Volume 33 | Number 3 | Fall 2009 COURAGE International MPS Day MPS community celebrates, honors and remembers Walking for a Decade, and Still Going Strong! MPS Society walk/run events mark 10-year anniversary Personal Health Records Make life easier and be an active partner in your healthcare Sponsor a Child Let’s Give for a Cure a Standing Ovation to… New fundraising program allows MPS individuals are families to honored for their participate in resilience, courage walk/runs by proxy and passion for life Do you have a personal story or an article idea for a future issue of Courage? Please write to us and remember to send photos! MISSION STATEMENT The National MPS Society exists to find cures for MPS and related diseases. We provide hope and support for affected individuals and their families through research, advocacy and awareness of these devastating diseases. The National MPS Society’s office (ground floor on left). Submission Cutoff Date Issue Jan. 1.......................Spring April 1....................Summer July 1.............................Fall Oct. 1....................... Winter To submit information to Courage, please send text (preferably via e-mail) to the address at right. Photos should be labeled whenever possible. Please note cutoff dates. Any information received after these dates will be included in the subsequent issue. The articles in this newsletter are for informational purposes only, and do not necessarily reflect the opinions of the National MPS Society and its board of directors. We do not endorse any of the medications, treatments or products reported in this newsletter, and strongly advise that you check any drugs or treatments mentioned with your physician. Courage reserves the right to edit content as necessary. National MPS Society PO Box 14686 Durham, NC 27709-4686 t: 877.MPS.1001 p: 919.806.0101 f: 919.806.2055 E-mail: [email protected] www.mpssociety.org Table of CONTENTS Membership & Subscription Form President’s Letter.............................................................................. 2 Executive Director’s Letter................................................................ 3 Name Program Director’s Letter.................................................................. 4 Development Director’s Letter........................................................... 4 New Members.................................................................................. 5 Affected Individual’s Name Date of Birth Donations......................................................................................6–7 Family News................................................................................8–10 International MPS Awareness Day.............................................11–20 Fundraising................................................................................21–29 Diagnosis Relationship Address Legislative Update.....................................................................30–33 Making Headlines......................................................................34–35 Upcoming Events........................................................................... 35 Remembering Our Children.......................................................36–37 City, State, ZIP Telephone E-mail Standing Ovation.......................................................................38–41 A Warm Welcome........................................................................... 41 Research News: Hope for the Future.........................................42–48 Volunteer Spotlight....................................................................49–50 Resources | Helpful Information.................................................51–59 MPS Classifications........................................................................ 60 Board of Directors.......................................................................... 61 Family Foreign Professionals b $50.00 b $80.00 b $75.00 Corporate Memberships Available Would you like your name to appear in our directory? b YES b NO Would you like to receive Courage, the Society’s newsletter? b YES b NO Would you like our publications in b electronic (e-mailed) format or b hardcopy (mailed) format Pictured on the cover: Sydney VanHook (MPS I), Rachel Cumpain (MPS IV) and Sasha Segal (MPS III) Correction: The article on page 15 in the summer issue of Courage by Eddie Bell (MPS I) was transcribed by his mother and caregiver Debra Bell. Please send your membership form and check to: National MPS Society PO Box 14686 Durham, NC 27709-4686 1 President’s Letter “Never doubt that a small group of thoughtful, Your Education/Publicity Committee has the committed citizens can change the world. immense undertaking of modernizing your Society’s Web site to not only make it responsive Indeed, it’s the only thing that ever has.” This inspirational, yet pragmatic quote was written by Margaret Mead, an anthropologist who studied and worked on cultural and social issues. Although I have read a few periodicals on Margaret Mead I always come back to this quote, and it remains very applicable today with our Society. Without our devoted members, we would have never grown so fast and helped so many with MPS diseases. Although we all take great pride in the accomplishments made with our Society’s successes, we cannot sit on our laurels and expect the future to be bright. Remembering that many of our children do not have treatments and none have cures, we must continue to push forth in many areas to ensure cures will be found and that MPS and related diseases will be eradicated in our future. Our goal is to continue to forge new paths and directions in a variety of areas. As you recently read in our previous Courage, a new path for our Society is to support and thank Dr. Emil Kakkis for his approach to “fixing” the FDA through his foundation’s legislative efforts. Dr. Kakkis is primarily known as the chief medical officer with BioMarin, and for introducing enzyme replacement therapy into our MPS community. With his retirement from BioMarin, Dr. Kakkis is not sitting home swinging on his front porch, but instead is trying to fix what he sees as a broken system when it pertains to clinical trials for those with the ultra orphan diseases. Please go to www.curetheprocess.org to read and sign up for Emil’s blogs. Another area your Legislative Committee is pursuing is to have an MPS caucus to continue to raise awareness on a federal level. We will not stop there! We will continue on new paths, and combine efforts with other non-profit organizations whenever we have common ground issues. This is evident with our combined efforts with other nonprofits and fighting for H.R.1441, The Ryan Dant Healthcare Opportunity Act of 2009. 2 for families but more informative for the general public. We have had a number of federal legislators, foundations, and other non-profit organizations visit our Web site to authenticate our Society. Our sister organizations rely on our Web site for up-to-date information. This is an area which we must continue to keep updated and supportive for our members and others. This committee is looking into other innovations that can help educate and bring about awareness to our cause. The Family Support Committee interacts with our membership on a daily basis, and we are so honored to be able to sponsor your child with an educational scholarship, to financially assist your loved one in obtaining hearing aids, to assist you in attending our conferences and to learn your ideas on how families need support from our organization. The Family Support Committee continues to explore other services. Although we do not mention the Technical Support Committee as much as we probably should, these dedicated ad hoc committee members take on technical aspects with pride, knowing that funding for researchers is vital to our mission of curing MPS and related diseases. They work closely with our Scientific Advisory Board on each and every grant the Society offers and awards. Last, but certainly not least, our fundraising is another critical extension of our Society. For such a small membership with these rare diseases, we produce some amazing efforts in so many areas: bake sales, recitals, dances, golf tournaments and our walk/run events. In the first six months of this year, we have already had more than 30 fundraising events held by loyal members and their families. These events raise many dollars and critical awareness in our local communities. Our families are not bashful in telling their communities that “someone I love needs a cure.” Your board of directors is not bashful either. Although I give many kudos to those who actively participate on all these committees, the praise for the successes really belongs to you, our members. Instead of being cynical because of your diagnosis with MPS or related diseases, you take the time to thoughtfully tell us when we are deficient in your expectations. You again give us your praises continued We have received many calls from enthusiastic families looking forward to our 2009 Disney World conference in December. It will be here before you know it, and I look forward to seeing and visiting with everyone. heels for Opal. Thank you for the calls, cards, e-mails and wishes for Trent and Amy. As I end the President’s Message, I will leave you with my late mother’s favorite quote by Winston Churchill which also is very applicable to the success of our Society: “A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity On a personal note, our family has been in a in every difficulty.” whirlwind as of late. Our son Trent and his wife Amy welcomed their precious Opal Maxine Dummann into the world on July 16, 2009. After a few medical concerns, both mom and baby are doing great and are getting used to their new “normal.” It hasn’t taken us long to fall head over A recent Pew Research Center survey examined the Web habits of Generation Y, ages 18–32. They found that our messages won’t reach the right audience unless they are delivered via the appropriate medium and presented in the audience’s “conventional” language. “The Web continues to be populated largely by younger generations, as more than half of the adult Internet population is between 18 and 44 years old. But larger percentages of older generations are online now than in the past, and they are doing more activities online…” The National MPS Society, through the work of Kim Frye and her ad hoc committee, is developing a fresh, new Web site that will allow us to embrace today’s audience and various means of communication. Another ad hoc committee, the Governance Committee chaired by Kris Klenke, has researched and developed materials geared to enhance the forward vision of the Society. The Governance Committee is responsible for ongoing review and recommendations to enhance the quality, future viability and visionary leadership of the board of directors. A Governance Committee is standard among non-profit organizations and helps the organization live up to its highest potential. This committee is reviewing the applications submitted for the six positions open on our board of directors and interviewing the applicants. The ballot with the slate of candidates will be mailed to Society members for their vote in early October. We have set the date for our 24th Family Conference, Sept. 30– Oct. 2, 2010. The meeting will be held at Knott’s Berry Farm Resort Hotel in Los Angeles, CA. Laurie Turner and I met with our conference planner in June, and we are thrilled to be offering this opportunity to our families. Knott’s Berry Farm—America’s 1st Theme Park—is steps away from the hotel and offers rides and attractions for the entire family. Executive Director’s Letter for the successes our Society has accomplished to help your loved one. Our board of directors and staff acts upon all feedback we receive. Our current daily focus is DISNEY! We can hardly wait to see everyone again and share in your delight of this very special conference. The deadline for registering is Nov. 13; you can download the forms from our Web site, or call the office to have us send you the forms. Hope to see you in Florida! 3 Program | Development Director’s Letters 4 The Family Support Committee has awarded more than $303,000 to families since 2004. This money has helped families purchase durable medical goods, provided scholarships for post high school education, waived membership dues for families experiencing financial difficulties, funded regional social events and assisted families to attend our conferences through travel scholarships. In the first half of 2009, we awarded $45,000 to families. The Family Assistance Program (FAP) can provide grants of up to $3,000 for durable medical goods that have been denied by insurance. Families have been able to purchase hearing aids, hot tubs, adaptive trikes and power seats for the family vehicle, just to mention a few of the items. Extraordinary Experiences (EE) is our newest program, designed specifically for individuals ages 14–24 with MPS and related disease to have an extraordinary experience. We are helping a young lady with ML attend band camp this summer. The FSC awarded $20,000 to families attending the Annual Family Conference to be held at Disney World in December. We received 45 applications, with families eligible for a maximum of $750 each. In addition, each family also qualified for the complimentary guest room for two nights at the Coronado Springs Resort. We are funding 29 families who have never attended one of our conferences and three families who have previously attended a conference. The FSC also has funded 20 $1,000 Continuing Education Scholarships. Scholarships were awarded to three individuals with MPS, 15 siblings and two parents. Applications for all our Family Support programs are available at www.mpssociety.org/ content/4141/Family_Support_Program/. We hope your family will be able to attend the Disney conference with us. While we have awarded all of our scholarship money, there may be funding available within your community or state. We have heard from several families who have received funding from state programs and local civic organizations. It never hurts to ask, and you may receive good news that funds are available to you! At this time, funding is still available for both the FAP and EE. If your family is interested in applying, please contact me at 207.843.7040 or [email protected]. Walk/run into fall with the National MPS Society during our 10th anniversary of these events! It’s that time of year again and race coordinators and the Society are working hard to get the word out about MPS and related diseases. Raising awareness and funds is critical for eventual therapies to treat all of our supported diseases. Though we have lost a few events this year, we have gained others! This is an opportunity to say thank you to all of our families for their past years of hard work and dedication to raising funds for research. The number of research grants supported by your efforts is significant. This year the walk/run events in North Carolina and L.A. will be launching a new program to coincide with their events, Sponsor a Child for a Cure. See page 22 to read about how your family can be part of this wonderful experience if you are unable to attend a walk/run in 2009. Every child and their family can experience the satisfaction of raising funds and participate in these events from afar. Each month the Society is fortunate for the phone calls received from families and friends across the country asking what they can do to help raise funds and awareness for MPS and related diseases. The creativity of our members is commended! If you are interested in organizing your own event next year, please give me a call and we can talk through the process. A new event guide has been updated for 2009–2010. Michael and Staci King Jeannette, PA, parents of Mikey King, MPS II Mona Ahmed Los Angeles, CA, mother of Mohab Alnajjar, MPS II Elizabeth Kramer Strausstown, PA, mother of Marcus Kramer, MPS II Isaia Barrie Plano, TX, mother of Amadu Barrie, MPS VI Dawn Laorenza Foster, RI, mother of Aurora Laorenza, MPS III B Meagan Berry Salt Lake City, UT, mother of Christopher Ray Berry, MPS III Sergio Lemus Salt Lake City, UT, father of Sergio Lemus, MPS II Cynthia Brown Lithonia, GA, friend of Jerimiah Stanley, MPS VI Moises Rezende Bueno and Regiane Eunla Oliveira Atlanta, GA, parents of Joao Gabriel deOliveira Bueno, MPS VI Ana Castillo Paterson, NJ, grandfather of Guadalupe Castillo, MPS VI Chiu-In-O Hyde Park, MA, mother of Tszkin Leung, MPS II Jennifer and Chris Christianson Vancouver, WA, parents of Kristofer Christianson, MPS II Antonio Daniel Corral Lopez and Guadalupe Fabela de Corral Pharr, TX, parents of Walter Corral Fabela, MPS VI Shelly Maddox Amarillo, TX, mother of Ian Adams, MPS III Zoraida Marquez Bellflower, CA, mother of Nathan Marquez, MPS IV Rosalba Martinez Houston, TX, mother of Fabiela Martinez, MPS VI Sandra Miller Sebring, FL, sister of Wayne Eppehimer and aunt of Jason Madison, MPS II Cassandra Morley Wyoming, MN, mother of Payton Morley, MPS II Justin Cimolonski Deer Park, NY, adult with MPS II Barbara Naporano Port Richey, FL, mother of Joseph Naporano, MPS II Grant and Mieke Embry Moody, AL, parents of Lucas Matthew, MPS III A Khunsha Numan Glenshaw, PA, adult with MPS IV B Mary Estrada Morris, IL, mother of Sara and Danielle Estrada, MPS III A Kimberly Pruett Vacaville, CA, mother of Mia Pruett, MPS III C Maria Figueroa El Monte, CA, mother of Jeffrey Figueroa, MPS VI Julie Layton Fisher Tacoma, WA, mother of Jessica Fisher, MPS VI Shaun Flora Syracuse, NY, adult with MPS II Dawn Michelle Rodriguez Irving, TX, adult with MPS IV A Daisy Santiago Waterbury, CT, mother of Peter Martinez, MPS VII Michael Schleter Minneapolis, MN, friend of Jenny Klein, ML II/III Heridania Gonzalez Brooklyn, NY, mother of Yelurv Gonzalez, MPS VI Rosa Perez Seda New Bedford, MA, mother of Joseph and Victor Seda, MPS II Gabina Gramajo White Plains, NY, mother of Kelvin and Kenneth Gramayo, MPS VI Shantrice Stanley Conyers, GA, mother of Jerimiah Stanley, MPS VI Chester and Jennifer Hembree Alcoa, TN, parents of Lucas Hembree, MPS III Aisha Thompson Winston-Salem, NC, mother of Tyson Thompson, MPS II Kimberly Hemingway Clinton, NC, mother of Christopher “Antonio” Hemingway, MPS II Dave and Hiromi Tilsner Ventura, CA, parents of Max Tilsner, MPS II Alia Hernandez Santa Ana, CA, mother of Janneth Figueroa, MPS VI Melissa Hogan Spring Hill, TN, mother of Case Hogan, MPS II Clarence Hopwood Gainesville, GA, adult with MPS II New Members Kristi and John Abel Hewitt, TX, parents of Evan Abel, MPS III C Sharon Walker Jersey City, NJ, mother of Sharon Walker, MPS III C Tayyab Zahid Glenshaw, PA, adult with MPS IV B 5 Donations In Honor of Jerry Anhalt’s birthday Mel and Millie Anhalt Melvyn Anhalt’s birthday Barbara and Michael Eaker Nick Boyce Simone Melo Sharon Browne Michele Satre Matthew Caldwell Mark and Stephanie Caldwell Blair Chapin Barbara and David Wiedman Erik Fletcher Jessica Craig Judy Grundfest’s birthday Mel and Millie Anhalt Anyssa Guajardo St. Joseph Catholic School Karina Guajardo Vic’s Auto Rebuilders Cheyenne Hill Dawn Hill Case Hogan Jane Overback Morgan and Blake McDermott Kris Gehl Nicholas Mendelke Elizabeth Willis Iman Woods Jennifer Vincent Waverly and Oliver McNeil Teresa Mendel Claudette Richardon Donations In Memory of Max Mingo’s birthday Katherine Brownlee Helen Kondrich Alexanndra Kreps Matthew Michalko Donald and Becky Mingo Ingrid Gomez-O’Toole Alan Schlossberg Toby Mingo’s birthday Katherine Brownlee Rita Emerick Ronald Jaffe Alexanndra Kreps Donald and Becky Mingo Hugo Van Der Moer’s birthday and in honor of his granddaughter Michelle Hopkins Helen Allison Riley Muller Debra Karnehm Austin Nace Thomas and Evelyn Seils Maddie Holland’s high school graduation Amy and Klane White Leslie Phillips’ graduation Mary Kroohs Wake Forest Wesley Foundation Mr. and Mrs. Tom Icard Melissa Bryant Allison Restemayer Brian and Kristin Gruhot Sydnee Jensen Linda Jean Cohen Levin Megan Rust Amanda Stout Kraig Klenke Ernest and Debra Dummann Zachary Townsley Jennifer Radtke Olivia Lovell Claytor Allred and Susan Taylor Michael Vellard Barb McKittrick Mr. and Mrs. Ken Margolis’ anniversary Mel and Millie Anhalt 6 Jennifer Vincent Iman Woods Maddy Wigglesworth’s 10-year transplant anniversary Amy and Klane White Harry Zuber’s birthday Mel and Millie Anhalt Dylan Bontems Jo Booth Rachel Brooks Jewell and Rita Butcher H.C. and Marilyn Douglas Richard and Karen Mayfield Daniel and Sharon Miller Bernard and Darlene Moore Lucille Westfall Robert and Patricia Westfall Bobby Bourgeois Louise and Gary Salter Dorothy Chambers in honor of her great grandson Luke Chambers Krista Crews Thomas and Evelyn Denton Atley and Corrine Sharp Atley and Martha Sharp Kelly Crompton John Anderson Ronald and Beverly Johansen Terri Klein Christopher and Jennifer Moeller Karly Davis Betty and Bernard Harvilla Karl and Gwendolyn O’Dell Charles and Donna Rice Valerie Floyd Janice Izlar William Friedrich Sharon Dickol Danny Gniazdowski Lisa Albitz Shane Groth Anna Melton Mardel Hayes Austin and Cheryl Noll Spencer Holland Rick Call Steve and Amy Holland* Aaron Jackson Belle Vernon High School Soccer Booster Club Darlene and John Duall Robert and Evelyn Hiles Betty Jackson James and Elizabeth McPhillips Susan Solomon Susan Woodward Joseph Zacovic Andrew Jump William and Catherine Abernathy III Valerie Barnett Sharon Cochenour Kevin and Sheila George Arthur and Brenda Hawkins Sandra Jacoby Joann McCaughan Melinda and Donald Nau William and Michelle Perkins Debbie Puckett Gail Vittitow Brian and Jessica Wellman Carol Westwood Joe and Jonathan Karas Irwin Nack Haya Yeshaya Amanda Keith George and Gail Anderson Audrey Lawson Brent Davenport Kevin Maher’s birthday Joseph and Margaret Maher* Ryan Mask Women of the Moose Sellersville Chapter #471 Esther Pung in honor of her great grandson Austin Noll Mike and Nancy Green Mark and Barbara Holliday Robert Idalski Ernest and Agnes Kuebler Lance and Karol Lynch Annette Pung VSA Partners, Inc. Hannah Eileen Salcher Peggy Shaper Eunice Savor Mel and Millie Anhalt Noah Scott Christine Bickley D.F. and J.B. Nelson Robert Smith Alberta Presutto Harold Sparks and in honor of Aiden Spaeth Firefighters at Wright Patterson AFB, OH Brian Stanley Stephen Foland Thomas and Monika Williams Nathan Thomas Tom and Kim Whitecotton* David Lynn Waddle Sulema and Jose Aguillon Charles Ainsworth Sheryl Alexander Robert and Carol Bryce Nikki Hirsch Rita Janoe-Ellinger Lucille Klingler Yen-Chi Le Amy Mullin Phyllis Roberts Karen Williams Peg Weaver James and June Murphy Stephen Weaver Ruth and John Heis Larry Hersam Barbara and Joseph Lesak Susannah Jacqueline White Amy and Klane White* Jennifer Wingate Mel and Millie Anhalt Maxine Birch Johnnie and Will Haltom Robbin and Anita Hodgkins Ingo Kuenzel Marilyn and Albert McGee Myrtle Redus Kay Thompson Stacy Turowski Matching Gifts Bank of America CA, Inc. Matching Gifts Program ITW Foundation 3-for-1 Matching Gift Program Merck Partnership for Giving PG&E Corporation Campaign for the Community Schneider Electric/ Square D Foundation Yum! Brands Foundation, Inc. Fundraisers Ascension Health MPS Jeans Day fundraiser Chapin family golf fundraiser Clarke family MPS Day fundraiser Fletcher family California Pizza Kitchen fundraiser Gibson family — Clara’s Courage fundraiser Guajardo family Krazy Socks fundraiser Help Aiden Spaeth Extinguish Hunter Syndrome golf fundraiser Hill family MPS Day fundraiser Kris Klenke — Silpada jewelry sale Eric and Vickie Merrell — Sean and Cody’s Trivia Night Cindy Miller class presentation fundraiser Montgomery MPS Day fundraiser Montgomery Links for Lucas fundraiser Muller family MPS Day fundraiser Schnare family Logan’s Heroes fundraiser St. John’s Reformed Church MPS Day bake sale in honor of Austin Nace St. Patrick’s Church MPS Day fundraiser Donations Accenture Timothy and Michelle Annis B & M Trailers, Inc. Kay Barry Amir Belson B.L. and Ann Bickham Cheryl Bien* Lorraine and Frank Bien BioMarin Richard and Dorothy