Annual Report

2000Direct ReliefI N T E R N A T I O N A L

They are high school and collegestudents, retirees, stay-at-homemoms, practicing physicians andlawyers, and business people frommany fields. Each bringsextraordinary enthusiasm and asense of service to the Direct Reliefmission.

Their involvement - whetherrefurbishing medical equipment,assisting with physical inventory,rolling bandages, conductingresearch, or writing thank younotes to our supporters - isessential to the character andsuccess of the organization.

For 53 years, Direct ReliefInternational has been able to helppeople trying to overcomeenormous challenges because greatpeople have been willing to puttheir shoulder into any tasknecessary. Our low overhead isdue, in large part, to their bighearts and helpful hands.

We salute you.

Dedication . . .This report is dedicatedto the cadre of 400 local Volunteerswho contribute their time,talents, and energyto the mission ofDirect Relief International.

Direct Relief

International wishes to

thank the many

photographers who

contributed their work

for the 2000 annual

report.

PHOTO CREDITS:

1. File, Santa Barbara;

2. (a) Chris Centrella

& (b) File; 4. Jill

Reardon, Bolivia; 6.

File, Guyana; 7. File,

Honduras; 8. (a) & (b)

Linda Jo Stern,

Honduras; 9. File,

Uganda; 10. (a) Dick

Mathews, Ghana, & (b)

File, Santa Barbara; 12.

Ted Savage, Tibet; 13.

(a) & (b) Jay Farbman,

India; 14. File, Uganda;

15. (a) & (b) Kathy

Poma, Bulgaria; 16.

Gerry Melendez,

Turkey; 17. Ken

Grimwood, Santa

Barbara; 18. Jill

Reardon, Mexico

Esther Smith, volunteer, packing supplies at DRI

COVER PHOTO: Mother and child after receiving care at DRI project Rurrenabaque, BolivaJill Reardon

1.

As a newcomer to Direct ReliefInternational in 2000, I am honoredto report on the organization’sactivities for the year. As the factsnoted by Chairman Dick Godfreyreflect, the year was highly produc-tive. We expanded our assistance-program by more than 27% to arecord $67 million, providingassistance to almost 10 million people. The people we servetypically are outside the reach of even minimal health safety netsand these resources make a profound, positive difference in theirlives.

But underlying these numbers are millions of personal stories thatprovide the motivation and hope that fuels our work. In ElSalvador, a local dentist was overjoyed with basic dental handtools and supplies that allowed her to repair children’s damagedteeth, not simply pull them. A shipment to Kenya of pain reliefand antibiotic medicines allowed people living with HIV/AIDSto combat opportunistic infection and spend more quality timewith their families in an unimaginably tragic situation. InEthiopia, displaced persons from the Ethiopia-Eritrea conflictwere able to receive health services – in outdoor hospitals andclinics set up in caves – because of essential medicines andsupplies that we were able to provide. And through a DirectRelief International program in the Bolivian rainforest, thou-sands of indigenous people received medical care and healtheducation.

In our 53rd year, the people who comprise Direct Relief Interna-tional remain committed to its longstanding model of strength-ening local efforts and working directly with local people. We dothis by supporting the talented, ethical, committed, and oftenunsung local heroes who, confronted with tremendous challengesof poverty and health risks, devote their lives to improving thequality of life for people in their communities and countries.Several of these people are highlighted in the following report.

Recognizing the enormity of the challenge, we remain commit-ted to making every dollar count. We are deeply appreciative ofour supporters, who make our work possible.

Thomas Tighe

2000 was another record year forDirect Relief International, duringwhich we shipped pharmaceuticals,medical supplies, and equipmentworth over $67 million at wholesalevalues to assist over 9.7 millionpeople in developing countries. Wedid this with remarkable productivity,which Forbes Magazine noted in their

December 11th issue when they named DRI one of the most

efficient charities in the country!

Last year was also noteworthy for our success in attracting ThomasTighe to be our new President and CEO. Thomas was previouslyChief of Staff and Chief Operating Officer of the Peace Corpswhere he served with great distinction for the past seven years.He has outstanding credentials as well as the vision and compas-sion to lead this organization successfully into the 21st century.

With the splendid efforts of a small, immensely talented and hardworking staff, a dedicated Board, and a host of remarkablevolunteers, we have almost tripled our shipments over the pastthree years. As we continue to grow, we need to attract financialsupport from outside the Santa Barbara community. As one of theoldest humanitarian aid agencies in the country with a sterling 53year history, we should be able to expand our constituency. As afirst step, we have formed an impressive Advisory Board under theleadership of Frank Magid to guide us on this path.

With the assistance of the well-known actor, John Forsythe, ourendowment fund will secure the financial future of the agency.With a pace-setting gift from a loyal Board member, we havegrown these assets 480% since 1998 to a present value of $3.5million.

Today, over two thirds of the world’s population lives in poverty,just trying to exist from day to day. Good health is fundamental toearning a living and having the ability to get ahead. We arethankful for your support of our work.

Richard Godfrey

2.

FROM THE PRESIDENT & CEO FROM THE CHAIR

Local Solutions . . .

Worldwide

The year 2000 was the 52nd year of operations forDirect Relief International. The year was marked bysignificantly expanded efforts to help people in thedeveloping world achieve healthier, more productivelives by strengthening local health facilities andprograms. Direct Relief International providedmaterial assistance of critically needed medicalresources donated by manufacturers. These products,with a wholesale value of more than $67 million,were furnished to over 500 locally managed healthcare facilities and organizations in 53 countriesaround the world. These hospitals, clinics, dispensa-ries, and health care programs are run by trained,ethical, and committed local people who seek ourassistance and complete a thorough screening andreference-check process. Many of them arelongstanding partners of Direct Relief, and some oftheir extraordinary efforts in the face of tremendouschallenges are highlighted in this report.

Over the course of the year, Direct Relief Interna-tional provided 24.3 million discrete courses oftreatment, sufficient to reach an estimated 9.7million people living in impoverished or medicallyunder-served areas of the world. In addition tosupporting our worldwide network of health institu-tions and programs, Direct Relief also responded to anumber of new emergency situations and continuedefforts to assist countries still struggling with theeffects of devastating natural disasters such asHurricane Mitch, flooding in Venezuela, andearthquakes in Turkey.

Direct Relief International’s heightened level ofassistance in 2000 was possible because of increasedsupport from the extensive network of corporate,foundation, and individual donors who provide theorganization with medical products, services, andfinancial support.

3.

Latin America and the Caribbean

4.

Although health care isimproving in some countriesin the Latin America andCaribbean region, manyhospitals and clinics stillsuffer significantly frominadequate resources toaddress the basic health needsof poor people in the region.Highly uneven incomedistribution has resulted inmore than a third of thepopulation living below thepoverty line. The region’s 40million indigenous people,who constitute the bulk ofthe “absolute poor,” areexcluded from the develop-ment process and deprived ofincome opportunities andbasic public services such aseducation, health care, andhousing. Historically, theLatin America and Caribbean region has been amajor focus for Direct Relief, a tradition thatcontinued in 2000 with 93 shipments to 18 coun-tries.

