Direct Relief partnered with clinics nationwide to distribute 500,000 asthma inhalers donated by a pharmaceutical company to low-income asthma patients. This was in response to an FDA ban on older inhaler types. Over 850 clinics received inhalers through the program to help patients transition easily. Direct Relief also provides ongoing support to safety net clinics treating uninsured patients in the US, totaling over $64 million since 2003.

1. the bulletin
SPRING | 2007
USA DIRECT RELIEF
Direct Relief Partners with Nationwide Clinics to Ease BY THE NUMBERS
Asthma Inhaler Transition Fiscal Year 2007
April 1, 2006 through March 31, 2007
More than 46 million Americans lack health The partnership, under the banner of the * Unaudited figures
insurance (U.S. Census Bureau, 2006). 2007 ASPIRE Campaign, is the result of
a generous donation of 500,000 units
$133.6 million
For these people, accessing affordable
medical care and medicine is both difficult of the PROVENTIL® HFA inhaler by
and costly. Safety-net clinics, community pharmaceutical company Schering-Plough. medical resources furnished (wholesale value)
health centers, local public
Schering-Plough’s donation
health clinics, and hospital
emergency rooms are
was a proactive response to
a federally mandated ban on
34.8 million
courses of treatment provided
often the only options for
chlorofluorocarbons (CFCs)
those who lack insurance.
Over the past four years,
Direct Relief’s safety-net
inhalers from the Food
and Drug Administration. 59 countries served
The ruling required all
clinic program has worked
to provide medicine and
drug makers that produced
CFC inhalers to transition
1,070 number of aid shipments
supplies to this growing them off the market by
group of uninsured through
supporting clinics and
2008. Asthma patients
who used the commonly
1,094 tons
of medical material aid furnished
health centers treating available CFC albuterol
working-poor patients asthma inhalers must switch
who would otherwise go to an environmentally- responded to Direct Relief’s survey, resulting
without care or pay high, photo credit: friendly inhaler like the in a total donation of 471,873 units of
non-negotiated rates for Asian Pacific Health Care Venture PROVENTIL® HFA inhaler. the environmentally friendly inhalers to be
their medicine. The ASPIRE Campaign’s distributed to low-income, uninsured asthma
Support for the safety-net clinics expanded purpose was developed to ease the patients free of charge.
transition for low-income patients treated at
in April, as Direct Relief partnered with The ASPIRE Campaign, combined with an
participating clinics who will be hardest hit
The Children’s Health Fund, the National expanding domestic initiative to provide
by the federal ban.
Association of Community Health Centers, critically needed medicines and medical
and the National Association of Free Clinics Working directly with national, regional, and supplies to community centers and clinics
in a nationally focused effort to distribute local health center and clinic associations, over the last year, has increased Direct
500,000 environmentally friendly inhalers to Direct Relief identified the needs of providers Relief’s domestic support to over $64
more than 850 community health centers and treating uninsured asthma patients. A million (wholesale) since 2003.
free clinics in all 50 states and Puerto Rico. total of 858 health clinics nationwide
Direct Relief’s Support to U.S. Safety-Net Clinics
40
Number of Uninsured Americans*
Millions ($) in Medical
50
Material Assistance
30
48
Millions of Uninsured
20
46
44 10
42
0
2001 2002 2003 2004 2005 2006 2007
40
2001 2002 2003 2004 2005 Year
Year Katrina Support
*Source: U.S. Census Bureau, August 2006 Ongoing Support

2. In-Kind Donors Improving Global Health
From November 1, 2006, through March
15, 2007, Direct Relief received medical aid
with a wholesale value of $52,616,402. We
thank the following in-kind donors whose
Boehringer Ingelheim Provides Critical Pain
generosity has enabled us to help millions of Medication for Low-Income Americans
people around the world.
In October 2006, Boehringer Ingelheim CARES Foundation
contributed over $45 million (wholesale) of the pain medication Mobic® in support of Direct
Abbott Relief’s efforts to assist safety-net community health centers and clinics in the United States with
Allied Healthcare needed medications for their low-income, uninsured patients. The material contribution was the
AstraZeneca largest single donation in Direct Relief’s history, but more importantly it was a key resource for
Baxter International Inc. clinicians treating patients in need.
