See you in Dubai - United Kingdom Thalassaemia Society
See you in Dubai - United Kingdom Thalassaemia Society
See you in Dubai - United Kingdom Thalassaemia Society
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contents<br />
Most of our readers will be aware of<br />
the forthcom<strong>in</strong>g big event <strong>in</strong> the world<br />
of thalassaemia – the <strong>Thalassaemia</strong><br />
International Federation 10th International<br />
Conference on <strong>Thalassaemia</strong> and<br />
Haemoglob<strong>in</strong>opathies & 12th International<br />
Conference for <strong>Thalassaemia</strong> Patients and<br />
Parents. This bi-annual event will be held<br />
from 7th-10th January 2006 <strong>in</strong> the <strong>Dubai</strong><br />
World Trade Centre, <strong>United</strong> Arab Emirates.<br />
A word from our President . . . . . . . . . . 2<br />
Latest News . . . . . . . . . . . . . . . . . . . . . . . . 3<br />
Medical News . . . . . . . . . . . . . . . . . . . . . 4<br />
Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8<br />
December 2005 ISSUE NUMBER 103<br />
<strong>See</strong> <strong>you</strong> <strong>in</strong> <strong>Dubai</strong><br />
This will be the first time that the TIF<br />
conference for patients and parents has<br />
been held <strong>in</strong> the Middle East. <strong>Thalassaemia</strong><br />
is a major health problem <strong>in</strong> this part<br />
of the world and this conference will<br />
undoubtedly raise awareness and draw<br />
attention to prevention and effective<br />
treatment for thalassaemia. Says TIF<br />
Chairman Mr Panos Englezos, “The<br />
conferences provide participants with a<br />
stimulat<strong>in</strong>g atmosphere, help<strong>in</strong>g to raise<br />
hope, awareness and commitment to the<br />
challenges of fight<strong>in</strong>g thalassaemia and<br />
other severe haemoglob<strong>in</strong>opathies. Patients<br />
and parents will have a unique opportunity<br />
to learn about the latest developments <strong>in</strong><br />
the field, with a chance to participate <strong>in</strong><br />
open discussions with experts and among<br />
themselves.”<br />
<strong>Thalassaemia</strong> patients and parents<br />
News from around the world . . . . . . . . 9<br />
Patient News . . . . . . . . . . . . . . . . . . . . . . 14<br />
Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16<br />
Office News . . . . . . . . . . . . . . . . . . . . . . . 17<br />
from all parts of the world attend the TIF<br />
conferences and those from the UK who<br />
have attended <strong>in</strong> the past have found it<br />
to be a truly <strong>in</strong>spir<strong>in</strong>g experience and a<br />
great opportunity to create long-last<strong>in</strong>g<br />
friendships.<br />
One of the core pr<strong>in</strong>ciples of UKTS is<br />
commitment to help<strong>in</strong>g thalassaemia<br />
patients learn everyth<strong>in</strong>g possible about<br />
manag<strong>in</strong>g their condition. We are also very<br />
aware of the importance of <strong>in</strong>formation<br />
shar<strong>in</strong>g, support and friendship with other<br />
patients both at home and abroad. We<br />
have therefore offered a f<strong>in</strong>ancial subsidy<br />
of £300 to all thalassaemia patients who<br />
are current, paid-up members of the<br />
<strong>Society</strong> who attend the <strong>Dubai</strong> conference.<br />
(All persons who are eligible for the subsidy<br />
will have received a personal letter dated<br />
31.10.05. Only those who are members <strong>in</strong><br />
their own name will qualify.) If <strong>you</strong> have<br />
received the subsidy letter and <strong>in</strong>tend to<br />
travel to <strong>Dubai</strong> for the conference, please<br />
<strong>in</strong>form the UKTS office immediately if <strong>you</strong><br />
have not already done so. We look forward<br />
to hear<strong>in</strong>g from <strong>you</strong> and to see<strong>in</strong>g <strong>you</strong> <strong>in</strong><br />
<strong>Dubai</strong>.<br />
UNITED KINGDOM<br />
THALASSAEMIA SOCIETY<br />
A Charity Organisation<br />
Registration Number: 275107<br />
19 The Broadway<br />
Southgate Circus, London N14 6PH<br />
Telephone: 0208 882 0011 • Fax: 0208 882 8618<br />
Email: office@ukts .org • www .ukts .org
A word from our President<br />
Dear Friends,<br />
First of all, I should expla<strong>in</strong> to <strong>you</strong><br />
all why <strong>you</strong> are gett<strong>in</strong>g <strong>you</strong>r copy of<br />
<strong>Thalassaemia</strong> Matters <strong>in</strong> the unusual<br />
month of December! Basically, we<br />
decided to keep back the October<br />
issue so that we could report to <strong>you</strong><br />
on our annual d<strong>in</strong>ner dance – more<br />
and more th<strong>in</strong>gs kept com<strong>in</strong>g up<br />
which we felt we couldn’t leave out<br />
- and as <strong>you</strong> can see this is a bumper<br />
issue. So I hope <strong>you</strong> will forgive us<br />
for not gett<strong>in</strong>g the next one out <strong>in</strong><br />
January 2006. (Might I add that we<br />
have taken the liberty of <strong>in</strong>clud<strong>in</strong>g<br />
the subscription rem<strong>in</strong>der notices<br />
– annual members take note.)<br />
As we are approach<strong>in</strong>g the end of the<br />
year I would like to say a few words<br />
about the work of the <strong>Society</strong> dur<strong>in</strong>g<br />
2005. By far the most significant date<br />
was the 14th June, when we launched<br />
our new publication Standards for<br />
the Cl<strong>in</strong>ical Care of Children and<br />
Adults with <strong>Thalassaemia</strong> <strong>in</strong> the UK<br />
(at our 2nd national conference for<br />
doctors who treat thalassaemia). I<br />
am proud and happy to say that the<br />
book has been distributed to doctors,<br />
nurses, patients and healthcare<br />
commissioners throughout the UK<br />
and even beyond; and our office<br />
www.ukts.org<br />
cont<strong>in</strong>ues to receive almost daily<br />
requests for copies. Remember that<br />
patients and parents can obta<strong>in</strong> a<br />
free copy on request from our office.<br />
Our cover story is the <strong>Thalassaemia</strong><br />
International Federation conference<br />
<strong>in</strong> <strong>Dubai</strong> <strong>in</strong> January 2006. We are all<br />
look<strong>in</strong>g forward to meet<strong>in</strong>g patients<br />
and families from the UK and around<br />
the world, some of them our own<br />
UKTS members. If <strong>you</strong> will be<br />
attend<strong>in</strong>g the conference, don’t forget<br />
to <strong>in</strong>troduce <strong>you</strong>rself – I promise <strong>you</strong><br />
won’t miss the UKTS crew, aka “The<br />
Wild Bunch”! Seriously, though, we<br />
would love to meet any of our friends<br />
from the thalassaemia community<br />
everywhere.<br />
We have, as ever, a great deal of<br />
work to look forward to <strong>in</strong> 2006.<br />
Let me take this opportunity to say<br />
how much we value the support of<br />
our members. Remember that we<br />
are always here for <strong>you</strong> if <strong>you</strong> need<br />
<strong>in</strong>formation, support, or just want<br />
to tell us about <strong>you</strong>rself. And don’t<br />
forget to give us <strong>you</strong>r good news –<br />
exam results, sport<strong>in</strong>g achievements,<br />
engagements/wedd<strong>in</strong>gs or births!<br />
Remember that a positive example<br />
from <strong>you</strong> will <strong>in</strong>spire other thals both<br />
<strong>in</strong> the UK and beyond.<br />
F<strong>in</strong>ally, with the approach of various<br />
festivals and the New Year I would<br />
like to wish all our readers health<br />
and happ<strong>in</strong>ess on behalf of myself,<br />
the Committee and staff of UKTS.<br />
Until next year<br />
Mike Michael<br />
President, UK <strong>Thalassaemia</strong> <strong>Society</strong><br />
Aims &<br />
Objectives<br />
of UKTS<br />
■ The relief of persons<br />
suffer<strong>in</strong>g from thalassaemia.<br />
■ The promotion and coord<strong>in</strong>ation<br />
of research<br />
<strong>in</strong> connection with<br />
thalassaemia.<br />
■ To educate people on the<br />
problems of thalassaemia.<br />
■ To offer counsell<strong>in</strong>g to<br />
sufferers and carriers.<br />
■ To br<strong>in</strong>g together patients,<br />
their families and wellwishers<br />
to exchange ideas<br />
and <strong>in</strong>formation.<br />
■ To raise by any legal means<br />
the funds required for the<br />
above activities.<br />
the UKts<br />
Management<br />
committee<br />
Mike Michael President<br />
Menuccia Tassone Vice-President<br />
Costas Kountourou Secretary<br />
Olga Demetriou A Secretary<br />
George Constant<strong>in</strong>ou Treasurer<br />
Philip Agathangelou A Treasurer<br />
Maria Gavriel Committee<br />
Chris Sotirelis Committee<br />
Andreas Yiannikou Committee
H<strong>in</strong>du<br />
Festival<br />
Once aga<strong>in</strong>, UKTS was present to offer<br />
free blood screen<strong>in</strong>g at the H<strong>in</strong>du festival<br />
Janmasthami Day, which took place this<br />
year on 26th August. As <strong>in</strong> previous years,<br />
the event was held at Bhaktivedanta<br />
Manor <strong>in</strong> Watford. We were busy all<br />
afternoon, sometimes screen<strong>in</strong>g whole<br />
families. Here we see one of the <strong>you</strong>nger<br />
participants earn<strong>in</strong>g her certificate of<br />
bravery with support from Dad. UKTS<br />
thanks phlebotomist N<strong>in</strong>a Demetrova<br />
and the Haematology Lab of the North<br />
Middlesex Hospital who processed the<br />
blood samples for us.<br />
A New<br />
Support<br />
Group <strong>in</strong><br />
Blackburn<br />
Good news for anyone <strong>in</strong> the thalassaemia<br />
community who lives <strong>in</strong> the Blackburn<br />
and Darwen area! We are pleased to<br />
report that a new support group (Friends<br />
of <strong>Thalassaemia</strong>) for patients, carers and<br />
supporters has started up. The new group<br />
got off to a resound<strong>in</strong>g start with a highly<br />
successful awareness day, which was held<br />
<strong>in</strong> Bangor Street Community Centre on<br />
24th November 2005. The event, which<br />
was attended by more than 200 people,<br />
was opened and attended by the Mayor<br />
and Mayoress of Blackburn with Darwen.<br />
UKTS Co-ord<strong>in</strong>ator Ela<strong>in</strong>e Miller attended<br />
and was delighted to confirm our support<br />
of this new group. Anyone <strong>in</strong>terested<br />
<strong>in</strong> jo<strong>in</strong><strong>in</strong>g the group for friendship,<br />
<strong>in</strong>formation and support, please contact<br />
Mrs Am<strong>in</strong>a Patel on 07779 726 686 or Mrs<br />
Salma Jassat on 07779 134 342.<br />
latest news<br />
NEBATA<br />
Dr Kate Ryan, Chair of NEBATA and Vice-Chair<br />
Mrs Zanib Rasul<br />
The North of England Bone Marrow<br />
and <strong>Thalassaemia</strong> Association held their<br />
8th annual Awareness Conference on<br />
Sunday 2nd October 2005 at the Carlisle<br />
Bus<strong>in</strong>ess Centre <strong>in</strong> Bradford. Co-ord<strong>in</strong>ator<br />
Ela<strong>in</strong>e Miller attended on behalf of UKTS<br />
and gave a presentation on our new<br />
