Issue Number 7 Autumn 2002
STOP TUBERCULOSIS WORLDWIDE
TB and AIDS IN THIS ISSUE
The TB and AIDS epidemics are inextricably linked. TB is the most common opportunistic TB & HIV/AIDS 1
infection in, and the leading killer of, people with AIDS. Thus curing TB in HIV/AIDS patients
will immediately improve their quality and length of life and prevent further transmission of TB. Making it possible 23
Come and meet TB Alert,
“Effectively treating TB will not solve the worldwide AIDS crisis, but it will significantly Fundraising update,
reduce its burden” Thanks to our volunteers,
Marathon runners wanted,
Dr Piot, Executive Director, Joint United Nations Programme on HIV/AIDS Tee off for TB Alert,
Meet Julie, the newest member
of the TB Alert team
Dying of Ignorance Our work continues 45
TB Alert is supporting a joint HIV/TB project do come forward and access the treatment Our latest project – Calcutta
called Bwafwano Home Based Care in which could give them valuable years of Rescue,
Lusaka, Zambia. Bwafwano is a local word extra life, despite their HIV status. Lal Kuan clinic in Delhi,
meaning ‘Let’s help each other’, and this is a Nurses meet in Durban,
wonderful example of local people TB Alert’s past support has enabled Malawi Medical Journal,
volunteering time and effort to improve life Bwafwano to train these volunteers to help
for patients in their own community. their fellow community members in More resources made available 5
Volunteers are trained to Chazanga Compound Rotary/TB Alert “Think TB!!”,
provide treatment, support (an area of Lusaka). TB treatment diaries
and counselling to Our support has also
patients – everything from enabled Bwafwano to Advocacy news 6
ensuring they take their hold workshops for Global advocacy for TB action
drugs to helping them with local Community
household chores. Leaders (for example World news 6
local Chiefs, church Read about TB in Australia
A Bwafwano volunteer leaders, police,
met this man (pictured prominent business Science and questions 7
here with his mother), people and others) in Have you got a question,
while visiting another new areas of Lusaka to Tuberculosis and the cow,
patient. The man, who teach them about TB TB Alert Website
has HIV and TB, had had and HIV, and the
no medical attention and importance of Christmas is coming! 8
was living in one small, Bwafwano’s work. The A chance to buy your TB Alert
unventilated room. workshops aim not only Christmas Cards,
Because he had HIV his to raise awareness and A Personal Gift
family thought nothing help these local
could be done to help. “opinion formers” to CONTACT US
Sadly this man died the understand the
Fundraising: Melanie Matthews on
next day – help came too importance of their role 0845 456 0995 (local call rate) or
late for him. But his in fighting stigma and firstname.lastname@example.org
family were checked for TB, and offered discrimination in their community, but also to
counselling as well as practical support for enable them to recruit more volunteers for Administration: Angela Mynors on
the future. And the volunteers at Bwafwano the project, so that Bwafwano can extend its 020 8998 1949 or
are committed to raising awareness of TB vital lifesaving work to other areas of the email@example.com
and its symptoms to make sure that people city.
Press/Advocacy: Paul Sommerfeld on
020 8969 4830 or
Life in Lusaka firstname.lastname@example.org
At least 20% of the population of Zambia is living with HIV/AIDS, and TB is one of the leading Or write to us free of charge at
causes of death, mainly due to the high rates of HIV, which have given the disease an ‘easy TB Alert, FREEPOST LON12815,
ride’ and caused rates to sky rocket. London, NW10 1YS
All our contact details can also be found
In Bwafwano’s catchment area we estimate that over 70% of people with HIV are coinfected on our web site www.tbalert.org
with TB. Many houses are poorly ventilated, and often 6 family members share one small
room, providing high risk conditions for cross infection of diseases such as TB. Many patients Charity Registration No: 1071886
cannot afford to visit a doctor and therefore are not even being diagnosed as having TB,
meaning that they are continuing to spread the infection. Page 1 of 8
Making it possible …
Come and meet TB Alert all The personal touch
welcome! TB Alert is still a very small charity. We know from feedback
from our supporters that you like the personal approach that
TB Alert will be hosting a small reception for all our friends from you get when you speak to or write to us, and we want to
57pm on the 4th December this year (to coincide with the assure you that as we grow we will make sure we don’t lose
British Thoracic Society Winter Conference). Everyone is sight of this. After all, without the loyalty and continued support
welcome, and you will be able to meet our staff and volunteers of our individual donors, volunteer collectors and Rotary
and hear the latest updates from our projects. The venue is still Groups around the country, we wouldn’t be where we are
to be confirmed but will be close to Westminster, in London. If today! So please continue to tell us what you think, and how
you would like to attend please contact us (see front page for you would like to hear from us. Contact details are on the front
details) and we will send you further information nearer the page, and we will promise to respond as quickly as possible.