BD Pain medication is often too expensive for community health centers and clinics to purchase.
Boehringer Ingelheim CARES With this contribution, clinic physicians are able to deliver this highly effective pain reliever free
Foundation of charge to their patients. Centers and clinics that have received Mobic® from Direct Relief
Bristol-Myers Squibb Company noted that the product is critical to their provision of care for arthritis and helped expand their
Carlsbad Technology, Inc. assistance to patients who would have otherwise been unable to pay for medications.
Chattem Inc.
One bottle of Mobic® delivers a three-month supply of pain medication for one patient. Direct
Child Health Foundation
Relief estimates that more than 18,000 patients have received critical pain relief as a result of
Covidien
Boehringer Ingelheim’s generous contribution.
Cure Medical
Dey Laboratories
E. Fougera & Company
Edgepark Surgical
Ethicon, Inc. GlaxoSmithKline Sponsors Projects
FSC Laboratories, Inc. Throughout Tsunami-Affected Sri Lanka
GlaxoSmithKline
Heart Hugger In 2006, GlaxoSmithKline (GSK) provided $265,000 to
Henry Schein Cares Program improve healthcare and mental health services for tsunami-affected communities in Sri Lanka.
IAPYX Medical The funding has supported three major projects in southern and eastern Sri Lanka, including the
InstyMeds Corporation/RedPharm operation of mobile medical clinics in the coastal Ampara District, the construction of a health
Invacare clinic in Nintavur, and the provision of medical, dental, nutritional, and psychosocial services
Janssen Pharmaceutica, Inc. for tsunami-affected children in the District of Hambantota.
Johnson & Johnson Along the east coast of Sri Lanka, where thousands still remain displaced from the tsunami and
Johnson & Johnson Consumer civil strife, GSK funds supported the purchase of a mobile medical vehicle for the Guardian
Companies Foundation, a Sri Lankan nonprofit organization. The mobile medical vehicle travels along the
Joseph Weintraub Inc. tsunami-affected coastline, bringing primary health services and health education to over 9,000
Lane Instruments Corp patients in the first quarter of 2007 alone.
LeMaitre Vascular, Inc.
Marlyn Nutraceuticals, Inc. In Nintavur, a small coastal community in the Ampara District that suffered extensive
McNeil Consumer & Specialty infrastructure damage from the tsunami, the GSK grant financed the construction of a two-room
Pharmaceuticals health clinic that will focus on the provision of primary, preventative, and maternal and child
Medline Industries health services for the community of 8,000 people. In southern Sri Lanka, GSK is working with
Merck & Company, Inc. Direct Relief to provide medical, dental, and psychosocial services for tsunami-affected children
Microflex through Shilpa Children’s Trust in the Hambantota District. Medical and dental camps are
Microlife USA, Inc. arranged for children and their families who lack access to primary health services.
Midmark Corporation Both GSK and Direct Relief are committed to finding and assisting long-term healthcare
Miltex Instrument Company solutions for the Sri Lankan people who continue to suffer the effects of the tsunami, which
Mylan Laboratories Inc. has been compounded by escalated civil strife and violence.
Onyx Medical Corporation
Purdue Pharma, L.P.
Quixtar, Inc.
Direct Relief’s Tsunami
REM Eyewear Response
Royal Chemical
Royce Medical $45.1 million
Sandel Medical Industries, LLC (wholesale) medical resources furnished
sanofi-aventis 4.6 million
Sappo Hill Soapworks courses of treatment of specifically
Schering-Plough Corporation requested medicines, supplies, and medical
Span-America Medical Systems, INC. equipment to care for tsunami victims
TEVA Pharmaceuticals USA
Ther-Rx Corporation $12.3 million
Trading Places International infusion of cash to assist the rebuilding of
Vitamin Angel Alliance the health infrastructure
Watson Pharmaceuticals, Inc.

3. Cameroon
Direct Relief Provides Critical Equipment to
Improve Maternal-Child Health in Cameroon
Physicians in Cameroon face some of the most extreme healthcare
challenges in the world. They are continually faced with chronic
shortages of medicines, medical supplies, and proper medical
equipment. Physicians are constantly overwhelmed, working in
a country with severe health worker shortages. With only 19
physicians per 100,000 people, Cameroon has one of the lowest
ratios of doctors to patients in the world. Life expectancy for
women is 51 years and only 50 years for men (UNDP 2006).
