SightFirst Funds Research to Treat Low Vision

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Lions Clubs International Foundation (LCIF) is a leader in providing support for preventing avoidable blindness and restoring sight for people around the world.

With funds raised through Campaign SightFirst II, SightFirst is able to support new project areas aimed at providing “vision for all.” These include vision rehabilitation and education for those who are blind or have low vision, as well as vision research initiatives.

Together with Research to Prevent Blindness (RPB), SightFirst supports groundbreaking research into understanding and treating low vision. The RPB/LCIF Low Vision Research Award provides funding for innovative research meant to yield technologies that will enhance remaining sight for people with low vision.

The most recent RPB/LCIF Low Vision Research Award was granted to Justin Gardner, PhD, Department of Psychology, Stanford University. Dr. Gardner is studying how certain parts of the human brain respond to sight restoration devices, like retinal prostheses and cortical implants. This research will measure and track visual and auditory sensory performance after sight-restoring surgeries such as cataract removal or corneal transplant. Dr. Gardner’s project will have important implications for improving surgical outcomes for people with low vision.

For more information on SightFirst Research grants, visit http://www.lcif.org/EN/our-work/sight/research.php.


Support Vision Care on World Sight Day and Every Day

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World Sight Day (October 12, 2017) is fast approaching! As your club prepares to raise awareness of visual impairment in your community, please keep LCIF and Sight for Kids in mind. Sight for Kids mobilizes local Lions, teachers and eye care professionals to improve eye health awareness and remove eye care barriers to for children in underserved areas across Asia, as well as in Kenya and Turkey – including providing exams, and eye glasses and other treatment. To date, more than 24.1 million children have benefitted from this partnership.

For every photo you share through the Donate a Photo app (USA, United Kingdom and Japan only), Johnson & Johnson will give US$1 to the Sight for Kids program.

You can also download the Charity Miles app and raise money for Sight for Kids just by taking a walk. Both are easy ways to make a big impact around the world.

Please join LCIF and your fellow Lions by showing your support on World Sight Day and every day. Funds donated to LCIF Sight programs support countless sight-related activities including, but not limited to, equipping eye clinics and providing Braille computers for the visually impaired. You can be part of this important work by making a donation to LCIF Sight programs today.

Donate to LCIF


LCIF Tackles Trachoma with the Carter Center

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What is Trachoma?
Trachoma is one of the oldest known infectious diseases. A bacterial disease, trachoma is spread easily through contact with infected individuals. After years of repeated infection, the eyelid turns inward and the lashes rub on the eyeball, scarring the cornea, resulting in a slow and painful process toward complete blindness.

An Interview with Kelly Callahan
Lions are very active in the fight against trachoma. Lions Clubs International Foundation’s (LCIF) SightFirst program has awarded more than US$29 million to The Carter Center, a leader in combating trachoma for 23 projects in in Ethiopia, Mali, Niger, and Sudan. Ethiopia alone has received more than US$21 million in funding since it is the most endemic country in the world for the disease.

Kelly Callahan is director of the Carter Center’s Trachoma Control Program. She also is a Lion. In this interview, Callahan explains how she got involved in humanitarian work, her thoughts on the progress of the fight against trachoma thus far, and how it has impacted her.

Lion Kelly Callahan speaks with a woman in Ethiopia about the pain caused by trachoma.

  1. You’ve spent most of your life working to help people and animals. When did you know you wanted to dedicate your life to humanitarian work?

    I grew up knowing I wanted to help – my mother taught this from a very young age; actually she lived it, and I was a witness to the joys of helping others… I didn’t know if I want to help animals or people – so I spent three summers during my undergraduate degree assisting studies on Orcas (killer whales) in British Columbia and then I went on to volunteer in the United States Peace Corps. I had helped animals, and the Peace Corps was a way to test the waters on helping people… I was assigned to Cote d’Ivoire, a French-speaking country, but I spoke only English and Spanish. After three months of training, I was still unsure of how this would work.I was assigned with one other volunteer to work on Guinea worm disease, a painful parasitic infection spread through contaminated drinking water. On my second day on that assignment, a man lifted his shirt to show me the Guinea worm growing just under his skin in his adbominal area. I could see the entire worm just beneath his skin and I was fascinated. I had understood the disease to be painful and disabling – and in that moment I was struck with the notion that that no one should have to suffer from such a horrible disease, and thus began my commitment to neglected tropical diseases. That was January of 1996. 
  2. How did you get involved in the fight against trachoma? 