date. However, please remember as we all work from home, if we
are ever away from our desks there is no one to cover our calls
or emails. If you don’t get a reply – please try another contact!
A very successful start to the year Thanks to our dedicated
Over the last year, TB Alert has begun to build relationships volunteers
with a number of trusts who have generously funded specific
projects or areas of work. TB Alert relies on a very
small band of volunteers.
This increased financial security gives us the confidence to plan In March of this year there
our project work with partners, particularly when projects last were various fundraising
for more than one year, and to increase the level at which we events organised around
are able to offer grants – meaning that more people will get World TB Day March 24th
access to the lifesaving cure they need. which we could not have
organised without their
dedication. These were:
Obviously we can’t mention every gift, but we would like to
2 days of street collection
convey our sincere thanks to Sir Gerald Elliot of the Binks Trust in Brighton; a 1 day
who recently donated £45,000 (our largest donation yet!) after collection at a Sainsbury’s
hearing about our need for funds from Sir John Crofton, TB store in London; and a 7
Alert’s Honorary President. A gift of this size means a lot to a day collection at Harvey
small charity like ours it will help us invest in the expertise and Nichols in London.
resources we need to make a substantial impact in the fight
against TB worldwide.
These efforts raised over
£1,600 to go towards TB
Searching for new supporters! Alert projects worldwide
and, as importantly, raised awareness among the public. Each
Despite increases in income, TB Alert will still turn down many year that TB Alert collects in this way we see an increasing
approaches from potential project partners this year. Not knowledge and interest among the donors who are often happy
because they are not doing excellent TB control work in their to stop and discuss the situation and sometimes wish to
communities, but because we still don’t have enough funds to become further involved in the charity.
support all the good work we would like to. In order to continue
to increase the funds available for project work in this country
and the developing world, our Trustees have committed to We would like to thank all the marvellous volunteers who
investing resources in attracting new donors over the next year. helped us in these efforts, ages ranging from late teens to
Many people simply don’t know that TB is still a problem, or if mid eighties, and maybe could particularly mention:
they do they don’t know how to help, and we need to ensure · Sue Fidler who remained lively after collecting for 11
they know about TB Alert, and how supporting us CAN make a hours in 2 days in Brighton;
difference. · Anoja Fernando who helped at Sainsbury’s and also did
four sessions at Harvey Nichols
· John White, another Harvey Nicholls stalwart;
Pass it on! · And last but not least, David Sommerfeld who recruited 9
of his friends! We are really grateful that this enthusiastic
When you have read this newsletter please pass it on to young team of collectors gave up their valuable “A” level
someone you know who you think might be interested in revision time to help out.
supporting us. If you can, please tell them a little bit about why
you decided to support our cause, and explain that if they want
to know any more they can call, write or email us (see front If you would like to help us in the future in such rewarding
page for contact details). fundraising events or would like to organise a collection in your
area please give us a call we would be so pleased to hear
As well as friends, colleagues and family, please don’t forget from you.
any contacts you may have with Church Groups, Rotary or
other Community Groups, Companies or Charitable Trusts.
Page 2 of 8
the full cost of the trip yourself, you can assure your sponsors
Marathon runners wanted! that all of their money will go straight to TB Alert, helping us to
cure people of TB.
This year TB Alert had its first
Marathon runner in April.
