Inside Previous Issue Cover Story …………... 02 ‐ 04 Project Events ……………. 06‐ 10 Things you should know…. —————‐ 11 Letters to Editors : Readers are encouraged to write to us at [email protected]. We welcome your feedback on this issue. Cover Story An Interview with Chief Execu ve, Lepra Sarah Nancollas is an exemplar of versa lity in many ways. A trained engineer by profession who worked in the corporate sector, Sarah gave it up to enter the NGO domain some decades back. With vast experience of working in different interna onal chari es and even se ng up an NGO herself, she joined Lepra as Chief Execu ve in 2010 when the organisa on was facing tough mes. She turned around the fortunes of Lepra and strengthened the organisa on. Sarah leaves Lepra to join another charity Variety in the UK. A woman of steel with a cheerful demeanour, passion to work, an astute decision maker, full of joie de vivre and endowed with many more facets, Sarah talks about her s nt with Lepra and LEPRA Society in this conversa on with Radhika Rajamani. Sarah will surely be missed by one and all at LEPRA Society! 2 How did you decide to work for leprosy and other neglected tropical diseases? Was it also because Lepra is one of the old chari es with a dis nct history? I was a racted to work for Lepra because I was looking for an organisa on that worked at scale and geographically wider than sub‐Saharan Africa. The history of Lepra was a rac ve, in par cular the reputa on of the organisa on for problem solving. Did your engineering background help you in exploring different diseases and conceptualising public health programmes? I think that my degree in Civil Engineering has given me a fantas c pla orm for all my work in development. It certainly helped me focus on the prac cal issues, cost effec veness, and maximising the use of resources. Civil Engineering is project management on a giant scale and forces you to understand the consequences of decisions. When you took over as Chief Execu ve, Lepra it was a difficult and challenging period for the organisa on. In some me you turned the organisa on’s fortunes. It must have been an uphill task. How did you do this? What were the steps and tough decisions you had to make? We are probably at the me now that we should stop looking back at that difficult me in 2010 – 2011 as we have come so far since then. It was the worst me in my working life, I had just moved from London and a job I enjoyed and suddenly my job was on the line along with everybody else. Firstly we had to understand the scale of the problem, our liabili es and commitments. We had consistently spent more each year than we had raised, and had reached the point that our reserves were depleted. I was extremely lucky to be working with Bernard Farmer at that me as he had an encyclopaedic knowledge of Lepra. We developed a business recovery plan that showed we could claw back the posi on by cu ng costs and rebuilding reserves. We s ll needed to borrow working capital to achieve this and I remain intensely grateful to our ILEP partners (and others) for believing in us and lending us the money to keep going. We did have to close four country programmes but we were able to ensure that the majority of ac vity was picked up by other organisa ons. We also halved the size of the staff in Colchester. I deeply regret the heartache and difficul es that these changes caused for loyal staff across the world but it was the only way to keep Lepra going. We have become a much more focused organisa on, although our annual turnover is smaller we have more than doubled the amount that we spend on leprosy and that feels right to me. How do people perceive leprosy in UK and the West today? Is it rela vely easy/challenging to a ract funding? People in the UK believe that leprosy is a thing of the past and are not aware that it is s ll an issue today. This makes it very difficult to raise funds, as does the geographical distribu on of the disease. People in the UK are condi oned to thinking that aid is most needed in sub‐Saharan Africa and are less willing to listen about issues in Asia and South America. Lepra works in India, Bangladesh and Mozambique. Each country would be having its own dis nct problems/issues regarding the work in leprosy. Could you throw some light on this? One of the most dis nct differences for me is that there is not the s gma surrounding leprosy in Bangladesh that we see elsewhere. Also, the concept of self‐help and economic empowerment groups is much more widely accepted and successful in Bangladesh. Both of these allow us to work in different ways and there is scope for increased shared learning between country programmes. In Mozambique I believe we are closest to seeing leprosy fully integrated into NTD work and think that this should improve impact significantly. The scale of leprosy in India is what makes it stand out. We will not be