publication Standards for the Cl<strong>in</strong>ical Care<br />
of Children and Adults with <strong>Thalassaemia</strong><br />
<strong>in</strong> the UK. The day was chaired by Dr Kate<br />
Ryan from Manchester Royal Infirmary. The<br />
subjects of the other presentations were;<br />
Bone Marrow Transplantation and its Role<br />
8th Annual<br />
Awareness<br />
Conference<br />
<strong>in</strong> Modern <strong>Thalassaemia</strong> Treatment (Dr<br />
Sally K<strong>in</strong>sey, St James’s Hospital, Leeds),<br />
Blood Transfusion and Iron Chelation<br />
(Dr Farrukh Shah, Whitt<strong>in</strong>gton Hospital,<br />
London), The Importance of Other<br />
Haemoglob<strong>in</strong> Genes with <strong>Thalassaemia</strong><br />
(Dr Andrew Will, Royal Manchester<br />
Children’s Hospital) and NEBATA (Mrs<br />
Zanib Rasul, NEBATA Co-ord<strong>in</strong>ator). Dur<strong>in</strong>g<br />
the afternoon workshops were held on;<br />
mov<strong>in</strong>g from paediatric to adult care, iron<br />
chelation and education and careers.<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong>
N.B. This is an extract from the<br />
presentation given by Dr Voskaridou<br />
at our conference on 14.6.05. A<br />
complete version, <strong>in</strong>clud<strong>in</strong>g a full list<br />
of references is available on request<br />
from the UKTS office.<br />
Prevention and general pr<strong>in</strong>ciples:<br />
Prevention and treatment of early bone<br />
loss consists the best policy. Annual<br />
check<strong>in</strong>g of BMD start<strong>in</strong>g <strong>in</strong> adolescence is<br />
considered <strong>in</strong>dispensable. Physical activity<br />
must always be encouraged. Moderate and<br />
high impact activities are to be supported.<br />
Exercise has additional benefits: it improves<br />
cardiovascular system, reduces the risk<br />
of diabetes and prevents depression.<br />
Smok<strong>in</strong>g should be discouraged. Adequate<br />
calcium and z<strong>in</strong>c <strong>in</strong>take dur<strong>in</strong>g skeleton<br />
development can <strong>in</strong>crease bone mass<br />
<strong>in</strong> adult life and <strong>in</strong> comb<strong>in</strong>ation with<br />
adm<strong>in</strong>istration of low doses of vitam<strong>in</strong> D,<br />
may prevent bone loss and fractures (Lasko<br />
et al, 2001). Early diagnosis and treatment<br />
of diabetes mellitus is also important, as<br />
the association between diabetes and<br />
low bone mass <strong>in</strong> TM patients has been<br />
well documented (Jensen et al, 1998).<br />
Adequate iron chelation may prevent iron<br />
toxicity <strong>in</strong> the bone and sufficient blood<br />
transfusions may <strong>in</strong>hibit uncontrolled bone<br />
marrow expansion.<br />
Hormonal replacement: Prevention<br />
of hypogonadism seems to be the most<br />
effective way for prevent<strong>in</strong>g osteoporosis<br />
and other bone deformities <strong>in</strong> TM patients<br />
(Jensen et al, 1998). Cont<strong>in</strong>uous hormonal<br />
replacement therapy with transdermal<br />
oestrogen for females or human chorionic<br />
gonadotroph<strong>in</strong> for males improves bone<br />
density parameters (Anapliotou et al;<br />
1995).<br />
www.ukts.org<br />
medical news<br />
Management of <strong>Thalassaemia</strong>-<br />
Induced Osteoporosis<br />
Ersi Voskaridou, MD, PhD; Evangelos Terpos, MD, PhD<br />
<strong>Thalassaemia</strong> Centre, Laikon General Hospital, Athens, Greece<br />
Calciton<strong>in</strong>: It’s a potent <strong>in</strong>hibitor of<br />
osteoclasts. It has evaluated the effect on<br />
bone mass <strong>in</strong> 14 patients with TM (100 IU<br />
x 3/w x 1 year) <strong>in</strong> comb<strong>in</strong>ation with 250<br />
mg calcium daily. At the end of treatment<br />
period, bone pa<strong>in</strong> had disappeared,<br />
radiological f<strong>in</strong>d<strong>in</strong>gs of osteoporosis<br />
had been improved and the number<br />
of fractures had been decreased <strong>in</strong> the<br />
treatment group but not <strong>in</strong> controls. CT<br />
had no important side effects (Canatan et<br />
al, 1995).<br />
Hydroxyurea: Ten patients with TM were<br />
given hydroxyurea (1.5 g per os daily), <strong>in</strong><br />
an attempt to reduce marrow hyperplasia<br />
diagnosed by MRI. Hydroxyurea improved<br />
bone pa<strong>in</strong> and MRI f<strong>in</strong>d<strong>in</strong>gs (Angast<strong>in</strong>iotis<br />
et al, 1998). However, these results have<br />
not been confirmed by other studies.<br />
Bisphosphonates: The <strong>in</strong>creased bone<br />
resorption observed <strong>in</strong> patients with<br />
thalassaemia-<strong>in</strong>duced osteoporosis has<br />
led to the use of bisphosphonates <strong>in</strong> the<br />
management of osteoporosis <strong>in</strong> this cohort<br />
of patients. Bisphosphonates are potent<br />
<strong>in</strong>hibitors of osteoclastic bone resorption.<br />
They act by <strong>in</strong>hibit<strong>in</strong>g osteoclastic<br />
recruitment and maturation, prevent<strong>in</strong>g the<br />
development of monocyte precursors <strong>in</strong>to<br />
osteoclasts, <strong>in</strong>duc<strong>in</strong>g osteoclast apoptosis<br />
and <strong>in</strong>terrupt<strong>in</strong>g their attachment to the<br />
bone (Suda et al, 1997). In thalassaemia<br />
osteoporosis, almost all generations of<br />
bisphosphonates have been used <strong>in</strong> an<br />
attempt to <strong>in</strong>crease the BMD and improve<br />
the abnormal bone remodell<strong>in</strong>g. Morabito<br />
et al (2002) <strong>in</strong>vestigated the effects<br />
of two years daily oral adm<strong>in</strong>istration<br />
of alendronate or <strong>in</strong>tramascular<br />
adm<strong>in</strong>istration of clodronate on BMD,<br />
bone turnover markers, safety and<br />
tolerability <strong>in</strong> 25 thalassaemia patients with<br />
osteoporosis. After two years of followup,<br />
the lumbar sp<strong>in</strong>e and femoral neck<br />
BMD had decreased significantly <strong>in</strong> the<br />
placebo group. Clodronate reduced bone<br />
resorption markers, deoxypyryd<strong>in</strong>ol<strong>in</strong>e and<br />
pyryd<strong>in</strong>ol<strong>in</strong>e, and <strong>in</strong>hibited bone loss but it<br />
was unable to <strong>in</strong>crease BMD at all studied<br />
sites. Daily treatment with alendronate<br />
normalised the rate of bone turnover, and<br />
resulted <strong>in</strong> a rise <strong>in</strong> BMD of the sp<strong>in</strong>e and<br />
the hip. The <strong>in</strong>effectiveness of clodronate<br />
was also confirmed by Pennisi et al (2003).<br />
Pamidronate, a second generation<br />
am<strong>in</strong>obisphosphonate, was firstly given<br />
by Wonke (2001) at doses ranged<br />
between 15 mg and 60 mg, <strong>in</strong> a 40<br />
m<strong>in</strong>utes <strong>in</strong>fusion, at monthly <strong>in</strong>tervals.<br />
A significant improvement <strong>in</strong> BMD was<br />
observed <strong>in</strong> most patients. Our group<br />
compared the effects of two different<br />
doses of pamidronate, 30 mg vs. 60<br />
mg, on BMD of the lumbar sp<strong>in</strong>e, the<br />
femoral neck and the forearm and<br />
on markers of bone remodell<strong>in</strong>g and<br />
osteoclast function <strong>in</strong> 26 patients with<br />
thalassaemia and osteoporosis. Thirteen<br />
patients with thalassaemia major and 5<br />
patients with thalassaemia <strong>in</strong>termedia<br />
were given pamidronate at a dose of<br />
30mg <strong>in</strong> a two hour iv <strong>in</strong>fusion, once<br />
a month for 12 months; another 8<br />
patients (4 with thalassaemia major<br />
and 4 with thalassaemia <strong>in</strong>termedia)<br />
received a dose of 60 mg/month, <strong>in</strong> an<br />
attempt to explore whether <strong>in</strong>creas<strong>in</strong>g<br />
the dose of pamidronate might have any<br />
additional effect. The <strong>in</strong>travenous was<br />
preferred aga<strong>in</strong>st to oral adm<strong>in</strong>istration to<br />
override the problem of gastro<strong>in</strong>test<strong>in</strong>al<br />
malabsorption of oral bisphosphonates,<br />
which is less than 10%, and it is<br />
further reduced by food conta<strong>in</strong><strong>in</strong>g<br />
milk or iron. Both groups <strong>in</strong>cluded
Cont<strong>in</strong>ues from page 4<br />
patients with comparable degrees of<br />
osteoporosis and hypogonadism. All<br />
patients were also receiv<strong>in</strong>g calcium,<br />
and vitam<strong>in</strong> D supplement prior and<br />
dur<strong>in</strong>g the 12-month follow-up period<br />
of the study. Adm<strong>in</strong>istration of 30 mg<br />
of pamidronate resulted <strong>in</strong> a significant<br />
<strong>in</strong>crease of the BMD of the lumbar sp<strong>in</strong>e<br />
<strong>in</strong> all patients, but not the BMD of the<br />
femoral neck and the forearm. The 60<br />
mg of pamidronate group showed a<br />
similarly significant <strong>in</strong>crease <strong>in</strong> the BMD<br />
of the lumbar sp<strong>in</strong>e <strong>in</strong> both transfusion<br />
dependent and transfusion <strong>in</strong>dependent<br />
patients. Adm<strong>in</strong>istration of both doses<br />
of pamidronate was also followed by<br />
a clear decrease of markers of bone<br />
resorption (NTX, and TRACP-5b), OPG, and<br />
osteocalc<strong>in</strong> that was similar <strong>in</strong> patients of<br />
both treatment groups. Furthermore, most<br />
patients compla<strong>in</strong><strong>in</strong>g for severe bone pa<strong>in</strong><br />
at the onset of the study had a significant<br />
reduction of pa<strong>in</strong> after treatment period.<br />
No severe adverse-events were reported <strong>in</strong><br />
this study (Voskaridou et al, 2003).<br />
In another recent study, 29 patients with<br />
transfusion-dependent beta-thalassaemia<br />
and severe osteoporosis were given<br />
zoledronic acid, the most potent third<br />
generation bisphosphonate to-date, at a<br />
dose of 1 mg <strong>in</strong>travenously every 3 months<br />
over 12 months period. All patients were<br />
also receiv<strong>in</strong>g calcium and vitam<strong>in</strong> D<br />
Can <strong>you</strong><br />
help with<br />
research <strong>in</strong>to<br />
the quality<br />
of life of<br />
thalassaemia<br />
patients?<br />
medical news<br />
supplement prior to and dur<strong>in</strong>g the study.<br />
Adm<strong>in</strong>istration of zoledronic acid was<br />
followed by a clear <strong>in</strong>crease <strong>in</strong> the BMD of<br />
the lumbar sp<strong>in</strong>e, as well as by a significant<br />
decrease <strong>in</strong> IGF-1 and a significant <strong>in</strong>crease<br />
<strong>in</strong> OPG serum levels. No treatment-related<br />
side-effects were observed <strong>in</strong> this study<br />
(Perifanis et al, 2004).<br />
These studies confirm the effectiveness<br />
of bisphosphonates <strong>in</strong> the treatment<br />
of thalassaemia-<strong>in</strong>duced osteoporosis.<br />
Alendronate, pamidronate and zoledronic<br />
acid seem to have the greater efficacy.<br />
However, more trials must be conducted<br />
<strong>in</strong> order to clarify the exact role of each<br />
biphosphonate, the long-term benefit<br />
and side-effects as well as the effects of<br />
