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.......
Showing posts with label viruses. Show all posts
Showing posts with label viruses. Show all posts
Monday, 23 May 2011
Wednesday, 9 June 2010
The Climb Tanzania 2010 is launched
On 26th May, The Climb Tanzania 2010 was launched in conjunction with Mountain Range Restaurants' 5th anniversary celebrations at The Swan in Forest Row.
Background
Marc Koska OBE has worked tirelessly over the last 25 years on Global Healthcare with a particular focus on Injection Safety. After spending years researching the syringe industry, Marc invented an AD (Auto Disable) syringe, the K1 - that physically prevents re-use. To-date Marc and the K1 have been credited with saving well over 9 Million lives but Marc knew from the start that product alone would not stop this silent epidemic, so Marc set up The SafePoint Trust in 2006. The main purpose of SafePoint is to use information to solve this very basic healthcare need, and this is done by delivering hard-hitting public awareness campaigns. Marc and SafePoint work hard to ensure that the public are educated with this lifesaving message, coupled with extensive lobbying for legislation change at ministerial level ensures that this basic human right is restored.
Outline
Marc Koska OBE and The SafePoint Trust would like to invite you to support them on:
The Climb 2010 Kilimanjaro, Tanzania - Rising 4800m above the East African plains, 270km from the shores of the Indian Ocean and measuring up to 40km across, Kilimanjaro is a bizarre geological oddity, the tallest freestanding mountain in the world and one formed, shaped, eroded and scarred by the twin forces of fire and ice. It is actually a volcano, or rather three volcanoes, with the two main peaks, Kibo and Mawenzi, the summits of two of those volcanoes.
Five team members will climb the mountain armed with 20 flags – each flag will be fully branded with a logo from each sponsor. Day seven will see them at the peak of the mountain, at this point a photographer will ensure each flag is photographed capturing the stunning view and the euphoric atmosphere of the team.
On the teamʼs return the UK sponsors will get a framed glossy photograph of their flag at the peak. Along with this your company will feature heavily in all publicity around the event including a press release, national and regional newspapers, regional TV and radio stations and leading business / lifestyle magazines. The whole event will be posted on facebook, twitter and will have its own blog. Sponsors can also make their logo available to feature on the kit of the climbers.
A one-off donation of £5,000 to buy a flag is all that is required and 90% of this donation / sponsorship money will enable us to give Two Million syringes to Tanzania. SafePoint will present the container of syringes to the Hon Prof. David Mwakyusam, Heath Minister of Tanzania once they have finished the climb.
Why Tanzania?
Tanzania are at the forefront of safe healthcare in Africa, they are to become one of only two countries converted to using AD syringes in the ECSA Region. With their policy already in place, trained healthcare workers and a public information film donated by SafePoint they are ready to reduce country medical costs and ease the HIV / Hepatitis disease burden. More importantly with this donation we will ensure they have enough product to stock the 26 regions at the start of this initiative.
Facts and figures on unsafe healthcare:
• Each and every year due to unsafe injections there are:
• 23,000 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 injections are given each year, and 7 billion of these are unsafe medical injections (Source: Hutin 2003)
• Malaria kills 1,000,000 - so this silent epidemic kills 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 injections given were unsafe (Source: WHO World Health Organisation)
• A syringe is used on average 7 times in the developing world
• Every 24 seconds a child dies as a result of an unsafe injection
Further information
Mountain Range Restaurants are supporting The SafePoint Trust on their Climb 2010. Mountain Range also celebrate their five year anniversary this year in conjunction with this SafePoint will send five people to climb Kilimanjaro raising money to donate syringes to Tanzania.
http://www.marckoska.com/
http://www.safepointtrust.org/
You can reach the SafePoint Team on: 01825 713722 or via email: info@safepointtrust.org
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Tuesday, 8 June 2010
Marc Koska OBE Launches Safe Injection Project at Mountain Range Restaurants’ 5th Anniversary
Mountain Range Restaurants celebrate their 5th Anniversary at The Swan, Forest Row, whilst supporting Marc Koska’s local charity, The SafePoint Trust.