BoliviaRio Beni Health Project

The Rio Beni Health Project strives to improveaccess to primary health care for Chimane, Quechua,

and Tacana Indians living inisolated villages and settlementsalong the Beni River in north-western Bolivia. This remotearea, at the base of the AndesMountains where the AmazonJungle begins to form, is one ofthe poorest and least accessiblein the country. Lack of cleanwater and inadequate sanitationrender inhabitants vulnerable tovarious debilitating tropicaldiseases. Annual floodingduring the rainy season prohib-its travel and leaves villagerswithout emergency care foracute medical conditions andinjuries.

Three years ago, the Rio BeniHealth Project began offeringregular health care in the regionproviding communities with

consistent and reliable health services for the firsttime. The project consists of a mobile health teamwhich conducts clinics on a regular basis, travellingby motorized launch or 4-wheel drive vehicle to 19villages in the surrounding countryside. Over 5,000people that inhabit this isolated region have beentreated at scheduled clinics which often extendthrough the night in order to complete all of theconsultations.

In 2000, Direct Relief International provided material assistance to strengthen local efforts in 18 countries in LatinAmerica and the Caribbean: Bahamas, Bolivia, Brazil, Colombia, Cuba, Dominican Republic, Ecuador, El Salvador,Grenada, Guatemala, Guyana, Haiti, Honduras, Jamaica, Mexico, Nicaragua, Peru, and Venezuela.

(continued)

DRI training program,Rurrenabaque, Bolivia

5.

Direct Relief International: Who does your clinic serve?

Carl Niamatali: We see patients turned away at the hospital

because they can’t afford to pay. If they go to the free public

hospitals, they may be seen by a doctor and receive a diagno-

sis, but the hospital may not have any medicine. I am the

only doctor at the Clinic but I have a good experienced staff.

We provide all types of general medical services, including

basic lab tests, blood sugars, urinalysis, blood counts, etc., and

take care of 300 children who are in various orphanages in the

town and the students at the handicapped school.

On weekends we go to remote areas of the rain forest and do

outreach, providing services and bringing anyone who needs

specialized care back to the clinic. In those areas, poverty is

greatest and few health services are available. We are doing

health education because we believe it is a very critical part of

delivering health care.

DRI: What is the status of health in Guyana?

CN: For children, the most common childhood illnesses are

diarrhea and other gastrointestinal problems. Because of poor

sanitation and water, antibiotics and oral rehydration salts are

important. Direct Relief has provided Vermox and drugs like

that for worm infestation. These are extremely useful. We

also see a lot of kids who suffer from malnutrition, so the

Direct Relief vitamin supplements are great.

For women, maternal mortality is high and so is neonatal

mortality. Education is important, to encourage and remind

women to understand signs and seek checkups — hyperten-

sion and diabetes during pregnancy is dangerous.

Malaria is endemic in the rainforest and remote areas where

there is not ready access to diagnostics, microscopes, and

testing. Sometimes there is a shortage of basic treatment as

I cannotemphasizeenough howcriticalit is for

Direct Reliefto continuethe lifelineof suppliesbecause thatis what theyare doing.

That is whatDirect Reliefliterally is,a lifeline tothe people insuch greatneed inGuyana.

“Dr. Carl Niamatali is Consultant Physi-

cian, Hematologist-Oncologist to the

Medical Diagnostic Centre in Guyana. Dr.

Niamatali was born in Guyana, South

America. He received his medical training

at the University College Galway, Ireland.

He was also trained at the Hammersmith

Hospital, Royal Postgraduate Medical

School, and the Westminster Hospital in

London. He specialized in Hematology-

Oncology and was a consultant Hematolo-

gist-Oncologist at the Regional Hospital in

Galway. He has published several papers

and was involved in clinical cancer studies

and research in Europe. Dr. Niamatali is

an Executive member and Secretary of the

Medical Association of Guyana and heads

its Medical Education Program. He is a

member of the Cancer Board and a former

Rotarian.

The Medical Diagnostic & Therapeutic

Centre primarily serves the scattered and

impoverished communities surrounding the

city of New Amsterdam. The Centre

provides general medical services, emer-

gency and acute care, as well as very basic

laboratory services. The Centre also

provides outreach clinics to the remote rural

villages, most of which have no access to

regular medical care and are extremely poor.

Malaria is endemic to the area. Frequent

outbreaks of dengue fever, seasonal droughts

and flooding, and poor sanitation and water

also exacerbate the fragile health of these

vulnerable communities. Hypertension,

pelvic inflammatory disease and cervical

cancer among women, diabetes and

cardiovascular disease are the most common

conditions among the people served.

PROFILE: Dr. Carl Niamatali Guyana

“

6.

Direct Relief, with the support of corporate partnerssuch as Janssen Pharmaceutica, Glaxo Wellcome,and Bausch & Lomb, has been supplying pharma-ceuticals, medical supplies, and medical equipmentto the project since its initiation, and is nowexpanding its role to include preventive healtheducation and training. A feasibility study com-pleted in May of 2000 identified the project as anexcellent candidate for a health-promoter trainingprogram. The new training component is a five-yearinitiative to promote an integrated approach tohealth care, one that combines primary health carewith essential health education and training. ByNovember 2000, two volunteers from each of 10local communities had been selected by theirvillages to participate in long-term training. Thepromoters will learn how to diagnose and treat asignificant percentage of common health problemsas well as promote important preventive healthpractices. Direct Relief will design and supplymedical kits comprised of basic medications,supplies, diagnostic equipment, and educationalmaterials, for each of the health promoters.

HondurasComite De Emergencia Garifuna

Located on the sparsely populated northern coast ofHonduras, the Comite De Emergencia Garifunaworks with local public health facilities throughoutthe region in an effort to improve the quality of lifefor the indigenous Garifuna population. Numberingabout 400,000, the Garifuna are an ethnic mix ofblack and indigenous people that have inhabitedthis remote area since colonial times. Since then,and in spite of over 200 years of continued racialdiscrimination and isolation, the Garifuna havemanaged to maintain aspects of African culturethrough their unique language, music, dance, oraltraditions, and religious beliefs.

well. Unfortunately quite a few people die every year from

malaria for lack of treatment or misdiagnosis.

DRI: How does Direct Relief International work with you?

CN: The assistance that Direct Relief International has given

to various institutions in the country has been invaluable.

They provide medical goods for the clinic and outreach

program which have been enormously helpful. Because of

what Direct Relief provides, we are able to go out into areas

and provide health care where there is nothing. The equip-

ment that Direct Relief has given us, such as Midmark

autoclaves and patient monitors, have enabled us to do

surgery. Stretchers, patient gurneys, again, immensely useful.

I got a spinal board from Direct Relief that has been helpful in

taxiing and immobilizing patients.

Without this support, I am not certain that I would be able to

do the medical outreach programs or provide certain services

at the clinic. Resources are very scarce or unaffordable.

Latin America continued

(continued)

Dr. Carl Niamatali (right)

7.

