All Lions Clubs around the UK are involved in projects that affect both their local community such as :-
Message in a Bottle
What is the Message in a Bottle?
The Lions Message In a Bottle scheme is a simple idea designed to encourage people to keep their personal and medical details on a standard form and in a common location - the Fridge. Whilst it is focused on the more vulnerable people in our community, anyone can have an accident at home, so this scheme can benefit anyone, including you.
How does the scheme work?
As the name suggests, the personal information is kept in a small plastic bottle. The bottle has a push-fit lid and is big enough to hold the necessary information. The bottle is then kept in the fridge, where the emergency services will expect to look for it in the event of being called to your home. They will be alerted to your membership of the scheme by two ‘green cross' labels. One is fixed to the back of the front door (or the door most used to access the premises), the second is attached to the door of the fridge.
Where can I get a Bottle from?
Your Health Centre, Doctor's Surgery and Chemists will all have supplies of the bottles and forms. They will also be available in some other venues like the community centre or your local church.
How much does it cost?
There is no cost to the user. Costs of running the scheme are being borne by local Lions Clubs.
What information is needed?
The information you need to provide is quite straight forward, but you may like to ask a relative, neighbour or carer to help you complete the form.
The form also has a space for a passport size photograph, but this is only necessary when there is more than one person living at the premises (to aid identification).
Information required to complete the form is:
* Your full name and brief physical description
* Your doctors name and the surgery address & telephone number
* A brief description of any medical conditions you are suffering from - your doctor or carer will help if you are uncertain
* The names, addresses and telephone numbers of two persons who may be contacted in the event of an emergency - sudden illness or accident
* Details of any pets which may be on the premises and need to be cared for
* Are YOU a Carer? If so, for whom and where do they live?
In addition, we strongly recommend that you also include your repeat prescription list. This is produced every time a repeat prescription is ordered, and this information is of great value to the Ambulance Service. (Paramedics are able to administer drugs, but need to know of any you are already taking to eliminate the risk of drug interaction).
Have you been screened for Diabetes? Are you at risk?
Are you aware of the serious side effects this disease has when not controlled? These include glaucoma, kidney failure, heart problems, possible gangrene with the loss of lower limbs.
Diabetes can be controlled but detection is required
Everyone is at risk but the largest proportion of those found with diabetes are over 40. They are over weight and have little or no exercise regime. There are symptoms which are recognisable by the patient - sudden loss of weight, excessive thirst and the subsequent use of the loo, tiredness and blurred vision, to name but a few.
How are diabetics found?
There are many places to have a simple blood test, your doctor or practice nurse, some high street pharmacies including Lloyds Pharmacy.
Help us help you
Diabetes Awareness is a major Lions Clubs project and we are working with both Lloyds Pharmacy and Diabetes UK, both have many and varied leaflets and handouts giving details of who is at risk, how to deal with diabetes without letting it disrupting your life, diet, travel and driving.
Between the three of us, Lions Clubs, Lloyds Pharmacy and Diabetes UK, we can work together to find possible diabetics and guide them in the right direction to be treated and avoid those side effects above.
Diabetic eye disease
Diabetic eye disease refers to a group of eye problems that people with diabetes may face as a complication of their condition. All can cause severe visual loss or even blindness.
Diabetic eye disease may include:
Diabetic retinopathy - damage to the blood vessels in the retina
Cataract - clouding of the eye's lense
Glaucoma - increase in fluide pressure inside the eye that leads to optic nerve damage and loss of vision.
Lions Eye Health Programme
Glaucoma is the name given to a group of eye conditions in which the nerve of sight sustains characteristic damage to the visual field which, if not detected and treated will lead to tunnel vision and eventual blindness. The most common form of the condition is open angle glaucoma.
Open Angle Glaucoma
A watery fluid is naturally produced in the front part of the eye which drains away through a meshwork of tissues. This fluid nourishes the eye and it's circulation is essential for the health of the eye. However, in glaucoma the drainage system becomes less efficient with the result that the pressure within the eye gradually rises damaging the nerve of sight. It is this pressue which must be controlled in order to prevent permanent damage to the field of vision.
In this country about 2% of people over the age of forty have glaucoma, it is a leading cause of preventable blindness. Although anyone can develop glaucoma, some groups of people are at higher risk than others. These high risk groups include:
- People with a family history of glaucoma
- People of African-Caribbean origin
- People who have diabetes
- People who are very short sighted
At first there are no symptoms, vision appears to be normal, there is no pain or sensation of pressure. As the disease progresses the side vision gradually fails but a person may still be able to read without spectacles. However, the aim of glaucoma screening is to detect the condition before there is any noticeable loss of vision, to prevent its onset.