Bosse Fred and Nancy Bucher James and Marcelene Casey Justin Cimolonski Amanda Crawford* William and Laura Dapper Dennison Electric, Inc. Debra and Edward Donovan Susan Downing Jean and Al Ducham Geri Lynn Edwards* Rodney and Kathleen Finzel Janet Forde* Stephen and Kimberly Frye* Haiyan Fu Timothy and Roslynn Garvin R.C. and V.A. Gates Michael and Marcia Geller Genzyme Corporation Giles and Associates Consultancy David Giuffrida Dennis and Christine Goggins Luis and Angela Guajardo* Susan Healy Muhanad Jawad Gary and Paula Kacer Mr. and Mrs. James Kalteux John and Janet Kappel John and Janelle Kunellis Cheryl and Lloyd LoCascio Douglas MacLeod* Troy and Dianne Mitchell* Mitchell and Cheryl Moore Scott and Patricia Morris Rene and Patricia M’Sadoques Paul Murphy Carol Nareski Elizabeh Neufeld Mary Anne Oliger* Thomas and Vickie Patterson Mark and MaryEllen Pendleton* Beth Pletcher John and Isabella Rodrigues Carl and Donna Rose Evangelina and Sammy Santos George and Athena Sarantinos Calogera Simonaro and Edward Schuchman Lorna Shannon Greg Sharrits* Kevin Sheridan David and Rebecca Silkey Mike and Barbara Smith Jack and Barbara Sorter J. Tanchek David and An Tootill Trimble County High School Claude and Roselyn Wells Tom and Kim Whitecotton* Whitney Young Children’s Foundation Russell and Alice Witt * Annual Fund donor 7 Family News Jessica Moore (MPS I) 8 I am one of the Advisors for SADD/FOR at Ross A. Lurgio Middle School in Bedford, NH, where we recently celebrated Disabilities Awareness Week. To kick off the week, there was a school-wide assembly in our theater to inform students about various disabilities. One of those we highlighted was MPS. We held a fundraiser to help find a cure and to celebrate the courage of our friend, Sam Caswell (MPS I). In addition, we are ordering a purple polo shirt for Sam. Sam is thrilled and says, “I will wear it the first day of school.” One of the most wonderful aspects of putting together this presentation was getting to know Sam better. May we all work together to increase awareness and find a cure! Carrie DeBell We were blessed when Jessica was born but did not know the true meaning of blessings. Jessica was 17 months when she was diagnosed with MPS I. She had plenty of congestion, a kyphosis that doctors said she would outgrow, a heart murmur that didn’t go away after a year, clouded corneas and glaucoma. She was the first grandchild on both sides of our families and she was doted on constantly. Now she is almost 12 years old and her perseverance and strength inspire us and those she encounters. When she was diagnosed our life stopped. We locked the doors and didn’t answer the phone. We were in denial that this beautiful little girl was going to die if we didn’t put our faith in the hands of others. But we were blessed. We live in Minnesota about 15 minutes from the University’s Fairview Hospital. We saw a special on the news about another little boy who was having a bone marrow transplant (BMT) for this disease we had never heard of and that the University of Minnesota specialized in their care. We were connected with the specialists and three months later Jessica had a BMT. Again we were blessed to have found a donor willing to give a precious gift. Fortunately we also found a great support network. MPS families had a “meet and greet” picnic for us and we were instantly connected with the Society. Our family did fundraising and people we have not been in touch with for years stepped forward to help. I was able to care for Jessica every day while Jason had the freedom to come and go from work at odd hours depending on Jess’s needs. Jessica is celebrating her 10th anniversary of the BMT. She is now going into the 6th grade! She loves to swim, dance, sing and ride a bike. She has been in several plays and has earned the bronze award for Girl Scouts. We hike and camp every year and Jessica is always determined to make the best of every situation. She has vision problems, among others, but she is a remarkable friend, cousin, student and daughter. She reminds me to be carefree and live every day as your last. We have had 10 more years with her and every one is a gift from God. She is our miracle and a true blessing. Colleen Moore Donna Weaver (MPS IV) and her husband Harold Family News Samuel was diagnosed with MPS II when he was 3 years old. He is now a cute and charming 11-year-old who is usually quiet and sweet. He is fun-loving, active and loves to play Flatface fingerboarding, Blackriver ramps gadget and Sports cup-stacking. Samuel loves to watch movies and videos, listen to music, use the computer and play video games. Despite his medical, physical and communication challenges, he remains at his utmost best as much as he can. Samuel is usually happy and an active participant in his everyday activities and healthcare. Samuel is well-accepted by other children. His pediatrician calls him “Master Samuel Santos.” Samuel’s health is monitored by the excellent UCSF Specialty Multi Medical team, the Bay Area Pediatrics Group and community agencies. Samuel currently is involved in the MPS II HOS study process at Oakland Children’s Hospital. Research is ongoing, and our commitment to Samuel continues. Samuel Santos (MPS II) and his sister Samline Samuel must continue to develop his academic, communication and cognitive skills so these skills may solidify before they begin to regress due to his disorder. His quality of life will depend on the quality of the education and medical treatment he will receive. We will continue to hope that the enzyme replacement therapy and other research study will benefit Samuel. Evangelina Santos (mother of Samuel, MPS II) Sydney VanHook (MPS I) Clay Howard (MPS II) playing Challenger Division baseball Sasha Segal (MPS III) Andrew Cochenour (MPS II) lives in Clarksburg, OH, and attends the Pioneer Center. In May, Andrew and his schoolmates attended the Special Olympics at the Rio Grande College in Rio Grande, OH. He received a ribbon in bowling, a 3rd place medal in the softball throw and a 5th place medal in the 25-meter walk. Way to go, Andrew! Andrew Cochenour (MPS II) Patrick Cochenour, 9-year-old brother of Andrew (MPS II), is in the 3rd grade at Adena Schools in Clarksburg, OH. Each student in Patrick’s class had to select a famous person and do a report on them. Patrick chose Elvis Presley. Patrick’s grandma, Flossie Pryor, made him the Elvis costume to wear when he gave his report. Patrick Cochenour wearing his Elvis costume 9 Family News Born July 29, 1981, Eddie Bell Jr. weighed 5 lbs., 11 oz.—a healthy, normal child; we thought. As months passed, Eddie began to have chronic bronchitis, eye and ear infections, leading eventually to tubes in his ears. As parents we thought this was normal—all kids have some of these symptoms. We later found out he had ptosis, which means the eyelid muscles are weak. We felt we could deal with that. At age 2 surgery was done to correct this problem. YOU ARE IMPORTANT TO US, PLEASE KEEP IN TOUCH. Please remember to let the Society know if you are moving. In addition to helping keep printing and postage costs down, you’ll help us keep our database up-to-date. Keep us informed of new addresses, telephone numbers, e-mail addresses, and any interesting news about your child. When Eddie was 4 we began to notice hard knots on his fingers and wrist. He also started having migraine headaches. I talked with his pediatrician who said not to worry, he would grow out of whatever it was. Eddie then developed an abdominal hernia; it was one thing after another. We still thought these were just normal childhood problems. Almost a year later Eddie was diagnosed with MPS I. This could not be happening. How could this be? It must be a mistake. How could this happen to us? I thought I would never stop crying. The words hurt and pain cannot describe the feelings I felt as a mother for her child. At that moment our lives changed as we knew it. As we tried to pick up the pieces in our lives, I grieved my son’s life. I took it hard. From age 5 to 12 Eddie’s health was managed by constant care. Doctor visits to monitor his heart, lungs, digestive system, vision, hearing, dental, orthopedic, physical therapy and occupational therapy. In 1993 my husband and I separated and I became a single parent. At age 13 Eddie broke his right hip in a freak accident. He had two major surgeries and almost died. I moved back home with my mother. My job allowed me to go on Family Medical Leave and later work from home. My mother cooked and I cared for Eddie. Eddie’s love for art kept him company while confined to bed for three months. He never complained, he just wanted to get better. Eddie’s high school years were up and down. He was sick often with respiratory infections. I thought I would lose my mind, but I had to stay strong for Eddie. In 1998 my mother died, and a year later Eddie’s best friend was killed. Eddie’s prom and graduation was a time of grief instead of happiness. In 2000 his hip became dislocated and he developed a restrictive lung disease. Following that Eddie did well until 2003 when he began to get sick again. In July of that year he began to receive Aldurazyme infusions and his health began to improve, until 2005 when he developed a serious respiratory infection. At present Eddie is doing well. The treatments have really improved his quality of life. It has changed Eddie’s life for the better. I am now legally blind and am no longer able to drive Eddie to his doctors appointments. I am no longer working. Due to the stress from daily living, my job, my condition and Eddie’s condition, I guess it all caught up with me. It is very important to take care of yourself when taking care of a loved one with a critical illness. Debra Bell (mother and caregiver of Eddie, MPS I) Debra and Eddie Bell Jr. (MPS I) Debra Bell is a colleague of mine. She and Eddie are a typical mom and son pair. In the beginning it was difficult for Debra to accept her son’s illness. He was so normal as a baby. As the years have gone by, she has accepted that their life can and should be lived as normal as any other family. In many ways what they have gone through has contributed to growing her in wisdom and compassion toward life and other lives. 10 Daphne Hardin International MPS Awareness Day, May 15, is a way to honor everyone in the MPS community. It offers an opportunity to remember all the children and adults who suffer from MPS and related diseases; to think about the children we have lost; to recognize the doctors and scientists who are dedicated to finding a cure; and to remember each other and be thankful for the strength and support we both give and receive. Following are some ways MPS day was celebrated this year. We ordered purple MPS awareness T-shirts with the names of our son and daugter on the back of them. Morgan, 4, and Blake, 2, were just diagnosed this year with MPS III. My husband and I went to preschool to hand out the T-shirts to Morgan’s classmates on May 15. We also handed out treats and explained to her classmates a little bit about MPS III. Our co-workers, friends and family members also wore T-shirts in support. Together with Stacey and Lew Montgomery, we are planning an awareness event in Cedar Rapids, IA. The local news sports caster will be the master of ceremonies, and Dr. Ebach from the University of Iowa will talk about how she diagnosed both Lucas and Morgan. There also will be a parent panel for questions and answers and a power point presentation by Lew and Stacey’s daughter on how Sanfilippo has impacted Lucas’ life. Jill McDermott (mother of Morgan and Blake, MPS III) I used the power of the Internet to get people to wear purple on MPS Day. I contacted family in Illinois, Florida, Minnesota and California. I also posted a reminder on my Facebook page. I e-mailed my local radio station to see if they would put an announcement out. Andrea Fay (mother of Isabella and Makenzie, MPS VI) I will think of you…but I do that every day. I will care for you. I will be glad for all that’s been learned and hopeful for all that is yet to be learned! Phyllis Feibelman (mother of Petey, MPS II) International MPS Awareness Day International MPS Awareness Day 2009 I sent an e-mail about my daughter, Allison Restemayer (MPS I), that mentioned her video on You Tube (www.youtube.com/watch?v=R96kiLWUhgg) meant to raise awareness. I asked that everyone forward the e-mail to everyone and anyone. I also brought purple ribbons to the office and requested that people wear purple and/or a purple ribbon. Jennifer Restemayer (mother of Allison, MPS I) 11 International MPS Awareness Day Dorothy Mask (mother of Ryan, MPS III) sent e-mails containing the message: GOT YOUR PURPLE ON? TODAY IS MPS AWARENESS DAY We sent an update on MPS awareness day about Sydnee (MPS I) and the National MPS Society. Robb, Trisha, Sydnee (MPS I) and Andrew Jensen I sent correspondence and posted a note on Facebook asking people to wear purple, and to take the time to read something, learn something and teach something about MPS. I also asked for a few prayers for the families who have lost loved ones to these disorders, for the families currently dealing with the real life challenges of MPS, and for the doctors and research teams working to find treatments. I wore purple at the hospital while Danny was getting his 136th infusion of Elaprase. During this hospital visit I was approached by the senior marketing manager of the children’s hospital to participate in a video for “Speak Now for Kids,” an organization that is working with children’s hospitals around the nation to urge Congress not to rush through healthcare reform just for the sake of being able to say it’s done. They need to take the time to really look at childrens’ healthcare and understand that kids’ needs are different from that of adults. Especially kids like Danny with rare and devastating disorders. So who better to make this plea than the families who deal with the healthcare system on a daily basis. I will be featured in a video of families talking about healthcare and insurance problems they have come across and asking Congress to “Speak now for kids.” I was able to give information about Hunter syndrome, the cost of enzyme replacement therapy, the shortage of local pediatric specialists willing to accept Medicaid, and the hoops we have to jump through to make sure Danny keeps his Medicaid so we don’t get buried in the deductibles and copays. I hope I touch enough hearts in Congress so they take the time they need and really make changes that will not only make things better for my family, but for all the other families out there facing the same struggle we are and more. Carolyn Hinton (mother of Danny, MPS II) We had the paper run an article to alert the community of MPS, and a cookout, bake sale and raffle. We raised money and spoke with individuals about MPS and its effects. I also contributed to Stacey Montgomery’s excellent video pictures of Clara and shared this on Facebook and everyone on e-mail. We spent the evening going out to a family diner and spoke with people in the restaurant about MPS. We rented videos for the kids. A long emotional day of ups and downs but worth it to raise money and awareness for MPS. Jenifer Gibson (mother of Clara, MPS III) 12 Clara Gibson (MPS III) celebrates MPS Day following week will be “Random Acts of Kindness” week at the school. It is amazing that one little letter can bring a school together to help kids who may have a tougher time fitting in due to various conditions and circumstances. The books I have written about Sam will be out and the kids are making posters with all kinds of information about MPS to make everyone in the entire school more aware. Sam’s sister, Jenna, and her group of friends all wore purple to high school as well, explaining MPS to those who asked why they all had purple on. We also watched a movie as a family and just celebrated being with each other. We feel truly blessed to have both Sam and Jenna. International MPS Awareness Day Sam’s school had purple ribbons for all of the students and teachers to wear for MPS Day. An announcement was made for the children and staff to wear purple and there were a lot of purple shirts coming out of the school upon dismissal, as well as purple ribbons hanging in classrooms throughout the school. I had written a letter to Sam’s school principal explaining that MPS Awareness Day is often celebrated by only the family of the child with MPS because it is a disease that is not well known. His school is going to have another MPS Day in addition to several other “disability days.” There will be a skit performed by several children, one of whom will be Sam, explaining the difficulties of being in middle school having differences or disabilities. The Heidi and Keith Caswell (parents of Sam, MPS I) The Ice Cream Corner (my store) raised $200 in three days for MPS Awareness! I had a big picture of my granddaughter, Allison Restemayer, up with an information page about MPS. I placed a sign in our window announcing MPS Day, and I answered a lot of questions from my customers. I ordered wrist bands to give to my special customers who gave so much. I sent videos of Alli and Ashley to more than 50 people. In addition, my daughter, Jessica, and her husband teach at a small college in Southwest Minnesota. At a meeting, Jess shared with her friends the cards of Alli’s picture and story. One man who just made out a check for the college booster club saw it, ripped up his check and made one out to MPS for $450! He said Alli needed it more than any booster club. Janelle Kunellis (grandmother of Allison, MPS I) Wal-Mart #1042 in Bastrop, TX, tried to raise enough pocket change to equal Mikey’s weight (63 lbs.) and well-surpassed their goal. I also shared MPS facts and info at our store meetings several times a week. At the end of the month Mikey joined our meeting. We celebrated the courage of Mikey and all of our MPS families. Star Bowen (mother of Mikey Beaver, MPS II) On May 14, Luke was at the hospital to have his weekly ERT, so the night before we made sugar cookies with purple candy sprinkles and took them with us to the hospital for all of the MPS ERT treatment staff. We also celebrated by making purple ribbons for MPS awareness and giving them to all of Luke’s ERT treatment doctors, nurses and office staff. Chet and Bethany Chambers (parents of Luke, MPS I) 13 International MPS Awareness Day We met with the members of the St. Joseph National Jr. Honor Society, who chose the MPS Society as one of the charities to give to this year. We also had lunch with Shalom Garcia (MPS I) and her dad, stepmother, sister and nephew. Angela Guajardo (mother of Karina, MPS III) Members of the St. Joseph National Jr. Honor Society with Luis, Annissa and Angela Guajardo Utah MPS families celebrated International MPS Awareness Day at Hogle Zoo in Salt Lake City. We had five MPS angels enjoying the day with their parents, siblings, and new friends they met who had lost loved ones. There were 12 families that lost MPS children, included grandparents, parents, siblings, nieces and nephews. This day was a celebration of life, and the memories of those who are no longer with us. New friendships were formed, and reunions with families that had lost touch were beautiful to experience. I hope you all spent time enjoying your MPS experiences, as we did in Utah. My family’s MPS experience was a blessing we didn’t want, but are thankful for. I would not know any of the families I spent the day with at the zoo without MPS. I am friends with many beautiful, caring families because of MPS. Mark Kristensen (father of Matt, MPS II) Utah families celebrating MPS Awareness Day at Hogle Zoo My mother-in-law purchased courage bracelets and distributed them with our fundraiser letter. My mother and a friend (pediatric doctor) held a Bagolitas Purse Party with 15 percent of all sales going to MPS. I also sent out a mass e-mail to colleagues, coworkers, family and friends about MPS awareness and attached our fundraiser information. 14 Jamie Fowler (mother of Jack, MPS II) International MPS Awareness Day I made about 400 purple ribbons that I attached to cards that said: “MPS Awareness Day. Please wear this ribbon to show your support. Waverly & Oliver McNeil have MPS III, a terminal genetic disorder without a treatment or cure. Please visit www.mpssociety.org for additional information.” I dropped 50 off at Waverly’s school, handed one to every doctor/therapist/friend, and Matt took about 300 in to work at the State Department. I also bought 300 grape lollipops and put a sticker on each that said “MPS Awareness Day” and gave the MPS Society’s Web site. We gave those away to the students at Wavey’s school and at Matt’s office. Waverly’s school gave a brief synopsis of MPS Day on the morning announcements and the teachers were given detailed information on their handout. I reminded my friends and family via my blog and Facebook to participate in MPS Awareness Day by wearing a purple ribbon or wearing purple and telling their friends about this devastating disease. Oliver and Waverly McNeil (MPS III) We have received wonderful feedback from people who wore the ribbon and wanted to learn more about Sanfilippo syndrome. It is my hope and prayer that the more people we can educate on this terrible disease, the more attention we can receive, will result in more funding so we will find a treatment and cure! Shannon McNeil (mother of Waverly and Oliver, MPS III) Adam, Jana and Ryan all took MPS T-shirts and bracelets to school and gave them to their classmates and staff. We sent home notes with information on MPS. The principal announced that is was MPS Awareness Day. The local newspaper took pictures and printed an article about our family and Ryan’s siblings’ perspective of MPS. My sister-in-law, Sara Hunt, took cupcakes to work and handed out little cards with the MPS Society Web site on them. She even had some people give her donations to pass along. Marie Hunt (mother of Ryan, MPS II) Ryan Hunt and classmates Lisa works in an elementary school and the staff of the school donated money to dress down on Friday, May 15. There also was a lot of purple being worn that day with purple ribbons. Some of the staff made T-shirts that were in honor of Riley, and we had several people ask us about MPS. Lisa also belongs to a singing and dancing group called SNAP and several of the members donated money toward MPS research. Riley’s cousin, Abby Swierz, goes to a Catholic school in London, OH, and all of the students donated $1 to dress down in honor of MPS awareness. The school raised $224. Robb’s colleagues have been donating a minimum of $2 to dress down on Fridays for the past three months in the name of MPS. Robb, Lisa, Donovan and Riley (MPS II) Muller 15 International MPS Awareness Day I wrote an update in Sasha’s Caringbridge journal and mentioned that International MPS Awareness Day was coming up. Sasha’s 5th grade teacher, Mrs. Hilliard, and her 1:1 aide, Barbara, read my journal entry and had some ideas. Sasha (MPS III) with her 5th grade class They had the 5th grade class wear purple T-shirts and take a class photo with Sasha. Mrs. Hilliard’s mom owns a local newspaper; we ended up with a front-page photo and a beautiful paragraph about Sasha and the disease. The kids made a banner that said COURAGE in purple that they all signed with notes to Sasha. I have it hanging in her room. Slowly, the whole school got on board. The teachers and even the principal wore purple. The kindergarten class made purple headbands that said “Courage.” Sasha was given the student of the week award in honor of MPS Day. The school assembly that day was a movie that Sasha’s 5th grade teacher and the 6th grade teacher did, a project on Sasha and Sanfilippo syndrome for a graduate course they are taking. They put together a beautiful video about Sasha with chronological photos and a song called “Courage Is” by The Strange Familiar played in the background. Purple ribbons were given out at school that day as well, (made by Mrs. Hilliard) and I also gave out purple courage wristbands to the teachers at school. When I came