saving project into other Caribbean islands and South American countries

30 The IDF / Rotary Partnership
International Diabetes Federation A memorandum of agreement has been reached between the new partners with the IDF offering a start-up matching grant of US$80,000

31 The IDF / Rotary Partnership
International Diabetes Federation Caribbean Rotary clubs can provide local leadership community links medical links to ensure that this life-saving programme is sustained and grows

32 The IDF / Rotary Partnership
International Diabetes Federation Survey forms are being sent to Caribbean Rotary Clubs and Health Authorities to confirm the need and maintain the project on a professional and scientific basis August 2008

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


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