Jeanne Feaux de la Croix
(right) ran the 26.2 mile course
of the Bonner Stadtmarathon
(in Bonn, Germany) in a very
respectable time of 4 hours 56
minutes. Not only that, she
also found time to raise over
£500 for TB Alert despite a
heavy training schedule.
Congratulations and thank you
Running a marathon is a big
undertaking – but with the right
training and a lot of
determination it doesn’t have to
be an impossible dream. If you
have ever thought of running a
marathon yourself – why not
give it a go!
If you do get a place for the
marathon or any other
sponsored event and would like
to nominate TB Alert as your
charity please call us and we
can provide you with our
Fundraisers kit, with Tshirt,
sponsorship forms, leaflets, and lots of great fundraising ideas.
The first challenge takes place in June 2003 (Arrive Sunday
Flora London marathon nd rd
22 June, golf tournament on Monday 23 June), and
bookings are already being taken.
TB Alert has applied for charity places for the Flora London
marathon. However, there is a very long waiting list of charities Please call Melanie now on 0845 456 0995 to find out more
hoping to get on this scheme, so if you are thinking about – places are limited, so don’t miss out!!
running next year’s marathon for TB Alert, please apply to their
open ballot (see below). If you are interested in other, more exotic golfing challenges,
Charity Challenge are currently developing a full range –
Entry forms are available in a free magazine called including The Cape Challenge – an 8 day 6 star event in South
MARATHON NEWS, available in sports shops throughout the Africa. Please call if you are interested and we will ensure you
UK. Telephone the Helpline on 020 7902 0189 to find your hear about other challenges as they become available.
nearest stockist. All entries received before the closing date of
October 18th will be entered into a ballot and runners will be
informed whether they have been successful by early
December. Meet the newest member of
So please don’t delay – enter now! the team
Dr Julie Lethaby joined us in the
Tee off for TB Alert! summer as our part time
programme officer supporting the
If you are a golfer, and would like a new challenge – read on! Advisory Board and looking after
the administration of developing,
TB Alert has teamed up with Charity Challenge to offer our funding and monitoring our
supporters a wonderful way to combine the enjoyment of golf growing number of projects. Julie,
with an exciting challenge, AND raise money for TB Alert at the who also works for The Leprosy
same time – The Scottish Highlands Golf Challenge. Mission International in a similar
role, will be supporting TB Alert for
The enjoyment 2 nights accommodation including all meals, one day per week. Leprosy is
caused by a bacterium which is
celebration dinner and prizegiving, green fees (venues
Golspie, Brora and Royal Dornoch) and transfers to and from related to the TB bacillus, and
Inverness for just £340 although the effects of the
The challenge – to play a 54 hole tournament, at three courses diseases differ they involve very
in just one day – a tough task for which you will tee off at 4am! similar treatment. In fact some of
The fundraising – places will be limited, and we ask all our TB projects also do Leprosy
participants to raise a target of £1000 sponsorship from friends, work, so Julie’s experience will be invaluable to us.
family, colleagues and business contacts. As you are paying
Page 3 of 8
Our work continues …
New Project – Calcutta Who’s Jack?
We interviewed Jack Preger to find out a bit more about the
Rescue man who set up Calcutta Rescue. Despite the fact that the
interview was conducted by email it became clear that Jack is a
TB Alert’s Advisory Board have recently agreed to take on a very spiritual, yet pragmatic man, full of love, energy and
new project partner – Calcutta Rescue – operating in Calcutta determination. We are sure that the funding we have
and rural West Bengal. committed to Calcutta Rescue’s new TB service is in very good
Calcutta Rescue was founded by Jack Preger in 1979. He
visited Calcutta and was so appalled by conditions and lack of Jack described himself as “charismatic” but “one (or more)
healthcare that he set up a “pavement clinic” (dispensing bricks short of a full load!”. Originally a farmer, Jack says he
advice and basic healthcare by the side of the road). The received a calling from the Holy Spirit to train as a Doctor. His
organisation has come a long way since then, and now has 150 inspiration for going to Calcutta was Malcolm Muggeridge's film
local staff members, and aims to provide free medical care and on Mother Teresa – and his first impression of the place was
other benefits to the destitute and socially disadvantaged of "functioning anarchy".