to pick Sasha up that day, the 5th grade class waited for me at the door all lined up, holding the courage banner they made for me and for Sasha. I couldn’t believe all the heartfelt effort put forth by so many individuals. It was a really emotional day, but so rewarding! Joanne Huff (mother of Sasha, MPS III) We were able to put a banner and lawn signs with photos of some of our MPS friends at our son Will’s school and daughter Nicole’s school. Our friends, the Crabtree family, made more than 300 awareness ribbons with Will’s name on them. We put ribbons and MPS awareness cards in the office at Will’s school and in the backpacks of each child at Nicole’s school. Each child wore a white shirt with the awareness ribbon on Friday. Nicole spoke at the assembly of 250+ at her school. She explained MPS and spoke of her brother Will, who has MPS III. She introduced him to the group of students, teachers and parents. The video clip is on our Web site (www.miracle4will.com). We also placed a small banner at our town hall. The mayor of our small town of 2,400 proclaimed June as Will Luthcke and MPS Awareness Month at the council meeting on May 19. We also left awareness cards and a flyer about our upcoming yard sale. We were featured in a three-minute segment on the local NBC news channel and a write-up in the Birmingham News. Misty Luthcke (mother of Will, MPS III) To celebrate International MPS Awareness Day we sent letters to our family and friends telling them about MPS Day and asking them to partner with us to raise money for the Society. It was our goal to get 35 donations to celebrate the MPS Society’s 35th anniversary. We also celebrated by buying 35 purple balloons and inserted a message about the MPS Society inside each balloon. We included the Society’s name, address and Web site. We wrote that our son has Hunter syndrome which is very rare. We had Cheyenne send off the balloons one by one. He enjoyed letting them go. We continued our celebration at McDonald’s, Cheyenne’s favorite place to eat. Cheyenne (MPS II) 16 Skip, JoAnn, Cheyenne (MPS II) and Travis Hill International MPS Awareness Day Ciara and Hunter have MPS III, so for MPS Day we all wore purple, of course. I made sugar cookies and wrote MPS in purple icing, and I made heart-shaped purple Jello Jigglers and wrote MPS on them with white icing. I bought purple balloons and purple Gatorade and Ciara and I went to Hunter’s school to celebrate MPS Day with his class. I set up a table with a purple tablecloth, plates and purple bows, and the teacher spoke to Hunter’s classmates about MPS. Hunter hasn’t been able to eat much by mouth lately but for MPS Day he managed to eat two Jigglers which was a lot for him. After the kids inhaled all the snacks, we all walked to the playground and had a balloon release in honor of all MPS kids and in memory of my sweet Tommy who passed away five years ago when he was 4 years old. All the kids let their balloons go except for Hunter, but with some help, he finally set his free and it didn’t take long for his balloon to catch up to the others and they all found their way to our MPS angels in heaven. The Bennett family celebrates MPS Day. Alicia Bennett (mother of Ciara and Hunter, MPS III) The students of Poquoson Primary School celebrated National MPS Awareness Day with Mackenzie. In honor of the event, a bird feeder was placed in front of the school that will eventually become a garden. Mackenzie’s teacher, Mrs. Heckle, read a poem welcoming birds to the feeder. The students each tossed a cup of bird seed in the direction of the bird feeder. Mackenzie’s classmates also spoke about why Mackenzie is special to them. It was a beautiful morning filled with love for Mackenzie. Mackenzie with her teacher, Mrs. Heckle Celebrity night for MPS was held at the Crabcake House in Poquoson, VA, on Saturday, May 16, to raise money for the National MPS Society in conjunction with National MPS Awareness Day. The event brought in quite a crowd with tips totaling $1,450. With a percentage of the sales from the evening and employee contributions, the Crabcake House contributed an additional $550 to bring the grand total to $2,000! Heartfelt thanks were expressed to the owner, Margaret Famiglietti, for hosting the event again this year. Jennifer Clarke (mother of Mackenzie, MPS III) Mackenzie Clarke (MPS III) with the celebrity waiters and Margaret 17 International MPS Awareness Day I took purple frosted cookies that I made to Children’s Hospital. The student pharmacist I was working with also made cookies with white frosting with purple ribbons. She also bought little bags and purple ribbons and printed out templates that had purple ribbon with the word “HOPE” which we tied onto the bags and laid out for anyone coming into the pharmacy to take. We also had a lot of different pamphlets. I made posters with pictures of our kiddos with the different disorders, as well as put out the decorated kite from last year. Overall I think it looked really lovely and was a great location given that most every patient and family had to bypass that area coming from the parking garage to get into the clinics and hospital. It was really kind of neat to be on the ‘inside’ of the pharmacy in the back room seeing where they compound prescriptions (this is where we put together the bags with cookies/ribbons, etc.) and to listen to Jake the owner talk about his experience when he first met me and looked up MPS as well as answering all of Ledia’s questions on what MPS is, how it has affected me, etc. and how different it was for her to see someone in person with the disorder vs. initially just reading about it after Jake talked to her about me. It was neat and totally something different! I think if we educated even a couple people and providers (and I’m sure there were a lot more than that as the pharmacy is always very busy) on what MPS is then I think our goal was accomplished! Erica Thiel (adult, MPS I) On National MPS Awareness Day Andrew was surprised when he came to school at the Pioneer Center in Chillicothe, OH. Everyone in his school—students, teachers, aides, janitors and bus drivers— were wearing MPS shirts. Andrew’s teacher sent a note home with every student explaining about MPS and encouraged everyone to log onto the MPS Web site to learn more about MPS. Andrew’s mom, Sharon, brought in pizza, cookies and juice for all in the intermediate grades. Andrew Cochenour with classmates The family of Andrew Cochenour (MPS II) We notified all the local TV and radio stations with Brinley’s story, an explanation of MPS, and Brinley’s song and pictures. We also notified local businesses in our county and the surrounding area. They all hung wreaths with purple flowers, wore purple shirts and purple ribbons, and handed out Brinley’s Web sites. We also notified the schools. They too wore purple and handed out purple ribbons and had a moment of silence for Brinley. We went to the zoo in Louisville where we spoke of Brinley’s story and gave purple ribbons attached to Brinley’s card. Because Memorial Day was only 10 days later we stretched out our celebration. Each day we went to a different place in the county and planted purple flowers in honor of MPS awareness and Brinley. On the last day we planted red because that is Brinley’s favorite color. Then on Memorial Day we released 15 balloons (one for each month of her life). Again 14 purple and one red. Attached to these balloons were tags that I made with Brinley’s Web site and a picture of him. We will continue to do this year after year and maybe someday we will beat this disease. I have dedicated a lot of time to fight as hard as I can now and forever. Amanda Craig (mother of Brinley, MPS I) 18 International MPS Awareness Day I wrote a song in memory of my children (Jason, Angie and Nathan). The song tells about the night we were told our first child Jason had the disease (MPS I). The last verse tells of the day Jason died. Terri Walden (mother of Jason, Angie and Nathan, MPS I) Jason’s Song The doctor gave us news about our little boy that night. I left the room, stood in the rain, and all my prayers seemed in vain and I cried, Oh! I cried. Lord, you took my heart, broke it in two, I bowed my soul before you asking, “What did I do to deserve all what I’m going through?” What I’m going through. Then I heard God say, “My child I love you so, there’s just one thing you need to know, The pain you’re going through, I’ll carry you, I’ll carry you through the darkest night, carry you, carry you till the light Carry you, carry you, carry you through.” As our boy got worse, our faith grew strong. From God’s strength and peace provided Morning came, morning came I heard God say I heard God say in that still small voice “I’m carrying you away, carrying you away. “I’ll carry you, I’ll carry you through the darkest night, carry you, carry you till you see light Carry you, carry you, carry you through.” God alone is faithful and true. God alone knows what’s best for you. So when you don’t understand and when you don’t see His plan and you can’t trace His hand Trust in His heart, Trust in His heart. You through the darkest night, carry you, carry you till you see light Carry you, carry you, carry you I carried him through his darkest night Carried him till he saw the light I carried him I carried home He said son, son welcome HOME. Words by Terri Walden Music arrangement by West Steiner 19 International MPS Awareness Day We organized and hosted a “Philanthropizza” fundraiser at our local California Pizza Kitchen (see page 27 for more information). In coordination with International MPS Awareness Day, we approached the two local schools our children attend with the idea of publicizing information about MPS and the National MPS Society in addition to supporting the event by distributing flyers to all staff and families that attend each school. We received full support from the administration and PTA at each school who ensured National MPS Awareness Day was recognized, and the flyers were distributed both in paper form to every student and electronically via school e-mail blasts. The result was an outstanding success that generated more than $1,100! The Fletcher family Greg, Sarah, Andrea, Ian and Erik (MPS II) The sadness of your child “not being like all the other children his/her age” has begun. On more than one occasion, each one of the boy’s classmates has made a comment about Trey (MPS IV) and his differences. I decided to take matters into my own hands to raise awareness of MPS by educating people on just how “special” Trey is. Along with signing up to bring snacks for his class on MPS Day and his birthday, I also brought awareness of Trey’s disorder. I had a photo card made that I attached to the treats, along with a cute picture of Trey, this poem and his blog address. My name is Trey, my birthday’s TODAY! I may look different… more like “special” I’d say! Along with the treats I was hoping that you’d take a peek to find out why… I’m such a “Special Little Guy”! www.ourtreystreasures.blogspot.com Trey Lane (MPS IV) My wish is that parents will visit Trey’s blog, read about his journey and explain to their children in simple terms why Trey isn’t exactly like them. My prayer is that the more friends Trey has who “understand” his condition, the less likely they will be to look at him differently, and maybe even explain to other kids how cool Trey is. Mike and Cami Lane (parents of Trey, MPS IV) We held a family picnic for International MPS Awareness Day. It was an incredibly cold day—windy with a high of 40 degrees! Those who endured the weather were rewarded with hamburgers and hot dogs, and we had a raffle of prizes from local businesses. We posted invitations to the five surrounding states and even went to schools and hospitals. A family from Florida was staying at the Ronald McDonald House and braved the cold. It really was great to see new faces and revisit with old pals. Colleen, Jason, Jessica (MPS I) and Ryan Moore Moore family picnic 20 The Society is fortunate to have families and friends throughout the year contacting us with the excitement of hosting a fundraising event to increase awareness about our cause and to raise funds for the Society. The evolution and creativity of ideas in fundraising have been a pleasure to follow and to see carried out by our dedicated families. Every so often we have the inquiry about hosting a joint fundraising event, which is an event hosted by one or more coordinators that raises funds for two or more unrelated organizations and their missions. For example, a charity dinner that issues proceeds to both the National MPS Society and the Cancer Society. As a nonprofit, we act as the intermediary between donors and beneficiaries and have an ethical obligation to ensure proper handling of funds to carry out our mission. Nonprofit fundraising should be conducted according to the highest ethical standards with regard to solicitation, acceptance, recording, reporting and use of funds. Nonprofits should adopt clear policies for fundraising activities to ensure responsible use of funds for designated purposes and open, transparent communication with donors. The Fundraising Committee at this time is finalizing a Joint Fundraising Policy. There are a number of issues to consider when coordinating a joint event: • For ease of recordkeeping and reduction of complexities, fundraiser coordinators wishing to raise funds for another organization, in addition to the Society, are encouraged to conduct separate fundraising events for each organization. • I f extenuating circumstances exist that make separate events impractical, fundraiser coordinators should contact the development director to submit a joint fundraising plan for consideration. •E vents must comply with the Family Fundraiser Reimbursement Policy by keeping thorough records of all monies received, expenses incurred and paid, formal request submissions (using the MPS Society reimbursement form) and all sponsorship funding recognized. •U pon approval of the fundraising plan by the Fundraising Committee—taking into account such issues as estimated donations expected, clarity to the donors, impact on other Society sponsored events, etc.—the joint fundraising event will be considered a Society sponsored event subject to the corresponding benefits and obligations. It is our obligation as a 501(c)(3) nonprofit to provide clarity, documentation and to protect our donors. As the Fundraising Committee finalizes the development of the new Joint Fundraising Policy, we encourage any questions or comments you have, which can be directed to Steve Holland, Fundraising Committee chair, at steve@ mpssociety.org, or Terri Klein, development director, at 919.806.0101. Fundraising News Joint Fundraising Policy Fundraising Committee: Steve Holland, chair Steve Chesser Ernie Dummann Steven Frye Anne Gniazdowski Angela Guajardo Larry Kirch Terri Klein MaryEllen Pendleton Naureen Sayani Laurie Turner Barbara Wedehase Amy White Fundraising Reminders • Don’t forget to submit a brief article for Courage about your fundraising success stories and suggestions—they are terrific resources for other families planning events. • Check out the fundraising section on the Web site for more information or to post your event. • For free MPS Society brochures and donor envelopes, or to submit information for the Web site or Courage, send an e-mail to Terri Klein at [email protected]. Keep in mind—Casual Dress for MPS, the Annual 5K Walk/Run and the Annual Fund are great ways to raise money for the National MPS Society. 21 Fundraising News Sponsor a Child for a Cure Each year we have families inquiring how can we do more for our children. How can we make a difference and help raise awareness and funds for MPS and related diseases research? How can we participate in a walk/run event if we are not able to host one ourselves and cannot attend another? The Society wants to provide an opportunity for each family and their loved one affected by MPS or related disease to participate in a nearby walk/run event, even if they cannot be there in person. We understand how gratifying it is to help raise funds for research and that each dollar truly adds up! Through Sponsor a Child for a Cure, families can participate in a selected walk/run event on behalf of your affected child, young adult or loved one who has passed on by assigning a walk/run participant to attend on behalf of your family. The family, in turn, can raise sponsorship for their loved one before the race begins. A photograph of your loved one needs to be e-mailed or mailed directly to the Society office. The Society office will provide families with sponsorship forms. Photographs will be printed and attached to the assigned walk/run participant who will run on your family’s behalf. At the end of the race, a photo will be taken of the participant and mailed directly to your family along with a courage award medallion. This is a new program within the walk/run events for the Society. We are starting this year with two events and will grow this program into all walk/ run events next year. The assigned events this year will be: 1. Boone, NC — Terri Klein 2. LaVerne, CA — Tami Slawson We encourage your family to participate. Register, get sponsors and make a donation! This will be a truly inspiring program and an opportunity for your family to help make a difference and fight for a cure! For more information, contact Terri Klein, development director, at [email protected] or 919.806.0101. National MPS Society Receives Three-Star Charity Rating Having received the prestigious four-star Charity Navigator rating for the last three years, the National MPS Society learned in December 2008 that we were awarded a three-star rating, indicating that we “exceed or meet industry standards and perform as well or better than most charities in its cause.” The board of directors has reviewed Charity Navigator’s detailed ratings table and scoring system in order to identify ways to earn a few more points to regain the four-star rating. Sean and Cody with their sister Amber and friend at their successful trivia night fundraiser 22 Fundraising News Walking for a Decade, and Still Going Strong! The National MPS Society’s annual walk/run events are some of the most successful fundraisers by simultaneously raising funds and awareness. Offering high visibility and tons of fun, these events draw thousands of participants across the country. This year marks the 10th anniversary of the inception of three of the Society’s annual walk/runs. Ryan’s Run Dorothy Mask, with the help of her parents, Fred and Joyce Koehler, has been hosting Ryan’s Run every year since 2000. Held at Lenape Park in Sellersville, PA, more than 200 participants attend this annual event. Dorothy has 30–40 volunteers, without whose help the event would not be possible. In 2000, the National MPS Society began promoting the walk/runs as the key fundraising event for the Society. Dorothy, a good friend of Linda Shine who was president of the Society at the time, admired Linda’s dream to have the walk/runs become the major fundraising activity for the Society as a way to get families involved in both raising money for research and raising awareness of MPS across the country. Dorothy decided to host an event of her own in her local community. She received much needed advice from Linda and from her brother, Tom, who likes to participate in runs and marathons. Tom was a big help in getting the first run off the ground. Every year, Dorothy’s mother plays a key role in planning and organizing Ryan’s Run. She solicits many of the donations from corporate sponsors. Dorothy’s son Jeremy collects donations from his classmates at school, his teachers, friends and neighbors, and from his boy scout troop. Plaques are awarded each year for the highest individual fundraiser and the highest group fundraiser. Jeremy has won the plaque for highest individual fundraiser for the past six years. One of the things Dorothy enjoys most about hosting Ryan’s Run is seeing the same people come back year after year. She has watched many children grow up and change over the years. People from every aspect of Ryan’s life come out to support the event. It has meant so much to Dorothy to have them there. Dorothy also loves having the opportunity to educate people about MPS. For Dorothy, every run is memorable but a few stand out as being especially remarkable. In 2005, the event was rained out. Dorothy and her parents sat at the park watching the rain come down in buckets. Many avid runners came out even though it was pouring and hoped to run, but the course was flooded and too dangerous. Donations came in any way and more than $10,000 was raised that year. Another memorable moment was in 2008 when no volunteers were available to lead the singing of the national anthem, so Dorothy’s brother Tom offered to do it. He stood up and began singing “My country tis of thee.” The crowd was confused but began to sing along. He realized he had messed up but it was too late to stop so he kept on singing. When he was finished he said “Play ball” and left it at that. They still tease him about it today. Every year, Pennsylvania State Representative Paul Clymer attends Ryan’s Run. He always talks about Ryan which makes Dorothy very proud. She loves being able to share stories about Ryan’s life. Dorothy’s nephew Jonathon, who is like a brother to Ryan and Jeremy, attends Ryan’s Run every year. Dorothy doesn’t worry about how much money they raise, what is important to her is having the opportunity to teach people about MPS and to keep alive Ryan’s memory. Dorothy continues to do fundraising for the MPS Society because it helps release the feeling of helplessness. It allows her to focus her energy on something positive and it gives her a great deal of satisfaction to know that she is doing something to fight to find a cure for this devastating disease. Run for Erin Stacy and Tom Peters have been hosting the annual Run for Erin every year since 2000. The event has been held at the Woodstock High School in Woodstock, GA, for the past nine years. Erin currently attends Woodstock High School. Each year, more than 50 volunteers help with pre-event planning, race day duties and postevent clean up. Approximately 350 participants attend this event. Many of the volunteers are high school students who are classmates of Erin. In the past nine years, Run for Erin has raised more than $190,000 for MPS research. continued 23 Fundraising News Tom and Stacy were avid runners. When they received a letter from the National MPS Society in 2000 announcing the walk/runs as the annual fundraising event for the MPS Society, they decided to host an event of their own. The only problem was they knew nothing about planning and organizing a 5K run. Participating in a 5K run is a lot different from organizing one. But that did not stop them. They attended a few 5K runs in the area to see what takes place and they took a bunch of notes. They went home and began the process of recruiting volunteers to help plan their first event. Their efforts paid off and they raised $39,000 the first year, an amazing accomplishment for a couple of amateurs. To help them celebrate the 10-year anniversary of Run for Erin, they will have a reporter from the local CBS news station, CBS Atlanta, as the cheering and applause from participants and onlookers as she completed the race course. Another special moment was when they hung a medallion around the neck of Tom and Stacy’s 9-year-old daughter, Kelly, who won her age group the very first year of Run for Erin. They also did the same for Stacy’s father and Tom’s mother who won their respective age groups. One of the greatest joys of hosting Run for Erin is that it brings their entire family together every year. It is like a family reunion. Family members come from Ohio and Tennessee the weekend of the run. A Run for Erin board of directors has been created and is made up of Gene and Laurie Sanders, Jana and Randy Clift, Virginia Richards, Ginny Hardwick, and John and Donna Richardson. Each of these members takes on a responsibility and makes sure everything gets