Marc's Ink Talk Now On Line

See Marc's talk and learn the scale of the problem of syringe re-use. Does re-use only occur in third world countries? Find out here.......

Hear Marc's Talk on NY Brand Lab Radio

If you didn't get a chance to tune in to Marc's talk on NY Brand Lab Radio, don't worry! Click here to listen to the interview and hear SafePoints breaking news on Tanzania….

SafePoint Tanzania Awareness Campaign Gets Underway

.
The SafePoint supporters reach Uhuru Peak, Tanzania

All-mother group successfully conquers Mount Kilimanjaro to raise awareness of the dangers of syringe re-use in Tanzania

East Sussex, United Kingdom - The four intrepid supporters of the SafePoint Trust – Anna Koska, Nicoletta Iacobacci, Clare Beale and Catherine English – have recently triumphed in their mission to climb Mount Kilimanjaro, Tanzania. And not only have they completed this gruelling challenge in an impressive time, they are also celebrating being the first all-mother group to climb the feared Western Beach route. Congratulations ladies!

But now the hard work really begins. The SafePoint team has begun rolling out a hard-hitting campaign across Tanzania to raise awareness of the dangers of syringe re-use. Using one syringe to treat many patients is one of the single biggest causes of death in the developing world, and causes millions of infections each year in Africa and the rest of the developing world.

On their descent, the ladies travelled to Dar es Salaam where they called a press conference, attended by 25 major Tanzanian TV and radio channels. They informed their captivated audience why they took on the challenge to climb Mount Kilimanjaro, and their decision to raise money to donate single use (AD) syringes to Tanzania. Their climb has raised funds to contribute to their supplies in compliance with the ECSA resolution*.

Famous celebrity and comedian, Masanja, assisted the ladies in the press conference by demonstrating the three-point SafePoint message, taken from the WHO injection safety guidelines as per the diagram below.

New Packet, Used Once, Safely Disposed

Masanja validated the importance of safe injections and said, “I decided to help SafePoint make a public awareness film as I am a proud Tanzanian, and know that in the village where I come from, many people are unaware of unsafe injection practices.

“I hope that this film encourages healthcare workers to use a new syringe each time they give an injection, and that it informs our parents and children on the risks they take if they don’t demand one. To all fans of the Orijino Komedi Show, make sure you never have an unsafe injection again and spread the message for me.”

Yet, despite clear evidence pointing to significant numbers of deaths caused by a lack of injection safety procedures in many hospitals and medical centres in Tanzania, talks to date with Health Ministers in the country have remained unsuccessful. Marc Koska OBE, founder of the SafePoint Trust, originally met with the Hon Prof David Mwakyusa back in March 2010. At this meeting, the Hon Minister gladly accepted the donation of the film from SafePoint, and agreed to create a campaign to air it. But since this meeting, Marc has been met with closed doors and unable to progress with discussions further. For the SafePoint team, it is extremely frustrating, as they are only too aware from their experiences in other countries that public awareness is paramount to the changeover to single-use syringes.

Elections have taken precedence within the Tanzanian Health Authority, with little or no reference given to the unacceptable ‘unsafe injection’ culture. Also this week, Mr Deo Mtasiwa, Chief Medical Officer of Tanzania, stated his belief that no diseases have been spread through injection re-use.

While SafePoint appreciates the positive actions that have taken place in Tanzania to address the problem, such as the training of thousands of nurses, his claim is one that SafePoint rejects. Their view is backed by the announcement at the Annual meeting of The Safe Injection Global Network (SIGN) that a staggering 14% of all HIV infections are a direct result of unsafe injections.

Injection safety needs to move up the agenda, fast. Medical staff urgently need the resources to save lives; not to take them. Cost isn’t the issue - the cost of an AD syringe is 100 Shillings in Tanzania; the cost of a popular soft drink is 500 Shillings. “Mara moja katika maisha, mara nguni ni kifo.” A syringe used once is life. Used twice is death.

