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SEARCH FOR INTERNATIONAL PARTNER FOR T.B. PROJECT GLOBAL GRANT 2010-11

ROTARY CLUB OF KANPUR GREATER

RTN SANJAY GUPTA ( PROJECT COORDINATOR) 09415041365

RTN.S.K.CHOWDHARY(PRES.ELECT10-11)09336121257 C/O 16/95,PRATAP SONS PETROL PUMP, MALL ROAD ,KANPUR, INDIA


NEED FOR THE PROJECT – ALARMING FACTS !!  2 billion infected, i.e. 1 in 3 of global population  8.9 million (140/lakh) new cases in 2004, 80% in 22  

high-burden countries 3.9m new sm+ve PTB (62/lakh) cases in 2004 Global incidence of TB is increasing by 0.6% per annum.–However in SE Asia region, the incidence is declining •1.7m deaths in 2004, 98% in low-income countries •MDR-TB in 74 / 77 countries surveyed (1999 2002), prevalence in new cases around 3%


Problem of TB in India  Estimated incidence

–1.8 million new cases annually –0.8 million new smear positive cases annually –75 new smear positive PTB cases/1lakh population per year  Estimated prevalence of TB disease –3.8 million bacillary cases in 2000 –1.7 million new smear positive cases in 2000  Estimated mortality –370,000 deaths due to TB each year –Over 1000 deaths a day –2 deaths every 3 minutes Gopi P et al (TRC), IJMR, Sep 2005


Problem of TB in India (contd)  Prevalence of TB infection

–40% (~400m) infected with M. tuberculosis (with a 10% lifetime risk of TB disease in the absence of HIV)  Estimated Multi-drug resistant TB –3.4% in new cases –12% in re-treatment cases  TB-HIV –>5 million people living with HIV (PLWHA) –10-15% annual risk (60% lifetime risk) of develop in active TB disease in PLWHA –Estimated 5% of TB patients are HIV infected


Social and Economic Burden of TB in India


KANPUR CITY (INDIA) FIGURES  48% OF THE POPULATION OF KANPUR CITY IS

REPORTED TO BE INFECTED BY TUBERCULOR BACILLI !

 MORE THAN 8500 NEW INFECTIONS OF

TUBERCULOSIS EVERY YEAR!

 1 IN 10 RESIDENT OF KANPUR HAS SYMPTOMS OF

TUBERCULOSIS !

EVERY INFECTED PATIENT SPREADS THE INFECTION TO 15 NEW PERSONS !


IMPLEMENTATION OF THE PROJECT

 ROTARY CLUB OF KANPUR GREATER took note of

this scurge encompassing the city of Kanpur and launched the RCKG TB CLINIC in 2004 at 16/95,Pratap Sons Compound, Mall Road ,Kanpur- every Tuesday from 11 am to 12.30 noon  After consultation with various experts the weakest link was identified in the Management of Tuberculosis – DISCONTINUATION OF MEDICATION DUE TO LACK OF AWARENESS & INABILITY TO AFFORD THE MEDICINES OVER THE WHOLE PRESCRIBED COURSE OF TREATMENT


ADMINISTRATION  We have on our panel about twenty prominent

doctors who screen and send their ‘poorest of the poor’ patient to the RCKG T.B.Clinic.  The patient is counselled and given branded drugs as per the doctors prescription on a fortnightly basis.  In the first year itself we started off with 50 patients  The programme is entirely monitored by the Annes of the Club, who come rain or storm, to personally distribute the medicines to every patient on all Tuesday throughout the year.


FINANCES  The finances were arranged by contributions from the

parent Club, private donations and from Rotary Club of Umea Sodra, Sweden.  In the year 2008, it was a great honour for our Club & District to get a Matching Grant of USD 52,500 (Project No.63284) for this prestigious project from Rotary International for a period of two years.  With approx:   

USD 17,500 from internal sources USD 17,500 from Rotary Club Of Umea Sodra ,Sweden USD 17,500 from Matching Grant - Rotary International,

We had a comfortable corpus of USD 52,500 for two years(USD 26,250 per year) for our patients.


GRAPHS


GRAPHS (contd) YEARWISE EXPENSE TILL DATE (USD) 30,000.00 25,000.00 20,000.00 15,000.00 10,000.00 5,000.00 0.00

26250

2800

5800

7300

7700

26250

6500


Present Status  The Matching Grant Programme ended in January,

 

 

2010, the completion report of which has been submitted and accepted by Rotary International after a detailed scrutiny of the accounts and working of the programme. Over 700 patients successfully treated till date. The fate of the hundreds of MDR & Tuberculosis patients now hangs in uncertainity. USD 6500 can be arranged from our sources annually. This is only barely enough to sustain treatment of the already registered Tuberculosis Patients.


Without Grant

ď‚— All MDR Patients will have to turned away ď‚— No new T.B. Patient can be taken up for

starting treatment


APPEAL  Our fervent appeal to Rotary clubs of Future Vision

  

Districts , to step in and financially support this project for 3 years as an International Partner for Global Grant for USD 65,200 total (1/3rd contribution from each partner). So that the hundreds of helpless patients may be treated. Your kind intervention will be in true Rotary Spirit of ‘Service to Mankind’ It will also be an encouragement to our Rotarians & Anne’s who are working tirelessly in this amazing venture, Appreciation from the prominent Doctors, Citizens and Indian Medical Association & Rotary International.


Photo Gallery


The Rotary Foundation

Rotary Foundation (India)

1560 Sherman Avenue Evanston, IL 60201 USA Fax: 1-847-866-9759

Thapar House (Central Wing) 124, Janpath, New Delhi - 110 001, India Fax: 91-11-42250191/192, Email rfi@rotaryintl.org 03 June 2010

Host Cosponsor Suchitra Singh Rotary Club of Kanpur Greater (D - 3110) 15/198 Civil Lines Kanpur, Utt. Pr. 208001 India keystone_india @yahoo.com

International Cosponsor Sherdil Nath Rotary Club of Umeå Södra (D - 2320) Östra Esplanaden 6 SE-903 30 Umeå Sweden sherdil@hotmail.com

Ref: Matching Grant #63284 Dear Rotarians Singh and Nath, Thank you for submitting the final report requirements regarding Matching Grant Project #63284, to help provide free medicines with regular follow-ups to tuberculosis patients in the city of Kanpur, India. Your cooperation in fulfilling the RF(I) requirements of the Matching Grant Program is greatly appreciated. As all of the required information has been included the Foundation will mark the file as closed. Sincerely,

Colleen ODonnell Grant Coordinator Humanitarian Grants Staff The Rotary Foundation Phone: (847) 866-4457 Fax: (847) 556-2151 Email: Colleen.Odonnell@rotary.org

Sanjay Parmar Authorized Signatory Rotary Foundation (India) Phone: 91-11-42250101 to 05 Fax: 91-11-42250191/192 Email: Sanjay.Parmar@rotary.org


Proposal For International Partner For Global Grant