the comb<strong>in</strong>ation of bisphosphonates with<br />
other effective agents, such as hormonal<br />
replacement, <strong>in</strong> thalassaemia-<strong>in</strong>duced<br />
osteoporosis.<br />
Conclusion<br />
<strong>Thalassaemia</strong>-<strong>in</strong>duced osteoporosis is<br />
multifactorial and therefore, very difficult<br />
<strong>in</strong> its management. Adequate hormonal<br />
replacement, effective iron chelation,<br />
improvement of haemoglob<strong>in</strong> levels,<br />
calcium and vitam<strong>in</strong> D adm<strong>in</strong>istration,<br />
physical activity, and no smok<strong>in</strong>g, consist<br />
the ma<strong>in</strong> to-date measures for the<br />
management of the disease. However,<br />
novel pathogenetic data suggest that<br />
The term Health Quality of Life (HRQoL)<br />
plays an important role <strong>in</strong> healthcare.<br />
The President of the UKTS President has<br />
stated that the “quality of life, for<br />
those suffer<strong>in</strong>g from thalassaemia<br />
encompasses three th<strong>in</strong>gs: patient<br />
attitude, transfusion regime and<br />
chelation”. Patients should have a<br />
voice and their experiences of their illness<br />
should be recognized. Medical research<br />
dom<strong>in</strong>ates the field of thalassamia for<br />
that reason the aim of Psychologists is<br />
to explore the psychological and social<br />
aspects of HRQoL by develop<strong>in</strong>g measures<br />
to address these issues.<br />
Allow me to <strong>in</strong>troduce myself. I am a<br />
third year Psychology PhD student work<strong>in</strong>g<br />
<strong>in</strong> partnership with University College<br />
London Hospital NHS Trust (UCLH) and<br />
healthcare professionals like Professor John<br />
the reduced osteoblastic activity, which<br />
is believed to be the basic mechanism<br />
of bone loss <strong>in</strong> TM, is accompanied by<br />
a comparable or even greater <strong>in</strong>crease<br />
<strong>in</strong> bone resorption, through the RANK/<br />
RANKL/OPG pathway. Therefore, the<br />
role of bisphosphonates, that are potent<br />
<strong>in</strong>hibitors of osteoclast activation, arises as<br />
major <strong>in</strong> the management of osteoporosis<br />
<strong>in</strong> these patients. However, many aspects<br />
have to been clarified before the broad<br />
use of bisphosphonates <strong>in</strong> TM-<strong>in</strong>duced<br />
osteoporosis: which one? how long?<br />
and at what dose? The comb<strong>in</strong>ation of<br />
bisphosphonates with other effective<br />
agents has also to be evaluated <strong>in</strong><br />
randomised trials. Other novel agents<br />
that stimulate bone formation such<br />
as teriparatide, a recomb<strong>in</strong>ant peptide<br />
fragment of parathyroid hormone,<br />
strontium ranelate, a second anabolic<br />
agent, that seem to prevent osteoporotic<br />
fractures <strong>in</strong> postmenopausal women,<br />
are be<strong>in</strong>g studied but their effects <strong>in</strong><br />
TM-<strong>in</strong>duced osteoporosis rema<strong>in</strong>s to be<br />
proven. F<strong>in</strong>ally, recomb<strong>in</strong>ant OPG, and<br />
anti-RANKL, which reverses osteopenia <strong>in</strong><br />
ovariectomised mice and reduces osteoclast<br />
activation <strong>in</strong> humans with myeloma<br />
and breast cancer bone disease may be<br />
another future agent that may help <strong>in</strong> the<br />
management of this difficult complication<br />
of thalassaemia.<br />
Porter, Dr. Anna Mandeville, Sister Matty<br />
Owusu at University College Hospital<br />
(UCH), London, and Dr. Farrukh Shah and<br />
Sister Emma Prescott at The Whitt<strong>in</strong>gton<br />
Hospital, London, to study the HRQoL of<br />
thalassaemia patients. It is my <strong>in</strong>tention<br />
to develop and validate a measure which<br />
assesses the subjective impact of betathalassaemia,<br />
and then to exam<strong>in</strong>e the<br />
relationship between HRQoL, adherence to<br />
treatment, social support and self-efficacy.<br />
The significance of this research<br />
• The HRQoL measure that I shall develop<br />
is disease specific, <strong>in</strong> that it will be<br />
sensitive to changes <strong>in</strong> the thalassaemia<br />
major patient group<br />
• HRQoL assessments are useful and<br />
Cont<strong>in</strong>ues on page 6 ➡<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong>
Cont<strong>in</strong>ues from page 5<br />
valuable especially <strong>in</strong> determ<strong>in</strong><strong>in</strong>g the<br />
effectiveness of <strong>in</strong>terventions.<br />
• HRQoL assessments have important<br />
implications for cl<strong>in</strong>ical trials and<br />
practice<br />
• Little is known about the impact of<br />
thalassaemia on patients’ HRQoL. This<br />
is where this research will make an<br />
esteemed contribution to the field.<br />
In 2002, the UKTS stated on their<br />
website that a third of thalassaemia<br />
patients do not comply with<br />
treatment. That is why the <strong>in</strong>vestigation<br />
of the predictive value of social support,<br />
self-efficacy and adherence on HRQoL<br />
<strong>in</strong> thalassaemia patients has significant<br />
importance for the follow<strong>in</strong>g reasons:<br />
• As life expectancies of patients<br />
with thalassaemia is <strong>in</strong>creas<strong>in</strong>g with<br />
adherence to treatment hence the<br />
understand<strong>in</strong>g of factors relat<strong>in</strong>g<br />
to quantity and quality of life, and<br />
how factors such as social support<br />
are associated with HRQoL become<br />
<strong>in</strong>creas<strong>in</strong>gly important<br />
www.ukts.org<br />
medical news<br />
• As self-efficacy health beliefs and<br />
behaviour are strong predictors of<br />
health status <strong>in</strong> chronic illness it is<br />
therefore an important area to target<br />
<strong>in</strong> cl<strong>in</strong>ical practice with thalassaemia<br />
patients<br />
• A thalassaemia patient’s decision on<br />
whether they adhere to treatment or<br />
not, may or may not be damag<strong>in</strong>g to<br />
their life quality and well- be<strong>in</strong>g.<br />
Patient A: “I do not know anyth<strong>in</strong>g<br />
different to a life which has consisted<br />
of hav<strong>in</strong>g blood transfusions <strong>in</strong><br />
hospital every 4 weeks and overnight<br />
<strong>in</strong>jections every night as well as other<br />
complications such as bone trouble.<br />
It is hard cop<strong>in</strong>g with that k<strong>in</strong>d of<br />
treatment and try<strong>in</strong>g to carry on with a<br />
normal life but given the choice of not<br />
do<strong>in</strong>g the treatment and fac<strong>in</strong>g more<br />
and more complications, I th<strong>in</strong>k I know<br />
what life I would prefer”.<br />
Patient B: “Individuals like us, who<br />
have a chronic illness, have the<br />
difficulty of not be<strong>in</strong>g able to deny so<br />
well as other people the ever present<br />
threat of death. In this respect however<br />
we are also given the opportunity to<br />
learn from such realisations. It does<br />
not have to be that death knocks right<br />
on our door before we start to see the<br />
reality of our life. We can start from<br />
now. It does not have to be that we<br />
realise what we have only after we<br />
lose it, but unfortunately this is what<br />
we most often do”.<br />
By the time <strong>you</strong> read this article some<br />
of <strong>you</strong> may have been approached by<br />
<strong>you</strong>r healthcare team to participate <strong>in</strong> this<br />
study, either by be<strong>in</strong>g <strong>in</strong>terviewed and/or<br />
complet<strong>in</strong>g questionnaires. For those of<br />
<strong>you</strong> who have done so, I am eternally<br />
grateful. For those of <strong>you</strong> who have not<br />
as yet been approached, I implore <strong>you</strong> to<br />
aid me <strong>in</strong> my endeavours. Research <strong>in</strong>to<br />
the quality of life of thalassaemia patients<br />
is still very much <strong>in</strong> its <strong>in</strong>fancy. I trust that<br />
this study will <strong>in</strong>form both research and<br />
cl<strong>in</strong>ical fields.<br />
Xenya Kantaris BSc; MSc; MPhil<br />
Brunel University, Uxbridge/UCLH<br />
DIPEx study of experiences of<br />
antenatal and newborn screen<strong>in</strong>g<br />
for sickle cell and thalassaemia<br />
Members of UKTS may like to know<br />
about a new study based at the University<br />
of Oxford and funded by the NHS<br />
Screen<strong>in</strong>g Programme for Sickle Cell<br />
and <strong>Thalassaemia</strong>. The ‘DIPEx’ research<br />
group specialises <strong>in</strong> personal experiences<br />
of health and illness, and produces an<br />
award-w<strong>in</strong>n<strong>in</strong>g website (www.dipex.<br />
org) which features video, audio and<br />
written <strong>in</strong>terviews of people tell<strong>in</strong>g their<br />
stories. People can use the site to f<strong>in</strong>d<br />
practical and emotional support, as well as<br />
evidence-based <strong>in</strong>formation. The website is<br />
also used to teach health care staff about<br />
what really matters to people mak<strong>in</strong>g<br />
choices about their care or liv<strong>in</strong>g with a<br />
particular condition.<br />
The sickle cell and thalassaemia study<br />
will <strong>in</strong>volve <strong>in</strong>terviews with people talk<strong>in</strong>g<br />
about what it was like to make decisions<br />
about screen<strong>in</strong>g, how they felt about the<br />
results, and what they did next. Clips from<br />
the <strong>in</strong>terviews will be used to illustrate<br />
the website, which will go live <strong>in</strong> 2006.<br />
We are look<strong>in</strong>g for people will<strong>in</strong>g to share<br />
their stories <strong>in</strong> an <strong>in</strong>terview, which can<br />
be arranged at a time and place to suit<br />
<strong>you</strong>. Most people are <strong>in</strong>terviewed <strong>in</strong> their<br />
own home. We want to <strong>in</strong>clude people<br />
who have decided aga<strong>in</strong>st screen<strong>in</strong>g or<br />
diagnosis; people who have had carrier<br />
screen<strong>in</strong>g (with positive or negative<br />
results); and people who have gone on to<br />
have prenatal or neonatal diagnosis (with<br />
positive or negative results).<br />
If <strong>you</strong> have had to make a decision<br />
about antenatal screen<strong>in</strong>g for thalassaemia<br />
and would be <strong>in</strong>terested to take part,<br />
please contact:<br />
Louise Locock, Senior Researcher,<br />
DIPEx Research Group,<br />
University of Oxford, Old Road Campus,<br />
Head<strong>in</strong>gton, Oxford, OX3 7LF.<br />
Tel. 01865 227008,<br />
e-mail: louise.locock@dphpc.ox.ac.uk
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong>
We thought our readers might like the<br />
opportunity to get to know one of<br />
our most active Patrons - star of stage<br />
and screen Peter Polycarpou. Peter<br />
has always been <strong>in</strong> showbus<strong>in</strong>ess but<br />
became a household name when he<br />
was cast as Sharon’s husband Chris <strong>in</strong><br />
the popular BBC comedy “Birds of a<br />
Feather”. Peter is an active supporter<br />
