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The Sir Halley Stewart Trust

THE SIR HALLEY STEWART FELLOWSHIPS For The Diploma In Tropical Medicine & Hygiene

At The London School Of Hygiene & Tropical Medicine

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

COMMUNITY HEALTH PROGRAMME

Feedback Madagascar

The Trust has supported Feedback Madagascar in the introduction of a Reproductive Health and Family Planning Community Training Project in remote, isolated districts of Madagascar. Working in difficult conditions, in areas of extreme deprivation Sarah Cameron has acted as Programme Co-0rdinator. Initial interest by villagers in the health and sanitation training has been encouraging.

The INFORMATION CENTRE about asylum and refugees ­ ICAR

ICAR exists to raise the level of public debate and to increase understanding of UK refugee and asylum issues in the interest of all. It collects, records, collates and disseminates accurate and comprehensive information to the public and to those who need it for their work. It is an independent organisation and publishes information without fear or favour. The Sir Halley Stewart Trust awarded a start up grant to establish the Centre at King's College, London.

COMMUNICATING THE CHRISTIAN MESSAGE

GRF CHRISTIAN RADIO, GLASGOW Mr Brian Muir

GRF Christian Radio produces high quality programmes for other broadcasting organisations to transmit and has won many broadcasting awards. The Trust funded GRF's first Development Officer, Gillian Mc Kinnon. All other members of the team, including Brian Muir, the Programme Controller, are volunteers from a wide variety of backgrounds in terms of working life, Christian tradition and experience of faith. The new appointment enabled GRF to contact and supply 30 more radio stations than before, to develop education and support programmes and to plant the GRF `model' successfully in other parts of the UK.

The Trust has sponsored two Doctors from Africa, per year, to study for the Diploma in Tropical Medicine & Hygiene, which is a three month, full-time course. It combines practical laboratory work, a series of lectures and seminars, and some clinical experience designed to provide doctors with the clinical and factual knowledge that will form the basis of professional competence in tropical medicine. The Fellowships have been awarded to African-based Doctors who could otherwise not afford to attend ­ so far recipients have come from Zimbabwe, The Gambia, Ghana, Nigeria, Sudan, and Ethiopia. The aim is that these doctors will then return to their countries where they will use their newly acquired knowledge and share it with other medical professionals.

The Sir Halley Stewart Trust

BUDGETING SERVICES

CHRISTIANS AGAINST POVERTY Charity Awards Winner 2003

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

PEER HEALTH PROGRAMME CAMFED

Charity Award Winner 2003

EMERGENCY REFUGEE TENT DESIGN

THE MARTIN CENTRE, CAMBRIDGE Dr Tom Corsellis

The Trust helped to fund the development of a revolutionary design in tents, for emergency use, which can be easily constructed. The tent style has now been adopted by many relief agencies- seen here deployed in Chad. The initial development designs for a cold weather shelter were also funded.

CROHN'S DISEASE

THE RAYNE INSTITUTE, KING'S COLLEGE LONDON Dr Jonathan Powell

The Trustees have supported two PhD students , Letitia Pele and Vinay Thoree, consecutively to work as members of Dr Powell's team investigating the possible environmental causes of Crohn's disease. The research will elucidate the possible mechanism by which untrafine particles provoke and sustain inflammation in intestinal tissue. Many billions of microparticles are ingested daily, as food additives, and our exposure to them has greatly increased in the past 50 years.

The Trust funded John Kirkby the Founder of Christians Against Poverty (CAP) when he ran the newly formed charity from a spare room in his house in Bradford. From one centre CAP has now grown to a national charity with 32 centres helping over 3,000 people. As well as counselling and advising people who feel trapped by debt, CAP provides a `budget account' into which clients pay regular contributions to meet priority bills, as well as clearing existing debts.

