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  • Celebrating Our Generous Donors

    2015Eugene Bell FoundationAnnual ReportSpecial 20th Anniversary Edition

  • 2015Eugene Bell FoundationAnnual Report

    Special 20th Anniversary Edition

    Table of Contents

    02 EugeneBell History through Pictures

    04 A Brief History

    06 EugeneBells Mission Today: MDR-TB

    08 EugeneBells MDR-TB Centers

    10 The People Behind EugeneBell

    14 Financial Report

    15 Looking to the Future

    EugeneBellandhiswife,LottieWitherspoonBell,arriveinKoreatoserveasSouthernPresbyterianmissionaries.Theirtwochildren,HenryandCharlottewereborninKorea.Lottiediedwhenshewas33yearsold.

    1865

    SouthernPresbyterianmissionaryWilliamLintonarrivesinKorea.HelatermarriedCharlotteBell.Heserveduntilhisdeathin1960.

    1912

    EugeneBell History through Pictures

    Whilefocusingprimarilyonthediagnosisandtreatmentoftuberculosis,EugeneBellalsofoundedaprogramforgivingschoolchildrenphysicalsandvaccinationsforhepatitisB.

    2002

    EugeneBellinitiatedaprogramthatprovidedprenatal,postnatalandinfanthealthcarethroughlocalhospitals.

    EugeneBellsmodelforprovidingdiagnosticequipmentsupporttolocalhospitalsinspiresasimilarUSAIDfundedprogram.EugeneBellisaparticipantinthisprogramwhichincludedrefurbishingtheelectricalsystemsofthreeprovincialhospitalsaswellasprovidingdiagnosticequipment.

    2006

    02

  • Dr.StephenLintonfoundstheEugeneBellFoundationtohelpmeetthefoodemergencyinNorthKorea.ForthefirsttwoyearsEugeneBellsentmorethan7,000tonsofgrain;enoughtofill120boxcars.

    1995

    HughLinton,thirdsonofWilliamandCharlotteLintonwasborninKunsan.Heandhiswife,BettyFlowersLintonwouldreturntoKoreaasSouthernPresbyterianmissionariesin1953.ReverendHughLintonservedinKoreauntilhisdeathin1984.Theirsecondson,StephenLinton,wouldlaterfoundtheEugeneBellFoundation.

    1926

    LocalcaregiversencourageDr.Lintontodevelopaprogramformultidrug-resistanttuberculosispatients;patientswhocannotbetreatedsuccessfullywithregularTBmedications.Thisisanexpensiveprogramcostingapproximately5,000dollarsperpatient;morethanonehundredtimesasmuchasitcoststotreatapatientwithregularTBmedications.

    2007

    EugeneBellpurchasesitsfirstGeneXpert,allowingforon-sitediagnosisofmultidrug-resistanttuberculosisinlessthantwohours.TheprogramgrowsrapidlytoincludeeightMDR-TBcentersand600patients.TreatmentoutcomesimprovedramaticallyasNorthKoreancaregiversbecomeacquaintedwiththeprogram.

    2012

    Thenumberofpatientsundertreatmentreaches1,500patients,taxingthecapacitiesofalltwelveofthetreatmentcentersparticipatingintheprogram.Toalleviateovercrowding,EugeneBellinitiatesanewprogramtoprovidesafe,warmanddurableduplexpatientwards.Sevennewwardsareassembledaspartofapilotprogram.

    2015

    NorthKoreanauthoritiesaskDr.StephenLintontorefocusontuberculosisassistance.Overthenexttenyears,EugeneBellwouldprovidemedications,diagnosticequipmentandsuppliestotreatover250,000tuberculosispatients.

    1997

    03Eugene Bell Foundation

  • A Brief History

    The year 2015 marked the Eugene Bell Foundations 20th Anniversary. We would

    like to take this occasion to celebrate our generous donors. From the beginning,

    the Foundation has had the privilege of serving a community of very special

    people whose sacrifices have made our work in North Korea possible.

    04

  • 31

    Maryknollmissionerandboardmember,

    FatherGerardE.Hammond

    TheEugeneBellFoundation (US)was

    foundedin1995byDr.StephenW.Linton,

    thesonofathird-generationSouthern

    Presbyterianmissionary in response to

    anofficialappeal foremergency food

    assistancethatDr.Lintonreceivedfrom

    theDemocraticPeoplesRepublicof

    Korea(NorthKorea).Initiallyorganizedin

    NorthCarolina,theorganizationmoved

    totheWashington,DCareaafewyears

    later.Thankstogenerousdonorsupport,

    primarily from theKorean-American

    community,Dr.Lintonwasabletosend

    sixtyoddcontainersoffoodduringthe

    heightofNorthKoreasfoodemergency.

    Whenpurchasingfood inAsiabecame

    possible,hedecided to ship cornby

    raildirectlyfromChina.Duringthefirst

    twoyears,ourgenerousdonorsmadeit

    possibleforustosendmorethan7,000

    tonsofcornandunpolishedrice:enough

    tofill120boxcars.