Glaucoma is usually detected during routine eye test for spectacles, however, it is most important to ensure the optometrist (optician) carries out all three glaucoma tests. Only one test, ophthalmoscopy, (which is an examination of the back of the eye using a special type of torch) is a mandatory part of the sight test. If glaucoma is to be detected at the earliest possible stage then tonometry (a measurement of pressure within the eye) is necessary. Together these tests increase the glaucoma detection rate by four times when compared with ophthalmoscopy alone.
Although angle glaucoma cannot be cured, it can usually be controlled. The most common treatments are:
Medications: these are usually in the form of eye drops. For most people with glaucoma regular use of these eye drops will successfully control the intraocular pressure. However , if a person does not respond well to medical treatment, the eye specialist may alter the medical therapy or suggest laser treatment or surery to reduce the pressure to an acceptable level.
Laser: during laser treatment a strong beam of light is focused on the drainage area of the eye, this can increase the outflow of fluid from the eye. However, in time the effect of laser treatment tends to wear off and it is likely that glaucoma medication will have to be continued.
Surgery: during an operation the surgeon creates a 'trap door' safety valve to allow excess aqueous fluid to drain more freely thereby reducing the pressure. This is the second most common operation carried out in eye departments in this country and has a high success rate. In some cases medical therapy can be discontinued following surgery although careful monitoring of the intraocular pressure and visual field will still be required for life.
There is an enormous amount of research currently underway both in this country and overseas including investigation of improved detection techniques, new surgical techniques, and the genetics of glaucoma.
What can you do to protect your vision?
Studies have shown that early detection and treatment of glaucoma, before it causes noticeable visual loss, is the best way to control the disease. If you fall into one of the risk categories for the disease, make sure you have your eyes examined every two years and remember to ask for all three glaucoma tests: Ophthalmoscopy, Tonometry and Perimetry.
For further information on all aspects of glaucoma contact:
International Glaucoma Association
15 Highpoint Business Village
Kent TN24 8DH
Tel: 01233 648179
This disease is a leading cause of blindness among people of working age in Britain. It is caused by changes in the blood vessels of the retina. In some people with diabetic retinopathy, retinal blood vessels may swell and leak fluid. In other people, abnormal new blood vessels grow on the surface of the retina. These changes may result in visual loss or blindness.
Who is most likely to get diabetic retinopathy?
Anyone with diabetes. The longer someone has diabetes, the more likely he or she will get diabetic retinopathy. Over half of all people with diabetes will develop some degree of retinopathy during their lifetime.
What are its symptoms?
Often there are none in the early stages of the disease. Vision may not change until the disease becomes severe. Nor is there any pain.
Blurred vision may occur when the macula - the part of the retina that provides sharp, central vision - swells from the leaking fluid. This condition is called macular oedema. If new vessels have grown on the surface of the retina, they can bleed into the eye, blocking vision. But, even in more advanced cases, the disease may progress a long way without symptoms. That is why regular eye examinations for people with diabetes are so important.
How is it detected?
If you have diabetes, you should have your eyes examined at least once a year. Your eyes should be dilated during the examination. That means eyedrops are used to enlarge your pupils. This allows the eye care professional to see more of the inside of your eyes to check for signs of disease.
Can diabetic retinopathy be treated?
Yes. Your eye care professional may suggest laser treatment in which a strong light beam is aimed onto the retina to shrink the abnormal vessels. Laser treatment has been proved to reduce the risk of severe visual loss from diabetic retinoptahy in 80%-90% of people.
If you have a macular oedema, laser surgery may also be used. In this case the laser beam is used to seal the leaking blood vessels.
However, laser surgery often cannot restore vision that has already been lost. That is why finding diabetic reinopathy early is the best way to prevent visual loss.
How common are the other diabetic diseases?
If you have diabetes, you are also at risk of other diabetic eye diseases. Studies show that you are twice as likely to get a cataract as a person who does not have the disease. Also, cataracts develop at an earlier age in people with diabetes. Cataracts can usually be treated by surgery.
Glaucoma may also become a problem. A person with diabetes is nearly twice as likely to get glaucoma as another adult. And, as with diabetic retinopathy, the longer you have had diabetes, the greater your risk of getting gluacoma.
What research is begin done?
Much research is being done to learn more about diabetic eye disease. Diabetes UK is supporting a number of research studies in the laboratory and with patients retinopathy and how it can be better treated. This research should provide better ways to detect and treat diabetic eye disease and prevent blindness in more people with diabetes.
What can you do to protect your vision?
Finding and treating the disease early, before it causes visual loss or blindness, is the best way to control diabetic eye disease. So, if you have diabetes, make sure you get a dilated eye examination at least once a year.
For further information on all aspects of diabetes contact:
London NW1 7AA
Tel 020 7424 1000
Age Related Macular Degeneration is a major cause of vision loss in people over 60. Cells in the macula at the back of the retina breakdown causing loss of sight in the central part of the field of vision; some peripheral vision remains, but the loss of detailed vision causes severe upsets in the quality of life - such as recognising people, reading, watching television and driving.
What types of AMD are there?