PROFILE:

Linda Jo Stern, MPHDirect Relief has supported the EmergencyCommittee for the Garifuna since it was formedin response to the devastation caused byHurricane Mitch in 1998. Despite the fact thatthe northern coast of Honduras was heavilydamaged in this disaster, little national orinternational assistance became available to theGarifuna due to their remote location and toother geographic and political concerns.

Suzanne Shende, Coordinator for the Commit-tee, writes: “DRI donated medicines and equipmenthave been sent to the regional hospital in Trujillo, aswell as small village health centers, such as that inCusana, a small agricultural town without electric-ity, phones, or year-round accessibility. Yourassistance even extends to the most marginalized oftowns where there isn’t even a health center, as firstaid supplies are sent to trained health workers invillages like Punta Piedra and Iriona Viejo.”

Linda Jo Stern, MPH, isDirector of PROMESA, aservice, training andeducation project in Hondu-ras. Ms. Stern holds adegree in NutritionalScience and earned herMasters in Public Health atBoston University School ofPublic Health. She hasdevoted her work specificallyto the communities of theYeguare region of Hondurassince 1994.

The goal of PROMESA isto improve the health status,knowledge, and self-relianceof the Yeguare Region ofHonduras by developingpartner projects withfamilies, communities, andcommunity-based organiza-tions in the region.PROMESA provides healthassessment, diagnosis, andtreatment through the use ofHealth Brigades to the 72remote villages of theYeguare River basin.Medical supplies, pharma-ceuticals, and medicalequipment provided byDirect Relief Internationalhelp make these HealthBrigades possible.

Training isessential to

self-sufficiency.

But trainingalone doesn’t

solve theproblem.

Direct Relief’smaterial

assistance isan essential partof the overallprogram planto achieve asustainable

health program.

“

Latin America continued

Asusena Garcia

sets off before

dawn with the

first aid

supplies for the

town of Iriona

Viejo, on the

remote northern

coast of

Honduras.

Asusena is a

native

Garifuna.

(continued) “

8.

PROMESA also supports 16 health centers

scattered throughout the river basin.

Direct Relief International: ThePROMESA project is a health componentof the rural development work at ZamoranoCollege in Honduras. How did it comeabout?

Linda Jo Stern: Zamorano College identi-fied a catchment area called the YeguareRiver basin. They recognized that water,sanitation, etc. is important, but healthmust be addressed concurrently with ruraldevelopment so health services and healthassessment are included. Direct Reliefprovides the material resources they needand we help provide the training so thatthey can do the work that they are supposedto do. The goal is to help these clinicsbecome self-sufficient.

DRI: Train-ing is such animportantcomponent tothe process ofbuilding localleadershipand develop-ing real,sustainablechange in thehealth statusof communi-ties.

LJS: Yes,training is theway to go,especially ifyou believe in the concept of self-determi-nation. I believe there are a number oflevels of training. The first is just teachingthe families how to use the materials; thissometimes involves the Direct Reliefcommodities. If you bring materials in you

have to train them how to use them. Itdoesn’t come naturally. The basics of whatwe call first aid must be taught.

The second level is prevention. Oftenchildren have severe conditions likeparasites or respiratory infections. Onemust first help the family cure the illnessesand then there’s space and time and quiet tolearn the preventive part.

The third level involves training existingcommunity leaders and community healthworkers. These are people who have aleadership role, have been chosen by theircommunities as leaders— maybe they knowhow to read and write— and they are theones that are available and accessible to thevillagers.

DRI: What are the greatest needs in thesevillages?

LJS: Thesehealthworkers aredesperately inneed ofmaterials.Basic first aiditems arereally mostneeded. Wesee peoplewalkingaround withgapingwounds, nobandages.Now Johnson& Johnsonproducts are

the best, especially the first aid products likebandages. I mean this sounds ridiculouslysimple but you wouldn’t believe howimportant it is down there to have abandage that sticks. Johnson & Johnsonbandages stick. Another example of a

needed item is mebendazole which we usefor parasites, and Biaxin, an antibiotic. Soeverybody now knows how to deparasitizetheir children and themselves. We leavethem with that. Other things we couldleave them with if we had them are prenatalsupplements and birth control.

Health workers in these villages know whatthey need. They may not recognize anopportunity or know of ways of gainingresources - that’s where organizations likePROMESA and Direct Relief come in. Wecan bring technology or knowledge or waysof providing information or care to them,especially if they don’t have access toinformation.

These boxes, in transit to a rural clinic in Honduras,contain supplies provided by DRI.

Linda Jo Stern continued

9..

Africa

Rich in natural resources but beset by ethnic and tribalviolence, political instability, poverty, disease and famine,Africa presents what many consider to be the greatestchallenge to global development. Out of the 25 countriesthat the U.N. describes as “low human development”countries, 22 are in Africa; 33 of the 47 “Least DevelopedCountries” are in Africa. The devastating effect of HIV/AIDS has led to a major drop in life expectancy in manycountries and resulted in millions of orphans, many ofwhom must fend for themselves because of scarce to non-existent social- and health-support services. In 2000,Direct Relief identified several new partner institutions andhealth programs, and increased assistance levels to Africathrough 33 medical donations.

GhanaJehovah Rapha Health Care Foundation

The Jehovah Rapha Health Care Foundation supports 30community health clinics in the southwest region of Ghanawith supplies, guidance and technical training. TheFoundation’s Director, Madam Oku, is a registered nurseand third generation midwife.

The focus of each clinic is to serve the needs of women andchildren by providing pre- and post-natal care, immuniza-tions, well-baby exams, family planning, and other primarycare services. In addition, the Foundation promotespreventive health care through community talks on topicssuch as health during pregnancy, early symptoms ofchildhood diseases, nutrition, and safe sexual practices.Each clinic is staffed with one nurse, two midwives, andseveral health assistants, all of whom reside in the commu-nity they serve.

In 2000, Direct Relief International provided material assistance to local facilities, programs, and organizations in12 African Countries: Congo, Eritrea, Ghana, Guinea-Bissau, Kenya, Malawi, Mozambique, Nigeria , SierraLeone, Tanzania, Uganda, and Zambia

An average 100 women and children come to a clinic eachday, but in the past the staff has had few or none of the criticalmedicines and supplies needed for treatment. In 2000, withfunding from the Carsey-Werner Company, Direct Relief wasable to provide its second shipment to Jehovah Rapha. Theshipment included antibiotics, prenatal vitamins, children’schewable vitamins, oral contraceptives, baby scales, oralrehydration salts, exam gloves, needles and syringes, pediatricblood pressure cuffs, and other primary care supplies. Corpo-rate donors including Becton-Dickinson, Ethicon and Ortho-McNeil provided major material support for this project.

TanzaniaNyakato AIDS Outreach Project

“I hope that Direct Relief will be able to help us! We have 190AIDS patients in the Nyakato area, and that number is growing allthe time. We know that any help you can give us will be verygreatly appreciated by these AIDS patients. We don’t have accessto the new ‘therapies’ but the antibiotics, etc. are very helpful to usin treating the opportunistic infections that people get.”

- Sister Veronica, Project Director

2000 DRI shipment being received in Uganda

10.