    During my time in the Peace Corps, we created a filter frame that proved to be extremely useful; we saw a 47% reduction in cases of Guinea worm disease the first year. Then we saw virtually zero new cases. I was asked to represent the Peace Corps at two international Guinea worm conferences. In the fall of 1996, I met representatives from The Carter Center. I met them again in summer of 1997, and they asked if I wanted to work with Guinea worm disease in southern Sudan. That fall, I went to visit. I fell in love with the possibility of helping millions of people rather than tens of thousands. In 1998, I accepted the offer and began working on Guinea worm and onchocerciasis [river blindness]. In 2001, a colleague and I carried out the first surveys for trachoma in southern Sudan. I saw a young boy about 5 years of age who needed surgery in both eyes from trachoma. It was absolutely horrendous. I knew I could do something; I knew I could help. The Carter Center was willing to assist the people of South Sudan, not only in Guinea worm eradication and onchocerciasis control, but also toward controlling trachoma. So, we started interventions to control trachoma in some of Sudan in 2001.In 2004, I transitioned to The Carter Center offices in Atlanta, where I supported the Trachoma Control Program as well as the other health programs of The Carter Center for 10 years before becoming director of the trachoma program. 

  3. What do you think have been the biggest barriers to overcoming this disease? 

    The hardest thing to do is to change our own behavior. Imagine you grow up a certain way, with no access to water or sanitation. These concepts are later introduced to you but you don’t understand why they’re important. We need to help people overcome barriers to changed behaviors so they wash their faces, wash their children’s faces, build and use latrines.Beyond that, these are environmentally challenging areas. Piped water and sanitation are huge challenges for governments. How do these infrastructure developments take place? How are these large-scale systems funded in very challenging areas?

  1. In your opinion, what has been the most pivotal advance in fighting trachoma? 

    I think partnership has made the biggest difference. In 1999, we were the single entity looking at this in a big way. Our partnership with the Lions Clubs International Foundation (LCIF) and local Lions Clubs in endemic countries helped us move into more countries, expanding our scope. Then the Alliance for Global Elimination of Trachoma by the year 2020 (GET 2020) and the International Trachoma Initiative brought partnership, coordination and collaboration to the forefront. The International Coalition for Trachoma Control was created, and this brought partnership into greater focus. These partnerships and their formation have been pivotal in advancing a global program. It was sporadic at first, but it is now becoming a global program with multiple sectors working toward a common goal. 

  2. LCIF and The Carter Center first teamed up in 1999. What is your fondest memory of Lions and The Carter Center working together? 

    I have so many! There are two that really speak to me. First, the Lions Clubs of Uganda have a very strong female presence. The neglected tropical disease coordinator for the Federal Ministry of Health, Dr. Edridah is a Lion. The Carter Center country representative, Peace Habomugisha, is a Lion. Being with these women and other Lions, including Lion Night Ndyarugahi, and it is unforgettable seeing them strategize on how to work together to control trachoma,. These are empowered women working toward ending blindness from trachoma in their country.Second, in 2016, I attended a mass drug administration launch ceremony of Pfizer-donated Zithromax® (azithromycin), the antibiotic used to control trachoma, in Amhara, Ethiopia. In attendance were Past International President Joe Preston, his wife Joni, and Past District Governor, Hon. Dr. Med., World Laureate Tebebe Y. Berhan and Carter Center CEO, Ambassador (ret.) Mary Ann Peters. PIP Preston’s face just lit up when saw how a single dose of medicine makes so much difference. He was seeing how our partnership saves lives. PIP Preston even sang to the joy of the crowd – I cried.