done. There would not be a Run for Erin without them. Many other MPS families have attended Run for Erin over the years including the Frix family, the Shumantine family and the Prince family. Run for Erin Grand Marshal. They are hoping to get some TV coverage before, during and after their event this year, something they have never had. Run for Erin also will be featured on the local NBC morning news segment “Mugs in the Morning.” The morning crew will each use a coffee mug with Run for Erin advertised on it and they will promote Run for Erin during the morning show. One of the Run for Erin corporate sponsors, Chick-Fil-A based in Atlanta, is donating more than 100 of their stuffed cows to be distributed at Run for Erin this year. One of the cows will have a special coupon around its neck and the person who gets this cow will get a free Chick-Fil-A meal once a week for an entire year. One of Stacy and Tom’s most memorable moments was in 2006 when they came up with a way to allow Erin to actually participate in the 5K walk/run. It became known as “Push for Erin.” Volunteer “pushers” pushed Erin in her wheelchair the entire 5K course to clapping, 24 Stacy and Tom have received many rewards through hosting Run for Erin. Organizing the run allows them to actively participate in the fight to find a cure for all MPS disorders, even though there remains no treatment or cure for MPS III B. Erin knows the event is all about her. She sees people from all aspects of her life including family, schoolmates, teachers, friends and neighbors. She greets them all with her joyous expressions and giant hugs. 5K for Katie/Do it for Danny Linda and Mike Shine are proud to be among the first of the 5K runs beginning in 1999. The event has been held at the Log House Pavilion Kerr Park in Downingtown, PA, for the past 10 years. Initially it was just Linda and Mike along with some friends and family members. Fortunately, many people pitched in to help, some who were directly impacted by family members who had MPS, including Sue Wanstall, Les Sheaffer and Sue Rattman; others were people who wanted to do more to help with the cause. The effort of raising money for research for a cure is a very compelling argument for anyone. So, with a needed cause and a great deal of enthusiasm, the first 5K for Katie took place in October of 1999. continued Katie unfortunately only attended the first two events before she succumbed to the disease in August 2002, just months before the third run. The run has always been held on the second Sunday in October. Linda and Mike will never forget Katie’s spirit and determination in fighting the disease. Many of the volunteers were caregivers and friends of the family. While it has been 10 years, many of the same people join in the fundraising effort every year—rain or shine. After the second year, the Miller family—Amy, Ray, Danny (MPS II) and Haley—joined Linda and Mike in hosting the run. Amy and Ray brought a great deal of determination to the run and helped expand the effort to raise money for research. Linda and Mike were very glad to have the added help in expanding the fundraising efforts. Over the years there have been many different hands helping to raise awareness of the struggle the families impacted by MPS face every day. The fact that so many organizations offer gifts and contribute in so many ways has made the efforts very worthwhile. The runners who turn out, from high school teams to senior communities, makes the hard work seem easier—once the run is finished and the park is cleaned up! Many different events take place in conjunction with the run—from pony riders to a cheerleading competition. The Shine and Miller families have been fortunate to have had almost perfect weather each day of the run. One of the more dicey situations was when they had rain in the days before the run. There were flood warnings, strong winds and severe weather warnings for the area. They were all very anxious but reported to the park at 5:30 a.m. as always, but watching the creek in the park and all eyes were on the sky. The run was to start at 8:30; at 8:00 the sun came out and the winds stopped. The race went off Fundraising News Mike has been a runner for many years so he had some knowledge of what was needed, but Linda did most of the work in lining up parks, police and EMT needs. What started somewhat simple grew very rapidly. However, the unconditional love that Katie and the other children who had their lives impacted by MPS brought out many people who wanted to help. Katie’s siblings, John and Mackenzie, are now working with Linda on the event as well. 5K for Katie/Do it for Danny 5K for Katie/Do it for Danny with the usual suspects—more than 250 runners that year, one of the lesser attended events. After the last runners finished and the awards were presented the sky grew dark and the rain started again. Everyone scurried to their cars, their eyes were as wet as their faces knowing their guardian angels had worked their magic with the weather to allow the run to take place. They realize that those who attend are but a few of the many who work “behind the scenes” to help make it happen. Most years names of the sponsors are printed on the shirts. This year they will have the names of the many children who have succumbed to MPS since they started the race imprinted on the shirts. Each represents a family and a child whose life has been altered due to a very rare genetic disease. While we all question why it happens, it happens. We realize that much has been done and there is always more to do. The money raised by 5K for Katie/Do it for Danny and the many other events have made a difference in the lives of those who come to run, to walk or to lend a helping hand… for that we are forever grateful. 25 Fundraising News MPS Family Helps Raise a “Lot of Dough”! Greg and Sarah Fletcher have been members of the MPS Society since 2002 shortly after their youngest son, Erik, was diagnosed with MPS I. Their family raised more than $1,600 for MPS with the assistance of their local California Pizza Kitchen (CPK) restaurant. This type of fundraiser is available throughout the country and if you are interested in hosting one of these events, we encourage you to contact your local CPK. Philanthropizza! Several months ago we tried to come up with an idea for a fundraiser for MPS here in Southern California. A friend suggested contacting restaurants in the area that have experience working with charities. After looking around, we found that our local CPK has a program in place at all of their locations called “Philanthropizza” which fits the bill perfectly. When guests visiting the restaurant on a specific night bring with them a special flyer, 20 percent of their bill will be donated to the MPS Society. The flyer can be used for lunch, dinner or even take-out. The challenge is to distribute the flyers as widely as possible in order to draw the largest number of guests to the restaurant. What We Did We approached the two local schools our children attend with the idea of supporting the event by distributing the “Philanthropizza” flyers to all staff and families who attend each school. We received full support from the administration. The flyers were distributed both in paper form to every student and electronically via school e-mail blasts. Our whole family pitched in to help print flyers, organize them for distribution, make signs, purchase purple balloons and distribute purple courage wristbands to key supporters at each school. We also worked with our community association to pass flyers around throughout our neighborhood, in addition to e-mailing family and friends about the event. Great Results The result was an outstanding success! When we showed up for dinner at the restaurant, it was packed with people supporting MPS! The manager at CPK mentioned that fundraisers of this type are usually able to generate between $200 and $500 for the charity since, as a family restaurant, the average bill per person is between $15–$20. When the totals were calculated at closing time the manager e-mailed us with the wonderful news that the MPS fundraiser generated more than $1,000 that day! Some families who could not attend sent us checks made out to the Society, which raised an additional $600 for a total of more than $1,600! You Can Do It Too! We believe strongly that this type of fundraiser could be organized by many other MPS families with a CPK (or other restaurant) in their area. This is perfect for families like ours who want to raise money for MPS but are unable to devote the time necessary for larger events like walk/runs. This type of fundraiser will certainly take time and effort, but with an experienced partner like CPK it is not too difficult. We have set aside the materials we used to organize and promote MPS with CPK and our local schools. Why CPK is a Good Partner This type of event is much easier with a restaurant that has a program already in place. Basically, CPK is already set up to take care of the paperwork necessary so you can simply concentrate on getting people to visit the restaurant. With locations in 33 states, CPK is a great family-friendly restaurant that is perfect for this type of event. CPK’s program is designed to help you raise as much money as possible by including money from lunch and especially take-out orders. They also offer the opportunity to host the event over multiple days. In these tough economic times, we believe this type of event is a definite “win-win.” Many people can support MPS while also enjoying a nice evening out with their family and friends. You can draw on continued 26 Because of the devastating flood of 2008 in Cedar Rapids, IA, with many companies and corporations forced to reduce staff, tightly managing budgets and cutting back on donations toward nonprofit events, we were hit with many challenges in the planning of our 2009 Links for Lucas MPS Golf Outing campaign. Not knowing what to expect, we were successful at attracting more than 30 teams to the Saddleback Golf Course in Solon, IA, for a four-man best shot outing on June 26, 2009. Our attendance was stellar with 30–40 additional family, friends and spectators who came out to support our kids. We were honored to have two other MPS families, the McDermott and Valdez families, participate and take part in the joy of the day’s activities. Lucas (MPS III) was on hand to enjoy his event and attention from all of the pretty ladies (always his favorite). Other families and friends made the event worth every minute spent planning, organizing and asking for donations. Stacey and I worked to ensure logistically we had things in place and that participants would enjoy themselves as we remained focused on our awareness cause. One participant commented when asked if they planned to participate again next year: “This was our first time coming to a MPS event. We have heard about other MPS events in the community and we have seen Lucas and the Montgomery’s on the local news. My wife and I were moved by their story but we never knew quite how or where we could get involved. Our Fundraising News the support of your local schools and organizations in a way that leaves everyone feeling very good about participating. Our local CPK is excited about doing this event again with us soon and we are going to plan it as a two-day event. We hope other MPS families will consider this fundraiser as well. Who knows, maybe one day we could see a nationwide event with CPK—now that would really be a “whole lot of dough”! neighbor invited us to play in this year’s Links for Lucas outing and seeing them (Lew and Stacey) in action and what they are doing for their son and others like him is unbelievable. We had never heard of MPS until now. You can tell they love their children. You can count on us every year.” In addition to the participation we were fortunate to receive generous donations from the JM Swank Company and several local retailers who provided gift certificates, golf balls, coupons, golf attire and giveaways. In addition to meeting our immediate goals, awareness and fun, we anticipate more donations will be directed to the Society in the upcoming months as word of mouth continues to spread. We ask that other families who are considering taking on an awareness event to just do it! Our kids will reap the overall award. Lew Montgomery Jill and Lucas (MPS III) Valdez and Lew and Lucas (MPS III) Montgomery Ways to GIVE • Renew your membership or sponsor another family • Gifts in honor of a special person • Gifts in memory of a special person • Matching gifts through your employer (check with your human resource office) 1. Request a matching gift form from your employer 2. Complete the employee section of the form 3. Mail to the Society and we’ll do the rest • Contribute through the Combined Federal Campaign if you are employed by the federal government — CFC #10943 continued 27 Fundraising News • Designate the Society as a member of your local United Way. You will need to supply them with the Society’s name, address and Federal ID number (FEIN #11-2734849) • Annual Fund donation • Major gift (usually 10 times that of your Annual Fund gift) • Planned gift 1. Bequest in your will 2. Charitable remainder trust or charitable gift annuity 3. Charitable lead trust 4. Life insurance policy 5. Gift of appreciated assets (stocks, mutual funds and bonds) • Gifts may be applied to the Society’s general operating purposes or restricted to one of our designated programs. CONTACT: [email protected] or 877.MPS.1001 In addition to being a career firefighter at Wright Patterson AFB, OH, Captain Harold “Sparky” Sparks was a benevolent man who helped many children through his volunteerism and compassion. He would do this annually for an organization that helped children with special needs. Every year he would volunteer a week of his time at a camp for children and would take them fishing. This past October 2008, my son Aiden Spaeth was diagnosed with MPS II. When my fellow firefighters received word of Aiden’s new fight they went into action organizing and fundraising. In the forefront of this effort was Sparky, as always, when someone was in need he was there to help in any way he could. He was supportive from the start reaching out to my family with his big heart and helping with our every need. Sparky assisted in ensuring that more than 3,000 International Association of Firefighters locals were notified of Aiden’s story by spending hours addressing envelopes. Sparky passed away suddenly this past January and will be truly missed by many. To our surprise, his wife and family were so impressed with Sparky’s desire and effort to help in Aiden’s fight they determined that in lieu of flowers, donations were to be made to Aiden. Their generosity has overwhelmed us and many of those who have touched our lives over the last seven months. Aiden is blessed to be surrounded by kind and caring people. In celebration of Aiden Spaeth (MPS II) and his mother Kristin such a wonderful, compassionate man’s life we send this donation to the National MPS Society. The International Association of Firefighters has collectively raised awareness for Hunter syndrome and MPS either by wearing a purple courage bracelet or by educating family and friends. The support continued through a union-sponsored golf outing with more than 100 golfers and their families in attendance. There are many people responsible for making this happen. The fire department is most certainly a brotherhood and for us our family. In recognition of the IAFF Local F-88 and all of Wright Patterson AFB Fire Department I request you accept this donation for the Society. Jared and Kristin Spaeth 28 Fundraising News On Your Mark, Get Set, GO! The 2009 walk/run season is under way! Show support for MPS and related diseases and raise awareness by attending an event near you. Contact Terri Klein ([email protected]) to find out how you can be involved in a new program this year, Sponsor a Child for a Cure, in coordination with a 2009 walk/run. See page 22 for more information. Andrew’s Walk/Roll for MPS Krusade for Khunsha & MPS 5K for Katie/ Do It for Danny 8/29/09 Clarksburg, OH Sharon Cochenour [email protected] 9/19/09 Allison Park, PA Khunsha Numan [email protected] 10/11/09 Downingtown, PA Linda Shine [email protected] Laps for Lucas MPS & Mito Walk/Run 8/30/09 Cedar Rapids, IA Stacey Montgomery [email protected] 9/19/09 Eagen, MN Krysten Myking [email protected] MPS Run for Their Lives 5K River Run for Ryan 9/5/2009 Guttenberg, IA Jonathon and Marie Hunt [email protected] Miles for MPS 9/12/09 Grand Rapids, MI Laurel Radius [email protected] Sowden Family & Friends Walk for a Cure 9/13/09 Auburn, MI Josh and Sheri Sowden [email protected] Jack’s Run for MPS 9/19/09 Eden Prairie, MN Dara Persson [email protected] The Heartland Run for MPS 9/19/09 Ames, IA Alyssa Hajek-Jones [email protected] Nathan’s North Carolina Walk/Run for MPS 9/26/09 Boone, NC Terri Klein [email protected] BioMarin 5K Walk/Run 9/27/09 Novato, CA Kathie Ward [email protected] 10th Annual Run for Erin 10/3/09 Woodstock, GA Stacey Peters [email protected] Ryan’s Run 10/12/09 Fort Worth, TX Scott Hardin [email protected] MPS Walk/Run L.A. 10/17/09 LaVerne, CA Tami Slawson [email protected] Post Office Café’s Annual Fun Run for MPS For more information or to register for an event, go to www.mpssociety.org 10/17/09 Babylon, NY Kerri Rose [email protected] Evan Reed Family Fun Run 10/24/09 Mountain Grove, MO Laura Hiler [email protected] 10/10/09 Sellersville, PA Maria Mask [email protected] Thank you to the following walk/ runs already held in 2009: MacKenzie’s 5K Walk/Run Strides for Sara, Fair Haven, NY, June 2009 Kassi’s Kause, Travis Air Force Base, CA, May 2009 10/10/09 Poquoson, VA Jennifer and Steve Clark [email protected] 29 July 2009 Legislative Update #48 Legislative Committee: Ernie Dummann, chair Steve Chesser Debbie Dummann Stephen Frye Tom Gniazdowski Steve Holland Terri Klein Austin Noll MaryEllen Pendleton Laurie Turner Barbara Wedehase Kim Whitecotton 30 We are formally kicking off our Policy with Partners (PwP) program, and by now you should have received correspondence from the Society on this exciting new legislative movement. With the 111th Congress abuzz with topics ranging from special education, healthcare reform, etc. this program exists to have Society members, their friends and supporters standing by committed to reaching out to our elected officials on programs, legislation and policies that will impact all of our families who live with MPS and related diseases. Through open dialogue from you, and possible collaboration with other non-profits, we will connect, educate and motivate our legislators to make a difference for our members. When we call upon you, we will supply you with a template for you to personalize with your family’s specific information which can then be faxed, e-mailed or phoned in to your representatives. Please fill out your PwP form, and give us your ideas and suggestions as well as any legislation you find that can help our membership, or due harm to our families. If you have not received your PwP letter and form, please call our office or refer to our Web site. In May, Legislative Committee member Steve Holland accompanied MPS members Mark Dant, Eric and Vicki Merrell, Dawn Chercrallah and Melissa Bryant to call on the House of Representatives to gain additional support for H.R.1441, The Ryan Dant Healthcare Opportunity Act of 2009. At printing this proposed legislation has 46 cosponsors and is growing by the day. These members, along with other MPS families, called in advance to make 50+ appointments during their brief visit. After returning from their trip Vicki and Eric Society members join Mark Dant in Washington to support H.R.1441 Merrill sent this note to the Society: “I think we were received very well on Capitol Hill. Vicki and I had seven meetings ourselves, and were amazed by the way people responded to our plight. When we showed pictures of Sean and Cody, and discussed their struggles to date and the challenges they face in future, you could see that they understood the boys’ struggles.” We thank all our MPS families and staff for diligently writing, e-mailing and calling their representatives whenever we need our voices heard in our nation’s capitol! Vice President Joe Biden Announces Kareen Dale as Special Assistant to the President for Disability Policy First time a president has had a special assistant focused exclusively on disability policy Vice President Joe Biden recently announced Kareem Dale as special assistant to the president for Disability Policy. “The commitment that the president and I have to Special Olympics and people with disabilities is deep and abiding. And we are backing up those words with real action at the White House,” said Vice President Biden. “This is our first step to ensure we have a strong advocate for people with disabilities at the highest levels of our administration.” Dale, who is partially blind, will have direct access to the president in this role and he will coordinate the administration’s efforts to see that people with disabilities are on a level playing field with all Americans. Originally from Chicago, Dale previously served as the National Disability Director for the Obama for America campaign. He also served on the Arts Policy Committee and the Disability Policy Committee for then-Senator Obama. Legislative Update | July 2009 Department of Health and Human Services (HHS) Makes $75 Million Available to States to Expand Health Insurance Coverage HHS announced the availability of $75 million to help states expand health insurance access to the uninsured. “With these funds, states can look at the most effective ways to provide affordable health insurance to their uninsured residents,” said HHS Secretary Kathleen Sebelius. “Many states have had great success in recent years instituting health reforms and these awards will make it possible for more states to extend coverage to more people.” Grants will be made in two categories. Target grants of $2 million to $4 million will be awarded to states with plans to target specific groups of uninsured, such as children, small businesses or uninsured seniors. Comprehensive grants of $7 million to $10 million will be awarded to states for extensive insurance coverage initiatives. The application deadline was June 15; all applications needed the support of their state’s governor. The grants will be made over a five-year period and require a 20 percent match unless a state demonstrates a financial hardship. In addition, states must demonstrate their ability to sustain the program after federal funding has expired. The impact and results of state projects will be reported to Congress at the end of the five-year grant period. This new program will be overseen by the HHS Health Resources and Services Administration and is an outgrowth of the agency’s State Planning Grant program that operated from 2000–2007. The previous effort enabled many states to develop innovative plans that increased health insurance coverage for their uninsured residents. New National Institutes of Health (NIH) Program Focuses on Developing Therapeutics for Rare and Neglected Diseases The NIH has launched a $24 million initiative called The Therapeutics for Rare and Neglected Diseases Program (TRND, pronounced “trend”) that aims to develop new treatments for rare and neglected diseases. TRND will focus on diseases that private companies have not been working on and stimulate collaborations between academic scientists to advance the process of preclinical research and product development. Relationships with patient advocacy organizations, diseasespecific foundations and pharmaceutical companies also will be emphasized to efficiently move promising drugs to the clinical trial stage of development. The TRND program will be overseen by the NIH Office of Rare Diseases and administered by the National Human Genome Research Institute in collaboration with the NIH Chemical Genomics Center. Additional information is available at www.genome.gov/27531962 or www.rarediseases.info.nih.gov/TRND. 31 Legislative Update | July 2009 American College of Medical Genetics (ACMG) Issues New Position Statement Regarding Newborn Screening The ACMG has released a new position statement emphasizing the importance of retaining the dried blood spot filter cards obtained through newborn screening programs to ensure high-quality newborn screening in the United States. This statement is supported by newborn screening, consumer advocacy and public health officials from the Regional Genetics and Newborn Screening Collaborative established as part of the Newborn Screening Saves Lives Act (PL 110-204). The link to this new statement is www.acmg.net/StaticContent/NewsReleases/Blood_Spot_Position_ Statement2009.pdf. President Obama Announces Intent to Nominate Francis Collins as NIH Director On July 8, 2009, President Barack Obama announced his intent to nominate Francis S. Collins as director of the NIH at the Department of Health and Human Services. “The National Institutes of Health stands as a model when it comes to science and research,” said President Obama. “My administration is committed to promoting scientific integrity and pioneering scientific research and I am confident that Dr. Francis Collins will lead the NIH to achieve these goals. Dr. Collins is one of the top scientists in the world, and his groundbreaking work has changed the very ways we consider our health and examine disease. I look forward to working with him in the months and years ahead.” Francis S. Collins, Nominee for Director, NIH, Health and Human Services Francis S. Collins, MD, PhD, a physiciangeneticist noted for his landmark discoveries of disease genes and his leadership of the Human Genome Project, served as director of the National Human Genome Research Institute (NHGRI) at the NIH from 1993–2008. With Dr. Collins at the helm, the Human Genome Project consistently met projected milestones ahead of schedule and under budget. This remarkable international project culminated in April 2003 with the completion of a finished sequence of the human DNA instruction book. In addition to his achievements as the NHGRI director, Dr. Collins’ own research laboratory has discovered a number of important genes, including those responsible for cystic fibrosis, neurofibromatosis, Huntington’s disease, a familial endocrine cancer syndrome and, most recently, genes for adult onset (type 2) diabetes and the gene that causes Hutchinson-Gilford progeria syndrome. 