PROFILE: John GandaSierra Leone

John Ganda, Ph.D., is Founder and Director of the

Ndegbormei Development Organization in Sierra Leone. A

native of Sierra Leone, Dr. Ganda has dedicated his life and

career to aiding the people of this war torn nation. His

experience includes

working with the

Peace Corps in

Sierra Leone,

recruiting, training,

placing, and

supervising both

volunteers and staff.

Sierra Leone has

been rated last in

the Human Devel-

opment Index as the

poorest country in

the world. The social and political fabric of the country has

been torn by a protracted civil war that, though there has

been a cease fire, continues to impact every aspect of life.

There are no proper medical facilities nor education facilities

in the country. Agriculture has come to a standstill.

Established in 1982, Ndegbormei Development Organization

was founded as a network of non-governmental organizations

within Sierra Leone. Through cooperation and the sharing of

resources and expertise, the network is slowly addressing

various social development issues -- primarily the health care

needs of women and children. Their plans include the

construction, supply, and staffing of a children’s hospital to be

located on the outskirts of Freetown where access to quality

medical care is scarce.

Against the overwhelming statistics and enormityof the AIDS pandemic, Sister Veronica’s outreachprogram may seem insignificant. Yet it is exactlythese local, community based services that willeventually prove effective in changing behaviorand African societal attitudes toward this terribledisease. In the meantime, the project providescomfort and support to individuals suffering bothphysically from the virus, and emotionally from thestigma of having AIDS.

According to the UNAIDS Report on the GlobalHIV/AIDS Epidemic, the “essential package” oftesting, counseling, psychosocial support, palliativecare, prevention and community activism, is theminimal level of care and outreach required forassistance to AIDS affected communities whenmore comprehensive resources are not available.Following these guidelines, Direct Relief supportsHIV/AIDS programs such as the Nyakato AIDSOutreach Project that are providing medicalservices, education, and outreach.

(continued)

DRI program

officer Kelly

Darnell in Ghana

with Madame

Oku, Director of

the Jehovah

Rapha Health

Care Foundation

John Ganda

11.

John Ganda continuedDirect Relief International: Help us understand life in

Sierra Leone.

John Ganda: Sierra Leone has been rated in the

Human Development Index as the poorest country in

the world. There are no proper medical facilities, no

proper education facilities. Agriculture has come to a

standstill. The war that started in 1991 has devastated

everything. Young men— who were able-bodied

agricultural workers— have either been killed, had

their arms amputated, or they’ve been recruited by the

rebels to fight and cannot go back home.

DRI: How do you operate under these conditions?

JG: We are working with the amputees and with

internally displaced persons. We give amputees

wheelchairs and provide them with food. In the Bo

District, we have a whole chiefdom of about 60,000

persons that we are trying to support with medicines,

food, clothing, wheelchairs— everything we can get.

But we want to go beyond looking at just the victims of

the war. We want to look at the families, because at

the end of the day those victims will have to rely on

their families for support.

Last January we started working with an orphanage for

street children, abandoned children or those affected

by the war. We also have set up home care centers.

We have two nurses and three volunteer doctors who

work with us, and they require the supplies from Direct

Relief. There is only one children’s hospital in the

country. It is poorly staffed, under-supplied, and under-

equipped. We want to build another.

DRI: How has Direct Relief International supported

these efforts?

JG: Direct Relief’s partnership has helped tremen-

dously. The material has allowed us to expand and

assist other district hospitals and the children’s hospital

damaged during the war— with beds, with

medicines.

DRI: What are the major health issues in Sierra

Leone?

JG: Many amputees and people maimed by war.

They need a lot more wheelchairs, crutches,

orthopedic supplies— the rural areas have received

very little. The lack of clean water is one of the

major problems. During the war a lot of the village

wells were polluted. The rebels killed people and

dumped them in the wells. The rivers and streams

upon which people rely have also been polluted.

Typhoid, cholera, diarrhea, and dysentery are major

problems. Diarrhea and dysentery affect children

particularly. HIV is another. It was heightened by

the war because a lot of girls were raped and many

of them have come up with this virus. But we don’t

have the medical facility to properly diagnose them,

no proper laboratory facility. Some are dying

without having been properly diagnosed. And we

do not know if it is something else.

DRI: Where do you focus, and what are your goals

for the organization and for Sierra Leone generally?

JG: The youth have been silent for a long time.

This rebel war was the only thing that brought them

out. Because they have the guns we listen to them.

But when they put the guns down we still need to

listen to them. Why did they fight? What were

they fighting for? And where did we go wrong? We

need to empower these people toward positive ends.

One very important tool of empowerment is

education. And for education we need learning

materials.

We are also working with the women. We are

training them in dressmaking, growing and

processing different foods, and as traditional birth

attendants. We want to help them become leaders

in the community. It is good to ask for help but it is

good to see what you can do for yourself. That is

what our five-year program with Direct Relief is all

about. What we are looking at is a whole approach.

The hospital and health program is an introduction

into community development programs. We are

very grateful to DRI for all the support we are

getting.

Many haveforgotten

Sierra Leone,or offer

onlycommentaryand advice.

Direct Reliefis a

respectfulpartner.

We are verygratefulfor the

assistanceto help

save lives.

“

12.

Home to two-thirds of humanity, much of the Asia andPacific region is undergoing enormous change as itgrows rapidly and industrializes. Along with economicgrowth, industrialization creates more transientpopulations which can fuel such epidemics as HIV/AIDS. Many epidemiologists fear that India willbecome thenext majorbattleground ofthe AIDSpandemic.Economicprogress hasbrought betterliving condi-tions for muchof the region,but most of thepopulation isstill living inpoverty andwithoutadequatehealth care. In 2000, Direct Relief made 35 shipmentsto 9 countries in the Asia and Pacific region.

IndiaGujarat Blind Relief Association

One third of all of the blind people on earth live inIndia. Even more astonishing is that the vast majorityof these cases of blindness are completely preventableor easily treatable. The Shri R.M. Eye Hospital wasfounded in the 1950’s and is operated by the GujaratBlind Relief and Health Association. The 100-bed

Asia and the Pacific

hospital performs an average of 2,000 sight restoringoperations free of charge each year. In addition,50,000 outpatients receive screenings and treatmentat a nearby satellite clinic, and 22 mobile “eyecamps” are conducted throughout the state. TheAssociation also distributes high-dose vitamin A to

children andlactating mothersin 14 localvillages. Thevitamin preventsblindness andstrengthensresistance toinfectiousdiseases.

In May 2000,with fundingfrom TheAllergan Founda-tion, DirectRelief Interna-

tional provided a large shipment of exam and surgicalequipment to the Gujarat Blind Relief Association.The assistance package included a phacoemulsifier(cataract extraction unit), an operating microscope,and ophthalmic gurneys, chairs, stands, instruments,and supplies; medicines donated by Alcon Laborato-ries and other corporate donors were also provided.Special training in the use of the phaco machineconducted by the manufacturer was arranged andtook place in Bombay. Dr. Doshi, an 82-year oldophthalmic surgeon who has dedicated his life to

In 2000, Direct Relief International provided material assistance to strengthen local efforts in 9 countriesin Asia and the Pacific: Afghanistan, Cambodia, India, Indonesia, North Korea, Pakistan, Philippines,South Korea, and Sri Lanka

(continued)“

13.

restoring sight and continues to perform hundreds ofoperations at the eye hospital each year, was thrilledupon receiving the shipment.In a letter sent to DirectRelief, Dr. Doshi stated, “Somany grandparents will see theirgrandchildren for the first timeand be able to perform theirfamily and village responsibilitiesagain due to the use of thisincredible equipment. Thanksso much for remembering us.”