of UKTS, is always <strong>in</strong>terested to hear<br />
about our work and always attends<br />
our events when his professional<br />
commitments allow. He has recently<br />
put a lot of work <strong>in</strong>to organis<strong>in</strong>g a<br />
Greek film mat<strong>in</strong>ee <strong>in</strong> aid of UKTS. We<br />
are proud to have Peter as our Patron<br />
and greatly appreciate his support.<br />
www.ukts.org<br />
profile<br />
Can <strong>you</strong> tell us a<br />
little bit about <strong>you</strong>r<br />
family - which area<br />
are they from <strong>in</strong><br />
Cyprus and when<br />
did they move to<br />
England.<br />
My parents are both<br />
from small villages<br />
<strong>in</strong> Cyprus though<br />
they left them at a<br />
fairly early age. My<br />
mother was born <strong>in</strong><br />
Kakopetria and lived<br />
<strong>in</strong> Limassol hav<strong>in</strong>g to<br />
look after her four<br />
male cous<strong>in</strong>s from<br />
the age of about<br />
n<strong>in</strong>e after the death<br />
of an Uncle. My<br />
mother’s mother died<br />
when she was quite<br />
<strong>you</strong>ng from gangrene<br />
hav<strong>in</strong>g been too poor<br />
to pay for a doctor<br />
after her leg was<br />
broken and it was set<br />
<strong>in</strong>correctly. My father<br />
was born <strong>in</strong> Korphi and came to England<br />
when he was still a seventeen-year-old<br />
teenager. His old village was almost totally<br />
destroyed by a landslide a few years ago.<br />
They both came to England <strong>in</strong> the 1950s<br />
and met whilst my Father was study<strong>in</strong>g<br />
to be a draftsman and my mother lodged<br />
with my paternal grandparents.<br />
Did <strong>you</strong> always want to be an actor<br />
or did <strong>you</strong> have any other early<br />
ambitions.<br />
I always wanted to be a performer. From<br />
a very early age I enterta<strong>in</strong>ed the whole<br />
family whenever there was a social<br />
gather<strong>in</strong>g. I remember putt<strong>in</strong>g a comb<br />
aga<strong>in</strong>st my lip and pretend<strong>in</strong>g to have a<br />
moustache. I jo<strong>in</strong>ed a group that my sister<br />
Eve and friend Margaret formed and we<br />
sang at Greek wedd<strong>in</strong>gs sometimes and<br />
<strong>in</strong> Church. I knew I wanted to be an actor<br />
when I put on a dress to play Mabel <strong>in</strong> the<br />
school production of Pirates of Penzance!<br />
Do <strong>you</strong> have personal connection to<br />
thalassaemia?<br />
Whilst there is no family connection with<br />
thalassaemia that I know of, I do feel that<br />
because it affects people from my own<br />
community <strong>in</strong> alarm<strong>in</strong>gly disproportionate<br />
numbers that I have a duty to do what<br />
I can with my profile as an actor who is<br />
known <strong>in</strong> the wider community. I also th<strong>in</strong>k<br />
that because the charity is a small one I<br />
can do more to help.<br />
How did <strong>you</strong> become <strong>in</strong>volved with<br />
the <strong>Society</strong>, and when?<br />
I’m not entirely sure actually!! I remember<br />
be<strong>in</strong>g asked to an event, which I attended.<br />
I th<strong>in</strong>k <strong>in</strong>itially it was because of my profile<br />
on Birds Of A Feather that I was asked<br />
to see if I could help raise awareness<br />
amongst the wider community and try to<br />
do someth<strong>in</strong>g to raise money. I have also<br />
had a long association with The Anthony<br />
Nolan Trust and because of the profile of<br />
BOAF I have been able to raise awareness<br />
amongst Greek-Cypriots and get them to<br />
come forward and give blood and to get<br />
on the register as possible bone marrow<br />
donors.<br />
What message would <strong>you</strong> like to give<br />
to our readers.<br />
I know I haven’t been much of a patron<br />
over the last few years but I do try and<br />
promote the <strong>in</strong>terests of the charity <strong>in</strong><br />
every <strong>in</strong>terview I do and I am actively try<strong>in</strong>g<br />
to do more as and when I have the time.<br />
If anyone has any suggestions about what<br />
they th<strong>in</strong>k I could be do<strong>in</strong>g then I am<br />
always will<strong>in</strong>g to hear from them through<br />
email (mail@polycarpou.com) or if they<br />
want to contact me thought the charity.
Symposium for<br />
Current Issues <strong>in</strong><br />
Iron Overload <strong>in</strong><br />
Rare Anaemias<br />
Hamburg 14-16 October 2005<br />
by Dr Christos Sotirelis<br />
As a representative of the Management<br />
Committee of UKTS I recently attended a<br />
conference <strong>in</strong> Hamburg on <strong>Thalassaemia</strong><br />
and other rare anaemias. This was the first<br />
such conference organized <strong>in</strong> Germany, to<br />
<strong>in</strong>clude participation not only of doctors<br />
but also of patients, carers, parents,<br />
patient groups and other patient leaders.<br />
The ma<strong>in</strong> reason for attend<strong>in</strong>g was to<br />
f<strong>in</strong>d out the problems and difficulties the<br />
German patients face and to work with<br />
them to resolve them. Our <strong>in</strong>vitation to the<br />
conference suggests that <strong>in</strong> both countries<br />
there are similar problems and therefore<br />
the UKTS could work together with local<br />
news from around the world<br />
people to offer our know-how for their<br />
benefit.<br />
This was a two day Congress held at<br />
the University Medical Centre Hamburg<br />
at Eppendorf (UKE) to deal with the<br />
ambiguity that <strong>in</strong> Germany there are<br />
only a small number of haematological<br />
centres that specialise and have extensive<br />
knowledge of rare anaemias, although<br />
patients with these types of anaemia are<br />
be<strong>in</strong>g treated <strong>in</strong> a variety of hospitals<br />
nationwide. The aim was to update<br />
the haematological community on<br />
the most recent areas <strong>in</strong> this field. The<br />
list of speakers <strong>in</strong>cluded national and<br />
<strong>in</strong>ternational guests from as far as Oakland<br />
- San Francisco and Israel, all recognised<br />
leaders <strong>in</strong> their respective fields.<br />
In a country as big as Germany the other<br />
role of the Congress was to serve as a<br />
platform for the patients and their parents,<br />
giv<strong>in</strong>g them the opportunity to meet each<br />
other as well as the <strong>in</strong>ternational experts<br />
and to express their particular problems.<br />
Specific sessions had been <strong>in</strong>cluded to deal<br />
with psychosocial issues of patients as well<br />
as a round table discussion on better ways<br />
to respond to the expectations of patients<br />
Vassilis Dimos and Yannis Chatzis, two of the<br />
Hamburg delegates<br />
and parents with haemoglob<strong>in</strong>opathies. In<br />
addition, it was possible for many patients<br />
and parents to see a demonstration of the<br />
SQUID scanner at the facility of the UKE,<br />
one of the few centres <strong>in</strong> Germany to have<br />
such capability, applied to iron overload<br />
monitor<strong>in</strong>g for thalassaemic patients.<br />
F<strong>in</strong>ally, hav<strong>in</strong>g Hamburg, Germany’s<br />
historical Hanseatic city and Europe’s<br />
second biggest port as a backdrop, which<br />
was on its best behaviour by provid<strong>in</strong>g<br />
us with constant hazy sunsh<strong>in</strong>e and<br />
Cont<strong>in</strong>ues on page 10 ➡<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong>
Cont<strong>in</strong>ues from page 9<br />
unseasonably warm weather.<br />
Germany is a country possess<strong>in</strong>g one<br />
of the most advanced economies of the<br />
world and is the strongest economy <strong>in</strong><br />
Europe. Germany has cont<strong>in</strong>ued to <strong>in</strong>vest<br />
10.5% of GDP on healthcare (which<br />
compares favourably with Brita<strong>in</strong>). The<br />
hospitals, <strong>in</strong> general, are packed with<br />
technological sophistication and a high level<br />
of accommodation comfort. Despite this,<br />
and although there are officially around 400<br />
– 450 transfusion dependent patients and<br />
possibly more, they are spread th<strong>in</strong>ly across<br />
the whole of Germany, a country with a<br />
population of around 83 million. This causes<br />
10<br />
www.ukts.org<br />
news from around the world<br />
problems <strong>in</strong> achiev<strong>in</strong>g the best standard<br />
for everybody. The lack of standardised<br />
treatment, access to regular specialist<br />
doctors, knowledge and <strong>in</strong>formation about<br />
the latest developments and contact with<br />
other patients to share problems and<br />
socialise have created a sense of isolation,<br />
and several psychosocial problems <strong>in</strong> a<br />
number of patients. To this aim copies of<br />
our newly published Standards of Care<br />
document created huge <strong>in</strong>terest amongst<br />
em<strong>in</strong>ent professors, doctors, and patients<br />
alike. Our approach to solv<strong>in</strong>g similar<br />
problems <strong>in</strong> the UK could become the<br />
bluepr<strong>in</strong>t for Germany’s thalassaemics. On a<br />
happier note, there are many success stories<br />
of patients married with families, children,<br />
professional careers and well <strong>in</strong>tegrated<br />
<strong>in</strong> the society. Work<strong>in</strong>g together with the<br />
German associations will aim to empower<br />
them to become more effective <strong>in</strong> resolv<strong>in</strong>g<br />
these difficulties, so as to <strong>in</strong>crease these<br />
success stories throughout the country.<br />
Plans are already <strong>in</strong> development for a closer<br />
cooperation and exchange of ideas between<br />
the two groups.<br />
A big thank <strong>you</strong> to all the people I<br />
met for their generous hospitality and<br />
friendship shown throughout the visit.<br />
15 th ICOC Conference 2005<br />
We left London on the even<strong>in</strong>g of 21 April<br />
2005 and arrived at the Conference City<br />
of Taichung near midnight on the 22 April<br />
- the 4 UKTS diplomats, Mike Michael,<br />
Chris Sotirelis, Costas Kountourou, Costas<br />
Michael, and myself, the translator.<br />
The ICOC began on the 23 April.<br />
The Conference venue, Ch<strong>in</strong>a Medical<br />
University Hospital, was a short walk from<br />
the hotel. Conference assistants greeted<br />
us warmly and led us to the 21st floor,<br />
where the Conference was held. We<br />
were welcomed by Prof Peng and Watson<br />
L<strong>in</strong>, who took us to the reception room.<br />
There we met with some familiar faces<br />
- George Kontogheorghes, Robert Grady,<br />
M Agarwal, and A Maggio. We were<br />
also <strong>in</strong>troduced to local <strong>Thalassaemia</strong><br />
Association President, Mr Wei. With some<br />
time to spare before the official open<strong>in</strong>g<br />
ceremony, Mr Wei took us to the 5th floor<br />
where the local thalassaemia treatment<br />
centre is and met with the patients and<br />
parents.<br />
To the majority of the patients and<br />
parents, it was their first encounter with<br />
