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14<br />

Focus | Autumn 2010<br />

Lakhbir<br />

leads the<br />

way<br />

Lakhbir Kaur, who works at the<br />

Foundation Trust <strong>as</strong> an equality and<br />

diversity liaison officer, recently attended<br />

a worldwide haemophilia conference in<br />

South America where she raised awareness<br />

for a charity she supports.<br />

Lakhbir Kaur and her husband, Balvinder Singh Nazran, whose stall won first<br />

prize at the Volunteer and Charities Fair held during September’s Hospital Open<br />

Week in a competition judged by the Foundation Trust’s Board of Governors<br />

Lakhbir, h<strong>as</strong> been carrying out voluntary<br />

work with children suffering from <strong>this</strong> lifethreatening<br />

condition since 1996.<br />

During the summer she flew to Buenos Aires<br />

in Argentina to attend the International<br />

Congress of the World Federation of<br />

Haemophilia where she also gave out<br />

information about her charity work.<br />

In the p<strong>as</strong>t, Lakhabir worked with the<br />

Foundation Trust’s former head of<br />

haematology, Dr Parapia, but when he<br />

retired she decided to go it alone.<br />

“Helping children with haemophilia is<br />

something that I am very p<strong>as</strong>sionate<br />

about,” said Lakhbir, who originally comes<br />

from Jullandar Cantt, a city in the northern<br />

Punjab region of India.<br />

“I originally became interested in<br />

haemophilia when I w<strong>as</strong> <strong>as</strong>ked to help with<br />

a research study at the BRI in early 1995<br />

to find out why Asian patients were not<br />

attending their appointments.<br />

“Then Dr Parapia started fundraising for the<br />

twinned centres which <strong>Bradford</strong> <strong>Teaching</strong><br />

<strong>Hospitals</strong> still supports in India today and I<br />

got involved from there.<br />

“Since then, my charity work h<strong>as</strong><br />

continued, to the extent that when Dr<br />

Parapia retired, I decided to support<br />

the charity ‘Networking of Haemophilia<br />

Camps Project’ to develop the already<br />

existing camps in rural India in the hope of<br />

extending them nationwide.”<br />

Since then Lakhbir h<strong>as</strong> raised £1,000 to<br />

fund a new camp in India.<br />

In England, children with haemophilia<br />

are given regular injections of factor 8, a<br />

clotting agent which helps their blood to<br />

clot, but in India <strong>this</strong> medication is rare and<br />

expensive resulting in the death of boys<br />

Q:<br />

before they reach adulthood. Factor 8 is not<br />

widely available in rural India.<br />

Now Lakhbir plans to contact haemophilia<br />

centres across England to <strong>as</strong>k them to donate<br />

their spare Factor 8 injections which are close<br />

to expiry before she leaves for the camps.<br />

She then hopes to take the medication to<br />

the boys’ education camps in India and if<br />

the children have a bleed during their stay<br />

in the camps, the doctors or specialised<br />

nurses on site will administer the injections<br />

free of charge.<br />

Doctors, nurses, physiotherapists and<br />

volunteers from the UK also accompany her<br />

on trips to treat the 100 boys who attend<br />

each three to four day camp.<br />

What is haemophilia<br />

Haemophilia is an inherited bleeding disorder,<br />

where essential clotting factors required for<br />

blood to clot normally are lacking.<br />

These clotting factors are proteins that work<br />

with platelets (specific small blood cells)<br />

to allow the blood to clot. They help the<br />

platelets to stick together to plug cuts and<br />

breaks.<br />

As the blood does not clot normally, bleeding<br />

episodes l<strong>as</strong>t longer, bruising occurs after<br />

minor knocks and bumps, and it is not<br />

uncommon for spontaneous bleeding to arise<br />

with no known obvious cause.<br />

Most sufferers have haemophilia A where<br />

the clotting factor V111 is absent and there<br />

are three levels of severity; mild, moderate or<br />

severe.<br />

Signs and Symptoms include:<br />

• Big bruises<br />

• Bleeding into muscles and joints, especially<br />

the knees, elbows, and ankles<br />

Is there anything else I can do to help stop the spread of infections<br />

Factfile:<br />

Lakhbir plans to organise forthcoming<br />

fundraising events in <strong>Bradford</strong> to raise<br />

money for the camps which will go towards<br />

the boys’ food, accommodation and<br />

activities like swimming and sightseeing.<br />

”I also counsel the patients and <strong>this</strong> gives<br />

me an insight about how lonely they feel<br />

and how it must be to live with the stigma<br />

which is attached to <strong>this</strong> condition in<br />

India,” she said.<br />

“These camps are vital <strong>as</strong> the boys talk<br />

about their haemophilia and learn from<br />

each other, which helps build their<br />

confidence and normalise their situation.”<br />

Anyone interested in supporting Lakhbir’s<br />

work can contact her on 07947 120314.<br />

• Prolonged bleeding after a cut, tooth<br />

removal, surgery, or an accident<br />

• Serious internal bleeding into vital<br />

organs, most commonly after a serious<br />

trauma<br />

• Bleeding in the brain can lead to very<br />

serious complications after only a single<br />

bump.<br />

Treatment<br />

The main treatment for Haemophilia A<br />

and B is factor concentrate therapy. This<br />

is either given <strong>as</strong> a prophylaxis therapy<br />

(‘preventative’) or ‘on-demand therapy’,<br />

(stopping bleeding when it occurs). There<br />

is no way of permanently incre<strong>as</strong>ing or<br />

replacing the clotting factors.<br />

In the UK, those affected by severe and<br />

moderate haemophilia A are given clotting<br />

factor regularly to try to prevent bleeds,<br />

pain and joint damage. Those affected by<br />

haemophilia B are usually given treatment<br />

twice a week. Children often use factor<br />

concentrate more quickly and therefore<br />

need more regular injections.

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