For more information, please contact:

Ginny Simpson
SafePoint Trust UK
The Granary
Pippingford
East Sussex
TN22 3HW

+44 (0)1825 713722
info@safepointtrust.org
http://www.safepointtrust.org

*Note: The ECSA (East Central Southern African Regions) resolution, passed and proposed by SafePoint in 2007, was signed by all 10 ECSA regions. Countries were to scale up their injection safety programmes by November 2009. SafePoint has already made and donated a public information film, with the support of SafePoint Ambassador, Masanja.

Background Notes to Editors:

Safepoint is a charity set up with a purpose to educate the next generation in safe healthcare.

This is done by delivering hard-hitting public awareness campaigns. We've done this to huge effect in India in 2008, resulting (April 2009) in the Health Minister mandating the use of Auto Disable (AD) syringes throughout all government-run hospitals. To date, Marc Koska, Founder of SafePoint, has been credited with saving well over 9 million lives.

Why Tanzania?

Tanzania is at the forefront of safe healthcare in Africa and will soon be the second country to convert over to Auto Disable (AD) syringes in the ECSA Region. With their policy already in place, trained healthcare workers and a public information film donated by SafePoint featuring Tanzanian celebrity and SafePoint supporter Masanja, they are ready to reduce the country's medical costs and ease the HIV/Hepatitis disease burden.

We climbed Mount Kilimanjaro to kick off Phase One of this new campaign – the raising of public awareness of the dangers of syringe re-use in Tanzania through all forms of media. We'll be visiting schools, orphanages and hospitals to talk with children, teachers and healthcare workers alike, getting the simple message of ‘one injection - one syringe’ across and donating syringes to kick start their participation in the campaign.

Facts and figures on unsafe healthcare

• Each and every year, due to unsafe injections, there are:

• 230,000 HIV Infections
• 1,000,000 Hepatitis C Infections
• 21,000,000 Hepatitis B Infections
• Resulting in 1,300,000 deaths each year
  

(Source: WHO World Health Organisation)

• Some 17 billion medical injections are given each year, and 7 billion of these are unsafe
(Source: Hutin 2003)

• Malaria kills 1,000,000 - so this silent epidemic – unsafe injections - kills even more people each year
(Source: WHO World Health Organisation)

• In Africa, 20 million medical injections, contaminated with blood from a patient with HIV, are administered every year
(Source: Reid 2009)

• At least 50% of all injections given, world wide, are unsafe
(Source: WHO World Health Organisation)

• A syringe is used on average 4 times in the developing world

• Every 24 seconds, a child dies as a result of an unsafe injection

How to Save a Million Lives

.

by Joshua Robinson

A lack of a college degree or any engineering training didn’t stop Marc Koska, a speaker at The Daily Beast’s upcoming Reboot America conference, from seeing a problem—millions dying from reused needles—and doing something about it.

Marc Koska had always wanted to dig up one great idea, one major strategy for helping people in a global way. He didn’t know what it would look like or where it would come from. Like any cloud-headed student or barstool idealist, he just wanted to change the world.

Marc Koska

For the first 23 years of his life, Koska didn’t look around especially hard. The day after he graduated from the prestigious Stowe School in Buckingham, England, already set to forgo college, Koska became a garbage man. Just to pick up some money through the summer, not because of any calling in public sanitation. When he’d had enough of collecting trash, he looked at his options again and thought, “Well, I could go do something normal, which wasn’t really me. Or I could follow my nose and get on a train first.”

He chose the latter. For the next four years, aimless wandering carried him around the world, at times working on yachts and in ski resorts, until it landed him in front of a newspaper article one day in 1984. “It simply said, ‘One day syringes will be a major cause of the spread of HIV,’” he said in a telephone interview from England. “Sadly, that’s come horrifyingly true. Now we have a situation where, potentially, AIDS is spread as much by medical devices and poor practice as anything else.”

Indeed, unsafe injections are as serious as any epidemic in the developing world. According to a 2009 World Health Organization report, some 40 percent of injections worldwide are given with syringes and needles that are being reused without sterilization, causing an estimated 1.3 million deaths every year. HIV, Hepatitis B, and Hepatitis C are the main offenders. Educating patients to demand new needles is still a critical issue, as is the prevalence of dangerous medical practices—doctors who convince their patients they are breaking out fresh ones by rustling wrappers under their desks or nurses simply following orders.