CambodiaSihanouk Hospital

Severe rains during the earlymonsoon season filled thelower Mekong River inCambodia and Vietnambeyond capacity in theautumn of 2000. In many ofthe flooded areas, entirevillages of people and animals were living in thelocal pagoda, the only building remaining abovewater, on bamboo platforms built in trees, or in therafters of their houses. All of the affected villageslost their rice crop. The lack of dry land resulted inthe water surrounding these village islands beingused for drinking, cooking, bathing, washing clothesand dishes, and as the garbage dump and toilet. Theanimals were drowning or dying from lack of food,

further contaminating the floodwaters. The mostneeded commodities were safe water to drink, rice to

eat, and medicine to curediarrhea and bacterialinfections from contaminatedfloodwater and to treatcommunicable diseases, suchas pneumonia, acquired fromthe overcrowded livingconditions.

The Sihanouk HospitalCenter of Hope sent specialoutreach teams to deliver foodand shelter materials tocommunities in desperateneed of relief. Physicians andnurses from the hospital set upmakeshift clinics to treatvillagers. With the support ofMcNeil Consumer, DirectRelief was able to provide

needed medicines. Medical donations were alsoprovided to four area health facilities includingdistrict hospitals and health centers. Team memberscommented that, “it was so gratifying to see the trail ofvillagers returning to their homes after being treated at theclinics, wading through water thigh deep with large sacksof rice on their heads, their children trailing behind. Youcould see in their grateful eyes a little bit of relief for theirhearts and some food for their hungry stomachs.”

Asia and the Pacific continued

14.

You’re sick or injured. You go to a hospital or clinic,

but the doctor has no diagnostic medical equipment,

sterile instruments, or medicines to provide. It is a

frightening thought, yet a daily occurrence for people

living in developing countries.

Appropriate medical equipment is essential for

health-care providers to help patients.

For 25 years,

Direct Relief

International has

provided a broad

range of equip-

ment to indig-

enous facilities to

help strengthen

local health

efforts. The

equipment ranges

from basic items

such as stethoscopes and dental hand instruments to

more advanced, if far from cutting edge, electronic

devices such as ventilators, defibrillators, electrocar-

diograph (EKG) machines and autoclaves (which

sterilize medical instruments). Wheelchairs, walkers,

dental chairs, and other assistive devices are also

furnished to resource-poor facilities.

A qualified Biomedical Engineer oversees the Direct

Relief International biomedical program. Experi-

enced staff and volunteers refurbish used, donated

equipment suitable for use in partner facilities

throughout the developing world. Necessary power

conversions and plug configurations are completed

prior to shipment, and each item is shipped with a

technical manual. These tools have sustaining value

to health facilities and enable doctors and nurses to

provide better care to sick and injured people.

In 2000, Direct Relief

International provided

more than 5,000

individual biomedical

items to facilities in 36

countries, including

more than 400

autoclaves, 25 dialysis

units, 85 wheelchairs,

350 blood pressure kits,

100 operating and

exam tables, dozens of

dental chairs and related equipment, and hundreds of

pediatric-care items including ambu (respiratory)

bags, nebulizers, and ventilators.

The wholesale market value of these products

exceeded $3.1 million. However, to the recipients,

these items are priceless.

Biomedical Equipment:Essential Tools for Health Care

(Background: Refurbished Sterilizers)

15.

The collapse of the Soviet Union provided some EastEuropean countries the opportunity to thrive, whileothers are still struggling through economic and socialupheaval. With the end of the highly centralizedSoviet distribution system, medical supplies are nolonger available from neighboring Eastern bloccountries and must be purchased from WesternEuropean companies using scarce hard currencyreserves. In2000, DirectRelief was ableto ease some ofthe shortages thissituation hascreated bymaking 29shipments to 9countries.

BulgariaHospital Support

Bulgaria has suffered an enormous financial crisisresulting in the deterioration of the health care systemand other infrastructures. In September, 2000, DirectRelief senior program officer Katherine Poma andpharmacist Cathleen Grabowski conducted anassessment trip, visiting a number of hospitalsthroughout Bulgaria. They reported that many healthfacilities lack even the most basic medicines and that

medical equipment is in dire need of updating. Insome hospitals, they witnessed patients being carriedup stairs in the arms of a family member, because therewere no wheelchairs or stretchers and the agingfacilities lack elevators.

In spite of these difficult conditions, most physiciansbelieve the current situation is temporary. Dr. Stefan

Zerovski, DeputyDirector of themunicipalhospital in Perniksums up theprevailing mood,“We believe thatin a few years wewill be able totake care ofourselves. In themeantime, DirectRelief’s help has

made an incredible difference.”

In 2000, Direct Relief sent 10 medical donations toseven hospitals located throughout Bulgaria. Recipi-ents included five general hospitals, a respiratoryfacility which specializes in treating adult and pediatricasthma, and the country’s main cardiology institute.

Eastern Europe,Russia and the NISIn 2000, Direct Relief International provided assistance to local organizations in 9 countries in the region:Albania, Armenia, Bulgaria, Croatia, Estonia, Lithuania, Romania, Ukraine and Yugoslavia

Bulgaria’s rich history, and empty pharmacy shelves

16.

Conditions improved in 2000 in some parts ofthe Middle East, such as Lebanon, but deterio-rated in others, such as the Gaza Strip in Israel.The civil strife that has long plagued much ofthe Middle East increases patient loads at alreadyovertaxed hospitals and contributes to theoverall deterioration of public health. In the fallof 1999, massive earthquakes struck Turkey andrebuilding efforts became the focus of ourassistance there throughout 2000. Direct Reliefmade 9 shipments in 2000 to 4 countries in theMiddle East.

TurkeyEarthquake Rehabilitation

The earthquakes that struck Turkey in Augustand November of 1999 totally devastated thenorthwestern region of the country. Tens ofthousands of lives were lost, with greaternumbers of people injured and families lefthomeless. Direct Relief International respondedwithin 72 hours with its first major shipment andfollowed up with nine more through the end of1999. In January of 2000, program officer MikeHayes visited Turkey to evaluate the distributionand use of the emergency shipments and to assessthe intermediate and long-term rehabilitationneeds of the affected areas.

