Mr. Speaker, I rise today to bring attention to the hard work of some of our nation's oldest service organizations to improve global health. As described in a December 7, 2003 Washington Post article titled ``Service Clubs Living Up to…
Mr. Speaker, I rise today to bring attention to the hard work of some of our nation's oldest service organizations to improve global health. As described in a December 7, 2003 Washington Post article titled ``Service Clubs Living Up to Mission,'' Rotary International, Lions Club International and Kiwanis International have each conunitted themselves to bettering the quality of life for people around the world.
I represent the city of Chicago where Rotary International, our oldest service organization, was founded and Evanston where it is currently headquartered. The organization, in the early 1980s, made a commitment to eradicate polio and immunize children against infectious diseases. Rotarians have exceeded all expectations. Through the years, Rotary International has given $500 million to the polio-eradication effort and has sent thousands of volunteers abroad to work on the campaign. Partly based on the strength and success of Rotary International's campaign, the World Health Organization announced its intent to eradicate polio worldwide. I commend the commitment that Rotary International and its members continue to make to improving world health.
Lions Club International, which was also founded in Chicago, has spent the last decade working to reduce blindness worldwide. Over the last decade, this organization has spent $148 million on sight- preservation projects in 79 countries; it has funded more than 550 grants in 78 countries targeting the main causes of blindness.
Rotary International and Lions Club International paved the way for Kiwanis International's decision in 1991 to coordinate an organization- wide campaign to reduce the amount of iodine deficiency, which causes developmental delays, worldwide. The organization has pledged to raise $75 million dollars towards the effort, and has already delivered $57 million.
Rotary International, Lions Club International and The Kiwanis have demonstrated that we have the ability to make real change in the lives of people around the world. While I look forward to supporting the efforts of these amazing service organizations, I hope that Congress and the Administration will also increase efforts to meet those goals. Mr. Speaker, I would like to commit the article from the Washington Post into the Record, and ask my fellow colleagues to take a moment to read it.
[From the Washington Post, Dec. 7, 2003]
Service Clubs Living Up to Mission
Rotary, Lions and Kiwanis at Front of Global War Against Disease
(By David Brown)
Lunch is over, and the Rotary Club of Washington, D.C., is
taking coffee when Susan O'Neal starts her slide presentation
about the trip she and 65 other Rotarians took to India,
where they helped hand out oral polio vaccine to ragtag
children in a New Delhi slum.
She explains that the vaccine, taken in two drops of fluid,
grows in the intestine and is excreted by the body for a few
weeks while immunity builds up. She then clicks on a slide of
an open sewer.
``You can see how it's rather easy for people to get fecal
microbes on their hands,'' O'Neal says. ``In fact, even
though only 93 percent of children on average get vaccinated
in a campaign, the other 7 percent get immunized through the
feces in the environment.''
A groan briefly mixes with the tinkling of glassware as the
Rotarians settle in for the latest dispatch from their
organization's 15-year campaign to eradicate polio, the
leading cause of childhood paralysis.
This scene at the Hotel Washington recently is not one that
George F. Babbitt, the title character of Sinclair Lewis's
1922 novel, would easily recognize. A small-minded resident
of a fictional American city, Babbitt belonged to a Rotary-
like organization called the Boosters Club. Lewis lampooned
it as little more than institutionalized selfishness, and his
unflattering picture still lingers in the American psyche.
That may be the reason so few people know that the heirs of
Babbitt's Boosters--not only in Rotary but also in two other
large clubs like it--are now major players in the global
fight against disease. They are engaged in arduous and
thankless campaigns against ailments that have largely
disappeared from the places where their members live.
Since 1988, Rotary International has contributed $500
million and sent thousands of volunteers to work on the polio
campaign. The club is second only to the U.S. government in
the amount of money it has poured into the effort to
eradicate a human disease for only the second time in
history.
In 1994, Kiwanis International adopted as its cause the
elimination of iodine deficiency, the biggest cause of
preventable mental retardation in the world. Since then, the
club has provided more than $50 million to help ensure that
all salt used in food contains iodine.
Lions Clubs International, once famous for collecting and
recycling used eyeglasses, spent $148 million over the past
decade on sight-preservation projects in 79 countries. It
plays an important role in a river-blindness campaign in
Africa, has trained 14,000 ophthalmic workers in India and
helped pay for 2.1 million cataract operations in 104 rural
counties in China, where last year it became the only Western
``service club'' allowed to establish chapters.
The contributions of these clubs, however, go well beyond
money. Over the past decade they have essentially created a
new species of nongovernmental organization.
Unlike many medical charities in the developing world,
these are not small cadres of overworked, self-sacrificing
idealists. Instead, they are vast, permanent networks of well
connected people willing to put in small amounts of time--
often in the form of lobbying and consciousness-raising--
against a few targeted diseases.
``Their contribution goes way beyond pretty important. I
believe that eradication of polio would not have been
feasible without the participation of Rotary International,''
said R. Bruce Aylward, a Canadian physician who is the World
Health Organization's coordinator for the Global Polio
Eradication Initiative.
``Kiwanis is signed up indefinitely, not for donating money
but for raising their voice if they see any backsliding,''
said Frits van der Haar, a Dutch nutritionist who heads the
Network for Sustained Elimination of Iodine Deficiency.
``Outsiders like Kiwanis are the watchdogs. They see that the
work is done well and continues to get done.''