CamFed provides financial and social support to enable girls from poor African families to go to school. On completion of their education the girls now have the opportunity to join an Association called CAMA and to become peer educators. The Trust has supported the training for CAMA members to lead Preventative Peer Health Programmes in the Chikomba and Nyaminyami Districts of Zimbabwe, and in areas of Northern Ghana.

The Sir Halley Stewart Trust

HOMELESSNESS

SHEFFIELD INSTITUTE FOR STUDIES ON AGEING Dr Maureen Crane

The Trust supported Dr Maureen Crane as she undertook research to understand the needs of older homeless people. Trustees also supported the dissemination of the results of the longitudinal study showing how to improve the process whereby the homeless are encouraged back into housing accommodation.

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

DWARF GOATS !

UNIVERSITY OF NOTTINGHAM SCHOOL OF BIOLOGY Dr Jerzy Behnke

Over a period of six years Professor Behnke's Department in Nottingham, and the Department of Veterinary Parasitology and Entomology,at the University of Nigeria have been working on a collaborative study investigating the genetic resistance and acquired immunity to the intestinal worm Haemonchus contortus in the Nigerian West African Dwarf Goat. Despite some setbacks resulting from outbreaks of severe viral diseases amongst the goats, the study has clearly shown that resistant phenotypes exist among the Nigerian West African Dwarf Goat, which, if developed, could become a powerful tool for the control of intestinal worm infection in goats. The Trust is currently supporting the dissemination of these results, and also information relating to improved goat husbandry.

CHILDREN'S SPIRITUALITY

THE GODLY PLAY PROJECT Dr Rebecca Nye

Godly Play is an innovative approach for the spiritual nurture of children through the means of Christian stories and an appealing approach to discovering Christian practices. First developed in the United States through the Center for the Theology of Childhood the approach has been introduced to the UK by

BRIDGING DIVIDES

THE WARRINGTON PROJECT Mr John Donlan

The Warrington Project was launched in 1993 as an initiative by members of the Warrington Community in memory of two local boys, Johnathan Ball and Tim Parry, who died as a result of the IRA bombing of the town. The project's aims are to promote mutual understanding between the people of Ireland and England at community level, and to help to influence grass roots opinion by breaking down traditional prejudice, misunderstanding and stereotypes. The Trust supported Mr John Donlan , the Coordinator of the whole project from 19972001. The Trustees took a particular interest in the development of the `Ireland in Schools' programme, which promoted the study of Ireland in British Schools and the study of Britain in Irish schools in order to foster better understanding between the communities. Irish studies were introduced into the curriculum in several Warrington schools, and special syllabuses written first at GCSE level and then at A-level.

Dr Rebecca Nye. Based at the Godly Play Centre in Cambridge, a `model' room has been developed containing specially designed resources. Godly Play has been disseminated through study day courses, lectures, and at conferences; and has been met with very positive responses from clergy, teachers and churches of all denominations.

The Sir Halley Stewart Trust

DISABILITY

INTERNATIONAL SERVICES Alison Dunn

International Services worker, Alison Dunn has been supported to help a local association in Piela, Burkina Faso to develop community based projects for the disabled ­ two training room were created to enable literacy training and also cereal mills to enable income generation

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

TICK-BORNE RELAPSING FEVER

LIVERPOOL SCHOOL OF TROPICAL MEDICINE Dr Philip McCall

MALARIA CONTROL

FARM-AFRICA Mr Tibebu Habtewold

Over a number of years the Trust has supported projects concerning simple methods which can be used to control the vectors of human malaria ­ mosquitoes. The Trust funded the early development work on insecticide­impregnated bednets, and the use of small polystyrene balls on the top of water wells to prevent both mosquitoes laying eggs and their larvae emerging. Trustees were therefore keen to support a research project proposed by Farm Africa, undertaken on their behalf by Mr Tibebu Habtewold, to investigate whether insecticide treatment of cattle would reduce the incidence of human malaria in African communities where households share huts with their untreated cattle. A surprising result showed that the number of bites on humans was reduced by 40% when an ox weighing 300kg was kept indoors, and thus potentially reduces the incidence of malaria. Also a tent bioassy on two oxen, one treated with insecticide on the legs and the other as a control found that mosquitoes predominately land on the legs of cattle whilst attempting to feed therefore deltamethrin insecticide need only be applied to the legs and need not be poured all over the animal in the traditional way ­ thus reducing the amounts required and costs involved.