    NorthKoreanauthoritieswereimpressed

    that so much assis tance was sent

    quickly and eff iciently by so small

    anorganization. In 1997,when large

    volumesof foodassistancebegan to

    arrivefromtheinternationalcommunity,

    ViceMinisterofPublicHealth,Changsik

    ChoewroteDr. Lintona letterasking

    himtoprovidetuberculosismedications

    insteadoffood.Duetomalnutrition,the

    numbersofTBpatientshad increased

    dramatically until by the late 1990s

    tuberculosishadbecomeNorthKoreas

    greatestpublichealthchallenge.Because

    Dr.Lintonhadcontracted tuberculosis

    twicewhilelivinginSouthKorea,hewas

    particularlymotivatedtorespondtothis

    request.

    Once againwewitnessed amiracle,

    thanks to our generous donors. All

    fourof the tuberculosismedications

    recommended by theWorld Health

    Organizationwere readilyavailable in

    theRepublicofKorea(SouthKorea)at

    reasonableprices,making itpossible

    to assemblehigh-qualityDOTS kits.

    Gratefully, government authorities

    in Seoul allowed the Foundation to

    purchaseand ship largenumbersof

    TBmedication kits to North Korea.

    To facilitate assistance from South

    Korea, in2000Dr.Lintonorganizedan

    independentKorean foundationwith

    the samename, thanks togenerous

    assistance fromhis youngerbrother,

    Dr.JohnA.Linton.Sincethattime,the

    EugeneBellFoundation (US)and the

    EugeneBellFoundation (Korea)have

    worked inclosecooperationunderthe

    samename(EugeneBell).

    From1997~2007,EugeneBellsupported

    a large regular tuberculosis treatment

    program: includingtuberculosismedi-

    cationkits,diagnosticequipment,and

    otherpatient support.Approximately

    fortyNorthKoreanmedical institutions

    receivedregularsupport. Inall,Eugene

    Bellprovidedmedicalassistancetomore

    than70hospitals,clinicsandtuberculosis

    sanitaria, including 25mobile X-ray

    trucks.Thankstoourgenerousdonors,

    overaten-yearperiodwewereableto

    providetreatmenttomorethan250,000

    tuberculosispatients.

    In2007, inresponsetoanotherappeal

    fromNorthKoreancaregivers,Dr.Linton

    decidedtoshiftEugeneBellsefforts to

    thediagnosisandtreatmentmultidrug-

    resistanttuberculosis.

    Patientsreceivingasix-monthsupply

    ofmultidrug-resistantTBmedications

    AlectureonTBfromaformerTBpatient

    2

    05Eugene Bell Foundation

  • EugeneBells Mission Today:

    MDR-TB

    A good tuberculosis treatment program must have two distinct components. The first

    is a large supply of inexpensive, regular TB medications for the majority of TB patients

    who can be treated with widely-available regular TB medications. Just as important is a

    smaller but much more expensive treatment program for patients who are resistant to

    regular TB medications. These patients must be treated with special medications that

    often cause serious side-effects. Regular TB can be treated in six to eight months while

    multidrug-resistant tuberculosis (MDR-TB) must be treated for at least a year and a half.

    06

  • 1 2

    Thesepatientsare infectedwith super

    TB and thus cannot be curedwith

    ordinarytuberculosismedications.Health

    authoritiesoftenare reluctant to treat

    multidrug-resistantpatientsbecause

    MDR-TBmedicationscostmorethan100

    timesasmuchasregularTBmedication,

    MDR-TBpatientstobetreatedformuch

    longer than regularTBpatients, and

    treatmentoutcomesareusuallyfarlower

    thanwithregularTBtreatment.Regular

    tuberculosiscureratescanbeashighas

    95%whiletheinternationalaveragecure

    rate forMDR-TB isonly45%. Ignoring

    MDR-TBonlymakesthesituationworse.

    Ifnot treated, thenumbersofpatients

    infectedwithMDR-TBincreases,making

    tuberculosistreatmentmoredifficultand

    moreexpensive.

    Asof2007,NorthKoreadidnothavea

    MDR-TB treatmentprogram,meaning

    thatallTBpatientswhofailedtreatment

    with regular TBmedication simply

    died after putting their families at

    risk of contracting this deadly form

    of tuberculosis.This time the request

    forDr.Linton to refocusEugeneBells

    missiondidnotcome from theNorth

    Korean health authorities. The call

    came from hardworking, dedicated

    local caregivers at the tuberculosis

    treatmentcentersvisitedbyEugeneBell

    delegations.Despite thebest efforts

    bytreatmentcenterstaff to insurethat

    theirpatients tookall themedications

    properly,toomanypatientswerefailing

    treatmentwithregularTBmedications.

    MostNorthKoreancaregiversarehighly

    motivatedprofessionalswho literally

    risked their lives toprovidegoodcare

    forpatientssufferingfromadangerous

    andcontagiousdisease.Nowthesesame

    caregiverswereasking forEugeneBell

    tosendalternativemedicationstotreat

    patientswhowerenot responding to

    regularTBmedications.

    Inconsidering thisnewchallenge, the

    high expenseofmultidrug-resistant

    tuberculosis treatment was a great

    concerntoDr.Linton.Eventhoughthe

    MinistryofPublicHealthprovides full

    support forpatientcareandhousing,

    duetothehighcostofMDR-TBmedi-

    cations,EugeneBellwouldhavetoraise

    anastronomical$5,000ofsupportper

    patient! Even though thiswould be

    less than 10%ofMDR-TB treatment

    elsewhere,howcouldourdonorsafford

    sucha lar