foreign patients tower<strong>in</strong>g at 6 foot.<br />
Most were shy and chatted very much to<br />
themselves.<br />
ICOC 2005 opened with a welcome<br />
speech from the Mayor of Taichung<br />
prov<strong>in</strong>ce, who spoke with impeccable<br />
English. His speech made all participants<br />
feel overwhelmed with s<strong>in</strong>cerity and hope<br />
for a better future for the thalassaemics <strong>in</strong><br />
Taiwan.<br />
The first day was dedicated to patients<br />
and parents. Sadly, as the conference’s<br />
ma<strong>in</strong> language was English, many patients<br />
and parents who had difficulty with<br />
the language chose to wait outside the<br />
auditorium, chatt<strong>in</strong>g among themselves.<br />
When we stepped out of the auditorium<br />
for a short break, we were surrounded by<br />
patients and parents.<br />
They were anxious for some answers,<br />
which I was guilty of not be<strong>in</strong>g able to<br />
translate fast enough to answer all of<br />
them. Some of the questions asked were:-<br />
“Does Mike still need transfusions? How<br />
often are his transfusions?” “What other<br />
treatment does he need on a regular<br />
basis?” “Does Mike hold a regular job?<br />
Was there any discrim<strong>in</strong>ation aga<strong>in</strong>st his<br />
condition?”<br />
And the constant question raised by<br />
the President, Mr Wei was:- “Why isn’t<br />
Cont<strong>in</strong>ues on page 11 ➡
Cont<strong>in</strong>ues from page 10<br />
L1 accepted by doctors? Why aren’t<br />
there any endorsements to roll it out<br />
to all patients?” We understood from<br />
the parents and patients that s<strong>in</strong>ce the<br />
approval of Kelfer <strong>in</strong> the country six years<br />
ago, many patients were rescued from<br />
dy<strong>in</strong>g with iron overload <strong>in</strong> the heart. Yet<br />
there are still doctors refus<strong>in</strong>g to prescribe<br />
Kelfer for their patients though heart<br />
iron was present <strong>in</strong> their MRI scans. We<br />
spoke with a patient who could have died<br />
six years ago cardiac complications. She<br />
expressed her gratitude to the Association’s<br />
<strong>in</strong>tervention, who recommended her to<br />
seek second op<strong>in</strong>ion at the Ch<strong>in</strong>a Medical<br />
University Hospital, had it not been so, she<br />
would not be alive now.<br />
We had a lighter moment when one of<br />
the <strong>you</strong>ngest patients enterta<strong>in</strong>ed us with<br />
balloons <strong>in</strong> the lunch room.<br />
Prof Peng, who is also the Deputy Head<br />
of Hospital, with the help from Watson L<strong>in</strong>,<br />
(volunteer from the Taichung <strong>Thalassaemia</strong><br />
Association), translated a few publications<br />
from TIF <strong>in</strong>to Mandar<strong>in</strong>, namely “What<br />
is <strong>Thalassaemia</strong>?”, “Iron Chelation”, and<br />
currently “About <strong>Thalassaemia</strong>”.<br />
Though the parts on medical treatments<br />
were eloquently translated, they could not<br />
translate the hope that has <strong>in</strong>spired the<br />
Thalassaemics <strong>in</strong> the UK and European<br />
countries to the patients <strong>in</strong> Taiwan.<br />
They could not translate the k<strong>in</strong>d of<br />
achievements that the patients <strong>in</strong> the UK<br />
have taken for granted for so many years<br />
to the patients <strong>in</strong> Taiwan. The patients<br />
<strong>in</strong> Taiwan could not believe that all the<br />
UK delegates were above the age of 40,<br />
by now know<strong>in</strong>g that they experience<br />
the same pa<strong>in</strong>s and receive almost the<br />
same treatment. They were curious at<br />
the capabilities and achievements of<br />
the guests. They were hungry for more<br />
news from around the world<br />
<strong>in</strong>formation and expressed the wish for<br />
the same standards of treatments <strong>in</strong><br />
the hospitals, same levels of acceptance<br />
by the society. The biggest regret<br />
was the language barrier. For those<br />
who understood English, they were<br />
overwhelmed by Michael’s speech on<br />
“What Exactly is <strong>Thalassaemia</strong>? A Patient’s<br />
Perspective”.<br />
Sadly, there was not enough time for<br />
proper translation <strong>in</strong>to Mandar<strong>in</strong> on that<br />
day.<br />
We woke up to a grey day that<br />
threatened ra<strong>in</strong> on the 24 April. The<br />
Association had k<strong>in</strong>dly arranged a day<br />
out with the patients and parents. After a<br />
hearty breakfast at the hotel, we headed<br />
for the famous Fancy World Amusement<br />
Park <strong>in</strong> a prov<strong>in</strong>ce two hours from<br />
Taichung. We arrived at Fancy World<br />
threatened by the dark clouds and distant<br />
thunder, but everyone decided to conquer<br />
the roller coasters and giant Taiwaneye<br />
rather than retreat to the safety of<br />
sheltered accommodations.<br />
Mr Wei, President of Taichung<br />
<strong>Thalassaemia</strong> Association has a son<br />
with thalassaemia. After his birth, not<br />
understand<strong>in</strong>g a word of English, he found<br />
Watson L<strong>in</strong>, and sent him on a mission<br />
to f<strong>in</strong>d any possibilities of hope. Watson,<br />
who is a pharmacist by profession, had<br />
no knowledge of <strong>Thalassaemia</strong> until then.<br />
He pooled the other parents together to<br />
form the Association 12 years ago. Today,<br />
Watson’s wife, 3 daughters and a <strong>you</strong>nger<br />
sister, were enrolled <strong>in</strong>to the organis<strong>in</strong>g of<br />
the ICOC and mak<strong>in</strong>g the guests feel as<br />
at home as possible. We could not thank<br />
them enough.<br />
Though it was the parents who brought<br />
the level of treatments to today’s standard,<br />
with up to date treatment regimes free<br />
of charge, with regret, it was also the<br />
parents who are the one big h<strong>in</strong>drance<br />
to the patients’ achievement of normality<br />
<strong>in</strong> life. I could not ignore the fact that<br />
they still address their pool of patients<br />
as ‘child-patients’, when most of them<br />
are <strong>in</strong> their 20s and a few <strong>in</strong> their 30s.<br />
Although the parents read all about ‘What<br />
is <strong>Thalassaemia</strong>?’ and understood the<br />
k<strong>in</strong>d of treatment regime needed, it was<br />
also the parents who had lived the social<br />
stigma and family pressure, transferr<strong>in</strong>g<br />
their anxiety and fear to their children.<br />
The patients grew up <strong>in</strong>to believ<strong>in</strong>g their<br />
lives will be as such, and have achieved a<br />
k<strong>in</strong>d of normality around the treatments.<br />
Yet they rema<strong>in</strong> confused by their parents<br />
education of be<strong>in</strong>g different and have to<br />
be careful about themselves.<br />
Dur<strong>in</strong>g the day out, I was be<strong>in</strong>g<br />
questioned by both genders on the<br />
same issue, “How do <strong>you</strong> make <strong>you</strong>rself<br />
attractive to the opposite sex?” even<br />
though both of them are attractive and<br />
would have no problems with f<strong>in</strong>d<strong>in</strong>g<br />
themselves partners. Though there’s only<br />
one patient who’s pregnant, there’s much<br />
anxiety and questions about treatment<br />
dur<strong>in</strong>g pregnancy. One male patient<br />
shyly asked Mike, how did he manage<br />
to ‘capture’ me. It seemed amaz<strong>in</strong>g to<br />
them that any ‘normal’ person would<br />
want to spend the rest of their lives with<br />
a thalassaemic. We <strong>in</strong>formed them that<br />
there’s much more to a relationship than a<br />
condition itself.<br />
All <strong>in</strong> all, we had quite a tir<strong>in</strong>g but<br />
fruitful day and enjoyed ourselves to the<br />
fullest with the patients and parents.<br />
Back at the hospital entrance, we<br />
said our goodbyes and promised to<br />
communicate. Then it was back to the<br />
Cont<strong>in</strong>ues on page 12 ➡<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong> 11
Cont<strong>in</strong>ues from page 11<br />
hotel to prepare ourselves for the Gala<br />
D<strong>in</strong>ner that even<strong>in</strong>g.. With food and<br />
dr<strong>in</strong>ks, everyone was relaxed and mov<strong>in</strong>g<br />
around d<strong>in</strong>ner tables mak<strong>in</strong>g small talk.<br />
The 25 April was our last full day <strong>in</strong><br />
Taichung. It was also the day that raised<br />
the utmost concern to all, the presentation<br />
of ICL670 by Novartis. At the Conference,<br />
we met and chatted with representatives<br />
from Hong Kong. S<strong>in</strong>ce the handover of<br />
the colony from the British to the Ch<strong>in</strong>ese,<br />
treatment and care of thalassaemics<br />
had deteriorated greatly. The adult<br />
<strong>Thalassaemia</strong> Unit was shut down and<br />
all adult patients referred back to the<br />
paediatric ward for their transfusions. It felt<br />
like stepp<strong>in</strong>g backwards. That afternoon,<br />
we sat down to a presentation and heated<br />
arguments between doctors, patients and<br />
1<br />
www.ukts.org<br />
news from around the world<br />
pharmaceutical representatives on the<br />
future of iron chelation.<br />
In the even<strong>in</strong>g, Prof Peng hosted<br />
a d<strong>in</strong>ner for all speakers and guests<br />
from overseas at an authentic Ch<strong>in</strong>ese<br />
restaurant. George Kontogheorghes gave<br />
a speech, thank<strong>in</strong>g the hosts for the most<br />
wonderful conference experience.<br />
On the 26 April, we left for the airport<br />
immediately after breakfast. Next stop -<br />
S<strong>in</strong>gapore.<br />
On the 27 April, we were <strong>in</strong>vited to<br />
d<strong>in</strong>ner with the patients from S<strong>in</strong>gapore<br />
courtesy of <strong>Thalassaemia</strong> <strong>Society</strong><br />
(S<strong>in</strong>gapore). Most of them had met Mike<br />
and Costas K when they were over <strong>in</strong><br />
London for the MRI T2* trial, so it was<br />
quick warm<strong>in</strong>g up dur<strong>in</strong>g d<strong>in</strong>ner.<br />
The questions came thick and fast,<br />
know<strong>in</strong>g that the next opportunity to<br />
meet could be months away. Topics like<br />
liv<strong>in</strong>g <strong>in</strong>dependently with thalassaemia,<br />
relationships, careers, hav<strong>in</strong>g children<br />
and grow<strong>in</strong>g old were discussed. Many<br />
encouragements came from the delegates<br />
to participate <strong>in</strong> the local society.<br />
Even as the clock struck mid-night,<br />
everyone was reluctant but had to say their<br />
good-byes with promises to keep <strong>in</strong> touch.<br />
The follow<strong>in</strong>g even<strong>in</strong>g, we arranged a<br />
meet<strong>in</strong>g with doctors from the National<br />
University Hospital and S<strong>in</strong>gapore General<br />
Hospital at the National Heart Centre.<br />
Dr Tan Ru-San presented f<strong>in</strong>d<strong>in</strong>gs from<br />
the MRI T2* trial conducted <strong>in</strong> both the<br />
National Heart Centre, S<strong>in</strong>gapore and<br />
Royal Brompton Hospital, London (for<br />