Lojistik Destek Koordinasyon, the coordinating

organization for 18 tent cities that continued tohouse hundreds of thousands of homeless citizens,was selected to receive additional general supportincluding large quantities of personal careproducts. Abant Izzet Baysal University Hospital,a teaching facility in Duzce that treated over

2,000 injured patients after the second earth-quake, was chosen to receive a series of donationsof medical equipment. Until new medical clinicsas well as a general hospital are constructed toreplace those destroyed, this facility will beproviding the bulk of all secondary and tertiarycare services to the local population. In 2000,Direct Relief sent two shipments of medicalequipment including patient monitoring andother devices to complete a new intensive careunit.

Middle EastIn 2000, Direct Relief International provided assistance to local organizations in: Iraq, Gaza,Lebanon and Turkey

Temporary shelter for earthquake victims, Turkey

17.

Direct Relief ’s on-going work in theUnited Statesfocuses on respond-ing to the needs ofunder-served, low-income families aswell as the chal-lenges faced byNative Americanpopulations. In2000, 20 shipmentswere made to healthcare organizations inthe U.S. In additionto donating medical commodities to local healthfacilities and programs, Direct Relief providespersonal care products to social service agenciesand shelters, equips schools with containers andemergency first aid supplies for disaster prepared-ness, screens high-risk seniors for osteoporosis,and provides children with dental education,services and supplies.

“Healthy Smiles” is Direct Relief’s newestdomestic program and it has been designed to

target homelesschildren in SantaBarbara with dentaleducation and care.Dental care has beenidentified as thenumber one unmethealth care need by anumber of health careauthorities in Califor-nia and Santa BarbaraCounty, but there havebeen no programs thatspecifically targetedthe dental needs of

homeless children. Dental care is often ne-glected because of the many overwhelmingproblems that homelessness creates, but inter-vention with education and care at a young agecan impact the health and self-esteem of thesechildren for the rest of their lives. “HealthySmiles” offers bilingual dental hygiene work-shops for children living at a local homelessshelter, provides dental supplies for the entirefamily, and follows up with dental appointmentsas needed.

United States

DRI program officer Martha Angeles provides dental education

Direct Relief International is honored by every contribution we receive -

from individual people, from corporations and businesses, from

foundations, service organizations, church groups, and classrooms. Each

contribution represents a judgment and a trust in our efforts to assist

those without means and facing enormous health challenges to have a

better chance at a better life. Our commitment, both to those who have

honored us with their trust and to those whom we strive to serve, is to

make every dollar count toward advancing this important mission.

Special Thanksfor Extraordinary Support

To the Santa Barbara County

Vintners' Association, who

dedicated to us the proceeds from

the Harvest Moon Wine

Auction. Their first-ever charity

gala raised more than $250,000,

enabling us to provide

approximately 20 shipments of

critically needed medicines,

supplies, and equipment.

To our largest corporate partners,

who contributed generously to the

total of more than $75 million in

product we received in 2000.

Many thanks to Abbott

Laboratories, Johnson &

Johnson, Merck & Co., Becton-

Dickinson, Midmark, Ortho-

McNeil, TEVA USA, and

Watson Pharmaceuticals.

To the several persons who made

significant financial contributions

and requested anonymity.

We extend

specialthanks:

PUBLIC SUPPORT & REVENUEPublic Support

Contributions in-kindContributed freightContributions in cash and securities

RevenueEarnings from investments and

miscellaneous income

TOTAL PUBLIC SUPPORTAND REVENUE

EXPENSESProgram Services

Value of medical donations shippedby Direct Relief

Freight provided to Direct ReliefOperations and shippingContributed services

Supporting ServicesResource acquisitionAdministration

TOTAL EXPENSES

INCREASE IN NET ASSETS

Cash flows from operating activitiesIncrease in net assets

Adjustments to reconcile change in net asset to netcash (used) provided by operating activities

In-kind receipt of inventoryIn-kind shipment of inventoryDepreciationInvestment adjustmentsChanges in operating assets and liabilities

Net cash provided by operating activitiesNet cash used by investing activitiesNet cash used by financing activitiesNet decrease in cash

$76,886,255234,411

3,887,56381,008,229

209,269

81,217,498

67,849,831234,411

1,764,43948,262

69,896,943

532,343396,699

70,825,985

$10,391,513

$10,391,513

(76,811,999)67,849,831

74,5680

(109,855)1,394,058

(1,526,803)(34,437)

($167,182)

19.

STATEMENT OF ACTIVITIES

STATEMENT OF CASH FLOW

Direct Relief’sExpanding Assistance

(medical assistance wholesale values 1996-2000)

10 20 30 40 50 60 70

1996 $25,228,933

1997 $25,074,167

1998 $27,852,382

1999 $52,931,445

2000 $67,849,831

ASSETSCurrent Assets

Cash and cash equivalentsReceivablesInventoriesPrepaid expenses

Other AssetsFuture interest in UnitrustInvestmentsReceivablesProperty and equipmentMiscellaneousTOTAL ASSETS

LIABILITIES AND NET ASSETSCurrent Liabilities

PayablesCurrent portion of long-term debtOther liabilities

Other LiabilitiesLong-term debtDistribution payableCapital lease obligationTOTAL LIABILITIES

Net AssetsUnrestricted net assetsTemporarily restrictedTOTAL NET ASSETS

TOTAL LIABILITIESAND NET ASSETS

$2,174,816170,596

27,280,40423,793

29,649,609

1,227,563163,43410,000

3,609,89315,160

$34,675,659

$105,06025,219

8,710138,989

1,694,15963,667

01,896,815

28,670,4384,108,315

32,778,753

$34,675,568

STATEMENT OF FINANCIAL POSITION

20.

Maintaining LowFundraising and

Administrative Expenses

Growing Support fromProduct Donors

10 2 0 3 0 4 0 5 0 6 0 70 80

1 2 3

2.45% 1996

2.68% 1997

2.07% 1998

.94% 1999

1.14% 2000

%

1996 $17,005,338

1997 $19,562,191

1998 $32,812,605

1999 $58,192,096

2000 $76,811,999

(as a percent of Total Public Support and Revenue)

Organizations, including corporations andfoundations, providing cash or non-medicalin-kind contributions of $1,000 or moreAfrican Poverty Eradication CommissionAllergan FoundationAlpha Development Agency Inc.American Jewish World ServiceAmerican Nicaraguan Foundation, Inc.American Society of the Most VenerableAmgen Foundation, Inc.A.N.E.R.A.The Anschutz FoundationAveda CorporationB & B FoundationBankAmerica FoundationBarnwood VineyardsBeckmen VineyardsBien Nacido VineyardsBistra BalabanovaThe Lynde and Harry Bradley FoundationConley and Marney Brooks FundThe Sheila Johnson Brutsch Charitable TrustBurch PlumbingAndrew H. Burnett FoundationBush Hospital FoundationCali USA Acoustics, Inc.California Community FoundationCambria Winery & VineyardCameron Brown FoundationCapital Group Co. Charitable Fnd.The Carsey-Werner CompanyCasa Provincial de las Hijas de CaridadChannel Islands EquityChristian Relief ServicesChurch World Service, Inc.Ciba Vision CorporationCoast Village Business Association, Inc.Cold HeavenConservation, Food & Health FoundationWillametta K. Day FoundationThe Disarm Education Fund, Inc.The Doehring FoundationDos Pueblos High SchoolThe James R. Dougherty, Jr., FoundationThe Grant C. Ehrlich TrustEmmanuel Presbyterian ChurchThe Entertainment Industry FoundationEstonian Am. Fund for Economic Edu., Inc.Family Unity InternationalFederal Express CorporationFess Parker Winery & VineyardFirestone VineyardFlying Doctors of MercyFoley Estates Vineyard & WineryFood for the Poor, Inc.Fox Point LTD.Foxen Vineyard, Inc.Frey FarmingFundacion Pro-Vista, A.C.The Leo and Eva Gans Foundation Inc.Glens Falls Medical Missionary Fnd.Global Partners for DevelopmentGodric FoundationThe Griggs Family FoundationGuyana Medical Relief