Sponsored climb of Mount Kilimanjaro announced to make Tanzania a safe injection country.
Sponsored climb of Mount Kilimanjaro announced to make Tanzania a safe injection country.
Forest Row, East Sussex - Marc Koska OBE and his charity, The SafePoint Trust, recently launched an exciting new project for Tanzania at The Swan Mountain Range Restaurant in Forest Row during Mountain Range’s 5th anniversary celebrations.
Generously supported by David Downard, Mountain Range Restaurants CEO, guests were warmly invited to congratulate the company for a successful 5 years in business as well as to celebrate Marc Koska’s achievements in global healthcare and to support his charity The SafePoint Trust on their next venture: “The Climb Tanzania 2010”.
A team of three mothers from East Sussex have taken up the challenge to climb Mount Kilimanjaro to raise enough money (£100,000) to enable The SafePoint Trust to donate 2 million AD (Auto Disable) syringes to Tanzania. This will enable Tanzania to kick start this safe injection healthcare project and so become a safe injection country. They plan to present the donation to Tanzania’s minister for Health and Social Welfare, Prof David Mwakyusathe, in person shortly after they finish the climb, which is set to take place at the end of October 2010. It is likely to take about 7 days to reach the summit. The climbers, who will very quickly have to get used to high altitudes, are:
- Anna Koska (Marc’s wife and SafePoint Supporter)
- Ginny Simpson (SafePoint)
- Clare Beale (SafePoint Supporter)
The SafePoint Trust is encouraging local businesses to buy a flag for £5,000 each. All flags will journey up to the summit of 19,365 ft and be photographed with the climbers, capturing their euphoric moment. Those businesses which buy flags will of course feature heavily in all publicity that surrounds the climb, since collectively, by donating 2 Million syringes to Tanzania, they will ensure that a total of 700,000 people will receive safe injections.
Why Tanzania?
Tanzania is at the forefront of safe healthcare in Africa and is to become one of only two countries converted to using AD syringes in the ECSA Region (Eastern, Central and Southern Africa). With their policy already in place, trained healthcare workers and a public information film produced and donated by SafePoint, the country is ready to reduce its medical costs and ease its HIV/Hepatitis disease burden. More importantly, with this donation in place, Tanzania will have sufficient AD syringes to stock all 26 regions throughout the entire country from the very start of this initiative.
Facts and figures on unsafe healthcare
• Each and every year due to unsafe injections there are:
o 23,000 HIV Infections
o 1,000,000 Hepatitis C Infections
o 21,000,000 Hepatitis B Infections
o 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 injections given, globally, are unsafe
(Source: WHO World Health Organisation)
• A syringe is used on average 7 times in the developing world
• Every 24 seconds, a child dies as a result of an unsafe injection
For more information about Mountain Range Restaurants, visit: http://www.mountainrangerestaurants.co.uk
About Marc Koska OBE and The SafePoint Trust
Marc Koska OBE has worked tirelessly over the last 25 years on global healthcare with a particular focus on injection safety. After spending years researching the syringe industry, Marc invented an AD (Auto Disable) syringe - the K1 - that physically prevents re-use. To date, Marc and the K1 have been credited with saving well over 9 million lives, but Marc knew from the start that product alone would not stop this silent epidemic. So he founded The SafePoint Trust in 2006. The main purpose of SafePoint is to use information to solve this very basic healthcare need. This is done by delivering hard-hitting public awareness campaigns. Marc and SafePoint work hard to ensure that the public are educated with this lifesaving message, coupled with extensive lobbying for legislative changes at ministerial level, to ensure that this basic human right is restored. For more information, visit: http://www.marckoska.com and http://www.safepointtrust.org
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
Press release submitted by: WorldWidePR.net
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Friday, 14 May 2010
Marc Koska Launches LifeSaver
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Philanthropist, Social Entrepreneur and inventor, Marc Koska, OBE, launches the LifeSaver campaign:
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LifeSaver is a campaign that is inviting all global AD (auto-disable) syringe manufacturers to include the new LifeSaver logo and message:
"New Packet. Used Once. Safely Disposed"
on all their packaging. LifeSaver represents the procedure given by a health worker and received by a patient, and can be simply adopted, free of charge, by any organisation. The logo is distinctive and easily recognized, and will act as a unique guarantee of a safe injection.