verification), on the <strong>you</strong>ng adult patients<br />
from S<strong>in</strong>gapore. He was confident that<br />
the MRI mach<strong>in</strong>e <strong>in</strong> S<strong>in</strong>gapore would be<br />
available for scann<strong>in</strong>g cardiac iron <strong>in</strong> six<br />
months time. In terms of cost, it would<br />
be <strong>in</strong> the region of S$400, which is<br />
reasonably affordable to most patients as it<br />
is recommended to use annually.<br />
Questions were raised about sett<strong>in</strong>g<br />
up an adult thalassaemia centre. Due to<br />
various reasons, <strong>in</strong>clud<strong>in</strong>g the patients’<br />
will<strong>in</strong>gness to move, it was a topic the<br />
hospitals were reluctant to broach.<br />
However, the discussion today concluded<br />
positively, with the adult haematologist<br />
and adult endocr<strong>in</strong>ologist agree<strong>in</strong>g to<br />
work together to build a fully functional<br />
cl<strong>in</strong>ical environment compris<strong>in</strong>g of various<br />
specialists <strong>in</strong> adult thalassaemia treatment,<br />
to which patients age 17 and above can<br />
be referred.<br />
Though most of these actions were<br />
<strong>in</strong>itiated by doctors, the President of the<br />
<strong>Thalassaemia</strong> <strong>Society</strong> (S<strong>in</strong>gapore), Derrick<br />
Lim, agreed to play a support<strong>in</strong>g role <strong>in</strong><br />
build<strong>in</strong>g a bridge between the doctors<br />
and patients, provid<strong>in</strong>g latest treatment<br />
<strong>in</strong>formation from the UK and perhaps fund<br />
tra<strong>in</strong><strong>in</strong>g for the specialists.<br />
F<strong>in</strong>ally, it was agreed between the<br />
doctors and Derrick that <strong>Thalassaemia</strong><br />
<strong>Society</strong> (S<strong>in</strong>gapore) will conduct a bimonthly<br />
panel to build communication.<br />
Doctors from S<strong>in</strong>gapore <strong>in</strong> attendance:<br />
Dr Tan Ru-San (Cardiologist), Dr Loh Lih<br />
Hwa (Peads), Dr Loh Lih M<strong>in</strong>g (Adult<br />
Endocr<strong>in</strong>ologist), Dr Koh Pei L<strong>in</strong> (Peads),<br />
Dr William Hwang (Adult Haematologist),<br />
Dr Kev<strong>in</strong> Chen (Radiologist), Dr Chai P<strong>in</strong>g<br />
(Radiologist).<br />
by<br />
Mrs Aggie Michael
The 3rd National Anaemia Conference,<br />
held <strong>in</strong> Toronto Canada, organised by<br />
the Anaemia Institute of Canada was<br />
attended by our Committee member Chris<br />
Sotirelis, follow<strong>in</strong>g an <strong>in</strong>vitation to give<br />
a presentation on the UKTS’ Standards<br />
of Care for <strong>Thalassaemia</strong>, received by<br />
the Anaemia Institute’s CEO Dr. Durhane<br />
Wong-Rieder.<br />
The Anaemia Institute for Research<br />
and Education is a non profit umbrella<br />
organisation committed entirely to<br />
generat<strong>in</strong>g and shar<strong>in</strong>g knowledge and<br />
promot<strong>in</strong>g education, research and patient<br />
advocacy on anaemias. The theme of<br />
this year’s meet<strong>in</strong>g was “The Future Of<br />
Chronic Anaemias” and <strong>in</strong>cluded such<br />
topics as comprehensive care, updates<br />
<strong>in</strong> iron chelation therapy, fertility issues,<br />
transition from paediatric to adult care<br />
and a patients-parents psychosocial<br />
news from around the world<br />
National Anaemia Conference<br />
– Toronto 24-25 September 2005<br />
session. Although the program <strong>in</strong>cluded<br />
speakers specialis<strong>in</strong>g <strong>in</strong> other types of<br />
anaemia, the second half of the first day<br />
was devoted exclusively to thalassaemia<br />
issues. Dur<strong>in</strong>g the visit it was a great<br />
opportunity to meet and chat with a<br />
number of patients <strong>in</strong> order to f<strong>in</strong>d out the<br />
concerns and problems of thalassaemics<br />
<strong>in</strong> Canada. The conference was extremely<br />
well attended by patients belong<strong>in</strong>g to<br />
the <strong>Thalassaemia</strong> Foundation of Canada<br />
and from elsewhere, as well as by<br />
doctors from various university hospitals.<br />
Unfortunately Dr. Nancy Olivieri, one of<br />
the ma<strong>in</strong> speakers and Canada’s renowned<br />
haematologist cancelled at the last m<strong>in</strong>ute.<br />
Dur<strong>in</strong>g the conference the state of<br />
treatment for patients revealed gaps<br />
<strong>in</strong> current best practice, as well as a<br />
lack of new doctors with an <strong>in</strong>terest <strong>in</strong><br />
thalassaemia and motivated to make a<br />
by Dr Christos Sotirelis<br />
Canadian patients Nancy, Vikram and Angela<br />
with UKTS Committee member Chris<br />
career <strong>in</strong> this field. Additionally, there is<br />
lack of support and fund<strong>in</strong>g <strong>in</strong> research<br />
and specialist provision for all the other<br />
specialisations associated with thalassaemia<br />
such as cardiac problems, endocr<strong>in</strong>ology,<br />
Cont<strong>in</strong>ues on page 14 ➡<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong> 1
Cont<strong>in</strong>ues from page 13<br />
fertility, hepatitis, osteoporosis etc.<br />
Consequently, there are many patients<br />
from the Toronto hospitals, the biggest<br />
thalassaemia centre <strong>in</strong> Canada, as well<br />
as from elsewhere (Montreal, Quebec,<br />
Vancouver) go<strong>in</strong>g through adolescence<br />
or <strong>in</strong> adulthood, who are not receiv<strong>in</strong>g<br />
<strong>in</strong>ternationally recognised best practice<br />
care. In addition Canada and the US,<br />
until now, have not licensed any oral<br />
chelation alternatives to Desferal due<br />
to past controversies, so it is easy to<br />
understand how psychological and quality<br />
Sobia and Amjad Afridi with their daughter<br />
Sabrena<br />
My husband Amjad and I first saw our<br />
adopted daughter Sabrena on 19th<br />
February 2004 at the Edhi Orphanage <strong>in</strong><br />
Karachi, Pakistan. She was at that time less<br />
than two months old. When the t<strong>in</strong>y baby<br />
was put <strong>in</strong>to my arms by the social worker<br />
we both cried. Then Amjad smiled and<br />
said to me “We’re tak<strong>in</strong>g her home.” After<br />
two years of try<strong>in</strong>g to adopt a child, it was<br />
hard to believe that she was really ours at<br />
last. We stayed <strong>in</strong> Karachi while I got used<br />
to feed<strong>in</strong>g and look<strong>in</strong>g after Sabrena. At<br />
first I was nervous but after a couple of<br />
weeks I started to relax and enjoy my new<br />
daughter.<br />
My husband had to travel back to the<br />
UK <strong>in</strong> April as he had to return to work;<br />
and I went to stay for a while with my<br />
parents’ family <strong>in</strong> Lahore before return<strong>in</strong>g<br />
1<br />
www.ukts.org<br />
news from around the world<br />
of life factors can become very important,<br />
with negative attitudes prevail<strong>in</strong>g even<br />
amongst the most courageous patients.<br />
Unfortunately some of that has contributed<br />
to the loss of a disproportional number of<br />
patients with<strong>in</strong> the recent period.<br />
As a result of this conference and the<br />
presentation of the Standards which<br />
were very welcomed and are becom<strong>in</strong>g<br />
a model for the future, a new program<br />
of Optimis<strong>in</strong>g Therapy developed by the<br />
Anaemia Institute with the cooperation<br />
of Stanford University an the University of<br />
patient news<br />
A Mother’s Story<br />
to Karachi <strong>in</strong> May. This was a very stressful<br />
time for me as I was cop<strong>in</strong>g with the baby<br />
without my husband’s support; I also found<br />
the 45 degree temperatures very difficult.<br />
Back <strong>in</strong> the UK Amjad was work<strong>in</strong>g hard to<br />
get a visa for Sabrena and f<strong>in</strong>ally, to our joy<br />
her via was issued on 18th August 2004.<br />
We are eternally grateful for the support<br />
of our MP Andrew Smith who helped us a<br />
great deal by his letters and emails to the<br />
British Embassy.<br />
In September 2004 we f<strong>in</strong>ally arrived<br />
home <strong>in</strong> Oxford. By then I had noticed that<br />
Sabrena was rather pale and quiet and I<br />
asked the Health Visitor about this but she<br />
told me not to worry. However I had to go<br />
to my GP with some medical forms, which<br />
the adoption agency had given me and<br />
he ordered some blood tests. Two weeks<br />
later we had a call from the John Radcliffe<br />
hospital <strong>in</strong> Oxford that we should come <strong>in</strong><br />
to see Dr Georg<strong>in</strong>a Hall the next day. By<br />
this time I suspected that someth<strong>in</strong>g was<br />
seriously wrong and when Dr Hall started<br />
ask<strong>in</strong>g us questions I begged her to tell us<br />
what was wrong with Sabrena. My heart<br />
was break<strong>in</strong>g as I was fully expect<strong>in</strong>g her<br />
to tell us that Sabrena had cancer. In the<br />
next 20 m<strong>in</strong>utes Dr Hall expla<strong>in</strong>ed that<br />
Sabrena had thalassaemia major and about<br />
the treatment. The follow<strong>in</strong>g day she had<br />
Victoria is be<strong>in</strong>g adapted for thalassaemia<br />
with patients be<strong>in</strong>g enrolled on it already.<br />
A further conference planned for early<br />
next year will also deal with the issues of<br />
provid<strong>in</strong>g a truly Comprehensive Care For<br />
Rare Blood Disorders.<br />
My hope is that this visit will provide<br />
some help and an impetus towards a<br />
better standard of care. I was very touched<br />
by the warmth and friendship shown to<br />
me by everybody <strong>in</strong> Toronto and I look<br />
forward to meet<strong>in</strong>g them aga<strong>in</strong>, hopefully<br />
<strong>in</strong> <strong>Dubai</strong>, <strong>in</strong> the near future.<br />
her first blood transfusion.<br />
`Those first days were the hardest of<br />
our lives as we struggled to cope with the<br />
shock of Sabrena’s diagnosis and come to<br />
terms with the realities of hav<strong>in</strong>g a child<br />
with thalassaemia major. Fortunately we<br />
had support from each other and from the<br />
staff at the John Radcliffe Hospital which<br />
helped us. We are now try<strong>in</strong>g to be as<br />
positive as we can about our child’s future.<br />
I feel that one th<strong>in</strong>g which would help us<br />
would be gett<strong>in</strong>g to know other parents of<br />
thalassaemic children, for mutual support.<br />
If there are any families <strong>in</strong> a similar<br />
situation <strong>in</strong> the Oxford area I would love to<br />
hear from them (<strong>you</strong> can contact me via<br />
UKTS).<br />
Despite the shock and grief we suffered<br />
at Sabrena’s <strong>in</strong>itial diagnosis Amjad and<br />
I still feel that adopt<strong>in</strong>g her was the best<br />
th<strong>in</strong>g we have ever done. We feel that<br />
she was given to us by God and that by<br />
br<strong>in</strong>g<strong>in</strong>g her to the UK we can give her<br />
better treatment and a better quality of<br />