32 Dr. Collins has a longstanding interest in the interface between science and faith, and has written about this in The Language of God: A Scientist Presents Evidence for Belief (Free Press, 2006). He has just completed a new book on personalized medicine, The Language of Life: DNA and the Revolution in Personalized Medicine (HarperCollins, to be published in early 2010). Collins received a bachelor of science degree in chemistry from the University of Virginia, a PhD in physical chemistry from Yale University, and an MD with honors from the University of North Carolina. Prior to coming to the NIH in 1993, he spent nine years on the faculty of the University of Michigan, where he was an investigator of the Howard Hughes Medical Institute. He has been elected to the Institute of Medicine and the National Academy of Sciences, and was awarded the Presidential Medal of Freedom in November 2007. Legislative Update | July 2009 The 111th Congress: Legislation We Continue to Follow: S.442 / H.R. 1085 The Health Insurance Coverage Protection Act Introduced by Sens. Byron Dorgan (D-ND) and Olympia Snowe (R-ME), and Rep. Anna Eshoo (D-CA), this bill increases the minimum lifetime caps in private insurance plans to $10 million with an annual inflationary index. The legislation will allow people with bleeding disorders and other high-cost chronic conditions who have private insurance to maintain their coverage and not have to seek public assistance such as Medicaid or state high-risk pools. H.R. 2866 Improving Access to Clinical Trials Act of 2009 This bill is aimed at aiding rare disease trials by allowing patients with rare diseases from losing their Supplemental Security Income (SSI) status by participating in clinical trials for which they are paid. Current laws prohibit SSI beneficiaries from accepting research compensation. The sponsor is Rep. Markey (MA-7) and was introduced June 15, 2009, with several cosponsors. This legislation was referred to the House Committee on Ways and Means. S.726 & H.R. 1427 Promoting Innovation and Access to Life-Saving Medicine Act Again, we continue to watch for progress on these bills which will create a regulatory pathway for the U.S. Food and Drug Administration to approve generic biologics, or biotechnology products. See page 44 for more information on biologics. H.R. 2965/S.1233 Enhancing Small Business Research and Innovation Act of 2009 This bill amends the Small Business Act with respect to the Small Business Innovation Research and Small Business Technology Transfer programs to extend funding and revise provisions, including those concerning qualifications for program participation, research and development topics, nanotechnology, project goals for funded projects, project commercialization, second and third stage funding of projects, outreach to increase program participation, prioritization of applications, and federal administration and oversight. Lifespan Respite Care Act (P.L. 109-442) Although some funding was received for FY2009, we appreciate the members’ support with their calls to legislators to fully fund Lifespan Respite at $71 million in FY2010 Labor/HHS/Education appropriations bill. 33 Making Headlines One of the goals of the National MPS Society is to increase awareness of MPS diseases. With the assistance and persistence of our members, we are making great strides. Don’t forget to let the MPS Society know when you are featured in a media story! Following is an excerpt from an article that appeared in the Daily Republic, Fairfield, CA, June 4, 2009. Written by Susan Winlow. To read the complete article, go to http://search.dailyrepublic.com/display.php?id=1356. After Diagnosis, Family Makes Most of Ill Daughter’s Life Before 7-year-old Kassi Belle Offenbacker turned 5 she was given a death sentence. Diagnosed with incurable Sanfilippo Syndrome Type A, a form of mucopolysaccharidoses, in July 2006, Kassi won’t see much of her teenage years. MPS, and its related forms, is hereditary. The Offenbackers live on Travis Air Force Base with their two children. The symptoms are varied such as degenerative motor and verbal skills, and autistic behaviors. Seizures afflict many in the latter stages and while symptoms differ in each child the common result is certain early death. “We just went into shock,” Mike Offenbacker said of the diagnosis. “You don’t expect that.” Unexpected because at 3 in 2004 Kassi had a full vocabulary, was potty trained and was mobile as any preschooler. Then behavior changes piqued concern in her parents. Following is an excerpt from an article that appeared in the Press Telegram, Long Beach, CA, May 28, 2009. Written by Sean Belk. To read the complete article, go to www.presstelegram.com/search/ci_12473612?IADID=Searchwww.presstelegram.com-www.presstelegram.com. Dinner to Help Fight Rare Diseases Spencer Gates, 12, hopes for support in ‘storage disease’ fight It was Easter when 12-year-old Spencer Gates came to his friends’ house to play his favorite game: poker. An astute, neatly dressed student, Spencer definitely likes to win, whether it’s playing chess or being the designated hitter for his Catholic parish elementary school. But he is modest for a child his age. He deals with much tougher odds in his own life. Spencer suffers from a rare and painful condition, a disease known as mucolipidosis type III, also called Pseudo-Hurler polydystrophy disease. Finding the right treatment early on can be a hurdle, because a lot of patients don’t show physical signs until school age, and some children are misdiagnosed. Since it’s a degenerative disease, most patients face an uncertain, premature death. Spencer was lucky enough to be diagnosed at the early age of 10 months. Aside from taking daily pain medications and calcium for bone density, Spencer is in need of hip replacement surgery, but can’t go through with it because his body hasn’t grown enough yet. He was also a part of Greenwood Genetic Center’s Natural History Study for Mucolipidosis in 2006. His family might take him back to the South Carolina Center in July for another round. Steve Chesser, former senior manager of community relations for Boeing Co. in Long Beach area, said parents with children of storage diseases have the common fears and struggles that go with having their child’s life at risk. Chesser’s son, Bryce, has what’s called MPS type II, or Hunter’s syndrome, carrying many of the same symptoms. 34 Making Headlines Following is an excerpt from an article that appeared in the Wilmington News Journal, Wilmington, OH, May 7, 2009. Written by Dan Liggett. To read the complete article, go to www.wnewsj.com/main.asp?SectionID=49& subsectionID=156&articleID=176485. Clara’s Courage “Courage” is the slogan of the National MPS Society, and the Gibson family of Wilmington has plenty of it. Their 7-year-old daughter Clara has MPS, which is short for mucopolysaccharidoses, a disease for which there is no cure. It is a recessive disease which, in all probability, will claim Clara at a young age. “When we first got her diagnosed, we couldn’t even talk about it with breaking down and crying about it,” Shane said. “Now, we try to keep her happy, and love her while we can.” And Clara does seem happy. “Daddy,” “Mom” and “I love you” are most of the few words she can say. Her primary means of communication appears to be physical. Incapable of expressing herself in ways that others take for granted, Clara plays and shows affection for her parents by lunging into them. It would be sad to the observer if not for the bond that is obvious between mother, father and child; if it were not for Shane’s and Jenifer’s strength and patience as parents, and their courage to appreciate the time they have with their daughter. Sam Caswell, MPS I, recently was featured in The Bedford Bulletin, Bedford, NH, for his participation in the Special Olympics state basketball tournament. Sam won a gold medal for dribbling 185 times in one minute without losing contact with the ball. Dec. 17–20, 2009 The National MPS Society will celebrate its 35th anniversary during the opening evening of the Disney conference, Dec. 17. A wide range of topics and speakers are planned for Friday, Dec. 18, ending with the awards banquet. The remainder of the weekend will be free for families to enjoy the parks, including evening fireworks. Thanks for your ideas about how we can improve the conference. Registration materials have been sent and are posted on the Web site. Contact Laurie Turner at [email protected] with questions. 11th International Symposium on Mucopolysaccharide and Related Diseases June 23–27, 2010 Adelaide, South Australia “Translating Research into Clinical Reality” Hosted by Lysosomal Diseases Australia, Mucopolysaccharide & Related Diseases Society Aust. Ltd. and Lysosomal Diseases New Zealand, this international conference will include exciting scientific and family programs that will focus on the areas of newborn screening, prognostics, understanding pathology and therapeutic options. Genuine opportunities for thorough discussion and debate, for both academics and families, will be featured. For more information, visit www.mps2010.com.au. Upcoming Events Disney Family Conference 35 Remembering Our Children Kristofer Arnold Dan Rudny 27, MPS VI, 7/19/09 42, MPS II, 7/12/09 Bobby Bourgeois Andrew Watkins 13, MPS III A, 6/10/09 10, MPS II, 7/18/09 Rishi Garg Stephen Weaver 13, MPS II, 6/09 30, MPS II, 5/3/09 Diana Rodrigues 19, MPS III, 8/4/09 Chad Pyper, MPS II 12/10/88–12/30/08 Chad has been my teacher, the love of my life, and my inspiration for 20 years. Since the day he was born I have counted his heartbeats and relished each and every moment I had with him. For the past 13 years, Chad lived with me and what fun we had! Chad was the perfect son. Chad was born in Phoenix 20 years ago. His first name means “warlike” in Scottish. His middle name “Barton” came from his great, great, great grandmother Kathryn Barton, who left Enland in 1847 seeking religious freedom, and who died as a Mormom pioneer after arriving in Utah. On March 14, 1990, Sarah and I met with a doctor at Phoenix Children’s Hospital who forever changed our lives. He informed us that Chad had Hunter’s syndrome and wouldn’t live past the age of 12. After that time, Sarah and I traveled to the University of Minnesota, University of Michigan, University of North Carolina and the University of Washington, meeting with doctors who could give us hope. Initially, a bone marrow transplant was thought to be an option. Despite having insurance, we did not have a marrow match, whereupon our neighbors in the Arcardia neighborhood and in Greeley, CO, spearheaded fundraising events and donor drives, where more than $500,000 was raised and 5,000 donors were added to the Arizona donor registry, tripling it in size. But no match for Chad. Sarah and I were about to proceed with a marrow transplant involving a mismatch when, after lengthy prayer, the Spirit prompted me to stop that pursuit. Six months later we learned that 35 Hunter boys had received transplants, half survived, none were helped. Chad would Chad Pyper with his father Mark have been number 36. This spiritual counsel gave us 18 additional years with Chad, a blessing I will always cherish. Because of Chad’s donors to the Arizona marrow registry, more than 10 transplants have been made possible and almost as many lives have been extended. Chad did not live in vain. His race is finished, but our time continues. Chad reminds you that life is short, unpredictable. He illustrates that death is a reality to be faced by each of us, in turn, in time. Chad’s life demonstrates that true happiness is found in serving others. My angel has returned home. Mark Pyper 36 Remembering Our Children Brigham James Reneer, MPS II 11/18/94–5/15/09 Brigham was our first child. It was evident from his very first breaths that he was a choice and mighty spirit. He was large and strong and a pure delight to us and his extended family. Brigham loved life. He loved to sing, run, play, eat all kinds of foods, ride his ponies (Joe Willow and Perky), Disneyland, birthday parties, his tarzan treehouse, swimming, car rides, stories, the beach, movies, his trike, fishing, his dogs Mighty Jo and Olive, camping, and so much more. Most of all Brigham loved being with his family. Brigham had a great affection for his many cousins, aunts, uncles and grandparents who all adored him. A week after Brigham turned 3 years old he was diagnosed with acute lymphocytic leukemia. Three days later, our son also was diagnosed with MPS. We learned this would be terminal and degenerative. His life expectancy would be between the ages of 10 and 12 years of age. We always knew in our hearts that Brigham would live to the age of 14. He endured with courage and without complaint, painful treatments for his leukemia and after five years, he achieved remission. For Brigham, MPS was the bigger beast to fight. He fought to not let this devastating syndrome slow him. Every day was an adventure for Brigham. He always found the joy amidst his pain and suffering. Brigham was a member of the Church of Jesus Christ of Latter-day Saints. He enjoyed attending church and singing the hymns. In the early years, Brigham’s voice could be heard above all others. He loved the missionaries and expressed to us his desire to go on a mission. We already knew he was serving his mission. However, when Brigham was 6 years old, he was called to be a youth missionary. He loved visiting different primary meetings all over Utah. He gratefully wore his black suit and tie, black shoes, white shirt and his missionary badge as he shared his testimony of his Savior Jesus Christ. We know he knew Him in a very real way. The disease continued to ravage his little body and it became more and more difficult for him to do the things in life he enjoyed so much, as well as all the simple things like walking, talking, eating and breathing. Brigham never complained. He was an example of courage, bravery, and of enduring well in the face of continuing pain. Brigham “fought the good fight, he finished his course, and he kept the faith.” He lived like no other individual we have known, valiantly fighting, even in his passing. He left this world, encircled in our arms and surrounded by his loving family. He was indeed a pure vessel, without guile and incapable of sin. He “walked the earth with clean hands and a pure heart, an angel out of his element.” We look forward and long for the time when we will all be reunited again. Thank you Brigham, Thank you, Thank you. We love you. Mom and Dad (Julie and Randy Reneer) Bereavement programs honor those lost to MPS and related diseases The National MPS Society’s Family Support Committee developed the White Rose Program for families whose child with MPS or related disease passes away. The Society sends white roses to the family for the memorial service or to the family home. We also reach out to the family, offering to connect them with other parents who have walked this road and mail a series of booklets designed to help with the grieving process. The Society sends white roses again at the one-year anniversary. Former board member and Legislative Committee Chair Sissi Langford expressed her desire to have a flag flown over the U.S. Capitol building for each person who loses his or her battle with MPS. When the Society is notified of the passing of one of our members with MPS, the office contacts the family to offer having a U.S. flag flown over the Capitol building. Plans are then made with the member’s congressman or senator to have the flag flown in memory of their loved one. This program has been in place since January of 2009. After the flag is flown over the Capitol, the flag is folded and is mailed to the family along with a certificate to commemorate the special day. Several congressmen have personally contacted families expressing their sympathies and, in the process, learn about MPS. The response from this new program has been very heartwarming. The Society is pleased to offer such a wonderful memorial tribute for our members. If you wish to learn more about this program, contact Laurie Turner, program director, at [email protected]. 37 Standing Ovation Let’s Give a Standing Ovation to… The Standing Ovation Award honors amazing people in our MPS family for their resilience, courage, tenacity and passion for life while facing the many challenges of having MPS. This award was created by Denise Dengel, an adult with MPS I, who knows the daily struggles of living with MPS and envisioned an award to honor the individuals who also battle MPS each and every day. We give a standing ovation to: Jennifer Prince, 22, MPS I My name is Jennifer Prince, I am from Lawrenceville, GA, and I have been blessed with having MPS I. I am your typical college student: I stay up late at night to do an assignment that is due the next morning, I am constantly on my computer or my nose is in my school book trying to understand what my professor was teaching me during class. As of now, I go to Georgia Gwinnett College in Lawrenceville; however, I am trying to get into Georgia State University to continue on with my major, marketing. I want to be able to work for Genzyme. I have an amazing boyfriend, Johnathan Craps, he goes to my favorite school of all time, Georgia Tech. I am a HUGE fan of sports, and the Georgia Tech Yellow Jackets are at the top of my list. Johnathan likes to joke with me because at every game I go to I dress up. I wear the jersey, paint my face, and cheer loudly. I support my hometown teams (except the University of Georgia), wearing a puck-hat for the Atlanta Thrashers, doing the “Dirty Bird” dance at the Atlanta Falcons game, the tomahawk at the Braves, and the Hawks. Not only do I love sports. I also enjoy going to concerts with my friends. I love being with my friends listening to great music. But, I can also be found in my room reading a good romantic book or a historical non-fiction book. I enjoy so many different things and meeting new people. I am just a normal girl which is why when I found out I got this award I was surprised. I know people with MPS who have it worse than I do, but I feel special to receive such a great award. Thank you. I love to travel. For my graduation gift, my parents flew me to Zurich to visit my cousin and her husband for 11 days. They took me throughout Switzerland and parts of Germany, as well as parts of Austria. I got to see where Albert Einstein lived and the Cinderella’s Castle, which is actually called Neuschwanstein Castle, in Bavaria. Lastly, and probably the most important thing, my sister and I were approved to be in the clinical trial to get Adurazyme®; however, the trial was a double-blind placebo, so neither the doctor nor my family knew who got the drug. After my sister began to improve, by the flattening of her stomach, she also was getting somewhat less stiff, and she gained more energy. Everyone figured out that my sister, Savannah, had gotten the true drug, yet I did not. Luckily, the FDA approved the medicine and now not just me, but a lot of other people can get this life-saving drug. 38 Standing Ovation David Radius, 15, MPS II David enjoys riding in his golf cart, which his dad made to look like a Hummer. He also enjoys watching movies about dogs and soaking in his hot tub. David likes spending time with his sister, Amy, and brother, Chip, who also has MPS II. Oreo cookies make David happy. At Christmas one year, David’s uncle got Oreos for a present, and David would not give up until he got the entire package for himself. David’s proudest accomplishment was when he learned to ride his bike when he was younger, and is still able to ride today with some help. He loves to golf with daddy and grandpa. David used to walk the entire Miles for MPS with his family; today he still completes at least one lap before being pushed in his chair the rest of the race. Joshua Downing, 30, MPS III Joshua James Downing was born March 22, 1979, in Wheeling, WV. He was 7 years old when he was diagnosed with MPS III. His life expectancy was the second decade of life; Joshua turned 30 this March. Joshua’s favorite things to do when he was young were swimming, bouncing balls, boxing and taking long walks in the neighborhood. He also loved horses. We bought little horses in many colors and he carried them wherever we went. Now that Joshua is older it has been difficult to take him out. He has been bedridden since he was around 20, due to having a tracheotomy and CPAP. Josh now enjoys TV, music, his various light shows and his star lights on his ceiling. Overall Joshua is healthy. Joshua has touched many lives. He was always happy and smiling. His smile touched everyone’s heart. Everyone who met him went away with a new way of thinking about a handicapped child. Joshua has made us a stronger family. He made us who we are today. Joshua has been a joy. Thank you for honoring him with this Standing Ovation Award. Rachel Cumpain, 16, MPS IV Rachel enjoys reading tons of books. When reading, she feels she can just escape her world and go somewhere else. She also enjoys hanging out with her friends, even though they are normal-sized. She is the shortest in her entire school, which has its perks since she doesn’t have to do physical education and has been blessed to use an electric wheelchair to transport herself across the campus. She’s never let her syndrome prevent her from having fun. She enjoys doing choir and drama with her classmates. Rachel loves to be on stage, and gets many kudos when she is in school plays. She even participates in chapel choir at her school, along with the regular choir. Rachel is great on the computer as well, and can type at an amazing speed. 