Marc Koska: "The question to you is simple: Would you want to have an injection with a clean sterile syringe or a used dirty one? Exactly, and so would everyone else! Please send this video link to as many people as you can so that they become aware of this issue. Please help me get millions of hits recorded on YouTube! Thanks!"LifeSaverAction now also has a Facebook Page (please Like it) and a Facebook Group (please Join it).
For more information, visit http://www.marckoska.com
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Wednesday, 14 April 2010
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
.
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
.
Monday, 29 March 2010
Marc Koska: The Man Who Saved 9 Million Lives
Marc Koska, founder of The SafePoint Trust was interviewed for an article entitled 'Marc Koska: The Man Who Saved 9 Million Lives' in the current issue of Peter Gillham's magazine Organic Connections.The article starts:
"Unique is a good word to describe Marc Koska. 'Since I was a kid, I always wanted to get involved in a large intervention on a big scale,' he told Organic Connections. 'I was always looking for something. If I had lived 200 years ago, I would have wanted to be the guy who killed all the rats in the Black Death. And I started having that drive when I was about six.'
Organic Connections: Marc Koska: The Man Who Saved 9 Million Lives
Unlike many others, Marc never forgot his dream; as a young adult, he was always on the lookout—and one day he stumbled upon it. 'Years went by and I didn’t really settle into anything because I was still waiting for my big moment,' he recounted. 'Then in May 1984, I read a newspaper article that discussed the fact that reused syringes would be a major transmission route for HIV. That was exactly the bit that I was looking for.' Marc was 23 at the time."
For more information on Marc, his life and activities, please visit his website at www.marckoska.com.
For further data on Star Syringes, see their website at www.starsyringe.com.
To learn more about SafePoint Trust, visit www.safepointtrust.org.
Monday, 22 February 2010
The hard-hitting facts about the re-use of syringes
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Click to enlarge image
- killing 1.3 million people a year by transmitting viruses from one patient to another
- killing more people than malaria, which currently kills about 1 million a year
- causing 23 million cases of Hepatitis B a year and, consequently, enormous treatment costs.
- syringes, on average, are used around 4 times in the developing world
Click to enlarge imageThursday, 18 February 2010
Marc Koska's DLD talk, word for word
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Marc Koska at DLD10
Transcript of a talk given by Marc Koska at DLD10 about the transmission of disease through unsafe injections - and the solution to this problem that he invented:
Steffi: Marc Koska, Marc has a special thing; he is devoted to the humanitarian cause for 20 years. He invented of an AD syringe called K1 - physically prevents re-use, but you tell it better.
Marc: Thank you Steffi. Well I’d really like to thank Steffi and her team for the warm welcome and secondly just to fulfill a promise, to mention Gabriella from HP because I did say that I would do that.
I promise, I make you one promise also before I start that this will be the lowest tech presentation that you see today. Everything else has just been in another level compared to where I operate. So here we go.
My subject is the re-use of syringes. The re-use of syringes kills 1.3 million people by transmitting viruses from one patient to another. It actually results in also 23 million cases of Hepatitis B and you can imagine the cost of treating that on a global scale, and that’s a cumulative number; 23 million cases every single year. Syringes on average are used around 4 times in the developing world and it's just unacceptable, so I decided to do something about it. In fact it kills more people than malaria, which currently kills about 1 million a year.