Dry AMD is the more common form of the disease, about 60% of cases. It is caused by slow decay and disintegration of the cells of macula. Sadly there is currently no treatment for Dry AMD.
Wet AMD is the other type, accountable for 40% of cases - called Wet because of the leakage of blood vessels on the retina causing scarring and damage to the macula. Some forms of Wet AMD can be treated if detected early.
How many people in the UK might have AMD?
Macular degeneration is the leading cause of severe sight loss among people over 60 in the UK.
It is estimated that macular degeneration affects up to 500,000 people in the UK.
What are the risk factors for AMD?
Although the cause of macular disease is not fully understood, scientists believe that a combination of factors may predispose someone to the disease.
Age is the main risk factor - as you grow older your risk of developing AMD increases
Diet and nutrition - a low intake of antioxidants, a high fat diet or excessive alcohol may increase the risk of developing the disease
Smoking - is a major risk factor and can lead to eye damage
Women - are more prone to the condition than men. A woman over 70 has double the chance of developing AMD compared to a man of the same age
Genetics - may be significant and it is believed that people with a family history of AMD have an increased change of developing the condition themselves.
How is AMD detected - what are the symptons?
If you suspect something is wrong and straight lines look wavy, there is a bit of missing or blurred vision, you should visit an Optometrist who is qualified to examine your eyes thoroughly. The Optometrist can now refer you direct to the eye clinic. Ask him for an 'Amsler Grid' for home use so you can keep a check on your sight, if you think you may be vulnerable.
Can AMD be treated?
You need to establish if you have the 'Dry' form or the 'Wet'.
There is no treatment for Dry but there is the possibility that diet supplementation may slow progression down. The more severe form, Wet AMD may be suitable for laser treatment including pho dynamic therapy (PDT). Other new treatments are under development.
Living with AMD
AMD patients retain peripheral vision and do not go completely blind. A range of low vision aids is available to maximise remaining vision. The RNIB and local associations for the blind display and sell magnifiers and other aids to living. Hi tech CCTV readers are extremely helpful. Social Services arrange low vision assessments for people registered partially sighted.
What research is being done?
Research continues into many areas of AMD including nutrition, genetics, cell therapy, pharmacological and laser treatments and development of low vision equipment.
For more information contact:
The Macular Disease Society
13A Bridge Street
Hampshire SP10 1BE
Tel: 01264 350551
Being diagnosed as having sight defects that cannot be rectified and that have left you with low vision must be one of the most traumatic times for anyone. Sight is so important to live a normal life and any form of low vision will make living more difficult.
However there are nearly 2 million people in the UK nowadays who have low vision and the majority of these live reasonable lives with the aid that is available.
Help comes in two forms:
Firstly, there are the local societies that cover most of the country. They vary a great deal in both scale and scope of the support they can offer.
Many are simply run and manned by volunteers, but some local societies are much bigger and offer far greater support.
In many cases the volunteers have low vision themselves and are a good example of what can be achieved. They often try to be on hand when Low Vision is first diagnosed.
The societies are a good source of lay advice and, if they do not have the answers, will know where to go to obtain them.
The second type of help is the physical one. Nowadays thanks in many instances of computer developments, there are aids to do most tasks in one form or another. They help with reading and needlework, playing games and cards and with everyday tasks such as telling the time, cutting nails and making telephone calls, etc.
When you know you have Low Vision that cannot be corrected your first action should be to contact your local society for the visually impaired, if they have not already contacted you. If you cannot find a local contact easily then ring NALSVI. Depending on your condition it is likely that your local Social Services should be in a position to offer advice and supply aids to help keep you independent, although they vary a great deal from one county to another. The degree of help may depend on your personal circumstances and the degree of your visual impairment.
For more information contact:
PO Box 823
S Yorkshire DN1 9QA
Tel: 01302 571888
RNIB - Low Vision
58-72 John Bright Street
Birmingham B1 1BN
Tel: 0845 766 9999
One Shot, One Life: Lions Measles Initiative
The Gates Foundation is challenging Lions to mobilize US$10 million. To help Lions in this effort, the Gates Foundation is donating US$1 for every $2 raised by Lions. This is a total matching contribution of US$5 million, the largest single donation in LCIF's history! Together, LCIF and the Gates Foundation will provide a total of US$15 million to fight measles this year.
Lions are collaborating with the Measles Initiative partners, a global collaboration of leading public health agencies, to rescue children from measles. Measles is one of the world's deadliest vaccine preventable diseases: 450 children die each day. Yet, for less than US$1, we can vaccinate one child for life. You can help us save the lives of these children ensure they do not become a statistic.
Last year, Lions and LCIF, with a grant from the Bill and Melinda Gates Foundation and support from local ministries of health and other Measles Initiative partners, provided immunizations for more than 41 million children in Ethiopia, Madagascar, Mali and Nigeria. And now, as our efforts expand, Lions have the opportunity to help children in all countries where measles remains a heavy public health burden.