Hanvit America BankHaskell FundHelp Diocese of Kikwit in ZaireConrad N. Hilton FoundationHitching Post WinesHome DepotH.H. Horton Philanthropic TrustHosford Family FoundationHuman Dignity ProgramHutton FoundationIndependent Charities of AmericaIndependent Givers of AmericaIndian Student Association at UICIndo American Institute, Inc.Indo-American Eye Care Society Inc.The International FoundationThe Ann Jackson Family FoundationJohn Paul Mitchell SystemsJohnson & Johnson Family of CompaniesJP MorganJunior League of Santa Barbara, Inc.Nancy Katayama Foundation, Inc.W.M. Keck FoundationNancy K. Ketcham FoundationLiselotte Kuttler TrustLa Centra-Sumerlin FoundationLa Santa Casa De MisericordiaLife Enrichment FoundationL.S. Research, Inc.The Laurel FoundationLuxury PerfumesMacDonald Family FoundationMADREMagellan’sMarbrook FoundationThe G. Harold &

Leila Y. Mathers FoundationFred Maytag Family FoundationMcGraw-Hill CompaniesR. K. Mellon Family FoundationMercy Corps InternationalMeridian VineyardsSeeley W. Mudd FoundationMidwest Chapter of Peruvian InstitutionsMostyn Foundation IncMotion Engineering, Inc.The Myers Family FoundationNew Horizons Outreach, Inc.OEF De El SalvadorThe Pacer FoundationPackers, LTDThe Peebles Sheen FoundationPeruvian American Medical SocietyPfizer Foundation, Inc.Philippine National BankPrecision StripThe Quinn Family Foundation, Inc.Robert N. Lindquist & AssociatesThe Roberts Bros. FoundationRobinson-MayThe Dorothea Haus Ross FoundationRotary Club of BishopRotary Club Of FillmoreRotary Club of Santa Barbara SunriseRotary Club of Santa YnezRotary Club of WestlakeRusack VineyardSamaritan’s PurseSanta Barbara Bank & Trust

Corporations providing medicalin-kind contributionsAbbott LaboratoriesAlcon Laboratories, Inc.Allergan, Inc.Bausch & Lomb Pharmaceuticals, Inc.Bayer DiagnosticBecton Dickinson & CompanyBiotrol InternationalCarlsbad Technology, Inc.Ciba Vision CorporationDCI InternationalDen-Mat CorporationDentsply InternationalDeRoyal IndustriesDiamond Polyethylene ProductsDupont Pharmaceutical CompanyEli Lilly & CompanyEthexEthicon Endo-SurgeryEthicon, Inc.Fine Science ToolsFNC Medical CorporationGlaxo Wellcome Inc.Hardwood Products CompanyHudson Oxygen Therapy SalesHu-Friedy Mfg. Co., Inc.Janssen Pharmceutica, Inc.John O. Butler Co.Johnson & Johnson Consumer ProductsJohnson & Johnson CorporateJohnson & Johnson Health CareJohnson & Johnson MedicalJohnson & Johnson ProfessionalKarl Storz EndoscopyMaxxim Medical, Inc.McKesson-General MedicalMcNeil Consumer HealthcareMedical Innovations, Inc.Medline Industries, Inc.MedPharm, Inc.Mencar Pharmaceutical CorporationMentor CorporationMerck & Company, Inc.Midmark Corporation3M PharmaceuticalsNexxus Products CompanyNihon KhodenNordent Manufacturing, Inc.North Safety ProductsNutrex Hawaii, Inc.Olympus America Inc.Onyx MedicalOrtho-McNeil Pharmaceutical CorporationPhysio-Control CorporationPrecision MedicalSearleShaman BotanicalsSmith & Nephew - OrthopedicSultan Dental ProductsSurgin, Inc.SwibcoTagg IndustriesTEVA Pharmaceuticals USATillotson Healthcare CorporationTissue Banks InternationalVisticonWalgreens

21.

Warner Lambert Consumer HealthcareWatson Pharmaceuticals, Inc.

Medical facilities, organizations andinstitutions providing medical in-kindcontributions valued at $5,000 or moreAmeriCaresCancer Center of Santa BarbaraCarrillo Community Medical ClinicCasa Dorinda Retirement CommunityThe Church of Jesus Christ of

Latter Day SaintsChurch World ServiceCoram Health CareEast West AssociatesFoodbank of Santa Barbara CountyForex CargoFriends of the PoorGlobal LinksGoleta Valley Cottage HospitalHandpiece Trading PostHealthsouth Reno Medical PlazaHome DepotHuman Performance CenterInterchurch Medical AssistanceInternational Aid, IncorporatedKaiser PermanenteKeckler MedicalLA Multi-purpose ProgramLompoc Hospital DistrictNational Pediculosis AssociationOjai Valley Community HospitalOperation USAOriental Mission ChurchPartners in HealthPhelps Medical CenterPower Equipment CompanyPruner MedicalRapid City Regional HospitalRehabilitation InstituteSaint Francis Medical CenterSansum Medical ClinicSanta Barbara City CollegeSanta Barbara Cottage HospitalSanta Barbara Internal Medicine GroupSanta Barbara Medical Foundation ClinicSanta Barbara Visiting Nurses AssociationSanta Ynez Valley HospitalSEE InternationalSt John’s HospitalSt. Joseph’s Hospital LibrarySt. Vincent HospitalTarzana Pediatric Medical GroupTulare District HospitalVacuMedValle Verde Retirement CommunityVentura County Medical CenterVeterans Administration OutpatientWESCOWesthills Regional Medical CenterWheelchairs for the World FoundationWW Patterson Committee

Thank you to each member of the Kiwanis Clubs,Emblem Clubs and Lions Clubs for supporting ourSave Our Sight Program through donations ofthousands of pairs of eyeglasses.

Thank you to the individual donors who donatedmedical equipment and supplies for the clinics andhospitals overseas.