39 Standing Ovation William Peterson, 63, MPS VI I was born in Muncie, IN, in 1946. My life was pretty normal until my parents noticed, at age 11, that I didn’t have the same physical abilities as other kids my age. At that time I began seeing specialists, and since that was the mid 50s no one knew what my condition truly was. I attended college and later married. My wife, Cheryl, and I have three adult daughters who are all normally healthy and have blessed us with five grandsons and three granddaughters ranging in age from 3 to 21. We have lived in Fishers, IN, since 2000. I have spent my entire working career as a senior manager in the trucking industry, most of the time at the vice president level. Currently I am doing consulting work and contemplating retirement but just can’t quite give up working even though physically I should. I have been blessed to have wonderful doctors, especially at Riley Hospital in Indianapolis, IN, and a great MD, Jeffrey Walker, who took the time to learn about MPS VI and coordinate with the good people at Riley to guide my health situation. It seems that my life journey with MPS VI is mild compared to others. I had both hips replaced in 1982 at which time I could return to my passion, playing golf (which I can no longer do). I also had two heart valves replaced in 1994. My overall physical condition has deteriorated over the past five years, but in general I have no major complaints. I had the priviledge of going to Oakland Children’s Hospital to participate in the early stages of the BioMarin enzyme development which was very interesting. I felt that whatever I could do to help young people with MPS VI was very important. I have not had the therapy as I can’t afford the tremendous cost and am uncertain as to the benefit. All things considered, I have had a pretty good life to this point. I look forward to seeing our grandchildren become adults. Last but certainly not least, I owe a tremendous amount to my wife and partner, Cheryl, without whom I could not function each day. I look forward to continued medical progress and sincerely hope that one day this genetic problem doesn’t exist. Nathan Marquez, 8, MPS VII Nathan enjoys reading books, especially those about cartoon characters and dinosaurs. He enjoys singing songs; his favorite song is Barney’s “Mr. Sun.” Nathan is happiest when he watches Sponge Bob and other cartoons. He is a homebody and enjoys spending time with his pet dogs Burger, Pulga and Ringo. Nathan is happy, always smiling, and enjoys life to the fullest. He currently is recovering from hip surgery, and he is still smiling. Nathan is able to read his own name, is learning his letters, counting from 1–10, and is able to sit down and focus on tasks at school. 40 Standing Ovation Jenny Klein, 17, ML III My name is Jenny Klein and I am a senior at Dexter High School. At the age of 8 I was diagnosed with ML III. Before I was diagnosed I participated in all kinds of sports. I played soccer, softball and basketball. I also was a gymnast, ice skater and competitive dancer. As I got older my mobility became limited, but that did not stop me. I still enjoyed the everyday activities that children my age did as well as danced competitively. Currently I enjoy music. I play the clarinet and am in the marching band. I enjoy dancing, jet skiing, going to the beach, acting/performing and hanging out with friends. I am a senior Girl Scout so I love spending time with them and helping out our community as well as just having fun. I take every day as it comes. I definitely had my share of ups and downs but that does not stop me from accomplishing what I want. I have learned that I can do whatever I set my mind to. Sometimes the doctors might not always agree but there is always a risk in accomplishing your goals. Having ML has taught me that things in life are not easy. Most of the time I have to work twice as hard as anyone else but that only makes me stronger. Whenever I fail my family and friends are always there to help me pick up the pieces. They are the ones who get me through the day, and without them I do not know where I would be. My proudest accomplishment is going to the university of my choice. I have worked hard throughout my high school career and it is nice to finally see it pay off. I also am proud to say that I helped build a labyrinth in the Huron Metro park with my Girl Scout troop. Three days on our hands and knees digging in the dirt during thunderstorms but it was all worth it, seeing that it has been a great tribute to our community. A Warm Welcome introduces new Society members/families and also offers members yet another chance to connect with one another. If you have a moment, please contact the new family to say hello and welcome them into our MPS family. If you have been a member for a longer period of time, but would like to introduce your family to the rest of the Society, please e-mail Laurie Turner at [email protected]. The National MPS Society welcomes Christopher Dutcher (MPS II). I was diagnosed when I was 6 years old; my younger brother Cody and I both have MPS II. I graduated from Brentwood High School on Long Island where I grew up. I started the FDA study for ElapraseTM in 2000. I was the first person in the study but I later found out I was receiving the placebo. I wasn’t actually put on the drug until six months later. I received the drug at UNC Albany Medical Center and most recently at the oct/hemo office of western Suffolk county. I am now receiving infusions at Florida Cancer specialists in Clearwater. University, and I graduated this past May with a dual MBA in marketing and management. At present I am living in the Tampa area and have been looking for a job. I would like to get a position doing account management or business development. I enjoy spending time with friends and family. I’m also a big reader, Kurt Vonnegut is my favorite author. I graduated from the University at Albany-SUNY in 2005 with a degree in communications. I began graduate school in 2006 at Hofstra Christopher Dutcher (MPS II) A Warm Welcome A Warm Welcome 41 Research News: Hope for the Future What Is Biomedical Research? Biomedical research is the broad area of science that looks for ways to prevent and treat diseases that cause illness and death in people and in animals. This general field of research includes many areas of both the life and physical sciences. Utilizing biotechnology techniques, biomedical researchers study biological processes and diseases with the ultimate goal of developing effective treatments and cures. Biomedical research is an evolutionary process requiring careful experimentation by many scientists, including biologists and chemists. Discovery of new medicines and therapies requires careful scientific experimentation, development and evaluation. Why are animals used in biomedical research? The use of animals in some types of research is essential to the development of new and more effective methods for diagnosing and treating diseases that affect both humans and animals. Scientists use animals to learn more about health problems, and to assure the safety of new medical treatments. Medical researchers need to understand health problems before they can develop ways to treat them. Some diseases and health problems involve processes that can only be studied in living organisms. Animals are necessary to medical research because it is impractical or unethical to use humans. Animals make good research subjects for a variety of reasons. Animals are biologically similar to humans. They are susceptible to many of the same health problems, and they have short life cycles so they can easily be studied throughout their whole life-span or across several generations. In addition, scientists can easily control the environment around animals (diet, temperature, lighting), which would be difficult to do with people. Finally, a primary reason why animals are used is that most people feel it would be wrong to deliberately expose human beings to health risks in order to observe the course of a disease. Animals are used in research to develop drugs and medical procedures to treat diseases. Scientists may discover such drugs and procedures using alternative research methods that do not involve animals. If the new therapy seems promising, it is tested in animals to see whether it seems to be safe and effective. If the results of the animal studies are good, then human volunteers are asked to participate in a clinical trial. The animal studies are conducted first to give medical researchers a better idea of what benefits and complications they are likely to see in humans. A variety of animals provide very useful models for the study of diseases afflicting both animals and humans. However, approximately 95 percent of research animals in the United States are rats, mice, and other rodents bred specifically for laboratory research. Dogs, cats and primates account for less than one percent of all the animals used in research. Those working in the field of biomedical research have a duty to conduct research in a manner that is humane, appropriate and judicious. Scientists continue to look for ways to reduce the numbers of animals needed to obtain valid results, refine experimental techniques and replace animals with other research methods whenever feasible. MPS III patients needed for research study This research project will focus on how the immune system is affected in patients with MPS III A or B. A blood test will be done to measure blood cell count. To participate, patients must: • be less than or exactly 20 years of age with a confirmed diagnosis of MPS III A or B • not use medications that suppress the immune system at time of enrollment • not have respiratory, urinary or other infections at the time of enrollment The study will take place at your local healthcare provider’s office or at The Research Institute at Nationwide Children’s Hospital, Columbus, OH. For more information and to make an appointment, contact Chelsea Rankin at 614.355.2897 or [email protected]. 42 Research News: Hope for the Future 2009 Research Grants The National MPS Society awarded $432,000 in new grants for 2009. The funding the Society provides has been and continues to be crucial as we move forward with our mission to find the cures. We received 33 letters of intent from researchers around the world for the five grants offered in 2009. After reviewing those letters, our Scientific Advisory Board review committee requested full grant proposals from 12 researchers. All grant recipients were awarded $80,000 for the two-year grant, with half of the total provided each year. Dr. Cosma received the MPS II grant, Drs. Esko and Fraldi received the MPS III grants, and Drs. Ponder and Simonaro received the general MPS research grants. An additional $7,000 for mucolipidosis research will be provided as a partnership grant to the International Society of Mannosidosis and Related Diseases. In support of the Lysosomal Disease Network’s National Institutes of Health grant research goals, the Society will fund $25,000 in support of the Neuroimaging Core which will benefit the four MPS projects. Dr. Maria Pia Cosma Dr. Jeffrey Esko TIGEM, Naples, Italy “AAV2/5CMV-IDS therapy in MPS II mice: correction of CNS defects through IDS delivery across the blood-brain barrier” University of California, San Diego, CA Children affected by MPS II lack the activity of the enzyme iduronate 2-sulfatase (IDS). They accumulate compounds in their body that gradually kill their cells and damage all of their visceral organs. A gene therapy approach was initiated to treat this central nervous system (CNS) disease in a mouse model of MPS II. Affected pups were injected with viral particles that targeted all of the visceral tissues. High levels of active IDS were produced, secreted into the plasma and also taken up by the brain. This approach gave important results, as the mice were cured of their visceral organ defects, and surprisingly, they also showed amelioration of the CNS phenotype. We now plan to extend this approach to adult and juvenile MPS II mice and to more specifically study how the IDS enzyme reaches the brain, in terms of its crossing of the blood-brain barrier, which was thought not to be permeable to high molecular weight proteins, such as the IDS. We plan to carry out these studies with a variety of different approaches. If successful, our studies should allow us to set up more efficient treatments for the cure of the CNS phenotype of patients with Hunter syndrome. “Substrate reduction strategy for MPS III A” MPS are inherited metabolic disorders in which cellular polysaccharides (glycosaminoglycans) can no longer be degraded, causing aberrant storage of partially degraded material in lysosomes. Children born with these diseases exhibit developmental abnormalities, organ failure and mental retardation, defects that often result in death within the first few decades of life. A subset of MPS diseases result from enzyme deficiencies required by cells to degrade a class of glycosaminoglycans known as heparan sulfate. This research proposal will test if altering heparan sulfate biosynthesis is an effective method of preventing its accumulation in one of these diseases, specifically MPS III A. The approach consists of genetically disrupting heparan sulfate biosynthesis in MPS III A patient cell lines and mouse models. Its efficacy will be assayed by reduction of lysosomal storage and restoration of normal cellular turnover of glycosaminoglycans. Positive results would justify and encourage the development of small molecule inhibitors of heparan sulfate biosynthesis as a way to accomplish substrate reduction therapy in patients. The major advantage of substrate reduction is that these agents might access the brain where glycosaminoglycan storage is highly detrimental and existing therapies appear ineffective. continued 43 Research News: Hope for the Future Dr. Alessandro Fraldi TIGEM, Naples, Italy “Developing a systemic AAV-mediated gene therapy to cross the blood-brain barrier and treat the brain pathology in MPS III A” MPS III A is an inherited disease caused by the deficiency of sulfamidase (SGSH), a gene that encode an enzyme needed for the degradation of a large macromolecule called heparan sulfate. As consequence, such substrate accumulates in the cells and tissues of the affected patients causing cell damage. The central nervous system is the predominant target of damage and in fact, the MPS III A patients experience severe mental retardation and neuropathological decline that ultimately leads to death. Gene therapy is a therapeutic option for several inherited diseases. The aim of gene therapy is to substitute the defective gene with a functional one. Often a modified not-pathogenic virus is used as vehicle to transport the gene in the affected tissues. In this study we will test the efficacy of a therapeutic approach based on the delivery, via intravenous injection, of an adeno-associated virus (AAV) bearing a functional SGSH. The AAV have a tropism for the liver, so that upon injection the virus will reach the liver that consequently will produce the functional SGSH. The functional SGSH will be then secreted from the liver and will enter into the brain throughout the blood torrent. Importantly, the SGSH will be opportunely modified to be secreted more efficiently from the liver and to make it able to efficiently pass the blood-brain barrier and transduce the brain. Dr. Katherine Ponder Washington University, St. Louis, MO “The role of cathepsin K in cardiac valve disease in MPS” 44 MPS is due to a genetic deficiency in the activity of an enzyme that degrades glycosaminoglycans. One of the serious manifestations of MPS is the development of heart disease, which can result in reduced delivery of oxygenated blood to the body and require surgery to replace the valve. This can involve thickened heart valves that block the flow of blood into the heart. Heart valves also can be leaky, which allows blood to flow in the wrong direction. The goal of this project is to understand what causes heart valves problems, and to identify a therapy to prevent these heart valve abnormalities from developing. Collagen is the major protein that provides strength to the heart valves. We have found that the amount of collagen is markedly reduced in heart valves of MPS I and MPS VII dogs, and propose that this is what weakens the valve. We hypothesize that reduced amounts of collagen are due to abnormally high levels of an enzyme that can degrade collagen, cathepsin K. If that is the case, it might be possible to prevent heart valve disease with inhibitors of cathepsin K that are currently being used to treat osteoporosis. This project may identify a drug to prevent the development of heart valve disease in MPS. Dr. Calogera Simonaro Mount Sinai School of Medicine, New York, NY “Novel anti-inflammatory therapies for the mucopolysaccharidoses” Enzyme replacement therapy (ERT) currently is available for three MPS diseases, although the effects of this therapy on bone and cartilage are very limited. Thus, new treatment approaches are clearly needed, alone or as adjuncts to ERT. Our research will use animal models to explore such new therapies. In particular, we will comprehensively evaluate the bones and joints of MPS VI animals treated with the FDA-approved anti-inflammatory drug, Remicade. This drug targets the inflammatory pathway we have found to be activated in MPS patients (TLR4). Our results to date have shown that Remicade can substantially reverse or prevent inflammation in MPS VI rats, and we now plan to comprehensively evaluate the bones and joints in animals treated with Remicade alone or in conjunction with ERT (NaglazymeTM). Since Remicade currently is FDA-approved for the treatment of arthritis and other inflammatory diseases, we are hopeful that completion of these animal studies will lead to clinical trials and approval for MPS patients. We also will complete the analysis of an important “proof of principle” experiment in which the TLR4 inflammatory pathway is inactivated in MPS VII mice. These results will provide the basis for the continued development of antiinflammatory treatment strategies for MPS VI and other MPS disorders, and identify new molecular targets for drug therapy. In 2008 the National MPS Society awarded two MPS II grants, one MPS II grant and five general MPS research grants. Summaries from the first year of their work can be found on our Web site under Research Grants 2008. Dr. Nicola Brunetti-Pierri Baylor College of Medicine, Houston, TX “HDAd gene therapy for lysosomal storage disorders” Dr. Brett E. Crawford Zacharon Pharmaceuticals Inc., La Jolla, CA “Glycosaminoglycan inhibitors as substrate reduction therapies for MPS II” Dr. Andrea Ballabio TIGEM, Naples, Italy “Modulation of autophagy as a potential therapeutic approach for MPS” Dr. Brian Bigger Royal Manchester Children’s Hospital, Manchester, UK “The effect of heparan sulphate on stem cell homing and engraftment in MPS I” Dr. Adriana M. Montano Saint Louis University School of Medicine, St. Louis, MO “Identification of genes for keratin sulfate biosynthesis: toward development of RNAi mediated therapy” Dr. Mark S. Sands Washington University School of Medicine, St. Louis, MO “Metabolic adaptions and phenotypic consequences of blocking lysosomal recycling” Dr. Marta Serafini Dulbecco Telethon Institute at M.Tettamanti Research Center Clinica Pediatrica Univ., Monza, Italy “Marrow mesenchymal stem cell therapy for MPS I” Research News: Hope for the Future 2008 First-year Reviews Dr. Richard Steet University of Georgia Research Foundation, Athens, GA “Investigation of the cartilage pathogenesis of ML II and MPS” 2007 Second-year Reviews Summaries from the second year of work from grants funded in 2007 can be found on our Web site under Research Grants 2007. Dr. Calogera M. Simonaro Mt. Sinai School of Medicine, New York, NY “Pathogenesis and treatment of the mucopolysaccharidoses Dr. Alessandra Biffi San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milano, Italy “Novel efficacious and safe gene therapy approaches for the treatment of MPS I” Dr. Mark Haskins School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA “Lentiviral Vector Therapy for MPS VII” Dr Maria Fuller Children, Youth and Women’s Health Service, North Adelaide SA, Australia “Membrane microdomains and improved clinical management for the mucopolysaccharidoses” 45 Research News: Clinical Trials University of Minnesota Children’s Hospital Offers Clinical Trial of Human Growth Hormone A clinical trial of human growth hormone (HGH) is being conducted at the University of Minnesota Children’s Hospital. Children with MPS I, II or VI with short stature are invited to participate. HGH is a U.S. Food and Drug Administration-approved treatment for short stature, however there is no data at this time on using this treatment specifically in children with MPS. The goal of this clinical trial is to determine what, if any, effect HGH has on growth velocity, bones, and cognitive functioning of children with MPS I, II and VI. For additional information contact: Lynda Polgreen, MD, Assistant Professor University of Minnesota, Pediatric Endocrinology 516 Delaware St. SE PWB 13-124, MMC 8404 Minneapolis, MN 55455 612.624.4459 [email protected] Clinical Trials MPS I Intrathecal ERT for Spinal Cord Compression One Year Extension Study Approved Enzyme replacement therapy (ERT) has been developed for MPS I. ERT helps many physical ailments due to the disease, but does not treat the central nervous system due to inability to cross the blood brain barrier. The purpose of this study is to test delivery of ERT to the spinal fluid via intrathecal injection in patients with MPS I. In this pilot study, recombinant human a-L-iduronidase will be administered intrathecally once per month for four months to individuals age 8 and older with the Hurler-Scheie and Scheie forms of MPS I and spinal cord compression. For questions regarding age, please contact Principal Investigator Dr. Patricia Dickson at 310.222.4145 or [email protected]. Secondary Outcomes: Improvement in spinal fluid pressure, by opening pressure measurements at each intrathecal treatment; improvement in hydrocephalus and other brain lesions by MRI at baseline and four months. If successful, intrathecal delivery could represent a practical, straightforward method of treating central nervous system disease due to lysosomal storage. The University of Minnesota recently has obtained U.S. Food and Drug Administration (FDA) approval for the delivery of laronidase into the spinal fluid of children with Hurler syndrome being considered for marrow/cord blood transplantation. The goal of these studies is to decrease the neuropsychologic decline that has been observed in children with Hurler from the time the patients are initially evaluated to the time they are one year from transplantation. The hypothesis is that there is a significant delay in achieving sufficient enzyme levels in the brain following transplantation, and that this may be overcome by giving enzyme into the spinal fluid Primary Outcomes: Safety of intrathecal enzyme treatment by blood and spinal fluid tests each month; improvement in neurologic signs related to spinal cord compression, by neurologic examination and Japanese Orthopedic Association Scale each month; improvement in neurologic symptoms related to spinal cord compression, by subjective assessments and independence of functioning scale each month; 46 improvement in mobility, by six-minute walk test each month; improvement in spinal cord compression by MRI imaging and somatosensory evoked potentials at baseline and four months; improvement in lysosomal storage by spinal fluid glycosaminoglycan levels at each treatment. Expected total enrollment: 10 Additional information can be obtained at www.clinicaltrials.gov/ct/show/NCT00215527 ?order=1 or by contacting the principal investigator, Dr. Patricia Dickson, at 310.222.4145 or [email protected]. MPS I Intrathecal ERT for Children Being Considered for Transplantation continued MPS II MPS II Intrathecal