These three children that I met in an orphanage in Delhi sadly all had HIV and two of them have passed away now. They had HIV because they went and got an injection from a doctor that their parents had taken them to and were supervising. But what was the saddest thing is that all three of these were actually orphaned straight afterwards. Their parents gave them away once they became HIV positive, which is a double tragedy.
Re-use is a problem and this scum bag doctor here in India admitted to me that he had actually re-used this syringe 25 times in one day. This footage here shows you some undercover film that we took in a hospital (again in India) where 40 medicines were delivered; you can see them on the tray in the top corner, and 40 medicines were delivered with two syringes only, to the whole floor of that hospital. And in a minute, you’ll see a nurse return (here she comes) back to the tray, which is their station and drop back the syringe, ready to be used on this next patient. And this is happening on an hourly, minute-by-minute basis across India.
These needles are wet and they're ready to be used again. They are not wet in Europe, they are only wet in the developing world because they’ve been washed downstairs and then bought back up. Patients are often given the choice to pick a needle.
Outside hospitals, we find baths created actually to wash the syringes on a wholesale basis. This is the number of barrels and plungers that were in that bath. If you look closely you can see what’s inside them. This lady was burnt in a dowry burning in Pakistan, and when I talked to her, I asked her why she was back because all her burns were all healed, but still with bad disfigurement. She said she was in the hospital to be treated for Hepatitis B. I asked her where she had contracted it, and ironically (she didn’t see the irony), she contracted it in that very room that we were standing in, taking that photograph. Ten years earlier, being treated for the burns and it was something that has just plagued her life.
This syringe maybe is the world record holder. The ink has come off the barrel and that means that it must have been used over a 100 times. There’s recycling and this is a 6 year-old girl, early in the morning in Islamabad, leaving (in Erdu this says health centre), leaving a health centre with a bag from yesterday's work; there’s blood bags, there’s scalpels, there’s syringes and needles in there, and she’s taking them off to be recycled.
There’s a growing market for plastic. Not necessarily for re-use, but also for washing and recycling back into the market. And while they’re doing this, these kids, they bash into each other and they prick themselves. And I took this photograph and I was so utterly ashamed when one boy poked the other boy with a needle and his hand started bleeding and I felt absolutely devastated that I had caused that by being the white man taking the photograph. He said “no, no don’t worry, it happens 5 times a day.” (which it did).
In China, wholesale recycling again and then re-sorting to be sold and actually, just quickly back to Pakistan - this is the boy’s father who was showing me a syringe, and while he was digging it out of the pile of rubbish on the floor he pricked the end of his finger. And very interestingly, he whipped out a box of matches, lit one match and burnt the bead of blood that was on the end of his finger, and assured me that that was absolutely safe now and there was no way that he could be infected with HIV. So you can see the misinformation coming into this scene.
And then there’s misuse. Kids are sold syringes, sadly used syringes, on toy stalls in school, and they use them for water pistols. But what you don’t see is that afterwards, because it’s hot, they use these water pistols to squirt into their mouth and they drink the water, and afterwards you can see that the one that’s closest to you is blood stained, there’s all sorts of rubbish in the other one. So it’s just a bizarre, terrible act that is being perpetrated.
Anyway I followed this route through and we got in a car with the toy seller in it. He took us to where he bought his syringes wholesale, and we found these kids turning these syringes over in the sun to dry them, so that they could be ready for sale as toys. They were unprotected; they had to actually remove all the needles before they prepared them. And here you can see them in the display - there’s tanks and cap pistols and all sort or normal plastic toys and then some bunches of syringes.
So the solution is that we need a safer product. Well I came across this problem 25 years ago. I was a young guy. I was actually looking for a problem like this. It was something that had fascinated me for a long time, the intervention in large diseases, and then when I read a newspaper article which said that one day syringes would be a major cause, I knew instantly that that was what I wanted to do.