life than she could have expected be<strong>in</strong>g<br />
brought up <strong>in</strong> an orphanage <strong>in</strong> Pakistan.<br />
We both feel that we are so lucky and<br />
blessed to have her and will love and<br />
cherish her forever. Quite simply, Sabrena<br />
is our daughter and she was born for us.<br />
Mrs Sobia Afridi
As we approach the Christmas holidays,<br />
many people study<strong>in</strong>g look for temporary<br />
work but <strong>you</strong> should make sure <strong>you</strong>r<br />
employer is meet<strong>in</strong>g the National<br />
M<strong>in</strong>imum Wage. From1 October 2005, the<br />
Government announced an <strong>in</strong>crease to:<br />
Ma<strong>in</strong> (adult) rate for workers aged 22<br />
and over<br />
£5.05 per hour from 1 October 2005<br />
(an <strong>in</strong>crease from £4.85 an hour)<br />
Development rate for workers aged 18-<br />
21 <strong>in</strong>clusive<br />
£4.25 per hour from 1 October 2005<br />
(an <strong>in</strong>crease from £4.10 an hour)<br />
16 and 17 year olds<br />
£3.00 per hour from 1 October 2004<br />
NB: 16 and 17 year old apprentices will be<br />
exempt from the new <strong>you</strong>ng workers rate.<br />
Under 16 and Want to Work??<br />
If <strong>you</strong> are 13 years –14 years old and<br />
UKTS<br />
congratulates<br />
thalassaemia<br />
patient Yameen Rasul, who graduated<br />
<strong>in</strong> July 2005 with a First Class Honours<br />
Masters degree <strong>in</strong> computer systems<br />
eng<strong>in</strong>eer<strong>in</strong>g, from the University of<br />
Manchester. Dur<strong>in</strong>g the five-year course<br />
Yameen spent a year <strong>in</strong> <strong>in</strong>dustry work<strong>in</strong>g<br />
for Hewlett Packard and now plans to<br />
take up an offer with a company based<br />
<strong>in</strong> Cheltenham. Says Yameen “For any<br />
thalassaemic read<strong>in</strong>g this who is th<strong>in</strong>k<strong>in</strong>g<br />
about go<strong>in</strong>g to university or is <strong>in</strong> the<br />
middle of a degree course, I say put <strong>you</strong>r<br />
m<strong>in</strong>d to it and <strong>you</strong> can achieve any grade<br />
patient news<br />
Employment and<br />
Career Matters<br />
by Neelam Thapar<br />
(Neelam is a Careers Adviser at London Metropolitan<br />
University and also a thalassaemia major patient at<br />
Whitt<strong>in</strong>gton Hospital, London)<br />
would like to work, there are certa<strong>in</strong> th<strong>in</strong>gs<br />
that <strong>you</strong> and <strong>you</strong>r family should be aware<br />
of. You are only able to work up to two<br />
hours a day (one hour before school and<br />
one hour after) On Saturdays, <strong>you</strong> are able<br />
to work up to five hours and two hours<br />
on Sunday but no more than this. You are<br />
unable to work for 2 weeks <strong>in</strong> the school<br />
holidays but for the rema<strong>in</strong>der of the<br />
holiday, <strong>you</strong> can work up to five hours a<br />
day but no more than 25 hours <strong>in</strong> a week.<br />
If <strong>you</strong> are 15 – 16 years old, <strong>you</strong> can<br />
work up to two hours a day, one hour<br />
before and one hour after school. On<br />
Saturdays <strong>you</strong> can work up to 8 hours and<br />
on Sunday up to two hours. In the school<br />
holidays <strong>you</strong> can work 8 hours a day but<br />
<strong>you</strong> cannot work more than 35 hours a<br />
week and <strong>you</strong> will have to have 2 weeks<br />
where <strong>you</strong> are unable to work.<br />
Any careers questions?<br />
Contact Neelam via UKTS office.<br />
UKTS congratulates<br />
Yameen Rasul<br />
<strong>you</strong> wish.” Yameen is far from be<strong>in</strong>g a<br />
typical “computer geek” – apart from<br />
computer sciences his other hobbies<br />
<strong>in</strong>clude model radio control aircraft<br />
build<strong>in</strong>g and fly<strong>in</strong>g, badm<strong>in</strong>ton and<br />
socialis<strong>in</strong>g with friends. We are sure that<br />
all our readers will jo<strong>in</strong> us <strong>in</strong> congratulat<strong>in</strong>g<br />
Yameen on his achievements and wish<strong>in</strong>g<br />
him well <strong>in</strong> his career. It is people like<br />
Yameen who rem<strong>in</strong>d us that thalassaemia<br />
need not be a barrier to success. (Readers<br />
may remember that our last issue<br />
<strong>in</strong>cluded a profile of Yameen’s mother,<br />
Mrs Zanib Rasul, who is the founder of<br />
the North of England Bone Marrow and<br />
<strong>Thalassaemia</strong> Association.)<br />
Kavi’s & Sakhi’s<br />
Jump<br />
In May this year our office received a<br />
very welcome email from Kavi Raja (a<br />
22-year-old postgraduate of Nott<strong>in</strong>gham<br />
Trent University now study<strong>in</strong>g to be an<br />
accountant). To our amazement and<br />
delight, Kavi and his <strong>you</strong>nger sister Sakhi<br />
wanted to do a sponsored parachute<br />
jump on behalf of the <strong>Society</strong>! However,<br />
Kavi and Sakhi, who live <strong>in</strong> Leicester,<br />
had a very special reason for wish<strong>in</strong>g to<br />
support UKTS. In 1983, when Kavi was<br />
just 3 months old, he was diagnosed with<br />
thalassaemia major and began receiv<strong>in</strong>g<br />
monthly blood transfusions. But not for<br />
long – when Sakhi arrived <strong>in</strong> 1985 she<br />
proved to be an HLA match for Kavi, and<br />
a bone marrow transplant was carried<br />
out by Dr Simpson on 3rd December<br />
1987 at Leicester Royal Infirmary. Kavi<br />
now attends hospital for yearly checkups<br />
and both he and 19-year-old Sakhi, an Alevel<br />
student, are healthy.<br />
The <strong>in</strong>trepid brother and sister team<br />
carried out their parachute jump on 28th<br />
August 2005 at British Parachute Schools<br />
Langar Airfield <strong>in</strong> Nott<strong>in</strong>gham. As <strong>you</strong><br />
can see from the pictures their brave<br />
smiles never wavered; and we at UKTS<br />
can only marvel at their courage! After<br />
the jump, these impressive <strong>you</strong>ng people<br />
then collected sponsorship donations of<br />
almost £1,000, which they very k<strong>in</strong>dly sent<br />
to UKTS <strong>in</strong> October. We are so grateful to<br />
Kavi and Sakhi for all the time and effort<br />
which they put <strong>in</strong> on behalf of the <strong>Society</strong>,<br />
both <strong>in</strong> do<strong>in</strong>g the jump and collect<strong>in</strong>g the<br />
money.<br />
Says Kavi, “I hope the money my sister<br />
and I have raised helps. We certa<strong>in</strong>ly<br />
enjoyed rais<strong>in</strong>g it, the parachute jump from<br />
12,500 feet was a fantastic experience and<br />
one we would not hesitate to repeat or<br />
recommend to others.”<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong> 1
The UK <strong>Thalassaemia</strong> <strong>Society</strong>’s annual<br />
d<strong>in</strong>ner dance was held this year on<br />
Saturday 5th November. For the second<br />
year runn<strong>in</strong>g we chose as our venue The<br />
Brewery <strong>in</strong> Chiswell Street, London EC1.<br />
As ever, the days lead<strong>in</strong>g up to the event<br />
were hectic ones for the UKTS Committee<br />
1<br />
www.ukts.org<br />
events<br />
The UKTS Annual D<strong>in</strong>ner & Dance<br />
UKTS President Mike Michael with wife Aggie<br />
and guests<br />
UKTS supporters Stelios, Sayonara, Alex and Madele<strong>in</strong>e<br />
UKTS Asst Secretary Olga Demetriou and Vice-President Menuccia<br />
Tassone with members Tom Koukoulis and Maria Couppas<br />
and staff, so when the big day arrived<br />
everyone was ready for an even<strong>in</strong>g of<br />
celebration. It is always a great pleasure<br />
and encouragement for us at UKTS to<br />
see the dear and familiar faces of our<br />
supporters; and celebrate another year of<br />
work<strong>in</strong>g for thalassaemia.<br />
The Brewery is a very spacious and<br />
attractive venue and the room looked<br />
beautiful when it was ready to welcome<br />
our guests. This was largely due to the<br />
generosity of some very k<strong>in</strong>d friends<br />
– Koulla Horatta of The<br />
Wedd<strong>in</strong>g Lounge (www.<br />
thewedd<strong>in</strong>glounge.com)<br />
lent us some stunn<strong>in</strong>g<br />
purple chair covers<br />
decorated with silver<br />
drapes; and Helen Savva<br />
of Burgeon Floral Design<br />
(helen@burgeon.co.uk)<br />
donated beautiful floral<br />
table decorations, also<br />
with a purple and silver<br />
theme. The sett<strong>in</strong>g for the<br />
event was therefore truly<br />
elegant.<br />
By the time our guests<br />
started to arrive, the band<br />
Melodia were tuned up<br />
and, just as important,<br />
the boys who volunteered<br />
to run the bar for us<br />
(Chris Paul, Michael<br />
Kanias, Adam Halwani<br />
and Kyri Adamou) were<br />
ready for the onslaught.<br />
Mike our President made<br />
a speech of welcome<br />
and thanks to all those<br />
who had helped with<br />
the event. While d<strong>in</strong>ner<br />
was served, we were<br />
treated to comedy and<br />
magic from Andre. Another source of<br />
amusement, especially for the <strong>you</strong>nger<br />
guests, was the chocolate founta<strong>in</strong> k<strong>in</strong>dly<br />
donated by our event organiser, Tony<br />
Vorou of One Stop Wedd<strong>in</strong>gs Ltd. Tony<br />
also acted as compere for the prize raffle<br />
draw and football auction which took<br />
place later <strong>in</strong> the even<strong>in</strong>g, when most<br />
guests were glad to stop danc<strong>in</strong>g and<br />
rest for a few moments (the w<strong>in</strong>n<strong>in</strong>g<br />
raffle numbers appear below). Dur<strong>in</strong>g the<br />
even<strong>in</strong>g raffle ticket were sold, the table<br />
decorations were raffled and there was a<br />
£5-<strong>in</strong>-the-box draw with the prize of an<br />
iPod nano. (We thank all the hard work<strong>in</strong>g<br />
volunteers who acted as salespeople<br />
dur<strong>in</strong>g the even<strong>in</strong>g.) Another highlight<br />
of the even<strong>in</strong>g was the lovely voice of<br />
Ms Angel<strong>in</strong>e Nugera, who enterta<strong>in</strong>ed us<br />
while the band took a break.<br />
As always, the success of the event<br />
depended on our supporters – all the<br />
volunteers, those who donated prizes and<br />
those who took advertisements <strong>in</strong> the<br />
programme. Some of these people have<br />
been support<strong>in</strong>g UKTS for many years and<br />
we take this opportunity to thank everyone<br />
who assisted us.<br />
1st prize – BA week’s holiday for 2 (<strong>in</strong>c<br />
flights) at the Olympic Lagoon Resort,<br />
Ayia Napa (k<strong>in</strong>dly donated by Olympic<br />
Holidays) 7114<br />
2nd prize – A week’s holiday for 2 (<strong>in</strong>c<br />
flights) at the Kapetanios Bay Hotel,<br />
Protaras, Cyprus (k<strong>in</strong>dy donated by Argo<br />
Holidays Ltd) 6362<br />
3rd prize – 7 nights (accommodation only)<br />
for 2 at the Kapetanios Bay Hotel, Protaras,<br />
Cyprus (k<strong>in</strong>dly donated by Broadway<br />
Travel) 8494<br />
4th prize – A return ticket to Cyprus<br />
(k<strong>in</strong>dly donated by Cyprus Airways) 5676<br />
5th prize – A return airl<strong>in</strong>e ticket to<br />