able to consider that our job is done un l leprosy ceases to impact lives in India and there is so much le to do. Do you think the work being done so far is sa sfactory? No. I think that all of us working in this space have to accept that ‘more of the same’ is not going to solve the problem. There is a degree of complacency in the leprosy world and this is why I have always championed innova on in Lepra, as well as the need to look at leprosy from the viewpoint of the individual rather than solely as a medical issue. One of the biggest single factors that has prevented progress is the declara on of elimina on of leprosy as a public health problem. Although the WHO has moved away from use of the 10/100,000 target, I am alarmed that it is s ll 3 considered an important measure of success in India. I want to see a significant increase in case detec on over the next three years and see people being congratulated for high case detec on numbers, not cas gated. What needs to be done to bring leprosy to the forefront in the public space so as to raise awareness amongst the local popula on in the different countries Lepra works in? This is such a difficult area and I don’t have the solu on. ‘First create your emergency’ is one of the main rules of ge ng publicity and leprosy just isn’t a tradi onal emergency. Mass media is probably the best way to profile the disease, either through being featured on a popular entertainment channel or through a celebrity talking openly about their experience of the disease. You have been closely associated with LEPRA Society in India. What do you think about the growth of the organisa on and its performance? Where do you think the organisa on needs to perform be er? I am a big fan of LEPRA Society! It is no secret that I had concerns about ‘mission dri ’ in my early days when the drive for growth took the organisa on into many new areas of work where we didn’t have exper se. We had the situa on where skilled physiotherapists were running HIV projects. I think the new joint strategy is a major step forward for all of us, and allows for LEPRA Society to focus its skills and increase its impact for the people we were founded to work with. I love the innova on and problem solving that goes on in every corner of the organisa on. What the team is not so good at is sharing that learning. I have sat in mee ngs with WHO and the Gates Founda on and they have been blown away by the work that is done, but comment that they are not aware of us because we don’t publish and present our findings. In order to share our knowledge and influence policy we need to be rigorous in our approach and this is an area where LS could improve. We have to understand fully the impact of what we do, and this starts right from project design. I’m excited about the new Theory of Change work in Colchester and hope that this is embraced by the team in India as it will really help in this area. In this difficult fundraising environment I think that we all need to focus more on finding new sources of funds and I would challenge LS to be be er at recovering overheads on project grants. That way we will be able to spend more of the Lepra funds on trying new approaches e.g., the Sankalp projects. How do you measure the impact of LEPRA in the people we work with? We have to look at the posi ve changes that they have been able to make to their health, social and economic status because of our interven on. The mobile‐based data collec on tools are really helping us understand this person by person. How do you see the future of LEPRA Society? Increasingly I see LEPRA Society as the most respected implemen ng organisa on in leprosy in India. I think there will be a move towards partnerships with other ILEP agencies and I hope that there will be an increased percentage of funding raised directly in India. I want to see the work of LS contribu ng to policy discussions and decision making as well as con nuing to change lives at an individual level. As a chief execu ve, life must be hec c a ending mee ngs, conferences etc. in different parts of the world. Do you get me to unwind? If so, how do you do so? What are you interested in? One of my regrets about the last six years in Lepra is that I have not been able to keep up with many of my ac vi es outside work. This has been a combina on of geography, travel and my family situa on. I am an avid sports fan and each year travel to watch cricket, athle cs and F1. My other great passion is for landscape photography and I am looking forward to dus ng off my camera and tripod and visi ng the islands of Scotland once more. You are moving on to another charity which is to do with children. We think you like to test new waters… Yes and no. Strange as it may seem the job of a chief execu ve is much the same regardless of the cause and all chari es need par cular skillsets at par cular mes. Variety, The