For Quality Healthcare Unit (QHU), a clinic located in the capital
city of Yaoundé, the supply side of the challenge is being eased with
the support of Direct Relief.
In March, Direct Relief provided QHU, a partner organization since
2004, with maternal and child health equipment that will drastically
upgrade the facility’s ability to diagnose potential problematic CAMEROON FACTS
pregnancies, monitor fetal development, conduct abdominal and
uterine surgeries, and prevent complications for women who have 18 million population
miscarried. The enhanced equipment will also encourage QHUs 45.7 years life expectancy
doctors to work and stay engaged in their local community.
The assistance to QHU is the most recent example of a Direct
144 out of 177 countries on the UNDP Human
Development Index
Relief initiative, launched in 2006, to improve maternal and child
health services in high-need countries through the provision of 1989 the year Direct Relief began sending assistance
requested and appropriate maternal and child health technology.
The goal is to reduce maternal and infant mortality and morbidity $9.1 million (wholesale) assistance furnished
by making significant improvements in a partner’s capacity to
prevent and treat health problems among pre- and post- partum
1.5 million courses of treatment provided
mothers and their children.
Equipment provided to QHU included such critical pieces as a new reanimation, baby incubator, instruments for dilation and culletage,
ultrasound machine, fetal monitor, suction aspirator for pediatric and key laboratory pieces for comprehensive hematology, chemistry,
and microbiology testing. Each partner facility included in the
initiative receives a customized module based on their particular
equipment, biomedical situation, and the priority needs of the
population being served.
QHU was established by Dr. Judith Shang, an epidemiologist
formerly employed in the U.S. by the Centers for Disease Control
and Prevention, and the Food and Drug Administration.
Situated in a densely populated neighborhood on the outskirts of
Yaoundé with a population of 1.4 million, QHU provides primary
care services, with a focus on maternal and child health and
family planning, to a largely urban, impoverished community. In
addition to the full compliment of maternity services, QHU also
addresses common medical concerns such as diarrheal disease,
upper respiratory infections, malaria, and malnutrition. The clinic’s
approach emphasizes preventative care for all patients.
Despite the extensive poverty of the local population, QHU, as a
result of their expertise and standard of services, is able to attract
some urban, middle-income patients that help to cross subsidize
patients that cannot pay for services. The Direct Relief-donated
equipment module will hopefully encourage additional paying
patients to come to the facility, which in turn, will facilitate the
expansion of services for poor and indigent patients.
Direct Relief is pleased to be working with the Quality Healthcare
Unit to protect and save the lives of Cameroonian women and
In 2006, Direct Relief launched an initiative to improve maternal and
children. Other maternal and child health equipment modules have
child health services in high-need countries by providing critically needed
equipment. Direct Relief has already furnished five consignments of requested
been provided to El Salvador, Ghana, Guatemala, and Tanzania.
and appropriate maternal and child health technology to partners, including For more information on Direct Relief’s maternal and child health
the Quality Healthcare Unit in Cameroon. assistance, visit www.DirectRelief.org.

4. Restoring Sight
A Cost-Effective Intervention
Aravind Eye Hospital, founded in 1976 by ophthalmic surgeon Dr. facilities in Africa, Asia, and Latin America. As a result of the
G. Venkataswamy, began as an 11-bed eye care clinic located in project, thousands of people will recover their sight and have the
the old temple city of Madurai, Tamil Nadu, India. Established to opportunity to regain their traditional roles in family and society.
provide comprehensive eye care services and eliminate preventable Direct Relief’s assistance 15 years ago has now come full circle to
and curable blindness, Aravind has grown into a self-sustaining help even more people.
system that now includes five hospitals, an international research
foundation, a resource and training center, and an ophthalmic
product manufacturing facility. Aravind’s network treats over 1.7
million patients each year, two-thirds of whom receive free care.
Since its inception, one of Aravind’s priorities has been cataract
surgeries. However, the high cost of consumables – particularly
intraocular lenses (IOLs) that are implanted into the eye after a
cataract is removed – proved a significant barrier. In the 1970s and
1980s, IOLs were primarily manufactured in the U.S. and sold for
$300 or more per lens.
