Caribbean Diabetic Footcare Project Presentation to Caribbean Rotary

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Caribbean Diabetic Footcare Project Presentation to Caribbean Rotary Clubs By the Rotary Club of

Caribbean Diabetic Footcare Project Presentation to Caribbean Rotary Clubs By the Rotary Club of Ledbury D 1100 September 2010

Caribbean Diabetic Footcare Project A humanitarian programme by the Rotary Club of Ledbury and

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

Annually, 3. 8 million people worldwide die from diabetes – more than HIV/AIDS and

Annually, 3. 8 million people worldwide die from diabetes – more than HIV/AIDS and malaria combined By 2025 390 million people will have diabetes

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

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

Diabetes. . . Affects nerve endings Person cannot feel The minor resulting in skin

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

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

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

Diabetes untreated. . . Untreated, the Amputation is ulcerated skin the only develops solution

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

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

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

How to save a limb

How to save a limb

The community cost 38, 000 – 65, 000 for the loss of a single

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

Initiators Dr Lloydan Joseph Tobago RC John Greedy Ledbury RC

Initiators Dr Lloydan Joseph Tobago RC John Greedy Ledbury RC

How it works Ledbury Club Tobago club Facilitators, co-ordinators, marketing, raises funds Provides local

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

What does the project do? • Raises awareness of diabetes • Wins community confidence

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

Outcome: 2000 -2006 Tobago pilot scheme, 2 weeks community training programme annually for 4

Outcome: 2000 -2006 Tobago pilot scheme, 2 weeks community training programme annually for 4 years Established 3 footcare clinics 3, 750 patients treated 35 staff trained and…

Outcome: 2000 -2006 54% fewer amputations 2009 now 70% and funded by TT Government

Outcome: 2000 -2006 54% fewer amputations 2009 now 70% and funded by TT Government

Footcare project is proven to be • • • Simple Effective Low cost Sustainable

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

In partnership with

In partnership with

Partnership February 2008 Ledbury Rotary Club and the International Diabetes Federation (IDF) set up

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

Partnership IDF provided 80, 000 US$ as start-up fund Expansion into other Caribbean islands

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

Partnership Australian Rotarian Martin Silink IP President of IDF Secretary of Rotary Action Group

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

United Nations “The United Nations passed Resolution 61/225 which called on all UN Member

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

Partnership By end 2008 Survey assessed, islands identified and allocated to Rotary clubs Matching

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)

Partnership 2009 Matching Grant applications put on hold by RI Foundation Emergency funding from

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

Partnership Island projects planned Island projects started 2008 -9 Barbados BVI Montserrat Nevis St

Partnership Island projects planned Island projects started 2008 -9 Barbados BVI Montserrat Nevis St Lucia St Maarten 2010 - 11 St Kitts (Lichfield St Chad) Antigua (Central Chester County, USA) Dominica (Hereford Group of Rotary Clubs? ? ) Grenada Guyana

Partnership To date: § Our International Partnerships raised $211, 000 to support projects in

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.

Partnership 23 Clubs UK – Canada - Caribbean Support from Plus personal donations and

Partnership 23 Clubs UK – Canada - Caribbean Support from Plus personal donations and donations from other organisations including Inner Wheel

Partnership E-mail received 27 November 2009 “The footcare project deals with a very important

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

Partnership Since the initial session in July 2009: The qualified 27 trainees have now

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)

2010 and beyond Rotary Foundation’s Future Vision puts the emphasis on strategic projects with

2010 and beyond 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”

2010 and beyond Our project fits Future Vision criteria and the RI Strategic Plan

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

2010 and beyond LOOKING AHEAD Our International Partnerships § Ledbury Rotary Club § International

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

How you can help Support the programme to ensure that this effective and essential

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

Thank you for your interest. For further information and updates please visit our website

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