So I researched the problem including the new innovations that were out there. But I researched the problem from A to Z. I looked at how plastic was refined, how it was molded into syringes, how they were stored, how they were marketed, how they were distributed. And then what happened to them during and after use, and who regulated these. So I studied this for two and a half years and then was able to come up with the design, which I’m just about to show you.
An informed public, obviously that’s what we need, so that they can back off. Funnily enough there’s no way in the areas that I work if I ask a child if they would re-use, or they would use the toothbrush of their neighbour, they jump back in horror. “No way!”, “That’s disgusting!” And yet they’re subject to the medical abuse. And I think that (this is where I spend most of my time), we need to fight for human rights on this subject. It’s not right that a doctor can trick their patient in this way.
The product, it’s very difficult to show you on screen, is a valve that’s molded into the plunger, and then it breaks afterwards, and I think, if I hold this up here, here we go. This is one of my syringes and it works in exactly the same way as a normal syringe. So you do all the complex or simple procedures and you give the injection. Then after use, if someone wants to re-use this, (either accidently or on purpose) and they try and re-use it, it locks and breaks. And this valve is molded into the plunger during the manufacturing process. It’s very, very easy to make this modification; it’s very cheap and my vision is that every single syringe factory in the world should make this, or something like it and then we can end this situation.
Just a personal photograph. This was the first syringe I ever saw used of my design in Cambodia in 2001 and if you remember, I started the journey 25 years ago in 1984 and it took me 17 and a half years to actually sell the first product, which I sold to UNICEF. And then this was part of a UNICEF program, which I was able to witness, and I cried. It was a lovely moment.
They’re made on existing machinery as I mentioned, not that this is going to make, unless your in injection molding, this is a typical nest for making barrels and that’s exactly the same one that we use so we don’t make any major changes. Our product comes out at about 5 cents, depends on different territories, different volumes but that’s the average price, and that’s actually the average price for a normal syringe. So we aim to match the price exactly. You can’t really make a product like this any cheaper. If we could, we would, I promise you.
But just to put it into perspective, it’s one tenth the price of a soft drink. And believe you me, Coca Cola are in Tanzania, they’re in Cambodia, they’re in India for the indigenous population. They’re not there for the tourist trade. So everyone can afford Coca Cola, therefore everyone can afford a safe injection, it’s just they don’t know they have to.
I wanted to, sort of, take you into one particular area that I focused on last year. I was donated a lot of money from a European donor who allowed me to run a dream. And the dream was to go and run a programme in India. The minister there had always refused to see me. And over the last four years, he had point blank just not answered any communication. And yet during that time they had published the study that 62% of all injections given in India were unsafe. So I had to find a new way of, sort of, tackling that and what better than the largest democratic population in the world. What I was able to do was do 11 trips to India doing research and I was able to talk to lots and lots and lots of public, school children and come up with a message that they all agreed was the reduction of the problem and therefore that they could understand it and everyone could understand it - that was simply that a syringe should come in a sealed packet, and you should see it opened in front of you, after use, it should be broken, (it doesn’t have to be one of mine) - you can snap the plunger on any product. And that thirdly, it had to go into a safety box.
Now obviously, you can’t enforce safety boxes in every country, but it’s the goal. We were very kindly joined in our program by this lady, Kiran Bedi. She’s probably the most well known lady in India. Her voice is very well known, as well as her face and she joined us on this campaign and it resulted in a large scale, 5-day blitz across India. We were able to hold 14 press conferences, we were in 240 newspapers, we bought the media with the money that was donated to 10,500 radio announcements and 5,000 TV announcements and this was, maybe, the largest public health campaign in the world, because in 5 days, we were able to inform 700 million people.
