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

2. Mystery Kidney Disease

3. 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

5. 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

6. 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

7. Basic living conditions

8. Farmer spraying agrochemicals

11. 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 (£ for 40 patients)

12. 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.

13. Thank you for your support !