Children’s Charity was looking for someone with my experience in strategy development, culture change, pu ng effec ve processes in place and bringing a range of disparate ac vi es together into a single organisa on. It will be very different working with people from the entertainment industry and a ending gli ering events but day to day my job won’t change that much. Maybe if I can be a li le self‐indulgent in my final comment? This has been a tough and demanding job at mes, and I have gained a great deal of strength and inspira on from seeing how the LEPRA Society team works on the ground. Their focus on the individual and their dedica on to the cause has given me the reason to fight the ba les that have needed winning. I will watch your con nuing influence and success with the greatest of pleasure. 4 Apprecia on for role of LEPRA Society in leprosy control ac vi es 5 Project Events Koralep ‐ Forma on of Block Level Leprosy Forum Koraput Disability care project (KORALEP) formed a block level forum with persons affected by leprosy of Borigumma Blcok, Koraput district Odisha on November 22 2016. In this forum, 11 members (7 Men & 4 Women) par cipated and they elected Rama Chandra Randhari as president and Kamalochan Harijan as secretary among them for their future course of ac on.. Koralep staff & PMW I/c played a key role in selec on of members for the forum and forma on. As a part of capacity building, Koralep invited Sutansu Patro, BSSO, Borigumma block and Dr Ashis Kumar Sadangi Medical Officer Borigumma CHC. Sutansu Patro boosted the various welfare schemes for affected persons with or without disabili es. He also requested to submit the list of affected persons who are not ge ng benefits from social security schemes. Dr Ashis Kumar Sadangi assured to provide them medical services as and when required Cure Cer ficates for all RFT cases & Birth cer ficates for availing benefits of social security schemes. He also requested members to get disability cer ficate to the disability camp conducted monthly once. Koralep took responsibility to prepare a list of affected persons not ge ng pensions and submit to BSSO Borigumma. Srinivas PMW I/c Borigumma gave a vote of thanks to the delegates. Odisha LMEH ‐ Baljyo programme SANKALP ‐ Model Village ini a ve – a step forward “BALJYOTI”, a unique programme launched by Govt. of Odisha through Sarva Shiksha Abhiyan (SSA) was implemented on a pilot basis first in Ganjam district of Odisha in 2015. Considering its grand success, the Govt. decided to further extend and implement the project in all 30 districts of Odisha. This programme targets school children within the age group of 6 to 14 years for early detec on of refrac ve error. The uniqueness of this programme lies in its collabora ve effort among various govt. and non‐govt. departments like Rastriya Bal Swasthya Karyakarm, District Headquarter Hospital, District Blindness Control Society, Sarva Shiksha Abhiyan district administra on and NGO/private eye hospitals of locality. It is a comprehensive programme which includes detec on, treatment and on spot delivery of spectacles. The programme was very successful in three blocks of Boudh district. Dr. Damodar Das (Consultant Ophthalmologist) led the MNC technical team with all requisite equipments like autorefractrometer, Re noscope, Handy slitlamp, ophthalmoscope etc and a ended the programme. A total of 604 students were referred by the trained school teachers for refrac ve error assessment. Out of them, 139 students were diagnosed with some sort of refrac ve error. Power glasses were provided to the students free of cost by the district authority. The role of MNC was highly appreciated by the district authori es. Kantabania is a small village situated at a foothill and is 25 kms away from Block headquarter of Nayagarh. In the first phase during September 2016, the SANKALP team has ini ated their effort towards making the village vector‐borne disease free as the major health problem in the village is vector‐borne diseases. Hence, the whole village took one simple step by adop ng one simple measure. The unused mosquito nets were collected from HHs and were cut in shapes to e over the vent pipes. The community realised that the vent pipes must be sealed with mosquito nets to prevent mosquitoes from coming out of the pipe and spreading disease. Then in another step, they joined hands to declare their village as Hydrocele‐free village. With the support of SANKALP team 25 Hydrocele cases were operated with the help of Rashtriya Swasthya Bima Yajana (RSBY) health card. Now, they have come forward to coordinate with Rural Water Supply and Sanita on unit, Govt. of Odisha for solid and liquid waste management for their village. Before proceeding, the village commi ee is having a mee ng with SANKALP project staff. In November, 2016, the total SANKALP team from Puri had an In this