Now the key was, that during this newspaper expose, I got most of the newspapers to run the headline “Minister refuses to meet Syringe Guru”, which of course went straight back to head office and he got really annoyed. A couple of weeks later, I was able to return to Delhi, on my own, privately I went to see him and he gave in and passed a law, which came into effect in April 2009. And now with the adoption of that law, it’s growing daily, we’ve got about 40% now of all public hospitals and clinics across India are using auto disable syringes.
And my final bête noire is the UN. I’m not very well received there, and maybe I just move too fast, or actually do something which hasn’t been researched and written about, so they’re not really my greatest supporters. But never the less, I am now working on UN resolutions in the African union, in the east central and southern African countries, and hopefully one day, in the next couple of years, I would like to have a global resolution for the safety, to protect these people under the banner. Not my banner, or my product, but under the banner that we have developed, which we’ve proposed to the industry - called LifeSaver.
So every syringe gets stamped with this in one colour, and then everyone who uses it knows that it is a quality assurance symbol. 50% of injections are unsafe in the world, as I mentioned. One dollar spent now on safe injections results in a $200 treatment cost, (which is new data) which is just coming out of Tanzania, which is very exciting. Because if we can base this on economy, I think we can move it forward very, very fast.
And just to wrap up, since that 2001, since that first syringe that we sold in Cambodia, we have been able to sell 1.8 billion K1 syringes and that has resulted in about 9 million lives saved - so you can imagine we are very proud.
This is the insanity ladies and gentlemen, and this is what we are trying to stop and I think it comes from safer product, better information and then once we’ve done our job, perhaps the governments will do theirs.
Thank you very much.
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Marc Koska at DLD10Transcript of a talk given by Marc Koska at DLD10 about the transmission of disease through unsafe injections - and the solution to this problem that he invented:
Steffi: Marc Koska, Marc has a special thing; he is devoted to the humanitarian cause for 20 years. He invented of an AD syringe called K1 - physically prevents re-use, but you tell it better.
Marc: Thank you Steffi. Well I’d really like to thank Steffi and her team for the warm welcome and secondly just to fulfill a promise, to mention Gabriella from HP because I did say that I would do that.
I promise, I make you one promise also before I start that this will be the lowest tech presentation that you see today. Everything else has just been in another level compared to where I operate. So here we go.
My subject is the re-use of syringes. The re-use of syringes kills 1.3 million people by transmitting viruses from one patient to another. It actually results in also 23 million cases of Hepatitis B and you can imagine the cost of treating that on a global scale, and that’s a cumulative number; 23 million cases every single year. Syringes on average are used around 4 times in the developing world and it's just unacceptable, so I decided to do something about it. In fact it kills more people than malaria, which currently kills about 1 million a year.
These three children that I met in an orphanage in Delhi sadly all had HIV and two of them have passed away now. They had HIV because they went and got an injection from a doctor that their parents had taken them to and were supervising. But what was the saddest thing is that all three of these were actually orphaned straight afterwards. Their parents gave them away once they became HIV positive, which is a double tragedy.
Re-use is a problem and this scum bag doctor here in India admitted to me that he had actually re-used this syringe 25 times in one day. This footage here shows you some undercover film that we took in a hospital (again in India) where 40 medicines were delivered; you can see them on the tray in the top corner, and 40 medicines were delivered with two syringes only, to the whole floor of that hospital. And in a minute, you’ll see a nurse return (here she comes) back to the tray, which is their station and drop back the syringe, ready to be used on this next patient. And this is happening on an hourly, minute-by-minute basis across India.
These needles are wet and they're ready to be used again. They are not wet in Europe, they are only wet in the developing world because they’ve been washed downstairs and then bought back up. Patients are often given the choice to pick a needle.
Outside hospitals, we find baths created actually to wash the syringes on a wholesale basis. This is the number of barrels and plungers that were in that bath. If you look closely you can see what’s inside them. This lady was burnt in a dowry burning in Pakistan, and when I talked to her, I asked her why she was back because all her burns were all healed, but still with bad disfigurement. She said she was in the hospital to be treated for Hepatitis B. I asked her where she had contracted it, and ironically (she didn’t see the irony), she contracted it in that very room that we were standing in, taking that photograph. Ten years earlier, being treated for the burns and it was something that has just plagued her life.