Calcutta regardless of sex, age, caste or religion. Strong
emphasis is laid on education, with the objective of equipping When asked about the new project area Jack told us:
patients with the necessary tools to improve their own health. “For poor people in Tamuldah 1, e.g. farm workers, existence
depends on finding work on a daytoday basis with little in
Calcutta Rescue is already the government approved DOTS reserve for when work is not available. Accidents or illness
provider in ward 3 of Calcutta City. Their clinic provides high mean savings, if any, are rapidly exhausted. Floods and
quality TB service in a poor, slum neighbourhood of the city. storms in this exposed region damage the huts of the labouring
They have now been approved as the DOTS provider in a poor, families, requiring repairs which for them are expensive.”
rural community South East of the city (Tamuldah 1 Gram
Panchayat, district 24 Parganas). The area is isolated and it I asked Jack what inspired him to get up in the morning.
can sometimes take days to reach medical care and “I have to take the household refuse to the dump before the
assistance, meaning that conditions go untreated for a long lorries leave for the main dump!”
time. Private practitioners are few as people are so poor and
cannot afford to lose a day or two’s income traveling to a clinic We think this says a lot about the practical, handson approach
or hospital in Calcutta. that has made Calcutta Rescue such a success!
Calcutta Rescue will set up a DOTS centre with smaller outlets
for easy accessibility, and will have teams visiting areas to
collect sputum samples and take them to laboratories up to Lal Kuan Clinic – the latest
15km away. The accessibility of these smaller outlets should
counter the difficulties that the project currently faces in treating addition to TB coverage in
rural TB patients who have previously had to make the long
journey into Calcutta for treatment – leading to a high default Delhi
rate and the spread of multi drug resistance. Being locally
based it should also lead to more people presenting with TB Alert’s recent grant of £6500 to partner VHAD (Voluntary
symptoms who may not otherwise have being diagnosed at all. Health Association, Delhi) enabled the first of the new clinics, at
Lal Kuan, to open its doors on 7 January this year, and we’d
like to introduce you to the team at the clinic.
From left to right above you can see: The DOTS provider,
Manuj Kami, who is responsible for seeing the patients take
their medication and chasing up defaulters; Dr Karen, the
assistant of Prof Ali Baquer (President of VHAD) who co
ordinates the VHAD clinics around the city; Dr Joshi, the District
tuberculosis officer and a government Doctor responsible for
Jack Preger in the slums of Calcutta the TB clinics in the area where Lal Kuan is situated, who
works closely with VHAD to ensure a coordinated approach
across the district.
Page 4 of 8
Nurses meet in Durban for Malawi Medical Journal
TB Conference published
As part of our occasional fellowship programme, TB Alert has As part of our strategic small grants
funded two nurses from the Jane Firse Hospital in programme, TB Alert supported the
Sekhukhunuland South Africa to attend an Africa Region Malawi Medical Journal to publish a
IUATLD (International Union Against TB And Lung Diseases) special edition on TB and get it to all
TB conference. Not only will the nurses be able to gain the health workers in the country. The
most uptodate information on TB care in Africa, but they will Journal has now been published and
also meet the TB officer from TB Alert’s Bwafwano project has been very well received in Malawi.
(sponsored by the IUATLD to attend), and Gini Williams, Chair It contains many informative and
of the TB Alert Advisory Board. An excellent chance to share useful articles and discussions
information and learn from each others’ experiences. including Case reports and
information on TB in HIV patients, TB
in pregnancy, approaches to case
finding, drug resistance, and
traditional healers and their effect on diagnosis of TB cases.