In the river-blindness campaign, Merck & Co. provides the
drug ivermectin and Lions Clubs International pays to train
African villagers to dispense it. The ``barefoot doctor''
strategy that has evolved from the program may become a model
for other medical programs in places with few health
professionals, said Moses Katabarwa, a Ugandan epidemiologist
and anthropologist.
``The Lions, they have triggered off a process in which
there is no reverse,'' said Katabarwa, who recently moved to
the United States to work on river blindness with the Carter
Center in Atlanta.
The three clubs came to their work independently, tracing
similar paths from their origins as social organizations for
midwestern businessmen.
Rotary, the oldest, was founded in Chicago in 1905. Kiwanis
(whose name is a shortened form of an Indian phrase meaning
``we trade'') began in Detroit in 1915. The first Lions Club
formed in Chicago two years later.
All made charitable works in their communities part of
their mission. The Lions chose blindness prevention as a
theme in 1925 when 45-year-old Helen Keller challenged them
to become ``knights of the blind in this crusade against
darkness.'' All eventually opened clubs on other continents.
In the early 1980s, several Rotary leaders proposed
beginning an organization-wide project separate from local
efforts. ``This was contrary to the beginnings of Rotary and
was also contrary to the feelings of a lot of senior
Rotarians,'' recalled William T. Sergeant, who at age 84
heads Rotary's polio activities. But the idea took hold.
At the suggestion of Albert Sabin, inventor of the oral
polio vaccine, Rotary chose as its goal universal
immunization of children
against polio and several other infectious diseases. In 1986,
it decided to support the effort through 2005, the club's
centennial year. It did not envisage eradicating polio.
A two-year campaign brought in more than twice as much
money as expected--$247 million, not $120 million. Partly on
the strength of that support, the World Health Organization
in 1988 announced its intent to rid the world of polio. A
WHO-led effort had previously eradicated smallpox in a
campaign lasting from 1966 to 1980.
``A lot of people have very ambitious ideas, but almost
nobody has the funding to kickstart a global initiative,''
Aylward said. ``Rotary was the Gates Foundation of 1988.''
But eradication has proved more difficult than anyone
anticipated. The target date was originally 2000; it is now
2005. The extra time required more money. Earlier this year,
Rotary completed a second fundraising campaign, which raised
$111 million--again more than the target, which was $80
million. The club's contributions. including interest, now
total more than $500 million.
Lions Clubs International, the world's largest service
club, decided to reorient much of its sight-saving efforts
after it held a symposium with experts in blindness
prevention in Singapore in 1989.
``We were astounded to hear that blindness was increasing,
particularly in the developing world,'' said Brian Stevenson,
a provincial judge in Alberta who had just finished a term as
Lions president. ``They told us there were 40 million blind
people in the world, and 32 million of the cases were or had
been treatable. So it gave us a lot of focus.''
Lions set a goal of $130 million but raised $147 million
for its SightFirst program. The organization has funded more
than 550 grants in 78 countries targeting the main causes of
blindness.
Kiwanis's entry into the global health arena was due in
part to the example of the two other clubs.
In 1991, William Foege, former head of the Centers for
Disease Control and Prevention, asked the Kiwanis president,
a physician named Wil Blechman, what the club was doing for
the world's children. Foege cited Rotary's polio work and
Lions' just-created SightFirst. While Kiwanis had urged local
clubs to have a charitable activity aimed at children younger
than 5, there was no organization-wide project.
``I will bring this to the attention of our board, because
I don't know at the moment,'' Blechman recalled answering
sheepishly.
The board discussed the idea and ultimately surveyed its
membership, which favored a global project 2 to 1. UNICEF
suggested a focus on iodine deficiency.
Iodine is an essential part of thyroid hormone, which in
turn is essential to brain development. In places where diets
contain insufficient iodine, generally because the soil
contains little and there is no seafood, the intelligence of
the entire population is shifted downward. In 1990, only 20
percent of the world's households consumed salt treated with
enough iodine to prevent deficiency.
UNICEF estimated the problem could be eliminated worldwide
in five years for $50 million to $75 million. Kiwanis took
the challenge because it was important, concrete and
``something we thought we could handle,'' Blechman said.
The organization pledged to raise $75 million and has
already contributed $57 million. The money pays for
iodization equipment for salt manufacturers and campaigns on
the importance of iodized salt.
Occasionally, members of service clubs do the work
themselves. Thousands of Rotarians, both local and foreign
volunteers, have participated in national immunization days
when vaccine is given to millions of children over a few
days.
Dave Groner, a 60-year-old funeral director in Dowagiac,
Mich., has led four groups of Rotarians to India and one to
Nigeria. Next month, he will take 14 people, 10 of them
nurses, to Niger. They will all pay their own way--about
$3,000 each. ``We've never been asked to not work or to get
lost,'' he said.
Occasionally, club members play a role nobody else can.
Angola has a single Rotary Club, 32 people who meet in the
capital, Luanda. They are led by Sylvia Nagy, who with her
husband owns a foundry. In 1997, a 25-year civil war, which
ended last year with the death of rebel leader Jonas Savimbi,
was underway. There had not been a vaccination campaign in
the rebel-held half of the country in years.
Nagy, along with representatives of WHO and UNICEF,
negotiated a truce so immunization days could be held in June
that year. Rotary rented planes, boats and four-wheel-drive
vehicles to deliver vaccine, and disbursed $4 million to far-
flung vaccinators. About 2.5 million children were
vaccinated.
On Sept. 2, Angola marked its second year without a single
case of polio.