Enzyme Replacement Clinical Trial Shire Human Genetic Therapies is sponsoring a clinical trial at the University of North Carolina at Chapel Hill to learn if direct administration of recombinant enzyme into the fluid around the brain and spinal cord is safe and a possible treatment for children with MPS II with developmental delays. “A phase I/II safety and ascending dose ranging study of idursulfase administration via an intrathecal drug delivery device in pediatric patients with MPS II who demonstrate evidence of central nervous system involvement and who are receiving treatment with Elapraise,” said Joseph Muenzer, MD, PhD, principal investigator for the clinical trial. Currently there is no approved therapy for treating the brain and spinal cord in patients with the severe form of MPS II. The goal of this study is to give a new preparation of iduronate2-sulfatase (idursulfase-IT) directly into the fluid surrounding the brain and spinal cord (intrathecal administration). The new form of iduronate-2-sulfatase has not been used before in patients with MPS II and is considered investigational. It has not been approved by the FDA or any other regulatory agency. This phase I/II clinical trial is planning to enroll 16 patients with MPS II between the ages of 3 to 8 years with evidence of early neurocognitive decline using an open-label, three-dose trial design. This clinical trial will initially have both a treatment group (12 study patients) and a control group (four study patients) with the control group eligible to receive intrathecal enzyme after a six-month observational period. The monthly intrathecal administration of idursulfase-IT will be given using a Port-A-Cath® II Low ProfileTM intrathecal implantable access system manufactured by Smiths Medical MD, Inc. (St. Paul, MN) that requires surgical implantation. Research News: Clinical Trials until this occurs. Patients with Hurler syndrome who are between 8 and 36 months of age who have not previously received enzyme therapy and are being considered for transplantation at the University of Minnesota are eligible. Patients receiving laronidase in the spinal fluid also will be on intravenous laronidase prior to transplant. The study will involve four doses of laronidase given during a lumbar puncture (spinal tap) approximately three months before transplantation, at the time of admission to the hospital for the transplant, three months after the transplant and six months after the date of the transplant. The principal investigator of the study is Dr. Paul Orchard, who can be reached at 612.626.2961, or by e-mail at [email protected]. Alternatively, Teresa Kivisto, nurse coordinator, can be reached at 612.273.2924 or by e-mail at [email protected]. To be eligible for the investigational intrathecal enzyme replacement clinical trial, study patients needs to have some developmental delay, but cannot be severely impaired, have received and tolerated a minimum of six months of weekly intravenous ElapraiseTM and have adequate hearing (with or without hearing aids) to complete developmental assessments. Patients with MPS II are not eligible if they have a shunt for the treatment of hydrocephalus, have had a cord blood or bone marrow transplant or have other medical conditions that may place the individual at an increased risk during the investigational clinical trial. If you are interested in obtaining more information about the clinical trial, please contact Dr. Joseph Muenzer at 919.966.1447 or the study coordinator, Heather Preiss, RN, at 919.843.5731 at the University of North Carolina at Chapel Hill, NC. MPS III Shire Pharmaceuticals Group, as part of its research to evaluate new approaches to the problem of treatment of the central nervous system, is hoping to move its MPS III A program forward. If the trial to directly administer the enzyme into the central nervous system of individuals with MPS II is successful, Shire hopes to expand its research initiatives to include MPS III A. The Shire Web site is www.shire.com. MPS IV The board of directors of Vivendy Therapeutics announced in late 2008 that they will stop the natural history program as well as further medical activities in the scope of the development project for enzyme replacement therapy treatment of MPS IV A. BioMarin Pharmaceutical Inc. announced on April 21, 2009, the initiation of a phase I/II clinical trial for BMN-110 or N-acetylgalactosamine 6-sulfatase (GALNS), intended for the treatment of MPS IV A, or Morquio A syndrome. The company expects to report initial results in the first half of 2010. continued 47 Research News: Treatment Therapies “We plan to leverage our clinical, manufacturing and regulatory expertise to bring a new therapeutic option to the significant number of untreated Morquio patients around the world,” said Henry Fuchs, MD, chief medical officer of BioMarin. “GALNS has been shown in mice to reach important tissues including cartilage and different zones of the bone such as bone marrow, calcified bone and importantly, the growth plate. Our experiments have also shown that GALNS is taken up into human Morquio chondrocytes in vitro and reaches the lysosome to clear keratan sulfate.” Chris Hendriksz, MD, consultant in Metabolic Disorders, Birmingham Children’s Hospital, added, “This is a very exciting announcement for our patients who have been waiting so long for a potential therapy. Hope of a therapeutic is now within reach for these patients, and Birmingham Children’s Hospital is very honored to be part of this exciting development.” The phase I/II study is designed as an openlabel, within-patient dose escalation trial in approximately 20 patients followed by a treatment continuation phase. All patients to be enrolled in the study have already been identified. During the dose escalation phase of the study, subjects will receive weekly intravenous infusions of BMN-110 in three consecutive 12-week dosing intervals. The objectives of the phase I/II study will be to evaluate safety, pharmacokinetics, pharmacodynamics and to identify the optimal dose of GALNS for future studies. BioMarin also will be conducting a Morquio Clinical Assessment Program or MorCAP that will involve about 15 centers in many countries and will evaluate the disease situation for patients globally. Finally they expect to have a phase III double-blind placebo controlled study that might include 50–100 patients from many centers. Being in the MorCAP program will improve a patient’s chances of being in the phase III. Additional information can be found at www.morquioBMRN.com. MPS VII A gene therapy clinical trial for MPS VII, also known as Sly syndrome, has been put on hold pending additional data. ML II/III There currently are no programs in place for developing treatment options for ML II/III. Treatment Therapies MPS I Aldurazyme®, administered once-weekly, has been approved in the United States and in 15 countries of the European Union for long-term enzyme replacement therapy (ERT) in patients with a confirmed diagnosis of MPS I, to treat the non-neurological manifestations of the disease. Aldurazyme was developed by BioMarin and Genzyme under a joint venture agreement that assigns commercial manufacturing responsibilities to BioMarin, and worldwide sales and marketing responsibilities to Genzyme. Additional information can be obtained at www.aldurazyme.com or by contacting Genzyme at 800.745.4447. MPS II 48 ElapraseTM is a long-term ERT for patients with a confirmed diagnosis of MPS II which has been approved for use in the United States, Canada and many countries in Europe. Elaprase was developed and is produced by Shire Human Genetic Therapies (formerly TKT), and is given as weekly infusions to replace the missing enzyme that Hunter syndrome patients fail to produce in sufficient quantities. Additional information can be obtained at www.shire.com or by contacting OnePathSM toll-free at 866.888.0660. OnePath provides assistance with insurance, product access, treatment centers and education about Elaprase and MPS II. MPS VI Naglazyme™ is the ERT for individuals with a confirmed diagnosis of MPS VI and has been approved for use in the United States and in many European countries. Developed and produced by BioMarin Pharmaceutical, Inc., Naglazyme has been shown to improve walking and stair-climbing capacity. For more information, contact BioMarin Patient and Physician Support at 866.906.6100 or [email protected]. While the Society is here to support our families, our members also contribute much of their time, energy and talents. Everyone has something to contribute! In this issue, we interview Eric and Vicki Merrell. If you know of someone you would like to have featured in a future issue contact us at [email protected]. Who is your child/children with MPS, tell us something about them. We have two boys who were diagnosed with MPS I: Sean, 17, and Cody, 15. We also have a daughter, Amber, 12. Amber is a carrier, but is not affected. Sean will be a junior in high school this coming year and loves music (anything country), concerts, cars, and has been a manager for several sports teams including cross-country, basketball and baseball. Cody will be a sophomore and spends most of his hours drawing detailed pictures of dragons. He hopes to become a cartoonist/graphic artist. He also loves Spyro the Dragon video games…he has conquered every game system out there! the support of this organization and their family that it inspired us to try an event ourselves. We held our first walk/run in 2003, then followed with others in 2004 and 2005. They were very successful and extremely personally rewarding. Our children were able to participate and invite their friends, which gave them such a boost after struggling so much from the reality of the disease. Every year we gained more support and more funds. It was very rewarding knowing this was all going to directly support the Society and many other families that we were getting to know so very well. Then, for a change of pace, we decided to sponsor our first “Trivia Night” in honor of Sean and Cody at our local church. It Volunteer Spotlight Volunteers have been very instrumental in making the Society what it is today. When did you learn of their diagnosis? When Sean was 8 and Cody was 6 in July of 2000. We noticed many effects of MPS as early as the age of 2 in Sean, but didn’t recognize the symptoms or get diagnosed until they were older. Both boys had shown signs with multiple ear infections and surgeries, limited range of motion, hand curvatures, heart valve problems, vision and hearing loss. Our constant questions and anguish over the years to our pediatrician is what finally led him to send us to the genetic specialist at St. Louis Children’s Hospital. What volunteer activities have you done for the Society? How long after you joined did you begin volunteering? Becoming members in 2000, we began searching for answers, grasping for an understanding of this disease. We soon found out we lived very close to another family with an MPS diagnosis, Brian and Kris Klenke, and their children Kraig and Chelsey. Kris is our current vice president. They invited us to a walk/run they were sponsoring in early 2001. We were so touched by the passion and love that was shown by their community for Amber, Sean and Cody Merrell beat out all three years of the walk/run and our community loved this event! It was very successful, and everyone got to relax, enjoy and learn more about MPS in between rounds. Sean was able to give his first ever public speech, which ended with a very moving standing ovation--memories that he will never forget. What do you gain from your volunteer efforts? It gives our family a way to keep our minds from the negative, and focus on the fact that advocating and giving back are not only satisfying, but necessary. When you keep yourself busy with helping others, you find that you get continued 49 Volunteer Spotlight back three times more! It has been inspiring to watch a community come together for a cause that is so close to our hearts, and the volunteers come from some of the most unexpected and refreshing places. Teenagers (they really are a lot of fun!), retirees (who love to donate homemade goodies), small-town businesses that may not have much, but they give. It is absolutely wonderful! other families just by being there and helping out. Whatever your strong suit is, use it! It is one of the most rewarding experiences in our lives. It is hard work when you organize, ask for help, ask for commitments and put it all together, but at the end of the day of your event when you look around and see the benefits and the smiles on the faces of those you are doing it all for it is immeasurable. What would you like others to know about volunteering for the Society? Tell us about yourself and your family. Fundraisers may not be for everyone. We have seen many people over the years, and maybe that challenge is not for them. We have found that even in our “off” years, you can still support Eric and Vicki Merrell 50 Eric works as a manufacturing tech for a pharmaceutical company and Vicki is a part-time insurance representative. We are both very active in our church, Eric as an elder, both as a vacation bible school and Sunday school teacher, and we currently are assisting Mark Dant in gathering support for The Ryan Dant Healthcare Act (H.R. 1441) in Washington, DC. We also have spent time volunteering on the Legislative Committee, Family Support Committee and served one term on the board of directors for the Society. We love going to the movies as a family as well as spending time at the park, and we just returned recently from Destin, FL, our first family vacation in years. The new NAGLAZYME.com is now live and available for you to visit. You will find expanded content about MPS VI, its diagnosis and treatment with NAGLAZYME® (galsulfase) enzyme replacement therapy. The new Web site also has expanded features and functionality. Make Life Easier with Personal Health Records Everyone should be able to access, understand and use their personal health records (PHR). Keeping your own health records allows you to be an active partner in your healthcare. It also can help save you time and money by: • reducing or avoiding duplicate tests • helping you prepare for checkups and appointments • ensuring that new healthcare providers have your health history • enabling you to receive faster, safer treatment and care in an emergency or when traveling • giving you access to your health data when your doctor’s office is closed So how do you start? Begin tracking your health information in whatever format works best for you: paper, computer files or an online service. Keep your PHR stored securely, just as you would protect other personal information, such as financial records. You can request copies of your medical records from your doctors’ offices and facilities where you have received treatment. Ideally, records from your various healthcare providers should be kept together in one place. This way, your PHR provides a single, detailed profile of your health status and healthcare activity—right at your fingertips! Another option to consider is electronic records, which can be managed online or kept on portable computer storage devices (USB drives). Both options offer your doctor quick and handy access to your health information. If you do use an online service, make sure you understand how your health information will be used and protected. A good place to learn more about managing your PHR is www.myPHR.com (a site provided as a free public service). Remember, you can create a PHR at your own pace, so start with your very next trip to the doctor! Suggested material to include in your PHR: • personal identification, including your name and birth date • people to contact in case of emergency • names, addresses and phone numbers of your physicians, dentists and specialists • important events, dates and hereditary conditions in your family history • health insurance information • current medications and dosages • allergies or sensitivities to drugs or materials such as latex • copies of correspondence between you and your doctors • educational materials or Web site links (such as those about MPS) Resources | Helpful Information New NAGLAZYME.com Web Site Up and Running This information was reprinted from the BioMarin spring 2009 newsletter. Information in part reprinted from the American Health Information Management Association and the American Medical Informatics Association. © by the American Health Information Management Association. All rights reserved. 51 Resources | Helpful Information Kakkis EveryLife Foundation Developed by Dr. Emil Kakkis, who discovered the enzyme replacement therapy for MPS I, the Kakkis EveryLife Foundation is dedicated to improving the treatment of patients with very rare disorders through education and changes in the process regulating the development of therapies. Information can be found at www.curetheprocess.org. Advocating for your Child’s Educational Needs By Kendra J. Bjoraker, PhD, LP University of Minnesota “Succeeding in school is one of the most therapeutic things that can happen to a child!” It is that time of year again; the excitement of getting your children ready for the new school year…buying new shoes, clothes and supplies. And although this holds true for families with lysosomal storage diseases (LSDs), feelings of anxiety, fear, and uncertainty also arise. The complex and continuous nature of their conditions and the high level of skill their care demands differentiates children who are medically fragile and often developmentally disabled from the general population of children with chronic conditions. Families identify, obtain, coordinate, and monitor a wide range of services for their child, one of which is educational services. Advocating for educational services is overwhelming and often frustrating for many parents with children requiring more than the “regular” curriculum in order to learn. The following suggestions are offered to help assist your child as they enter school this fall. The basic foundation for being effective in collaborating with regular and special educators is knowledge of the laws, regulations, and rules governing special education. Read the law, learn the law, and do not rely on anyone else to tell you what the special education laws mean for your child. This is the key that will unlock the door for your child. I encourage all parents to obtain a copy of their states rules and regulation through the Department of Education. Individual with Disabilities Education Act (IDEA) The IDEA has six principles. The first four principles reflect the actual processes that schools follow in order to provide each student with a disability, the benefits of a free appropriate education in the least restrictive environment. 52 The last two are the procedures that parents and students can use to hold the schools accountable for carrying out the first four principles. Children with LSDs typically are classified under “Other Health Impaired.” The term includes a chronic or acute health problem resulting in limited strength, limited vitality or alertness, where special education and related services are needed because the disease adversely affects his/ her educational performance. During the Individualized Education Program (IEP) meeting, parents need to make sure their child’s disease is clearly defined and a description of this is added to the IEP. It is important that the team, including the teacher, knows what the disease is and how it is manifested in the educational setting. For example, if you have a child with a diagnosis of Hunter syndrome (MPS II), you would define it and the symptoms (orthopedic, language, inattention). It is important to realize that if a child has a disability but does not need special education services, the child will not be eligible under IDEA but may be eligible under Section 504 of the Rehabilitation Act. Section 504 does not receive federal money for providing 504 accommodations, so there is less incentive for serving children under these laws, nor do the children have an IEP under a 504, so parents beware. Children with LSDs also begin receiving services early. Children (ages 3–9) may qualify in one or more of the following areas: physical development, cognitive, development, communication development, social or emotional development, or adaptive development. Also, a state may choose to provide services to infants and toddlers, Early Intervention (ages 0–3). Infants and toddlers who experience the trauma of life-threatening illness and treatments are entitled by federal law Home and Hospital Services Because the treatment for some lysosomal storage diseases can involve bone marrow transplantation, many children qualify for home and hospital educational services. Home and hospital teaching is designed to provide instruction to public school students who are unable to attend a regular school program due to a physical or emotional condition which is verified by a physician. Instructional services are available to all qualified students during convalescence or treatment time in a medical institution or therapeutic treatment center, or at the student’s place of residence. The length of instruction for students in a full-day program is six hours per week; however, parents should know this time is not fixed and can be increased through a team decision. Some children with LSDs also receive enzyme replacement therapy (ERT); therefore, missing school up to one day a week. In the state of Minnesota, there is a section in our rules and regulations entitled “Care and Treatment.” Children receiving ERT qualify to receive direct instruction at the facility in which they are receiving ERT or another agreed upon place. Parents need to check with their state regulations to receive services for their child’s excessive absences due to medical treatment. Individualized Educational Program (IEP) The IEP is not a “one-size-fits-all” program. Individualized Educational Programs are unique when a child has a neurodegenerative disease. For children with degenerative conditions, the IEP may include related services such as physical and occupational therapy or other services to address the child’s needs in the areas of self-help, mobility, and communication. This is to help maintain the child’s present level of functioning for as long as possible so that the child benefits from special education. The IEP team is required to review a child’s existing health data which may include evaluations and information from parents, medical professionals or neuropsychologists who know the child and the child’s specific medical conditions. The IEP team can then include appropriate services designed to extend current skills throughout the child’s enrollment in school, especially if the disease results in negative progression and cannot be fully corrected or stabilized. Resources | Helpful Information to early-intervention programs that try to head off developmental delays. These services do not depend on a family’s ability to pay. According to a child’s and family’s needs, the child may receive physical and occupational therapy, speech therapy, and special instruction. The family may be entitled to family services, such as training, counseling, or case management to help coordinate services. Remember, because your child’s medical status often changes, an IEP team meeting can be requested more than once a year. The contents of an IEP should include: the present levels of academic achievement and functional performance, annual goals, educational progress, and special education with related services. Also included should be statements of the special education and related services, supplementary aids and services (based on peerreviewed research), program modifications or supports for school personnel, and finally, accommodations and alternate assessments. Accommodations, modifications, and alternative assessments may be necessary for a special needs child to succeed at school. The terms accommodations and modification are frequently used interchangeably, but they are not