The most viable solution to cutting this cost was to produce the
lenses in-country. In 1992, Direct Relief provided the necessary
production equipment to Aravind. Once the equipment was
received, Aurolab, Aravind’s new manufacturing arm, was able to
cut the cost of IOLs to under $5, which enabled them to fulfill their
own demand as well as that of other charitable eye care facilities in
India and around the world. Over the past 15 years, Aurolab has
supplied more than five million lenses to facilities in 120 countries. In addition to partnering with The Allergan Foundation and the Aravind
Eye Hospital to provide IOL lenses for patients with cataracts, Direct
With a generous grant from The Allergan Foundation, Direct Relief Relief also provides high-dose vitamin A to clinics throughout the world to
is now purchasing IOLs from Aurolab for partner ophthalmic prevent childhood blindness.
Emergency Response
Hurricane Katrina
Twenty months after Hurricanes Katrina and Rita struck the Gulf Direct Relief’s recent infusion of cash has assisted the following:
Coast, Direct Relief continues to provide direct cash investments
• Provision of Medical Equipment
to support the healthcare infrastructure in the region. Direct Relief
Teche Action Board (TAB), Louisiana
is committed to providing medical material aid and targeted cash
grant assistance to quality healthcare providers in the Gulf for as $70,000 to enable the purchase of a robotic dispensing system
long as it is needed. for the in-house pharmacy to increase the Community Health
Center’s ability to dispense medications in a safe, efficient, and
• Furnished $26.8 million (wholesale value) of needed medical cost-effective manner
supplies and pharmaceuticals, constituting 1.66 million courses
of treatment through 95 shipments • Mental Health Services
Southeast Mississippi Rural Health Initiative
• Disbursement of 95 percent of the $5.1 million in cash
donations received for hurricane relief $100,500 to improve mental health services in the Hattiesburg
Public School District, Mississippi through the support of a
• Infusion of $4.68 million in critically needed cash grants to 42 licensed psychologist for school-based clinics
partner clinics, hospitals, and associations
• Oral Health Services
St. Gabriel Eastside Community Health Center, Louisiana
Direct Relief’s Emergency Response $99,996 to reduce the oral health problems in the Iberville and
Ascension Parishes through the support of medical personnel
$85 million for a new dental clinic
• Maternal and Child Health Services
medical material aid furnished for disaster relief in the last 29 months
St. Charles Community Health Center, Louisiana
$18.5 million $75,000 to improve maternal and child health services for the
expanding Latino population in the Greater New Orleans area
infusion of financial resources granted for disaster relief in the last 29 months
through the support of a nurse midwife program
$0 million
amount of disaster contributions spent on administration or fundraising

5. Direct Relief Welcomes New Board Members and Chairman
Five new members were named to Direct law firm Hatch & Parent, Hatch served as The new slate also brings a strong
Relief’s Board of Directors in February. its managing partner from 1968 to 1991. business background to the humanitarian
Thomas Cusack, Richard Godfrey, Raye organization. Mr. Cusack was formerly
The Board’s executive and philanthropic
Haskell, Donald Lewis, and Ashley Parker the Chairman, President, and CEO of
expertise will broaden with the skills of the
Snider will all be joining the Board for a Transamerica Occidental Life Insurance
incoming members. Ms. Haskell has held a
three-year term. Company, and Executive Vice President of
variety of executive roles with the California
Transamerica Corporation. Mr. Godfrey,
Direct Relief’s Board of Directors elected State Government. She also serves on the
who served on the Direct Relief board
Stanley C. Hatch as its new chairman. Santa Barbara Board of Community Arts
including as chairman from 1999 to
Hatch, a board member since 2003 and and Music Association, and on the Board
2005, was formerly Managing Director in
vice chairman for the past two years, of Directors for the Little Town Club.
charge of Private Client Services for Trust
succeeds previous chairman Denis Sanan, Ms. Parker Snider is Vice President for
Company of the West, a global investment
who served in the office from 2005 to 2007 Marketing and Public Relations for Fess
management firm. Mr. Lewis has more
Parker Winery & Vineyard. She is also
and reached his term limit as chair. than 30 years experience in commercial
a board member of the Rehabilitation
A founding member of the Santa Barbara and industrial real estate investment and
Institute at Santa Barbara.
brokerage in the Pacific Northwest.