More resources made available …
Rotary/TB Alert “Think TB!!” TB treatment diaries
leaflets available in 5 new As all TB nurses will know, one of the main problems of treating
patients with TB is ensuring that they complete their course of
languages medication, to avoid the disease returning in a drug resistant
form. “Noncompliance” is not usually just a case of ignoring
In 2001, Leicester suffered one of the worst TB outbreaks in the what they have been told by their nurse or doctor. Language
UK with over 60 people confirmed with the disease. So when problems can cause misunderstanding, patients may forget
Rotary International in Britain and Ireland chose to partner TB what they have been told; fear about sideeffects may lead to
Alert to raise awareness of TB around the country, Leicester De reluctance to continue treatment; or the cost of 6 months of
Montfort Rotary Club were keen to get involved. Contacting prescriptions for four drugs may encourage people to stop
their local authority they found that there was a desperate need treatment once they feel better.
for information in ethnic minority languages. Immediately they
decided they had to help, and have translated the “Think TB!!” Following a successful TB Alertfunded pilot research project at
leaflet, which clearly describes the symptoms to look out for, the London Chest Hospital in East London, help is at hand the
into 5 languages – Urdu, Somali, Punjabi, Gujarati and Hindi (it TB Alert treatment diary. This A5 sized patientheld booklet,
will also be available in Swahili soon). includes patient details, appointment card, and an area for
patients to note down questions or concerns for their next visit.
Download or order your copies now! Medical staff will stick pictures of the tablets in the diary section
so that there is no confusion about which tablets to take, how
many and when. The visual nature of the diaries makes them
We are delighted that Leicester De Montfort Rotary Club are
suitable for patients who are not literate, but there is some text
making their translated leaflets to any of our supporters who
to remind patients of the major drug sideeffects they should
could make use of them. If you work in a TB clinic or GP’s
look for. Translations are available in Bengali and Somali
surgery, or are a member of a Rotary Club in an area where
(shortly also Urdu and Arabic, and long term into further
these languages are spoken, there are three ways you can get
copies of the leaflets:
1. Through the TB Alert website – go to www.tbalert.org, and
select publications from where the leaflets can be Diaries available for your patients now!
downloaded and printed. Some leaflets are .pdf files and
will require Adobe Acrobat reader. If you would like copies of the TB Alert Treatment Diary for your
2. If you cannot download the leaflets, please contact Carole patients, please email Angela on email@example.com or
Wright (email only please) on firstname.lastname@example.org call 020 8998 1949 stating how many you would like, in which
with your name, address, organisation, and which languages.
language you are interested in. Carole will send you a
sample of the leaflet which can be photocopied to your And please don’t forget to tell us what you think – we are
requirements. hoping to print more, and would like to ensure we take on board
3. If you do not have email access, please call Melanie 0845 any feedback before the next print run.
456 0995 (local call rate).
Page 5 of 8
Advocacy news …
Global advocacy for TB
TB Alert is collaborating fully in new moves to urge parliaments
and political decisionmakers in the richer nations to go up a
gear in support for TB work. Together with organisations in
Canada, France, Holland, Mexico, Norway, and USA, we have
agreed to combine efforts to push for increased support for the
Global Fund against Aids, TB and Malaria (GFATM) and to
draw attention especially to the Global Plan for TB and the
needs of the Global TB Drug Facility.
The message is that in TB, We CAN do the job; Just give us
the Resources. There is a coherent plan of action, effective
treatment that cures, and a facility to deliver cheap drugs.
There is no need for over 2 million people to die every year
from a disease that is curable. There is just a small problem
an estimated gap of $750 million a year in the funds needed to
implement the global TB plan and to extend proper treatment to
all who should have it.
Already, a short background note has been prepared for use in
similar format in all our various countries (Copies available from
TB Alert); and plans are afoot to press both Richard Feacham,
the recentlyappointed (and British) head of GFATM, and
Canadian and US politicians, at the big TB Conference in
Montreal in October. We also aim to collaborate in creating an
international network of parliamentarians active on TB issues.
Here in the UK, TB Alert already organised an event at the time
of World TB Day in March, when Frank Dobson, leading
London MP and past Secretary of State for Health, together
with Sir John Crofton and Dr. John MooreGillon, led calls for
enhanced support for TB work both in Britain and worldwide.
They especially highlighted the doubling of TB cases in London
in the past 15 years but made it clear the TB in Britain is a pale
reflection of a bigger global problem. TB here cannot be
controlled unless TB is controlled worldwide. An article in the Independent, Monday 25 March 2002 as a result of
the World TB day event. Reproduced by kind permission.