identical in their effect on teaching and learning and have important differences. Both terms are included in IDEA and are described below. Accommodations are defined as alternative ways for students to acquire information or share what they have learned with you. Accommodations do not lower the difficulty level nor expectations for the student’s achievement, although there may be changes in teaching materials used, testing materials, or even in the instructional environment. Once these changes are made, the standards of achievement remain the same. For example, a child may be unable to read an assigned textbook; therefore the accommodation would permit the student to listen to a taped version. Once the student has heard the story, however, he or she must take part in all required testing and assigned work. Accommodations are individualized to suit the student learning style and developmental level. Other examples are highlighting, rehearsal, color coding, memory joggers, visual cues, number lines, alphabet strips, flip charts, organization/transition cards. Modifications are more intensive changes to the difficulty level and/or the quantity of material to be learned. Modifications also may, in fact, change the way material is presented and the nature of testing. Modifications create a different standard for children whose disabilities require more intense adjustments. An example 53 continued Resources | Helpful Information of the modification may be seen in a spelling test that reduces the number of words to be studied. Basic modification decisions become long-range goals for the child’s educational program, and they serve as a guide for educational decisionmaking on the daily and long-term basis. For students with more complex special needs, an alternate assessment may be most appropriate. Alternative assessments measure a different area of skill or concepts than normally used for a given grade level or subject. Assistive technology includes “any item, regardless of its origin, that is used to increase, maintain, or improve functional capacities of a child with a disability,” but excludes “a medical device that is surgically implanted, or the replacement of such a device.” Assistive technology is considered in children with LSDs with significant orthopedic, visual, hearing, or language impairments. Because some children with LSDs are both medically and cognitively involved, many should be eligible for Extended School Year (ESY). This is not summer school. ESY services are provided to maintain the skills or behaviors the child has developed as identified on the IEP. There are six factors that the IEP team should consider in deciding if the child is eligible for ESY one of which is regression and recoupment. Regression refers to a decline in knowledge and skills that can result from an interruption in education. Recoupment is the amount of time it takes to regain the prior level of functioning. The issue is whether the benefits derived by the child during the regular school year will be significantly jeopardized if they are not provided an educational program during the summer months (or breaks). Parent Participation The following are suggestions that I have gathered over the years from parents and professionals, from being a former special education teacher myself, as well as a parent of children with disabilities. Parent Participation in Meetings: • To establish and maintain an effective team atmosphere be positive. Don’t allow your emotions to interfere; be factual, prepared, and ask for clarification. • Know the philosophy of your principal. Does he/she truly believe all children can learn? • Educate the team on LSDs. This will give them more information to plan your child’s educational program. 54 •L earn about tests and measurements. •D ress professionally. •G ather all your child’s medical and educational records that are pertinent to the meeting. Review your child’s records. What are their strengths and weaknesses, what do you want them to achieve this year, what are your longterm goals for your child, how does your child’s disability affect his or her ability to learn? •W rite down questions and concerns. During the Meeting: •S it next to the administrator or the person who will ultimately make the decisions. •A sk questions, define and describe issues, problems, and offer solutions. •S tay on task. •L earn to be a negotiator. Prioritize important issues. •T ake notes. If it is not written down, it never happened! • I f at all possible both parents should attend the meeting and present a unified front. If not take a friend or advocate so you don’t feel vulnerable and can process the meeting together afterwards. •D o not sign the IEP at the meeting if unsure. Take it home and read it. After the Meeting: •A dd documents from the conference to your files. •S end a follow-up letter of your recollections about what happened and a brief thank you letter. Include your understanding of what the school agreed to, and issues that went unresolved. •K eep written records, keep written records, oh, did I say keep written records. •T ake care of yourself or you will become exhausted and burn out. Pace yourself. In closing I would like to extend encouragement to those families who have children with disabilities. Having a child with special health care needs means becoming his or her voice. Do not give up; there are many knowledgeable professional advocates that will assist you through this process and ultimately improve the quality of life for your child. By allowing port access for either the right or left side, the Simple Shirt offers comfort and convenience during infusions for all ages. The Simple Shirt was created by Gina Stephenson, a home infusion nurse who was inspired by her patient, Davis Barkley (MPS II). The unisex shirts are available in fleece or cotton, and are custom made based on the measurements provided ensuring a perfect fit. Gina is donating 10 percent of the profits of Simple Shirts to the National MPS Society. Contact Gina at 502.641.1559 or [email protected] with questions. SIMPLE SHIRT ORDER FORM Name _______________________________________________________________________________ Address _____________________________________________________________________________ Telephone number (___________) ______________________________________________________ Resources | Helpful Information The Simple Shirt Is Simply Wonderful Please take the time to measure accurately. 1) Measure from the clavicle to the bottom of the port. ________ inches 2) Measure from the top of the shoulder to the bottom of the abdomen. ________ inches 3) Measure the width from shoulder to shoulder using the back side. ________ inches 4) Measure the circumference of the stomach (all the way around). ________ inches 5) Indicate which side the subclavian port is on. b right b left 6) I f the port is located in a different area (e.g., on the side), measure from the clavicle or middle of the armpit to the bottom of the port and state location. ________ inches ________ location 7) Measure the head circumference. ________ inches 8) Is this shirt for a b boy or b girl. SMALL AND MEDIUM SHIRTS = $30.00 plus $10.00 postage LARGE AND EXTRA LARGE SHIRTS = $35.00 plus $10.00 postage All shirts will be made from fleece unless 100% cotton is requested. Because shirts are custom made, specific delivery dates cannot be given. Make checks payable and send to: Gina Stephenson 396 Floyd Fork Drive Shepherdsville, KY 40165 Checks must clear bank before shipment. Hunter disease e-clinic Hunter disease e-clinic is a virtual training clinic, designed specifically for the purpose of learning to diagnose and manage patients presenting with characteristic of rare genetic metabolic diseases. For more information, visit www.sickkids.ca/lysosomalresearchgroup. 55 Resources | Helpful Information Have you visited the Member’s Only section of the National MPS Society Web site yet? If not, you are missing out! The Member’s Only site offers: MPS Memorials — A new section recently added by the Family Support Committee where families can submit a memorial tribute and photo to be viewed online by other members of the Society. To submit a memorial, contact Laurie Turner at [email protected]. Remembering Our Children — A memorial listing of those who have lost their battle with MPS and related disease. This section was created at the request of our membership. Due to timing, it is often several months after a child has passed that members receive their copy of Courage and find out about their friend’s passing. Membership Directory — Do you need to find another member’s phone number or address and can’t find your membership directory? Now you can download a copy and save it to your computer, so you will always have it ready when you want to chat with other members. Contact Information — We know it is hard to remember to tell everyone when you have a new address, phone number or e-mail address. You can let the Society know of theses changes with just a few clicks of your mouse. MPS Publications — Past issues of Courage, Angels Among Us, Guide to Special Events and annual reports are just a few of the publications available for download. In addition, Courage is usually posted before it is mailed, so if you can’t wait for the latest issue to arrive in your mailbox, stop by to read it. Please take a few minutes to visit the Member’s Only section of our Web site if you haven’t done so already. Also remember this section is constantly updated, so visit often for news and updates. Send an e-mail to [email protected] if you need your member sign in and password. UnitedHealthcare Children’s Foundation to Offer Medical Assistance Grants The UnitedHealthcare Children’s Foundation (UHCCF) is offering support to meet the needs of children across the United States with assistance grants for medical services not fully covered by health insurance. Parents and caretakers across the country will be eligible to apply for grants of up to $5,000 for healthcare services that will help improve their children’s health and quality of life. Examples of the types of medical services covered by UHCCF grants include speech therapy, physical therapy, and psycho-therapy sessions; medical equipment such as wheelchairs, braces, hearing aids, and eyeglasses; and orthodontia and dental treatments. Any child 16 years old or younger living in any UnitedHealthcare region of the United States and in need of financial assistance for healthcare services will be considered eligible for a grant. Families must meet economic guidelines, reside in the United States and be covered by a commercial health insurance plan. For program guidelines and eligibility requirements, visit the UHCCF Web site at www.uhccf.org. 56 Resources | Helpful Information Have an Extraordinary Experience The Family Support Committee is pleased to introduce Extraordinary Experiences, the newest Family Support program. Extraordinary Experiences was developed to help all of our unique and special children, regardless of their diagnosis or abilities, to create their own extraordinary experience. This program was developed specifically for individuals ages 14–24 diagnosed with MPS and related diseases. Grants of up to $1,000 are available for special camps, events, class trips and other unique opportunities. The Society will partner with the individual and his or her family to help cover registration fees and travel expenses, and other fees associated with his or her extraordinary experience. Extraordinary Experiences was initiated in response to a grant the National MPS Society received from BioMarin/Genzyme LLC to honor Spencer Holland (MPS I). Spencer was a pioneer and trailblazer for many individuals diagnosed with MPS. He and his sisters participated in clinical trials for enzyme replacement therapy. They openly shared their life experiences which inspired other children and adults affected with MPS. Spencer will always have a special place in our hearts. The National MPS Society thanks you, Spencer, and everyone with MPS and related diseases for being an inspiration to many. Special thanks to BioMarin/Genzyme LLC for this wonderful gift which will allow special young adults to have an extraordinary experience. More information about Extraordinary Experiences can be found at www.mpssociety.org or by contacting Laurie Turner at [email protected] or 207.843.7040. Mini-Miracles Mini-Miracles is an adaptive clothing line designed for the special needs child. Their philosophy is to promote dignity, comfort and quality of life for every child, while giving back to the community by donating to local Canadian charities. Mini-Miracles clothing line consists of items chosen to meet the basic needs of the special needs child. They reflect the research and experience that the owner, pediatric special needs nurse Victoria Allen, has acquired working with special needs children. The clothing is made of the highest quality Peruvian cotton and has different options available for different needs (e.g., gastro-intestinal feeding tube access pocket, cut to fit diapers, etc.). Featured adaptations: • Flat seams to reduce friction • Discrete adaptations so clothing looks normal • Easy access—snaps, Velcro, stretchy fabrics • Roomy seat to accommodate diapers (all ages) • Longer rise in the back to accommodate sitting in a wheelchair • Elastic waist for ease of dressing and increased comfort • Meets Health Canada regulations for safety and flammability Suitable for: • Limited range of motion and impaired dexterity • G-tube feeding • Wheelchair • Cerebral Palsy • Muscular Dystrophy • Developmental disabilities • Contractures • Toilet/changing needs • Catheters and colostomy bags • IV tubes • Rigidity Visit www.minimiracles.ca for more information. 57 Resources | Helpful Information MPS I Web site www.MPSIdisease.com A Web site has been developed by Genzyme to provide parents and patients with information and resources on MPS I. This site provides valuable information on the disease, diagnosis, on-going clinical trials, and other references and services available to patients. Visit www.MPSIdisease.com. MPS I Registry Access to information is critical to providing the best care for patients with MPS I. However, information on the disease is limited because of its rarity. A resource developed by Genzyme is now available for your physician or health care professional that is dedicated to improving the understanding of MPS I. With the MPS I Registry, your physician can access your data and compare it to aggregate data from around the world. Ask your physician to call 1.800.745.4447 ext. 17021 for more information. MPS II Web site www.hunterpatients.com Shire HGT educational Web site focuses on MPS II (Hunter syndrome). The site is a resource center for the MPS II community to access information about the genetics, diagnosis, and management of MPS II, as well as information about the drug development process. In addition, the Web site provides a comprehensive overview of MPS II, including resources for patients and healthcare professionals, information on clinical trials and a patient outcomes survey, as well as the ability to stay informed as new information about MPS II becomes available on the site. Shire HGT expects to update and expand the site on a regular basis. MPS VI Web site www.MPSVI.com BioMarin’s Web site, www.MPSVI.com, is designed especially for individuals with MPS VI (Maroteaux-Lamy syndrome), their families, and for healthcare professionals who care for patients with MPS VI. This site provides education and information about MPS VI which may be helpful to share with family members, educators and healthcare providers. 58 GOLD Web site www.goldinfo.org The Global Organization for Lysosomal Diseases (GOLD) is an international collaboration of scientific and medical associations, patient groups and commercial organizations dedicated to improving the lives of all patients with a lysosomal disease. The GOLD Web site, www.goldinfo.org, has general information about lysosomal storage diseases (LSDs), symptoms and inheritance patterns, plus information about specific LSDs. To access all the discussion forums and details on the member directory, register on either the Discussions or Member page. Aldurazyme® Web site www.Aldurazyme.com A Web site has been developed by Genzyme to provide parents and patients with information on Aldurazyme. The site includes a link to ask questions regarding MPS I or anything else related to treatment. Feel free to use this mechanism to reach a healthcare professional at Genzyme who will respond to your query in a timely manner. Visit www.Aldurazyme.com. MPS IV Registry www.morquio.com Information about MPS IV can be found at www.morquio.com. Also available at this Web site is the Morquio registry where adults with MPS IV can register and families can register their child with MPS IV. Once registered, it is recommended that updates be made at least yearly. This natural history information is critical for development of treatments for MPS IV, providing evidence of drug effectiveness and supporting the approval of the drug. MPS VI Community Web site www.MPSVI.net Log into the first Web site devoted entirely to the MPS VI community and: • Meet other people with MPS VI • Tell your story • Chat in real time • Search postings by topic Register for free to connect with your MPS VI community. www.fda.gov/cder/drugSafety.htm The U.S. Food and Drug Administration (FDA) has added a new feature to its Web site that provides consumers with specific safety information about individual drug products. The new Drug Specific Information Web page presents information on more than 200 approved drugs. Each drug has a “core page” with links to all information about the product on the FDA’s Web site, including general risk information and any past alerts issued about the drug. Health Care Coverage Options www.nahu.org/consumer/healthcare The National Association of Health Underwriters has created a database that provides information on health insurance options for low-income U.S. residents and people who change jobs or have pre-existing health problems. The Health Care Coverage Options Database provides a state-bystate list of public health insurance programs for low-income residents, such as Medicaid and the State Children’s Health Insurance Program. It also lists 32 states that offer high-risk health insurance pools for those with pre-existing health problems. BioMarin Offers Help with Insurance Questions for MPS VI BioMarin has developed a free and confidential service designed to assist with healthcare insurance questions. The BioMarin Patient and Physician Support program (BPPS) can help families evaluate their current healthcare insurance coverage, provide information on potential healthcare insurance options that may be available in your state, and educate insurance companies about MPS VI. To contact a BPPS patient advocate, call their toll free number 1.866.906.6100. Shire HGT Offers Support for MPS II Resources | Helpful Information Drug Safety Information www.hunterpatients.com Shire Human Genetic Therapies introduced OnePath support center to help understand the complex issues pertaining to ERT, coverage, coding and reimbursement. When you call OnePath, you’ll be assigned a personal case manager who will help address any questions or concerns associated with ERT. OnePath case managers have access to many important resources; they also get to know you and can anticipate your needs. OnePath case managers can also address questions about insurance and other issues related to ERT. Toll-free number: 866.888.0660 Genetics Home Reference http://ghr.nlm.nih.gov/handbook This Web site contains a comprehensive “Guide to Understanding Genetic Conditions,” with basic information about genetics in clear language and links to online resources. Genzyme Treatment Support Offers MPS I Families Insurance Counseling Genzyme Treatment Support is a free and confidential service staffed by a team of nurses, social workers, and other health care professionals act as patient advocates and provide confidential one-on-one insurance counseling to patients and their families. For more information, call 1.800.745.4447, Monday through Friday. 59 MPS Classifications 60 Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomal storage diseases caused by the body’s inability to produce specific enzymes. Normally, the body uses enzymes to break down and recycle materials in cells. In individuals with MPS and related diseases, the missing or insufficient enzyme prevents the proper recycling process, resulting in the storage of materials in virtually every cell of the body. As a result, cells do not perform properly and may cause progressive damage throughout the body, including the heart, bones, joints, respiratory system and central nervous system. While the disease may not be apparent at birth, signs and symptoms develop with age as more cells become damaged by the accumulation of cell materials. Syndrome Eponym Enzyme Deficiency MPS I Hurler, Scheie, Hurler-Scheie a-L-Iduronidase MPS II Hunter Iduronate sulfatase MPS III A Sanfilippo A Heparan N-sulfatase MPS III B Sanfilippo B a-N-Acetylglucosaminidase MPS III C Sanfilippo C Acetyl CoA: a-glycosaminide acetyltransferase MPS III D Sanfilippo D N-Acetylglucosamine 6-sulfatase MPS IV A Morquio A Galactose 6-sulfatase MPS IV B Morquio B b Galactosidase MPS VI Maroteaux-Lamy N-Acetylgalactosamine 4-sulfatase (arylsulfatase B) MPS VII b-Glucuronidase Sly MPS IX Hyaluronidase ML II/III N-acetylglucosamine-1phosphotransferase I-Cell, Pseudo-Hurler polydystrophy Board of DIRECTORS Ernie Dummann, president; chair, Legislative Committee Debbie Dummann 6721 St Ives St. Anchorage, AK 99504 907.337.6014 [email protected] MPS III parents Steve Holland, chair, Fundraising Committee Amy Holland 1752 Hilltop Circle Fort Worth, TX 76114 817.625.6999 [email protected] MPS I H-S parents STAFF Kristine Klenke, vice president; chair, Family Support Committee 7604 Sherry Creek Road Worden, IL 62097 618.888.2204 [email protected] MPS II parent Austin Noll 3735 Redwood Circle Palo Alto, CA 94306 650.521.0089 [email protected] MPS III parent Laurie Turner, program director [email protected] Angela Guajardo, treasurer Luis Guajardo 1815 Post Oak Road Edinburg, TX 78539 956.287.2887 [email protected] MPS III parents Kim Frye, secretary; chair, Education/Publicity Committee Stephen Frye 3625 E. Thousand Oaks Blvd., STE 217 Westlake Village, CA 91361 818.263.7420 [email protected] MPS II parents Steve Chesser 4764 Candleberry Ave. Seal Beach, CA 90740 562.594.7814 [email protected] MPS II parent Sharon Cochenour 273 Brown Chapel Road Clarksburg, OH 43115 740.993.2753 [email protected] MPS II parent Tom and Anne Gniazdowski 315 Meadowview Court Springboro, OH 45066 937.748.8809 [email protected] MPS II parents MaryEllen Pendleton 56 E. Vinedo Lane Tempe, AZ 85284 480.831.2157 [email protected] MPS III aunt Tami Slawson 1342 Oak Mesa Drive LaVerne, CA 91750 909.593.1237 [email protected] MPS I parent Dr. Klane and Amy White 3421 West Laurelhurst Drive, NE Seattle, WA 98105 206.523.2727 [email protected] MPS I parents Kim Whitecotton 1413 Emigrant Way Modesto, CA 95358 209.544.2708 [email protected] MPS II parent President Emerita Marie Capobianco Steve Holland Mary Majure Couture Linda K. Shine Barbara Wedehase, executive director [email protected] Terri Klein, development director [email protected] Naureen Sayani, office manager [email protected] SCIENTIFIC ADVISORY BOARD Alessandra D’Azzo, Ph.D. Gideon Bach, Ph.D. Lorne A. Clarke, M.D. Robert Desnick, M.D., Ph.D. Matthew Ellinwood, D.V.M., Ph.D. Louis Elsas, M.D. Mark Haskins, Ph.D., V.M.D. John Hopwood, Ph.D. Laird Jackson, M.D. Joseph Muenzer, M.D., Ph.D. Elizabeth Neufeld, Ph.D. Beth A. Pletcher, M.D. Mark Sands, Ph.D. Edward Schuchman, Ph.D. William Sly, M.D. Charles H. Vite, D.V.M. Steven Walkley, D.V.M., Ph.D. David Wenger, Ph.D. Chester Whitley, M.D., Ph.D. John H. Wolfe, Ph.D. Ed Wraith, M.D. National MPS Society PO Box 14686 Durham, NC 27709-4686 NON-PROFIT ORG. U.S. POSTAGE PAID CHAPEL HILL, NC PERMIT #74
© Copyright 2026 Paperzz