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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 />

Designed and pr<strong>in</strong>ted by Orion Design & Pr<strong>in</strong>t Ltd. Tel: 020 8351 3222 Email: Sales@Orion.gb.com

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