ã The Independent
World news …
average. TB spreads easily in overcrowded conditions and
TB Tales from the other side nowhere in Australia are contacts closer together than
Maningrida, where houses average eight people to a bedroom.
of the world
Treating TB is a labourintensive exercise. In Maningrida, one
From an article by DENNIS SCHULZ, MANINGRIDA acute Aboriginal case will require staff to test at least 30 close
contacts. Finding contacts, testing them and watching the
Britain is not the only developed country with an increasing TB infected take their drugs can take hours among highlymobile
problem and, although TB Alert is not actively involved there, Aboriginal people. Some will evade TB nurses. One woman on
we thought you might be interested in the following story from an outstation hid when the TB team landed, avoiding treatment
Australia: for years and later dying in Royal Darwin Hospital. So
consumed by TB was her body that the Coroner called it a
26yearold Rosie Dana had come, feverish and coughing, into "health risk", refusing to allow it to be returned to Maningrida for
the health clinic at Maningrida, the largest Aboriginal burial.
community in Australia, at the top of Arnhem Land. When the
clinic’s doctor, Dr Meredith Arnold, told her she might have Dr Arnold believes funding TB specialists on the ground is the
tuberculosis, Rosie froze in shame. Would her family and only way to eradication. "We don't have the resources to now
friends keep her at arm's length due to the stigma associated be offering total preventative therapy ... You can argue till
with the disease? you're blue in the face about the best service but if you are not
following up TB contacts and offering preventative treatments
The incidence of TB in Australia is among the lowest in the when they've tested positive, then that's a failure of the public
world, only five cases per 100,000 people annually, but the health system."
incidence in Maningrida is more than 100 times the national
Page 6 of 8
Science and Questions …
Because bovine TB can be transmitted to humans, its current
Have you got a question? rise is leading to considerable extra workload for TB nurses in
rural areas as they have to check the humans who have been
If you have a question about TB or TB Alert please do let us in contact with infected cattle.
know. We have at our disposal some very eminent physicians
and scientists, and we can usually find an answer to the Although of great economic concern to farmers, and extra work
trickiest of questions. If we think your question is likely to be of for TB nurses, the risk to the human population is actually very
interest to several people we will publish it in a future edition of small as infected cattle are detected and removed early.
the newsletter and add it to the frequently asked questions list However, about 40 cases of human tuberculosis caused by M.
on our website www.tbalert.org. Here are two we have been bovis do still occur in England and Wales each year, the great
asked recently: majority in older people. These are not new infections but are
due to reactivation of dormant infection acquired several
I am due to visit a TB endemic country – should I get a decades earlier, probably from drinking unpasteurised milk. It is
BCG vaccination? also possible that some cases may have occurred in people
If you are planning to visit/stay for more than one month in a working closely with infected animals, hence the need for
country with a high prevalence of TB, and you have not had a testing.
BCG, you are advised to get a skin test to see if BCG is
needed. You should visit your doctor in the first instance. Human to human spread of this disease is exceedingly rare.
Tuberculosis of bovine origin is therefore a very small part of
Is it right that TB in the UK is due to immigrants and the overall tuberculosis problem but, as with all infectious
asylum seekers? diseases, continued vigilance is essential.
No. About half of all TB in Britain occurs in British people born
in the UK. Although anyone can get TB, it is more likely to Details of tuberculosis in cattle in the UK, the postulated role of
affect those living in poor conditions or on poor diets, so it is the badger as reservoir and the serious animal health challenge
more likely to affect homeless people or refugees. Contrary to posed by this disease are available on the Department for
popular belief, rather than coming into the country with active Environment, Food and Rural Affairs (DEFRA) website
TB, most immigrants develop TB after an average of five years www.defra.gov.uk/animalh/tb/
You might want to know…
If you have any questions, please email:
email@example.com or call Melanie on 0845 456 Is milk safe to drink?