  1. Trachoma is one of the oldest known infectious diseases. How close do you think we are to eliminating it? 

    The elimination of blinding trachoma is within reach. I believe we can eliminate blindness due to trachoma in the very near future in many countries… However, because of the scope of the problem in Ethiopia and some other few countries, like South Sudan, we may need a few more years, but I’m more than confident that together with the Lions we will reach our goal.  

  1. Is there anything else you would like to share with Lions? 

    President Carter became a Lion when he left his US Navy service. His desire to help the poorest of the poor, coupled with Lions’ desire to be Knights of the Blind and look at diseases over the long term have made a lasting impact on me and my choices. I look at what we can do through the noble efforts of Lions- Carter Center partnership and I am energized. What an effective partnership! Over 400 million treatments and over 600 thousand sight-saving surgeries. I’m honored to be part of this.

SightFirst has achieved the following accomplishments in fighting trachoma in partnership with the Carter Center:

  • 538,000+ trichiasis surgeries completed
  • LCIF and local Lions have helped to distribute more than 152 million doses of Zithromax© (donated by Pfizer)
  • 3 million latrines and water wells have been built in Ethiopia, Mali, Niger and Sudan.

Declining Prevalence

Maps provided by the Carter Center

These maps show the prevalence of early-stage trachoma in children ages one through nine in Amhara, Ethiopia, in 2007 (top) compared to 2016 (bottom). The LCIF-Carter Center partnership has made tremendous strides in reducing the burden of this disease in Ethiopia and elsewhere.

Effective Treatment
International efforts to treat and eliminate trachoma follow the WHO-developed “SAFE” strategy. This evidence-based strategy has four components.

S: Surgery, to reverse trichiasis (the late, blindness-causing stage of the disease when the eyelashes turn inwards and rub on the cornea);

A: Antibiotics (Azithromycin, Zithromax©), to treat active infection of the disease;

F: Facial cleanliness, to increase personal hygiene and thus reduce the opportunities for disease transmission; and

E: Environmental change, to improve access to water and sanitation.

The SAFE strategy has proven to be an effective and judicious intervention for millions of people. Nyuking Galwak is a living testimony to the power of this intervention strategy. At only 30 years old, Galwak’s situation was dire. She has lived with her infant son in a refugee camp in South Sudan since 2014. Poor sanitation within the camp and lack of access to clean water had led to blinding trachoma in both of her eyes.

Lions supported the outreach clinic that provided Galwak’s sight-saving surgery and taught her about the importance of washing her hands and face. The pain has subsided and Galwak is no longer in danger of losing her vision because Lions stepped in when she needed them most.

Nykong Galwak was overjoyed after her trichiasis surgery

The Role of Sanitation
Antibiotics and surgeries are only part of the solution to the trachoma problem. Another key component is environmental change. Providing household latrines helps to control fly populations. Increasing access to clean water encourages personal hygiene. Separating animal and human living space and safe handling of food and drinking water also are important improvements that impede the spread of trachoma.

Galwak washes her face to prevent the spread of trachoma

The Future for Mali and Niger
The SAFE strategy has been championed by Lions and the Carter Center in both Mali and Niger since 1999. As a direct result of surgeries, antibiotic administration, health education training and environmental improvements, both countries are on track to eliminate blinding trachoma by the year 2020.


SightFirst Makes Remarkable Progress in China

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It is estimated that over 20 percent of those blind from cataract in the world live in China, and every year there are 400,000 new cases. One cause of this continued increase is that a large number of township/county hospitals do not have ophthalmology clinics nor adequately trained manpower and equipment.

To address this great need, Lions Clubs International Foundation (LCIF) partnered with the National Health and Family Planning Commission (formerly named Ministry of Health) and the China Disabled Persons’ Federation on the SightFirst China Action (SFCA) project. SFCA was officially launched nationwide in 1997.