“We’re told to,” one nurse in Faridabad, India, told the Times of London in 2009. “They tell us to use the syringes sometimes two times, three times, 10 times. I have seen them reused 30 or 40 times.”

“They are accustomed like this,” she added, referring to the doctors at her hospital. “They have practiced this way always, and they will continue. It may be they think if they reuse [syringes] they will save money.”

But the problem does not only stem from the economic interests of health-care providers.

"In developing countries, people go see the doctor and you can't get them out unless you give them an injection," said Dr. Ernest Drucker, an adjunct professor of epidemiology at Columbia University's School of Public Health. He cited a study dating as far back as the 1960s that showed that 80 percent of households in Uganda had a syringe, adding, "They feel like they haven't been treated if they don't get an injection. 'Magic shots,' they call them."

A syringe and needles in an Indian hospital, waiting to be reused

It is with these conditions unfolding throughout the developing world, that the idea Koska had been looking for began to crystallize 26 years ago. And by 1997, it turned into a patent for one of the first auto-disable syringes that also worked for curative injections. The name may sound complicated, but the idea is beautifully simple. How do you make sure people don’t use syringes twice? Make them impossible to refill. The K1, as Koska dubbed it, is equipped with a locking ring in the bottom of the barrel, so that when the plunger is fully depressed it stays there. Trying to pull the plunger back would snap the ring and effectively break the syringe.

The K1 model is not the only auto-disable syringe out there. When he first started working on it, there were more than 250 other patents around, and by the time he registered his, that number had grown to about 1,000. Of those, however, Koska says only about 20 had been made into prototypes and all of them were designed specifically for the small doses used in immunization. His design was also suitable for curative purposes, meaning the K1 could handle a whole range of doses.

Ultimately, it was a low-tech solution in a medical environment that is growing ever more expensive and sophisticated. Koska’s answer wasn’t a revolutionary apparatus, it was a small adjustment to existing technology with potentially massive impact. Not to mention a price tag for the developing world—K1 syringes sell for 5 cents, while many others go for as much as a $1 apiece.

“I always understood that what I was doing when I first came up with the design concept was going backward against the stream of thought,” says Koska. “The 270-odd patents, even 25 years ago, were all more complicated. I realized that none of them were going to get off the ground, because they were over-engineered. And over-engineering costs money to produce. I deliberately went to the simple end of the spectrum.”

Before he could even begin considering a design, Koska had to figure out exactly what he was dealing with. All he had in 1984 was a high-school science background and a newspaper clipping. So he spent over two years traveling, reading, and pestering anyone he could find who knew something about public health and had the technical know-how to help him. “I don’t think I even took any notes,” he says. “I just kept asking questions. I’d end up at the World Health Organization and ask them 20 questions about a trip I’d just taken to Kenya and watching immunization campaigns,” Koska says. “It was very random. But it built up a picture for me.”

Seventeen years after the idea first dawned on him, Koska sold his first syringe.

During that time, his efforts to popularize it did not make him any friends. Rival manufacturers, Koska suspects, were not especially pleased with his crashing the market. His first licensee in the developing world was suddenly and mysteriously bought out by an anonymous party and then bulldozed to the ground. Another factory in India simply failed to sell any. Finally, in late 2001, UNICEF placed an order. And soon after, he saw one of his syringes being used for the first time in Cambodia. (UNICEF has since made it a requirement of its campaigns to only use auto-disable syringes.)

Today, Koska runs Star Syringe, the company that owns his patents, alongside a nonprofit called Safe Point, which he started in 2006 for lobbying and education. His licensees are on the verge of selling their 2 billionth unit. Production is up to about 2 million a day, giving Star Syringe a 1 to 2 percent market share of all the syringes manufactured around the world, auto-disable and standard.

But beyond the worldwide numbers, Koska says that the real effect can be seen in places like the hospital in Tanzania, where the average stay has plummeted from seven days to three.

The only change it made was switching syringes.

Taken from The Daily Beast
.