0995 (local call rate). Yes. Bovine TB is killed by normal pasteurisation. Herds which
produce unpasteurised milk for sale are subject to more regular
Tuberculosis and the cow TB tests than other herds, which should make sure that
infectious cattle are not present in the herd.
Until the middle of the 20 century tuberculosis was common in
cattle in the United Kingdom and human disease due to the Is meat safe to eat?
bovine tubercle bacillus Mycobacterium bovis was often Yes. The risk from meat is very small. The bacteria are killed by
seen. In particular, children were infected by drinking milk proper cooking. There are no recorded instances of humans
containing this bacillus. catching bovine TB from meat.
Thanks to heattreatment (pasteurisation) of milk and the
slaughter of cattle shown, by skin testing, to be infected, this
TB Alert Website
form of tuberculosis in both humans and cattle became rare in
Have you seen our website lately?
At www.tbalert.org you can
Read or download this newsletter
Access all the frequently asked questions
See more details of our projects
Find out how you or your company can help TB Alert
Find out how to get involved with TB Alert
Download a standing order donation form
Buy goods via UShopUgive – where part of the
proceeds go to TB Alert
But, like the human form of TB, Bovine TB has been much in
the news recently because of a serious rise in the number of
infected herds, accentuated last year by a reduction in TB
checks as veterinary efforts focused more on the Foot and
Page 7 of 8
TB Alert’s first Christmas Card – please place your order now!
It might seem a little early, but along with this newsletter you will find a Christmas card from TB Alert with our best wishes.
This is our very first charity card and it is available to all of our friends and supporters to buy this year, so you can help
support our good cause whilst spreading the word to your friends and family this Christmas.
The card features “Adoration of the Shepherds” by Rembrandt, who lost both his wife and child to TB – a sad reminder to
us that TB in Europe was once all too common.
Fortunately, in the developed world the rise in living standards and development of antibiotics have meant that TB is much
less of a threat, although of course, worryingly, it is on the rise again. However, in many countries the threat is still very
real, as the disease kills over 2 million people a year, devastating families and exacerbating the effects of poverty.
TB Alert can make a difference to this grinding cycle of poverty and illhealth. Please help us change lives by buying our
charity Christmas Card. The card comes in packs of 10, costing just £3.99 plus 50p postage and packing per pack. To
order your cards please complete the order form below (please photocopy the form if you need to).
Please send your Christmas Card orders to “Christmas Cards, TB Alert, FREEPOST LON12815, LONDON, NW10 1YS”.
Please allow up to 28 days for delivery, last orders will be processed on 9 December.
Name: Cost Calculator
Address: inc p&p
Postcode: 4 £17.96
Number of packs: 5 £22.45
See cost calculator to confirm total cost including postage & packing 6 £26.94
Total cost: £
Donation: £ ð tick here to Gift Aid your donation (see back page for details of Gift 8 £35.92
Cheque enclosed for: £ (Cheques payable to TB Alert. Please note that cards cannot be paid
for by CAF cheque, although any extra donation can.)
A Personal Gift
If you would like to make a donation, please send it, with this form to TB Alert, FREEPOST LON12815, LONDON, NW10 1YS
Please accept my donation of: ð £100 ð £50 ð £25 ð Other £___________ (Cheques payable to TB Alert)
ð Please treat this as a Gift Aid Donation
I confirm that I will pay more in tax than my level of donations this financial year, and have given my address below for your records.
If you are able to tick this box, TB Alert can reclaim from the Inland Revenue, an extra 28.2p for each £1 of your donation. If you pay
tax at the higher rate you may reclaim the difference between the low & high rate tax yourself. Please let us know if your circumstances
Please complete your name and address details in block capitals.
I would like more information about:
Name: …………………………………………………………………………………………………… Making a regular gift to TB Alert ð
Address: …………………………………………………………………………………………………… Leaving a legacy to TB Alert ð
…………………………………………………………………………………………………… Getting involved by volunteering ð
How my company can help ð
Fundraising at school/church/clubs ð
Postcode:……………………………………… Phone: ………………………………………………… Overseas Sponsored Challenges ð
TB Alert will from time to time update you on our work and fundraising (we will not inundate you with mail!).
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