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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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