Phase I of SFCA ran from 1997 to 2002, supporting 2.2 million cataract surgeries in China and establishing surgical eye units in 104 rural counties that previously had none.

Phase II ran from 2002 until 2007. During this phase, nearly 3 million cataract surgeries were performed, and eye care infrastructure was strengthened by creating secondary eye care units at hospitals in 106 underdeveloped counties throughout the country.

Phase III, which lasted from 2012 through 2016, was mainly aimed at verification of elimination of blinding trachoma in China by 2016. Assessment of 16 provinces, autonomous regions and municipalities which were historically known as endemic for trachoma or economically depressed, proved blinding trachoma was no longer a public health threat.

SFCA greatly promoted blindness prevention and treatment within. Millions of people have received sight-saving surgery, and countless more have been spared the devastation of losing their sight due to these efforts.

As the first international volunteer service organization in China, Lions Clubs International is proud that this partnership created one of LCIF’s largest and most successful SightFirst programs.

Notable Accomplishments

  • During the 15 years of SFCA, the Chinese government expanded its efforts in blindness prevention and treatment. National and provincial eye health systems improved and technical systems/offices were developed.
  • Before the start of SFCA, the national cataract surgery (CSR) rate was less than 200 cases per million per year, a worldwide low. In 2007, CSR was nearly 600 cases per million per year. By 2015, CSR was up to 1,500 cases per million per year.
  • Between 2006 and 2014, CSC (cataract surgical coverage) improved from 35.7% to 62.8%. CSC indicates the extent to which the problem of cataract blindness has been reduced.
  • SFCA helped to launch the National Cataract Surgery Information Report System in 2009. This database has become an important tool in measuring and reporting CSR, as well as collecting data on surgical outcomes.

Currently, Lions leadership and Chinese leadership are in conversations regarding a possible Phase IV of SightFirst China Action.


Working Tirelessly to #MakeVisionCount

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Lions, LCI and LCIF work tirelessly every day to #makevisioncount, especially for children.

Children around the world are affected by a range of eye diseases and conditions, impacting their abilities to learn and socialize when left unaddressed. As they grow, poor vision may impact their ability to gain employment. According to the World Health Organization, an estimated 19 million children are visually impaired. Of these, 12 million children are visually impaired due to refractive errors, a condition that could be easily diagnosed and corrected. Another 1.4 million are irreversibly blind and in need of various types of adaptation assistance.

In collaboration with partners, Lions are meeting the critical need for children’s vision services around the world through a range of programs, known as Lions Children’s Vision Care:

  • Lions WHO Project for the Elimination of Childhood Blindness
    LCIF has granted close to US$7 million to establish or strengthen 54 Lions pediatric eye care centers around the globe. Twelve centers will soon be opened under the second phase of this project. These centers deliver preventative, therapeutic, and rehabilitative eye care services for more than 140 million children.
  • Sight for Kids
    In 2002, Lions and Johnson & Johnson Vision created Sight for Kids, a program that mobilizes eye care professionals and volunteers to conduct vision screenings in low-income schools and provides teachers with eye health training. The program and local partners have provided free vision screening services to 24 million kids in cities around the world. In addition, Sight for Kids has provided exams and treatment access, including free eyeglasses, to 500,000 kids to date and seeks to double the total number of children treated to 1 million by 2021.
  • Lions KidSight USA
    This national coalition brings together Lions programs that screen children aged 6 months through 6 years and refer those needing follow-up care to qualified healthcare professionals. This partnership is between local Lions, community outreach teams, clinicians, universities, and vision photoscreening device manufacturers.
  • Lions-Special Olympics Opening Eyes
    Opening Eyes provides free eye exams at select Special Olympics sporting events worldwide. Athletes with intellectual disabilities are a largely underserved group when it comes to vision and health care. Through this partnership, athletes also receive diagnoses for vision-related problems, corrective and protective eyewear. Since 2001, more than 376,000 athletes have been examined, with prescription eyewear provided to nearly 200,000 athletes.


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