This syringe maybe is the world record holder. The ink has come off the barrel and that means that it must have been used over a 100 times. There’s recycling and this is a 6 year-old girl, early in the morning in Islamabad, leaving (in Erdu this says health centre), leaving a health centre with a bag from yesterday's work; there’s blood bags, there’s scalpels, there’s syringes and needles in there, and she’s taking them off to be recycled.
There’s a growing market for plastic. Not necessarily for re-use, but also for washing and recycling back into the market. And while they’re doing this, these kids, they bash into each other and they prick themselves. And I took this photograph and I was so utterly ashamed when one boy poked the other boy with a needle and his hand started bleeding and I felt absolutely devastated that I had caused that by being the white man taking the photograph. He said “no, no don’t worry, it happens 5 times a day.” (which it did).
In China, wholesale recycling again and then re-sorting to be sold and actually, just quickly back to Pakistan - this is the boy’s father who was showing me a syringe, and while he was digging it out of the pile of rubbish on the floor he pricked the end of his finger. And very interestingly, he whipped out a box of matches, lit one match and burnt the bead of blood that was on the end of his finger, and assured me that that was absolutely safe now and there was no way that he could be infected with HIV. So you can see the misinformation coming into this scene.
And then there’s misuse. Kids are sold syringes, sadly used syringes, on toy stalls in school, and they use them for water pistols. But what you don’t see is that afterwards, because it’s hot, they use these water pistols to squirt into their mouth and they drink the water, and afterwards you can see that the one that’s closest to you is blood stained, there’s all sorts of rubbish in the other one. So it’s just a bizarre, terrible act that is being perpetrated.
Anyway I followed this route through and we got in a car with the toy seller in it. He took us to where he bought his syringes wholesale, and we found these kids turning these syringes over in the sun to dry them, so that they could be ready for sale as toys. They were unprotected; they had to actually remove all the needles before they prepared them. And here you can see them in the display - there’s tanks and cap pistols and all sort or normal plastic toys and then some bunches of syringes.
So the solution is that we need a safer product. Well I came across this problem 25 years ago. I was a young guy. I was actually looking for a problem like this. It was something that had fascinated me for a long time, the intervention in large diseases, and then when I read a newspaper article which said that one day syringes would be a major cause, I knew instantly that that was what I wanted to do.
So I researched the problem including the new innovations that were out there. But I researched the problem from A to Z. I looked at how plastic was refined, how it was molded into syringes, how they were stored, how they were marketed, how they were distributed. And then what happened to them during and after use, and who regulated these. So I studied this for two and a half years and then was able to come up with the design, which I’m just about to show you.
An informed public, obviously that’s what we need, so that they can back off. Funnily enough there’s no way in the areas that I work if I ask a child if they would re-use, or they would use the toothbrush of their neighbour, they jump back in horror. “No way!”, “That’s disgusting!” And yet they’re subject to the medical abuse. And I think that (this is where I spend most of my time), we need to fight for human rights on this subject. It’s not right that a doctor can trick their patient in this way.
The product, it’s very difficult to show you on screen, is a valve that’s molded into the plunger, and then it breaks afterwards, and I think, if I hold this up here, here we go. This is one of my syringes and it works in exactly the same way as a normal syringe. So you do all the complex or simple procedures and you give the injection. Then after use, if someone wants to re-use this, (either accidently or on purpose) and they try and re-use it, it locks and breaks. And this valve is molded into the plunger during the manufacturing process. It’s very, very easy to make this modification; it’s very cheap and my vision is that every single syringe factory in the world should make this, or something like it and then we can end this situation.