regard, the Sonepur & Boudh district collectors convened a mee ng with all stakeholders in October 2016 and invited MNC to par cipate in it. Both the district authori es entrusted the responsibility of training, to the teachers for primary vision recording, detec on of refrac ve error and correc ve glass prescrip on for school students to MNC considering its proven track record and reputa on. 6 exposure visit to the Kantabania Model village, where the ASHA has demonstrated the mosquito net impregna on with insec cide, which they are doing in every six months period. Telangana and Andhra Pradesh Supply of ADL Kits The Ar ficial Limbs Manufacturing Corpora on of India (A Govt. of India Undertaking) func oning under Ministry of Social Jus ce and Empowerment) planned to supply a kit of ac vi es of daily living (ADL) free cost for the persons with Grade II disability. In five districts of Andhra Pradesh, the ADL kits were supplied to 650 eligible persons. LEPRA Society, in collabora on with Society of Leprosy Affected Persons, Andhra Pradesh and District Nucleus Team, iden fied 67 persons affected with leprosy and supplied the kits in Krishna District. The team from ALIMCO, Bangalore, Addi onal Director Leprosy & State Leprosy Officer, Dr. Rajendra Prasad and District Leprosy Officer, Krishna, Dr. TVSN Sastry along with the Health Staff a ended the Programme. The kit includes universal cuff, nail cu ng device, soap holder, bu on hook, zipper pull; adapted pen with posi oning splint, rubber gloves, adapted glass holder, wider brim plate, long handled lever tap and cell phone. SADAREM Cer ficate SADAREM cer ficate is very important for persons suffering from disability. This cer ficate helps disabled persons in accessing schemes of government (central or state). The SADAREM cer ficate, called disability cer ficate, is issued by the Local Medical Board. The AP government provides so many benefits/reserva on to disabled persons like age concession while applying for jobs in government or private sector, fee concession in school/college fee, age limit while taking admission etc. In chirala mandal, 104 persons suffering from LF formed into two support groups. These support groups organise mee ngs among themselves to share and discuss about their health, financial and community problems. Due to this disease, the affected people are unable to carry out their daily rou ne chores and depend on their family members. The people in the support groups are also incurring expenses related to their health and losing out on their daily wages, stepping into financial problems. At the same me, they are unable to take part in social or community func ons. These disabled people request the state government to recognise them as disabled persons, take necessary steps towards issuing a disability cer ficate in enabling them to avail its related benefits and welfare schemes. Bihar and Jharkhand Staff Training A training session of Block Health Coordinators & other Project staff on “Morbidity Management and Preven on of Disabili es, Gender Issues and Psycho‐social aspects” was held at Varanasi on October 2016. This training was organised to improve the technical knowledge of the project field staff. Par cipatory session was taken by trainers and detailed presenta on on every aspect was carried out on leprosy and lympha c filariasis. The trainer clearly focused on the effec veness of self‐care method, disability grading and reac on management. To facilitate prac cal understanding, the trainer demonstrated with BHC for nerve involvement assessment in leprosy affected people and cleared their queries during sessions. Trainer Ms. Brinda Paparaje, Professor‐ Benaras Hindu University, oriented the staff on gender issues and gender equali es. She also cleared the gender issues through group work. Trainer Mr. Abhishekh emphasised how every team member’s contribu on counts in achievement. If any me any member’s temperament is low or does not match with other team members then the total achievements get affected. Paver’s Visit There are 63 leprosy colonies in 38 districts of Bihar with 1500 approximately disabled person live in these colonies. They never had customised protec ve footwear as per their need and choice. The government and other agencies are providing inadequate protec ve footwear for grade I disability people of the district but not in the colonies. LEPRA Society has maple experience in manufacturing high quality protec ve footwear for persons affected by leprosy and LF. Ini ally each pa ent is given a bio‐mechanical assessment. Footwear is then handmade from micro‐cellular rubber with podiatry appliances personalised for each pa ent’s unique requirements. This bespoke product protects from external trauma and injury, and provides shock absorp on. The innova on of mobile foot care unit, is a great success, first of its kind is supported by Pavers, UK. These