Athens (k<strong>in</strong>dly donated by Olympic<br />
Airl<strong>in</strong>es) 8550<br />
6th prize – A Harrods hamper (k<strong>in</strong>dly<br />
donated by the Alfayed Charitable<br />
Foundation) 5169<br />
7th prize – A 3-course d<strong>in</strong>ner for 4 <strong>in</strong>c<br />
1 bottle of w<strong>in</strong>e (k<strong>in</strong>dly donated by Ios<br />
Restaurant, Southgate, London N14)<br />
8294<br />
8th prize – £100 Marks & Spencer<br />
vouchers (k<strong>in</strong>dly donated by Marks &<br />
Spencer Marble Arch) 5170<br />
9th prize – A birthday cake (k<strong>in</strong>dly<br />
donated by Aroma Patisserie, Palmers<br />
Green London N13) 8431
office news<br />
Freedom Travel supports<br />
UK <strong>Thalassaemia</strong> <strong>Society</strong><br />
Freedom Travel have yet aga<strong>in</strong> proved their<br />
ongo<strong>in</strong>g commitment to their fundrais<strong>in</strong>g<br />
partnership with the major UK charities<br />
<strong>in</strong>clud<strong>in</strong>g the UK <strong>Thalassaemia</strong> <strong>Society</strong>.<br />
How it works is every time a <strong>Thalassaemia</strong><br />
<strong>Society</strong> patient or supporter buys a travel<br />
policy through Freedom Insurance a<br />
donation is made to the <strong>Thalassaemia</strong><br />
<strong>Society</strong>.<br />
The Freedom Travel <strong>in</strong>surance product<br />
has been developed <strong>in</strong> partnership with<br />
<strong>Thalassaemia</strong> <strong>Society</strong> and other charities<br />
and trusts with<strong>in</strong> the medical sector. It<br />
is available to all thalassaemia patients<br />
and people with other exist<strong>in</strong>g medical<br />
conditions and gives them the opportunity<br />
to obta<strong>in</strong> travel <strong>in</strong>surance that does not<br />
conta<strong>in</strong> any restrictions with regards to<br />
the cover for the medical and emergency<br />
expenses.<br />
Freedom have <strong>in</strong>creased their product<br />
range to <strong>in</strong>clude motor <strong>in</strong>surance which is<br />
competitive for the majority of drivers and<br />
their vehicles. Our household <strong>in</strong>surance<br />
can cover for <strong>you</strong>r build<strong>in</strong>gs and contents<br />
regardless of the location. So <strong>Thalassaemia</strong><br />
<strong>Society</strong> supporters can take advantage<br />
of Freedom for all their <strong>in</strong>surance needs<br />
and at the same time the <strong>Thalassaemia</strong><br />
<strong>Society</strong> will cont<strong>in</strong>ue to benefit from the<br />
donations.<br />
For more <strong>in</strong>formation enter the Freedom<br />
website www.freedom<strong>in</strong>sure.co.uk<br />
Or call the follow<strong>in</strong>g number<br />
0870 774 3760<br />
Standards for the Cl<strong>in</strong>ical Care<br />
of Children and Adults with<br />
<strong>Thalassaemia</strong> <strong>in</strong> the UK<br />
– how does<br />
<strong>you</strong>r treatment<br />
compare?<br />
This new publication is available from<br />
our office on request for healthcare<br />
professionals and thalassaemia patients<br />
liv<strong>in</strong>g <strong>in</strong> the UK. It will shortly be<br />
available to download free from the<br />
UKTS website.<br />
Contact our office on 020 8882 0011 or<br />
email office@ukts.org.<br />
In Lov<strong>in</strong>g Memory of<br />
Zach Xenophontes<br />
Passed away on 19th October 2005,<br />
<strong>in</strong> London, due to <strong>Thalassaemia</strong> and<br />
Cancer. He was 51 years old. Zach<br />
leaves beh<strong>in</strong>d his wife Beata, three<br />
daughters: Eva, Maria, Ioanna, his<br />
first granddaughter Amelia, brother<br />
and sisters.<br />
In lov<strong>in</strong>g memory of my<br />
husband Zach<br />
Dear Friends,<br />
I would just like to tell <strong>you</strong> a few words<br />
on my life with Zach.<br />
Zach and I met 10 years ago. We had<br />
<strong>in</strong>stant chemistry even though I couldn’t<br />
speak a word of English, but as <strong>you</strong><br />
probably know, language is not the only<br />
means of communication.<br />
Zach was such a special man. He never<br />
saw bad <strong>in</strong> anyone. He was very easy<br />
go<strong>in</strong>g <strong>in</strong> spite of his illness. Zach was<br />
brave <strong>in</strong> everyth<strong>in</strong>g he did, right until the<br />
end. He was a fighter, a peacemaker.<br />
Zach was my champion! Our love for<br />
each other was so strong and deep. He<br />
brought so much happ<strong>in</strong>ess <strong>in</strong>to my life.<br />
He gave me strength when I needed it.<br />
We had wonderful communication and<br />
enjoyed our travels together.<br />
Zach I will always love <strong>you</strong> for the rest<br />
of my life and <strong>you</strong> will always be <strong>in</strong> my<br />
heart and <strong>in</strong> my thoughts. Enjoy <strong>you</strong>r<br />
travels Zach, I am sure we will meet<br />
aga<strong>in</strong>. God bless <strong>you</strong>.<br />
Your beloved wife, Beata<br />
UKTS is grateful to Mrs Beata<br />
Xenophontes for provid<strong>in</strong>g this<br />
photograph and beautiful tribute to<br />
her husband.<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong> 1
1<br />
www.ukts.org<br />
office news<br />
The UKTS Personal Organiser<br />
UKTS Marathon Men<br />
UKTS Marathon men Yiannis Ioannides and David Phillips cross the f<strong>in</strong>ish l<strong>in</strong>e together. Heartfelt<br />
thanks from all of us at UKTS for their wonderful support.<br />
• Are <strong>you</strong> a thalassaemia patient/<br />
parent of a thalassaemic child?<br />
• Do <strong>you</strong> have the UKTS specially<br />
designed personal organiser for<br />
thalassaemia patients?<br />
If not why not – all it takes is a call to our<br />
office.<br />
This valuable aid to keep<strong>in</strong>g <strong>you</strong>r own<br />
patient – held medical record is FREE to<br />
patients and parents/carers of children with<br />
thalassaemia.<br />
Call 0208 882 0011 to order <strong>you</strong>r<br />
copy now!
Look after<br />
<strong>you</strong>rselves<br />
– words of<br />
W<strong>in</strong>ter advice<br />
At the risk of stat<strong>in</strong>g the bl<strong>in</strong>d<strong>in</strong>gly<br />
obvious, W<strong>in</strong>ter is a time when we should<br />
all be th<strong>in</strong>k<strong>in</strong>g about look<strong>in</strong>g after our<br />
health. After all, the dark, cold days are<br />
difficult enough to get through without<br />
the additional burden of catch<strong>in</strong>g a nasty<br />
virus! So take care to maximise <strong>you</strong>r<br />
chances of escap<strong>in</strong>g as many bugs as<br />
possible – wrap up well aga<strong>in</strong>st the cold,<br />
eat a good, healthy diet with plenty of<br />
fresh fruit and vegetables – and be sure to<br />
get <strong>you</strong>r anti-flu jab! Lead<strong>in</strong>g thalassaemia<br />
doctors advise that all patients should<br />
be vacc<strong>in</strong>ated aga<strong>in</strong>st flu every W<strong>in</strong>ter.<br />
Remember, the flu jab is especially<br />
important for those patients who have had<br />
a splenectomy as they may have a harder<br />
time fight<strong>in</strong>g off <strong>in</strong>fection. <strong>Thalassaemia</strong><br />
patients can get the flu vacc<strong>in</strong>ation free of<br />
charge from their GP surgery.<br />
Contact <strong>you</strong>r GP now if <strong>you</strong> have not<br />
already done so.<br />
office news<br />
UKts Welcomes<br />
neW‑MeMBeRs<br />
Annual<br />
Mr M Rahman<br />
Mr M R Dhanojanan<br />
Mr K P Kalaw<br />
Mr D Thakkar<br />
Mr V Tsioupra<br />
Mrs S Nicolaou<br />
Mrs F Allid<strong>in</strong>a<br />
Life<br />
Mrs P Gillham<br />
Mrs A Pedley<br />
events<br />
<strong>Thalassaemia</strong><br />
International<br />
Federation<br />
• 10th International<br />
Conference on<br />
<strong>Thalassaemia</strong> &<br />
Haemoglob<strong>in</strong>opathies<br />
&<br />
• 12th International<br />
Conference for<br />
<strong>Thalassaemia</strong><br />
Patients & Parents<br />
7-10 January 2006,<br />
<strong>Dubai</strong>, <strong>United</strong> Arab<br />
Emirates<br />
For further details please contact<br />
UKTS or refer directly to TIF on<br />
00357 22 319 129<br />
Conference website www.tif.ae<br />
DONATIONS<br />
Our most grateful thanks to all our<br />
donors for their generosity .<br />
Mr & Mrs E Louca £30<br />
Mr S Gandhi £250<br />
Miss A Gorasia £100<br />
Prof B Modell £10<br />
Mr & Mrs B Nathwani £51<br />
Dr R P Tahalani £111<br />
Miss B Mistry £62 .11<br />
Mrs R Ranger £90<br />
Dr N Rati £10<br />
Mrs S Kakoullis £5<br />
Prof Irene Roberts £10<br />
Ms D Ptohopoulos £25<br />
Mr B Mamtora £15<br />
Mr D Patel £50<br />
Baroness S Flather £10<br />
Mr Mamtora £25<br />
Ms M Joseph £10<br />
Miss N Rehman £10<br />
Ms X Pavlidou £10<br />
Mrs G M Harricharan £20<br />
Mr A Englezou £100<br />
Ms C Viktoras £30<br />
Greek Orthodox Church<br />
of St Anargyre £60<br />
The Editorial Committee reserves the<br />
right to alter any articles for publication<br />
where necessary and accept and<br />
reproduce or copy on good faith.<br />
Neither the Editorial Committee or the<br />
<strong>Society</strong> accept any responsibility for any<br />
<strong>in</strong>accuracies or omissions.<br />
The views expressed are not necessarily<br />
that of the <strong>Society</strong>.<br />
<strong>Thalassaemia</strong> Matters ...cont<strong>in</strong>u<strong>in</strong>g the fight aga<strong>in</strong>st <strong>Thalassaemia</strong> 1
membership application form<br />
UK <strong>Thalassaemia</strong> <strong>Society</strong>, 19 The Broadway, London N14 6PH<br />
Charity Reg No. 275107<br />
ALL DETAILS AND INFORMATION WILL BE KEPT ON OUR COMPUTERS AND WILL REMAIN IN THE OFFICE AND WILL NOT BE MADE<br />
AVAILABLE TO ANYBODY OUTSIDE OF THE UKTS.<br />
If <strong>you</strong> however do not wish <strong>you</strong>r details kept on our computers please tick this box<br />
Your Personal Details<br />
Title (Mr/Mrs/Miss/Ms/Other):<br />
First Name(s):<br />
Surname:<br />
Address:<br />
Post Code:<br />
Occupation:<br />
Ethnic Orig<strong>in</strong>:<br />
(Optional)<br />
Membership Required (please tick)<br />
If <strong>you</strong> are a patient or parent of a patient please complete the section below<br />
Patient’s<br />
Name(s):<br />
Date of Birth:<br />
Sex: Male Female<br />
Type of thalassaemia: (e.g. Major, Intermedia, Haemoglob<strong>in</strong> H etc)<br />
Hospital<br />
where‑treated:<br />
Address:<br />
Transfusion<br />
Frequency:<br />
Units received at<br />
each transfusion<br />
Contact Details<br />
Telephone: Home:<br />
Mobile:<br />
Consultant’s<br />
Name:<br />
Consultant’s<br />
Telephone:<br />
GP’s Name:<br />
Address:<br />
Telephone:<br />
OFFICE USE: Date Paid Receipt No. Approval Date<br />
Fax:<br />
Email:<br />
www.ukts.org<br />
Work:<br />
Are <strong>you</strong> a:<br />
Patient Parent/Relative<br />
Healthcare Professional Association<br />
Other (Please state)<br />
ANNUAL (£10.00) LIFE (£100.00) (Please make <strong>you</strong>r cheque payable to U.K.T. <strong>Society</strong>)<br />
Blood Transfused (please tick)<br />
Whole Washed Frozen Filtered<br />
Chelation (please tick)<br />
Desferal Deferiprone Desferal & Deferiprone<br />
Blood<br />
Type<br />
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