Marc Koska at Google Zeitgeist

'Google Zeitgeist 2010: Catalyst' by AlphachimpStudio (Peter Durand)

Source: Flickr.com (some rights reserved)

Marc spent an inspiring two days at Google Zeitgeist last month in Phoenix, Arizona.

He was invited to participate in an interesting panel discussion entitled, "Catalyst". Full-on discussions took place on: how some leaders are able to set off a chain reaction and how others can bring so much attention to new ideas and initiatives.

Zeitgeist invites the leading thinkers of our time to join together to explore ideas and debates on topics that influence not only the global economy, but also creativity, technology, leadership and human rights.

Here's Marc’s section on the panel:

Zeitgeist-US Catalyst from SafePoint Trust on Vimeo.
http://vimeo.com/15431465

Watch the full version here:

http://www.youtube.com/watch?v=m4Mx7SeEwpM
.

Marc Koska's Mission

Author: Lukas Kubina

Marc Koska

Marc Koska OBE has worked tirelessly over the last 25 years on Global Healthcare. He invented an AD (Auto Disable) syringe called K1 that prevents reuse. Technically, a valve - which breaks after the single usage - is moulded in the plunger. This very easy and cheap modification makes an accidental or abusive reuse physically impossible. The product costs are at about 5 cents apiece - the average price of a normal syringe.

Marc and the K1 have been credited with saving in excess of Nine Million lives and his invention is licensed by 14 manufacturers around the developing world. All Marc's energy is now put into lobbying for legislation change with his charity The SafePoint Trust - delivering hard-hitting safe injection campaigns.

Now, the DLD friend is launching the LifeSaver campaign that is inviting all global AD syringe manufacturers to include the new LifeSaver logo and message "New Packet. Used Once. Safely Disposed" on all their packaging.The logo is distinctive and easily recognized, and will act as a unique guarantee of a safe injection.

For more information on Marc go to marckoska.com and watch his mission statement in the video below:

http://www.youtube.com/watch?v=3-bJpkvSo_k

What is DLD?

DLD is an inspiring community for the 21st century which features digital innovation, science and culture and brings together thought leaders, creators, entrepreneurs and investors from Europe, the Middle-East, the Americas and Asia.

DLD (Digital - Life - Design) is a three-day experience gathering 800 entrepreneurs, investors, philantropists, scientists, artists and creative minds from all over the world. With global diversity in attendees and an interdisciplinary perspective of digital, media, design, art, science, brands, consumers and society, the conference is known as the European forum for the "creative class".

Taken from DLD-Conference.com

.

TV News Report on The Climb Tanzania 2010 - today!

Clare Beale, Catherine English, Ginny Simpson and Anna Koska

Meridian ITV recently filmed the 4 girls in their lovely icebreaker outfits, warming up and training on the Ashdown Forest in preparation for their fund-raising trek up Mount Kilimanjaro. Marc and the girls were also interviewed.

The report is expected to be broadcast during today's lunchtime news, 1.30-2.00pm, and again in the evening news, 10.00-10.35pm. [It actually aired on Saturday 10th July]. It's on terrestrial channel 3 if you are in the Meridian region (south east). If you have Sky but are in another part of the UK, you can still get Meridian - it's a little bit fiddly but here are the instructions.

The TEDxProject: Marc Koska - 1.3m reasons to re-invent the syringe

by Christian Long

Reflection by Gabriella B.

You’ve been to the hospital, or the clinic before.

Think about it. It was probably immaculately clean, the walls were a neutral, mint green, or pale blue, perhaps, a nice beige. You can smell the antiseptic, and hear hushed muted noises all around.

The crinkle of white paper on examination tables, the ring of the phone from the office. The soft beeping and clicking of expensive machines you barely understand the purpose of. A few people are wandering about the ever frigid halls avoiding nurses and doctors hurrying about authoritatively in crisp white coats or pale blue scrubs. Worried relatives are sitting in plushy chairs leafing through decade old magazines.