THE NEEDS OF OLDER PEOPLE

THE AGE AWARENESS PROJECT Methodist Homes for the Aged

A grant from the Trust facilitated the setting up of an Age Awareness Project in 1995. The main purpose of the project was to increase understanding of the spiritual needs of older people. A series of booklets and a book entitled Spirituality and Ageing edited by Rev Albert Jewell, were published as a result of the study. Conferences have been held to further disseminate the findings and raise awareness.

Tick-borne relapsing fever is a human disease caused by infection with the bacterium Borrelia duttonii which is transmitted to man by soft ticks (illustrated above). The disease is widespread in Africa, Asia and the Americas where the ticks inhabit the earth floors within houses, emerging at night to bloodfeed on the sleeping inhabitants. The Trust is funding a study in Tanzania to determine whether or not insecticideimpregnated bednets can effectively protect against tick-borne relapsing fever and whether they can reduce the tick populations within houses. An unexpected outcome of this work has been the identification of a new species of tick, which has been shown to be a causal agent of tick-borne relapsing fever.

The Sir Halley Stewart Trust

PROTECTIVE MINE

CLEARANCE EQUIPMENT Dr Andy Smith

This picture shows a mine clearer wearing equipment designed, made, and established in local manufacture with help from the Trust. This was a technology-transfer programme and is wholly owned by the African partners. Since 1997 they have made and sold more than 10,000 of these visors and several thousand body armour sets. The global cost of blast visors and body armour dropped below half what it was before local manufacture was established. As a result many more sets are used and severe eye injury is less common

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

LEISHMANIASIS

LONDON SCHOOL OF HYGIENE & TROPICAL MEDICINE Dr Davies & Dr Reithinger

The Trust supported Dr Reithinger's PhD research project to determine whether dog control, using insecticide impregnated collars, could be an effective intervention for reducing the spread of human cutaneous and mucocutaneous leishmaniasis in Brazil. Sand flies are the vectors for these diseases and the use of deltamethrin collars has been shown to reduce the survival rate of bloodfed sand flies by up to 86%. Trials concerning dog control, the efficacy of the dog-collars and epidemiological studies to determine whether dog ownership and dog infection rates are associated with an increased risk of human disease, are continuing.

PAEDIATRIC CARE

UNIVERSITY COLLEGE LONDON Dr Simon Roth

The Trust funded a pioneering project to study the effects of brain cooling on severely asphyxiated newborn babies. In 1998, when the project was funded, birth asphyxia was a major cause of death and permanent disability affecting over 1,000 per year in the UK. By using magnetic resonance, a group at University College London had found that the brain injury did not occur instantaneously during birth but developed over a period of up to 48 hours before it became permanent. In a series of experiments the team had shown that mild brain cooling could significantly reduce the degree of brain-damage suffered as a result of severe birth asphyxia. The Trust agreed to support Dr Simon Roth as he took part in clinical trials of the new technique and looked at the neurodevelopmental progress of the babies up to one year. Results were extremely good and the technique is now used routinely in paediatric care. The lead member of this group was Professor John Wyatt who has since become a Trustee of the Sir Halley Stewart Trust.