Our Investors
Gifts received from November 1, 2006, through March 31, 2007
Honorary Chair ($1,000,000 + ) Mrs. Ruth R. Crawford Anner Trust Mrs. Marvel Kirby
The Estate of H. Guy DiStefano Mr. and Mrs. Thomas J. Cusack Mr. and Mrs. Bruce Anticouni Mr. and Mrs. Robert Klausner
Mr. and Mrs. Steve Dow Arnesen Woodland Hills LLC Mr. and Mrs. John Knox-Johnston
Ambassador of Health ($100,000 + )
Anonymous Mr. and Mrs. James Drasdo Mr. Anderson J. Arnold Mr. Larry Koppelman and
BD Dr. and Mrs. Ernest H. Drew Ms. Sara Barr Mrs. Nancy Walker Koppelman
The Osprey Foundation Mr. and Mrs. Thomas P. Elsaesser Mr. and Mrs. Philip M. Battaglia Mr. Ishwan Kumar
Mr. and Mrs. Jon B. Lovelace FedEx Ms. Jocelyn C. Bauer Mrs. Nancy Lessner
The Orfalea Fund Mr. and Mrs. Gary Finefrock Mr. and Mrs. Frederick Beckett Michael E. and
Mr. and Mrs. Cooper Williams Ms. Penelope D. Foley Beckmen Vineyards Carol S. Levine Foundation
Nancy E. Williams Fox Point Ltd. Mr. and Mrs. Frank Blue The Hon. and
Family Foundation Ms. Claudia Frey Mr. and Mrs. Jack Bowen Mrs. John D. Macomber
Josephine Herbert Gleis Foundation Bristol-Myers Squibb Company Mr. Doug Margerum/
Consul General ($50,000 + ) Global Partners for Development Mr. Frederick P. Burrows The Wine Cask
Anonymous Mr. and Mrs. Richard Godfrey Mr. Robert J. Buttel Ms. Roya Mokhtari
Abbott Fund The Hon. and Mrs. Henry E. Catto/ Mostyn Foundation Inc.
Guyana Medical Relief, Inc.
The Antioch Company Catto Charitable Foundation MyFonts.com, Inc.
Mr. W.T. Hammond
GlaxoSmithKline Mr. and Mrs. Barton E. Clemens, Jr. Mr. and Mrs. Frank R. Ostini/
Mr. and Mrs. W. Scott Hedrick
Mr. and Mrs. Peter O. Johnson, Sr. Mr. and Mrs. Kenneth Coates The Hitching Post &
Mr. and Mrs. George Holbrook, Jr./
Mr. and Mrs. Donald S. Kennedy Mr. Debra Compton Hitching Post Wines
George W. Holbrook Jr.
Mr. Michael Scott Ms. Helen S. Converse Mr. Devon Patel
Mr. and Mrs. Harold Simmons/ Foundation
Mr. and Mrs. James H. Jackson/ Mr. Scott Cooper Mr. Gregory Perron
Harold Simmons Foundation Crosby Family Foundation Mr. and Mrs. Donald E. Petersen
The Anne Jackson Family
Global Emissary ($25,000 + ) Foundation Mr. and Mrs. Robert L. Emery Mr. Alan R. Porter
Anonymous The Lehrer Family Foundation Mr. and Mrs. Thomas E. Everhart The PRASAD Project
Boehringer Ingelheim CARES Macheist LLC Mr. and Mrs. Ted Ewing Mr. Pooja Raj
Foundation Mr. and Mrs. Frank Magid Ms. Carol Ferren and Rivinus Family Foundation
Francois and Sheila Johnson Brutsch Montecito Bank & Trust Mr. Gary Overman The Roney Family Foundation
Mr. and Mrs. Robert Cathcart The Samuel B. and Mr. and Mrs. Brooks Firestone Mr. and Mrs. Rick Roney
Google Margaret C. Mosher Foundation Firestone Vineyard Ms. Edith Sator
Mr. and Mrs. Brett Hodges/ Mr. and Mrs. Robert Nakasone Mary Alice Fortin Foundation Mr. C. William Schlosser, Jr.