Now imagine with me a hot stuffy room. The light is dim through the slightly grimy windows and you can hear the discordant cacophony of the busy street just outside the door. Besides that, the room is full to bursting with sickly people all desperate for a life saving injection, from doctors and nurses who may or may not be trained. It’s dusty and hot, the beds are little more than cots placed in rows to get as many as possible in the already small rooms.

That is what you’d see if you happened to be in any of the poorer sectors of Asia. AIDS and many other viruses are rampant in these areas and are spreading with the help of well meaning doctors and nurses.

How could this be happening? It’s really as simple as a syringe. You know what I’m talking about. You probably have one or two in your kitchen drawers. The issue most developing countries face is that not only are these syringes being reused but there is a business in the collection and repackaging of used syringes.

This places massive risks on a single, life saving shot. Aside from the obvious problem of sanitation there is also the issue of cross contamination of medicines and the side effects of a bad mix.

As Koska explains many of the patients view doctors as ‘next to God’ and trust them to do the right thing. He tells the story of some children in Pakistan whose job is to collect used syringes from the back of hospitals, wash them, repackage them and sell them for more than what a sterilized syringe costs. In china this is even more of a problem. One story of an Indonesian school is particularly appalling of children being given used syringes to play with and then using them to drink from.

So what can be done to prevent the annual death of 1.3 million people due to the reuse of syringes? The answer proved surprisingly simple. As Koska demonstrates the answer was there the entire time, we only needed someone who cared enough about the problem to start acting on the solution.

He has developed a syringe that looks and works just like an ordinary syringe, and is even made in the same machines as ordinary syringes at the same cost. The crucial difference is that his syringes lock in place and break if an attempt at reuse is made.

Simple, no?

So I guess the question we have to ask ourselves now, is why it took 1.3 million deaths for someone to care enough?

Excerpted from:
Marc Koska - 1.3m reasons to re-invent the syringe

Original TED page with speaker bio, links, comments, etc:
Marc Koska - 1.3m reasons to re-invent the syringe
.

Marc Koska: 1.3m reasons to re-invent the syringe

Malaria kills 1 million people a year? Reused syringes kill 1.3 million a year? Holy crap. Those are the sort of numbers that remind me in no uncertain terms that I live in a privileged world.

OK, a few minutes in and I'm convinced this is one of the most terrifying TED talks I've seen.

Sometimes we joke about planned obsolescence, or about items breaking just as they come out of warranty. Marc Koska's one-time-use (enforced) syringes are that, but for the best of reasons. This is the kind of thing that will save lives.

Excerpted from reviewingted.posterous.com

Nikon Owner magazine captures Marc’s work in India

.

Single Use - A Modern Morality Tale by Gillian Greenwood, Nikon Owner magazine -

Simon Stafford, Technical Editor of Nikon Owner magazine, accompanied Marc and members of SafePoint for ten days and recounted his experiences via a series of beautifully shot pictures capturing vibrant people and places, but also devastating evidence of needles being re-used.

He saw first-hand harrowing scenes in surgeries and clinics with medical staff throwing blood-stained needles in buckets under counters ready to be used again on many sick and frail members of the public waiting outside. Moving from New Delhi, to Pune and then Jaipur, Simon witnessed Marc and his team delivering their powerful message to the public on the effects that unsafe injections can have.

Marc Koska spreads the word in the US

Marc Koska of Star Syringe, Ltd, Winner of 2008 Tech Award, Health
photo: godutchbaby

Marc has just returned from an extremely successful trip to the USA, where he was honoured to be invited to three key events:

• a Know How Talk at the IDEO Cafe, hosted by Dennis Boyle, IDEO senior partner. IDEO is the world renowned Global Design Consultancy based in Palo Alto, CA. Marc's talk was entitled 'Shameless' (how you have to be, to change something in this world). Discussions after the talk focused on his efforts to save lives through syringe design and his charity SafePoint.

• to be a panelist at the ‘Change that Counts: Building Sustainable Social Business’ hosted by Santa Clara University.

• The Tech Awards Gala as a past Laureate; Marc was invited to host a live link sponsored by Polycom, between the newest member of the SafePoint team, Kate Thorman, in India, and Fabio Rosa, a Canadian former fellow Laureate..