custom‐made shoes are designed, made and fi ed by specialist shoemakers. Each pair is unique, made to the individual requirements. The moulded soles are padded to 7 increase the weight‐bearing area and reduce pressure, so that the foot is stable and given support exactly where it's needed. While on a visit to India in November‐2016, Stuart Paver and Rachel Paver who have funded the mobile footcare unit, visited Premnagar colony, Patna. Here the Paver’s couple mingled with one and all with ease, which made the beneficiaries and others comfortable to share their views. The complete process of manufacturing and delivering of footwear was presented to the couple. Stuart and Rachel met the people and their children, distributed the protec ve footwear to the persons affected by leprosy. They were amazed with the work carried out by mobile footwear unit and felt that services are being provided to needy persons. They said “these memories will stay in our hearts forever”. physiotherapist assessed the knowledge of field Block Health Coordinator by conduc ng pre/post test ques onnaire. The project staff was given the task of measuring feet of persons affected by leprosy and lympha c filariasis. Basing on the orienta on training technical, a IPOD camp was organised in Taroni village of Ajaygarh block. Through this camp, two leprosy (RFT), three hydrocele, 15 lympha c filariasis & one affected both with lympha c filariasis and hydrocele are benefi ed with morbidity/self‐care management prac ces. Case study ‐ On the path to success Coordina on Mee ng A mee ng was organised among ILEP/NLEP/ government officials. The objec ve was to focus partners’ ac vity for suppor ng NLEP and to improve coordina on among partners at district/state level. SPARSH project is providing customised footwear to needy persons affected with leprosy and filariasis free of cost. The project is also ini a ng a reconstruc ve surgical centre. It has been informed to all members that ll date 40 reconstruc ve surgeries have been performed. There were no records of RCS cases available un l October 2015. The centre has out pa ent department where diagnosed cases of leprosy were referred to Community Health Centres. The cases suffering from leprosy need temporary hospitalisa on and treatment free of cost. Training of Trainers LCDC II was scheduled during the month. The SLO has requested all ILEP partners to ensure quality in early case detec on ac vity with the monitoring visits undertaken by LEPRA Society. In this regard, a three‐day Training of Trainers (TOT) from November 29 – December01 was organised at SIHFW, Patna. The par cipants were Communicable Disease Officer, DNT, MO PHCs, Health Manager and Block Community Mobiliser. The training was done by ILEP members and WHO State Coordinator with focus on increasing coverage, referring missed out cases at the community level. Madhya Pradesh Orienta on Training in IPoD The Sankalp MP is drawing experiences from Sankalp Odisha field staff in conduc ng IPOD camp to obtain results and serve the needy persons. The grade‐wise shoe models produced at The Sankalp, Puri were shared with the project team. LEPRA CHAHA project covering seven districts of Telangana and Madhya Pradesh states has supported 203 out of 250 children with educaƟonal support. Samatha is one among the beneficiaries being benefiƩed by Oracle . Samatha is the eldest daughter of Gopal, who is affected with leprosy since 18 years. She lives in an urban slum in Hyderabad. Samatha is pursuing her Chartered Accountancy Common Profession Test course from a private college. Ini ally, she encountered problems despite remi ng her fees in the college. The teaching faculty was irregular in conduc ng the classes. Samatha analysed this situa on and was worried about comple ng her course. She then searched with the help of people the par culars of the same course at other colleges, where the syllabus could be covered in a professional manner. However,the college where she had registered did not refund the fees. This added to the worries of the family which was already in dire straits financially. Samatha had two more sisters to be educated. In these circumstances, the educa onal support from Oracle helped in con nuing her studies. The Oracle support surely makes her stand on her own feet enabling her to lead a decent life. 8 Interna onal Day of Persons with Disabili es LEPRA Society observed the Interna onal Day of Persons with Disabili es on December, 2016 with the theme “Achieving 17 Goals for the Future we want”, facilitated the Press Meets in collabora on with the Society of Persons affected with Leprosy, Andhra Pradesh to focus on more inclusive and equitable access for persons with disabili es. The Disability Act, 1995, recognises leprosy (leprosy cured) as a disability. Further, the UN Conven on on the Rights of Persons with Disabili es (UNCRPD), ra