Just a personal photograph. This was the first syringe I ever saw used of my design in Cambodia in 2001 and if you remember, I started the journey 25 years ago in 1984 and it took me 17 and a half years to actually sell the first product, which I sold to UNICEF. And then this was part of a UNICEF program, which I was able to witness, and I cried. It was a lovely moment.
They’re made on existing machinery as I mentioned, not that this is going to make, unless your in injection molding, this is a typical nest for making barrels and that’s exactly the same one that we use so we don’t make any major changes. Our product comes out at about 5 cents, depends on different territories, different volumes but that’s the average price, and that’s actually the average price for a normal syringe. So we aim to match the price exactly. You can’t really make a product like this any cheaper. If we could, we would, I promise you.
But just to put it into perspective, it’s one tenth the price of a soft drink. And believe you me, Coca Cola are in Tanzania, they’re in Cambodia, they’re in India for the indigenous population. They’re not there for the tourist trade. So everyone can afford Coca Cola, therefore everyone can afford a safe injection, it’s just they don’t know they have to.
I wanted to, sort of, take you into one particular area that I focused on last year. I was donated a lot of money from a European donor who allowed me to run a dream. And the dream was to go and run a programme in India. The minister there had always refused to see me. And over the last four years, he had point blank just not answered any communication. And yet during that time they had published the study that 62% of all injections given in India were unsafe. So I had to find a new way of, sort of, tackling that and what better than the largest democratic population in the world. What I was able to do was do 11 trips to India doing research and I was able to talk to lots and lots and lots of public, school children and come up with a message that they all agreed was the reduction of the problem and therefore that they could understand it and everyone could understand it - that was simply that a syringe should come in a sealed packet, and you should see it opened in front of you, after use, it should be broken, (it doesn’t have to be one of mine) - you can snap the plunger on any product. And that thirdly, it had to go into a safety box.
Now obviously, you can’t enforce safety boxes in every country, but it’s the goal. We were very kindly joined in our program by this lady, Kiran Bedi. She’s probably the most well known lady in India. Her voice is very well known, as well as her face and she joined us on this campaign and it resulted in a large scale, 5-day blitz across India. We were able to hold 14 press conferences, we were in 240 newspapers, we bought the media with the money that was donated to 10,500 radio announcements and 5,000 TV announcements and this was, maybe, the largest public health campaign in the world, because in 5 days, we were able to inform 700 million people.
Now the key was, that during this newspaper expose, I got most of the newspapers to run the headline “Minister refuses to meet Syringe Guru”, which of course went straight back to head office and he got really annoyed. A couple of weeks later, I was able to return to Delhi, on my own, privately I went to see him and he gave in and passed a law, which came into effect in April 2009. And now with the adoption of that law, it’s growing daily, we’ve got about 40% now of all public hospitals and clinics across India are using auto disable syringes.
And my final bête noire is the UN. I’m not very well received there, and maybe I just move too fast, or actually do something which hasn’t been researched and written about, so they’re not really my greatest supporters. But never the less, I am now working on UN resolutions in the African union, in the east central and southern African countries, and hopefully one day, in the next couple of years, I would like to have a global resolution for the safety, to protect these people under the banner. Not my banner, or my product, but under the banner that we have developed, which we’ve proposed to the industry - called LifeSaver.
So every syringe gets stamped with this in one colour, and then everyone who uses it knows that it is a quality assurance symbol. 50% of injections are unsafe in the world, as I mentioned. One dollar spent now on safe injections results in a $200 treatment cost, (which is new data) which is just coming out of Tanzania, which is very exciting. Because if we can base this on economy, I think we can move it forward very, very fast.
And just to wrap up, since that 2001, since that first syringe that we sold in Cambodia, we have been able to sell 1.8 billion K1 syringes and that has resulted in about 9 million lives saved - so you can imagine we are very proud.
This is the insanity ladies and gentlemen, and this is what we are trying to stop and I think it comes from safer product, better information and then once we’ve done our job, perhaps the governments will do theirs.
Thank you very much.
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