EXPLORING SPIRITUAL NEEDS

SARUM COLLEGE, SALISBURY

Over recent years the Trust has built a close working relationship with Sarum College, an ecumenical centre of Christian learning and growth, which has representatives from all major Christian denominations in England on either its staff or advisory councils. The Trust has funded Mr Nicholas Townsend the Director of Sarum College's Politics and Theology Programme. The Certificate of Higher Education in Politics and Theology is a unique, pioneering initiative that enables integrated study by distance learning of politics, public policy and Christian theology. In 2001 the Sir Halley Stewart Sarum College Fellowship in the Spirituality of Young People was established. Mr Philip Rankin was appointed as the Fellow, and he is currently exploring, in a variety of ways, the various understandings and experiences of spirituality among today's young people; particularly exploring how young people develop their sense of values in a multi-cultural society. Recognising the importance of Art as a means of exploring spirituality the Trust has funded Sophie Hacker as the first `Artist-in-Residence' at Sarum. She began her residence by producing a sculpture (illustrated above) entitled `Hospitality' for display in the College's entrance hall.

The Sir Halley Stewart Trust

CARE OF THE ELDERLY

DEMENTIA VOICE Professor Jane Gilliard

The Trust is funding an evaluation of the practical and ethical implications of assistive technology and devices to support people with dementia and their carers. The project aims to explore the potential of existing low-key devices that are already available over the counter, that are relatively inexpensive and that can be used to support people with dementia and their carers in their own homes. It will investigate all aspects of choosing, installing, using and maintaining equipment that is currently available.

For further information contact: The Sir Halley Stewart Trust, 22 Earith Road, Willingham, Cambridge cb4 5ls tel: 01954 260707 fax: 01954 260707 email: [email protected] www.sirhalleystewart.org

SCHISTOSOMIASIS

KING'S COLLEGE, LONDON, SCHOOL of HEALTH & LIFE SCIENCES Dr Ann Bartlett and Emily Cooper

Schistosomiasis is a human parasitic disease caused by worms in the genus Schistosoma. In the 76 countries where the disease is endemic, 193 million people are infected and a further 652 million people are at risk Schistosomes have a complex life cycle, involving two hosts (a small snail and humans). Human infection arises when freeswimming larvae (cercariae) penetrate human skin in contact with freshwater. One method of control would be to inhibit cercaria from penetrating skin and several studies have shown that topically applied cercaricidal chemicals, such as N,N-diethyl-m-toluamide (DEET) can prevent cercariae from attaching/penetrating a host. One aim of the current study was to compare the dimethicone formulation against other hydrophobic topical vehicles. In addition, since DEET acts as both a cercaricide and an insect repellent, could it act not only against schistosome invasion but also insect bites that lead to infections such as malaria and lymphatic filariasis? This study has demonstrated that the dimethicone formulation is as effective at preventing cercarial penetration as any of the DEETcontaining formulations and protection is sustained for longer. This would provide a novel, cheap and non-toxic treatment. Work is currently underway to determine the effectiveness of the dimethicone formulation against other skin-penetrating parasites.

INNOVATIVE MEDICAL CARE

THE BLOND McINDOE CENTRE Treatment of Burn Injuries Dr Elizabeth James

PROMOTING UNDERSTANDING

FAITH TO FAITH

Faith to Faith is a Christian consultancy which was established in 1997 to help the Christian churches in the task of relating to and communicating with people of other faiths, whilst at the same time keeping their integrity and faithfulness to the Gospel. A regular newsletter is produced; study courses are provided and consultations given to individuals, groups, and churches of all denominations. The Trust has been paying the salary of the Director, Dr Helen Reid.

Extensive deep burns present a significant challenge to the burns surgeon. Dr James is one of a team working on the pioneering use of Meek meshing autografts in combination with sprayed, cultured skin cells for the treatment of severe burns. The two figures above show a close-up view of an arm at the time of grafting and 24 days post grafting respectively. At which point complete closure of the full thickness burn was achieved. The Trust is currently supporting Mike Reid, a Clinical Research Fellow, to take part in a full clinical trial of the technique, and also to investigate the optimisation of the cell culture and delivery systems, and monitor the effect of the sprayed cells on the scarring outcome of the treated full thickness burn injury.

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73137 Posters Halley Stewart