fied in 2007, provides for all rights on an equal basis with others to all people with disabili es without any discrimina on. Despite these legisla ons, the ground reali es experienced by persons affected by leprosy has not changed much. The issues regarding marriages, no priori sa on for providing employment opportuni es for the educated children from leprosy affected families, prac cal issues in accessing the schemes for ra on and pensions were focused by the SLAP AP Board. The representa ons were made to the local MLA, Ministers and Mandal level Authori es. An event was organised to celebrate the Interna onal Day of People with Disability at Nallakunta, Hyderabad on December 3, 2016. The aim is to encourage a be er understanding of people affected by a disability, together with helping to make people more aware of the rights, dignity and welfare of disabled people, as well as raise awareness about the benefits of integra ng disabled persons into every aspect of life, from economic, poli cal, to social and cultural. Disability Day is used for holding discussions, forums and campaigns rela ng to disability, and communi es are encouraged to organise mee ng, talks, and even performances in their local areas. The overall aim is to show non‐disabled people that a person with a disability can be a vibrant member of society, as it happens that the en rely healthy are not always quite aware of this fact, which can lead to different kinds of discrimina on of varying degrees of severity. The disabled, on the other hand, benefit from such performances by proving to themselves that there are many things they can s ll do, despite their condi ons, which can help them with their self‐esteem and avoid mental issues such as depression from plaguing them. In general, these kinds of events are meant to challenge the disabled and occasions where they get rid of various stereotypes so that these people can enjoy lives free of discrimina on and addi onal hardship. In the programme, 45 people with whom we work par cipated including District Forum members of Hyderabad and members from SLAP. They discussed about the rights and the benefits they have to get from the government. About 50% of them are not ge ng any government benefits. The district forum members have listed out names of those not ge ng the government benefits and submi ed to SLAP to approach government. The involvement of district forum members (Hyderabad District Forum) is highly appreciated. They discussed and iden fied the problems faced by the people whom we work with in the community and they wrote a le er to President SLAP a aching the list of people whom we work with for ge ng benefits from government. Each year the day is celebrated and there is an emphasis on a 9 new aspect related to improving the lives of people living with a disability. SLAP AP During the Interna onal Disability Day, SLAP facilitated the press meets to focus more on inclusive and equitable access for persons with disabili es. Despite these legisla ons, the ground reali es experienced by persons affected by leprosy remain unchanged. The issues regarding marriages, no priori sa on for providing employment opportuni es for educated children from leprosy affected families, prac cal issues in accessing schemes for ra on and pensions were focused by SLAP AP Board. A representa on was made to the local MLA, Ministers and Mandal level authori es. SANKALP AP The project is conduc ng Integrated Preven on of Disability Camps where health, social and economic condi ons of individuals are assessed and managed. Towards sustained ac on, ensuring community and family par cipa on, the ac ve affected persons are involved and mo vated to form into a group known as a self‐support groups. These self‐support groups facilitate access for rehabilita on services and opportuni es for socio‐economic aspects. The project formed 23 Self‐ Support Groups with the persons affected with lympha c filariasis at village level. Till date, 230 LF affected persons (80% of women enrolled) joined the support groups with a purpose to form community‐level groups promo ng self‐care prac ces as part of Morbidity Management ini ally at the village level. Addi onally, the support group members act as a bridge between persons affected with lympha c filariasis and government services in accessing welfare schemes. Advocacy ini a ves were taken forward on Dec 03, 2016. The support group members in six mandals has given representa ons to MPDO’s, poli cal par es focusing issues related to health, economic aspects. A press meet was also conducted at district level to seek support in raising profile of disease and con nue further discussions at district and state level towards the criteria of eligibility in ge ng disability cer ficates and pensions . The government authori es at divisional level proac vely responded to representa on with a hope of taking