WWW Foundation Nationwide Life Insurance Company Mr. and Mrs. Edward Gaylord Mrs. Nancy Schlosser/
Johnson & Johnson Family Mr. and Mrs. Lawrence R. Glenn Nancy B. & C. William Schlosser
Orfalea Family Foundation
of Companies Dr. Bert Green and Family Foundation
Mr. Dee Sterling Osborne
Dorothy Largay, Ph.D. and Ms. Alexandra Brookshire/ Ayesha Shaikh, M.D. and
Mr. David Russell and
Mr. Wayne Rosing Brookshire Green Foundation Mohammed Shaikh, Ph.D.
Mrs. Diane Russell
MSST Foundation Mrs. Raye Haskell/ Mr. and Mrs. Bhupi Singh
Mr. and Mrs. Denis R. Sanan
The Nurture Foundation The Haskell Fund Ms. Carol L. Skinner
Mr. and Mrs. James Selbert
Mr. and Mrs. James J. Roehrig/ Mr. and Mrs. Stanley Hatch Mr. and Mrs. John W. Sweetland
Roehrig Family Foundation Shaker Family Charitable Foundation
Mr. and Mrs. James Shattuck Mrs. Juliane Heyman TSystem, Inc.
Mr. and Mrs. Richard Schall Priscilla Higgins, PhD. and Mr. and Mrs. Paul Turpin
Mr. and Mrs. Pete Schmidt-Petersen The Skolnick Foundation
Mr. Roger W. Higgins/ Mr. and Mrs. James Villanueva
The David Vickter Foundation Ms. E. M. Stephens
Higgins-Trapnell Family Foundation Ms. Judith Watson
Mr. and Mrs. Anant Yardi Mr. and Mrs. Andrew Stevenson
Mr. Phillip Hobbs Mr. and Mrs. Michael Weber
Yardi Systems, Inc. Mr. Sanu K. Thomas
Mr. Erle Holm Dr. and Mrs. Thomas A. Weber
Yorba Oil Company, Ltd. Mrs. Grace A. Tickner
E. Carmack Holmes, M.D. and
William A. and Madeline Smith
World Health Envoy ($10,000 + ) Mrs. Carolyn Holmes
Foundation
Anonymous Mr. and Mrs. S. Roger Horchow/
Mr. and Mrs. Frank M. Wilson III
Mr. and Mrs. Stephen Adams The Horchow Family
Thank You
Wood-Claeyssens Foundation
Bower Foundation Charitable Foundation
Writer Family Foundation
John G. Braun Mr. and Mrs. Preston Hotchkis
Charitable Annuity Trust President’s Council ($5,000 + ) Mr. and Mrs. Stanley Hubbard
Dr. Bronwen G. Brindley and Anonymous Mr. and Mrs. Richard A. Johnson
Mr. John L. Warren Anacapa Micro Products, Inc. Dr. Amy Kelley

6. Direct Relief Announcements
• 2007 Shareholders’ Meeting
We hope that you were able to attend our annual Shareholders’ Meeting
on May 17. If you happened to miss it, you’re in luck! Event footage
will be available online in June. Just visit www.DirectRelief.org.
• New Web Site Launch Make a Gift Through Your IRA Now!
Direct Relief is excited to unveil its new web site in June. In addition If you make a gift to Direct Relief
to the new design, the site will highlight additional information about International on or before December 31,
Direct Relief’s programs around the world and the organization’s 2007, the Pension Protection Act of 2006
renowned efficiency. provides new tax incentives for charitable
gifts from donors who are 70 1 ⁄2 or older.
You don’t have to pay income tax on the
amount coming out of your IRA, and it can
count as meeting all or part of your required
Healthy people. minimum distribution, if you so desire. For
further information about contributing
Better world. funds through your IRA, please call Janice
Pegram at (805) 964.4767 or consult your
tax advisor.
at ltuttle@DirectRelief.org.
please send an e-mail to Laurie Ann Tuttle
electronically (and help us save on postage),
If you prefer to receive this newsletter
address service requested
info@DirectRelief.org
www.DirectRelief.org
fax: (805) 681.4838
tel: (805) 964.4767
Santa Barbara, CA 93117
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