forward the issue to the next higher level. The Chirala mandal was assured towards issuance of SADERAM cer ficate in building toilets for persons affected with lympha c filariasis. Bihar and Jharkhand The Interna onal Day of People with Disability was observed on 3rd December 2016 in four districts, Bhagalpur, Munger, Begusarai and Samas pur of NTDRU and Sparsh Dhanbad. The various ac vi es like IPOD camp, quiz compe on, rally and community interac on mee ng were organised. The persons with disability were informed about the social en tlements. The school children were also sensi sed about leprosy and lympha c disability. They demonstrated morbidity management and distributed self‐care kits and protec ve footwear. We see a future promo ng removal of all types of barriers; including those rela ng to the physical environment, informa on and communica ons technology or a tudinal barriers. Similarly, the disability day was also observed at Sparsh, Dhanbad in collabora on with TATA Steel. The Chief Guest Mr. Sanjay Rajoria, GM Tata Steel, Jharia Division, opined his views about disability preven on and described about livelihood facility available at TATA Steel. They distributed two tricycles, two wheelchairs, two crutches, 50 blankets and 45 disability cer ficates between 51 persons with disability. On this occasion, SPARSH project started mass awareness campaign for a period of 60 days in 8 blocks of Dhanbad district star ng from December 2016 un l March 2017. The IEC van propagates through film show, exhibi on, mike and pamphlets distribu on about leprosy/filariasis covering three to four villages in a day. They will be referring suspects of leprosy and lympha c to nearest Primary Health Centre. In the next issue of newsle er, we will interview Dr Urmila Pingle, Member ‐Management Commi ee, LEPRA Society. 10 Things You Should Know…. 18 Diseases The World Has Turned Its Back On This ar cle is part HuffPost’s Project Zero campaign, a yearlong series on neglected tropical diseases and efforts to eliminate them. More than 1 billion people on the planet suffer from illnesses that the world pays li le a en on to. Neglected tropical diseases are a group of at least 18 diseases that primarily affect people living in poverty in tropical regions of the world and are virtually unknown elsewhere, according to the World Health Organiza on. These are diseases like river blindness, which has infected 18 million people worldwide and caused blindness in 270,000 people; or elephan asis, a leading cause of disability worldwide, which affects over 120 million people and can cause severe swelling of the body parts, usually the legs or the scrotum. While only some of these illnesses can be fatal, many of them can cause lifelong disabili es or disfigurement. And even though many neglected tropical diseases are preventable and treatable, ge ng proper medical care to the people who are most vulnerable can be challenging, as the diseases primarily affect people in high‐poverty communi es with limited access to health services. “Because they are a threat only in impoverished se ngs, they have low visibility in the rest of the world,” WHO Director‐ General Margaret Chan says in a 2010 report. “While the scale of the need for treatment is huge, the poverty of those affected limits their access to interven ons and the services needed to deliver them.” It’s tough to iden fy a single cause for the neglect. While some cri cize the pharmaceu cal industry for not inves ng enough in treatments for neglected tropical diseases ― likely because the poor popula ons affected wouldn’t make for a profitable consumer base ― others say it’s not Big Pharma’s job to make “non‐profit medicines,” reports The Guardian. There have also been notable efforts by countries and drug companies to work together to tackle these diseases. Governments should priori ze research and funding to fight these diseases, the WHO’s Ashok Moloo told The Huffington Post. And they should seek to improve condi ons in poor communi es that are hardest‐hit, for instance, by inves ng in clean water and sanita on, which would help curb the spread of some diseases. There is one thing everyone can agree on: Far more needs to be done. Here is a list of the neglected tropical diseases that are all too o en ignored. 18 diseases Elephan asis Leprosy River Blindness Chagas Dengue Sleeping Sickness Leishmaniasis Trachoma Rabies Schistosomiasis Chikungunya Echinoccosis Foodborne Trematodiases Buruli Ulcer Yaws Soil‐Transmi ed Helminth Taeniasis Guinea‐Worm Source : h p://www.huffingtonpost.in/entry/neglected‐tropical‐diseases_us_583dd906e4b0860d6116c06a Plot No.:17, Krishnapuri Colony, West Marredpally, Secunderabad—500 026, Telangana, India Tel No.: +91 (40) 44586060; Fax : +91 (40) 27801391; Email : [email protected] ; http://www.leprasociety.org 11
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