Donations

Santa Barbara Greek Orthodox ChurchSanta Barbara High School DistrictSeasmoke CellarsSierra Madre FoundationSilicon Valley BankSilver And...Harold Simmons Foundation Inc.Solvang Rotary Club FoundationSouthern California PAMSSouthern Wine and Spirits of CaliforniaSt. Anthony Children’s Hosp Inc.St. Catherine of AlexandriaSt. John of God BrothersStarbuck, Tisdale & AssociatesThe Fran & Ray Stark FoundationStolpman VineyardSullivan Goss Books & Prints Ltd.Sunstone Vineyards & Winery.Sweeney Canyon VineyardTACA AirlinesTenet Healthcare CorporationMarilyn Swift Tennity FoundationTissue Banks InternationalTowbes Construction & Development, Inc.Alice Tweed Tuohy FoundationUnited Armenian FundUnited Voluntary ServicesUnited Way of Santa Barbara CountyUniversidad Nacional de San AgustinUniversity of California at San FranciscoVogelzang VineyardWestmont CollegeWood-Claeyssens FoundationWorking AssetsZaca Mesa Winery

Individuals providing cash or non-medicalin-kind contributions of $1,000 or moreMr. Stephen AcronicoMr. and Mrs. John H. AdamsMr. David H. AndersonMr. Michael Lee Armentrout &

Ms. Wenwei YangDr. and Mrs. Gilbert L. AshorMr. Chris AthanasuleasMrs. Elizabeth Potter AtkinsMr. Joseph AtwillMr. and Mrs. William J. BaileyMr. and Mrs. Joseph BeckerMr. Charles H. BellMr. and Mrs. Arnie BelloweMr. and Mrs. Richard A. BertiMr. and Mrs. James R. BickelMr. and Mrs. Tom BlackMr. and Mrs. Geoffrey L. BloomingdaleMs. Evelyn Boghrati &

Mr. Mohammad MazoojiMs. Margaret H. BoltonMr. and Mrs. Edgar BottlerMr. and Mrs. John C. BowenMr. James S. BowerMs. Patti BreitmanMr. and Mrs. Roland BryanMr. William S. BurtnessMrs. Eunice ButlerMr. Carl CalkinsMr. Natividad P. CarinoMr. and Mrs. James M. Celmayster

Mr. and Mrs. Palmer G. JacksonMr. James H. JacksonMr. and Mrs. Peter O. JohnsonMs. Judith JonesMr. and Mrs. Suryaram JoshiDr. and Mrs. William E. Junkert, Jr.Mrs. Sylvia KarczagMrs. R. Grice KennellyMr. and Mrs. William KistlerMr. and Mrs. Andrew KlavanMr. William C. KlintworthDr. and Mrs. Joseph Blake KoepfliMr. and Mrs. Larry KoppelmanDrs. Herbert KoteenMr. Barry KravitzMr. and Mrs. William Van Hart LaggrenMr. and Mrs. Rob LaskinMr. and Mrs. Seymour LehrerMs. Nancy M. LessnerDr. and Mrs. Donald LewisMr. and Mrs. Harrison LingleMr. Peter LionMr. Nicholas Lovejoy &

Ms. Barbara GordonMs. Hazel LyonMr. Jagadishkumar MaganbhaiMr. Frank MagidMr. and Mrs. John MagistadMs. Julie M. MahoneyMs. Mary C. MaliszewskiMr. and Mrs. Jim MannMr. Calvin MarbleMr. and Mrs. Doug MargerumMs. Kim MargolinMr. and Mrs. Howard S. MarksMr. and Mrs. Keith MarstonMr. and Mrs. George L. MatthaeiMr. and Mrs. Michael M. McCarthyMrs. Marian McClellandMrs. C.B. McFieMs. Clare Miner McMahonMr. and Mrs. John H. McNallyMr. Ronald E. MelvilleMr. and Mrs. Reiner MesritzMr. and Mrs. Kendall A. MillsMrs. Erna MolnarMs. Margo MonroeMr. and Mrs. David MorrisMr. Regis J. MorrisMr. Robert MunozMr. and Mrs. Harry L. MurphyMs. Marian NarettoMr. Bruce A. NordstromMrs. Sandra NowickiDr. Anwana NtofonMr. and Mrs. Sidney R. OttmanMr. and Mrs. Jack B. OverallMr. and Mrs. Clyde PackerMr. Harold A. ParmaMr. and Mrs. Hina I. PatelMr. Michael PerryMr. and Mrs. Donald E. PetersenMr. and Mrs. Erling PohlsMrs. Georgiana A. PorterMr. and Mrs. Alexander PowerMrs. Jan QuinnMr. Bryan ReinhardDr. Thomas F. ReynoldsMr. Michael Riedel

Mrs. Jane RieffelDr. and Mrs. Paul A. RiemenschneiderMr. and Mrs. Ian RitchieMr. William RizziMr. and Mrs. Richard H. RobertsMr. and Mrs. Charles F. RobinsonMr. Denis SananMr. and Mrs. Scott David SandellMr. and Mrs. Edward J. SavageMs. Phyllis SchechterMr. and Mrs. C. William SchlosserMr. and Mrs. Nathan SchulhofMr. and Mrs. Arthur SchultzMr. and Mrs. Michael SharpDr. and Mrs. Thomas E. SheaMs. Catherine ShortleMr. Robert SimonMrs. Robert SommerMr. and Mrs. Edward StepanekMr. Carl A. StrunkMr. and Mrs. Harold H. SullwoldMr. and Mrs. Robert SullyMr. Stuart TaylorMs. Lee ThomasMr. and Mrs. Walter J. ThomsonMr. Donn TognazziniMr. and Mrs. Paul TonkinMr. and Mrs. Thomas N. TreloggenMrs. Grace J. TroutMr. and Mrs. George Turpin, Sr.Dr. and Mrs. Wally VandeverDr. and Mrs. Daniel VapnekMr. Antero VelezMr. and Mrs. Renato S. VillanuevaMr. and Mrs. James C. VogelzangMs. Elizabeth VogtVos Family FoundationMs. April N. WalstadMr. Frederick WarrenMr. and Mrs. John F. WeersingMr. Louis WeiderMr. and Mrs. Charles W. WhitingMr. Ralph E. WilliamsMs. Shirley WilsonMr. and Mrs. Noah WyleMs. Birge K. Zimmermann &

Mr. Kenneth Goodearl

22.

Mr. Richard CertoMr. and Mrs. Michael CherryMr. Ernest Clark, Jr.Mr. and Mrs. Fred ClarkeMr. and Mrs. Jim ClendenenMr. and Mrs. Ben F. ConwayMr. and Dr. Michael CorriganMr. and Mrs. Tom CrawfordMr. and Mrs. William CrawfordMr. and Mrs. Bob DavidsMs. Angela DavidsonMs. Margaret E.G. DavisMr. Robert A. DayMr. John Paul De JoriaMrs. Willard G. DeGrootDr. Roy C. DeLamotteMr. and Mrs. Bruce DouglasMr. and Mrs. Stephen M. DowMr. Edmond F. DucommunMr. Edward EdickMr. Steve Eimer &

Mr. Kevin CartwrightMr. and Mrs. James A. EitingMr. and Mrs. Peter EllenshawMr. and Mrs. Ted EwingMr. and Mrs. Charles FarishMr. Warren S. FarrellMr. and Mrs. Joseph FarrellyMr. and Mrs. Howard FentonMr. Dean FergusonMr. Shareen E. FiolMr. Terence M. FlynnDr. and Mrs. John M. FoleyMs. Penelope D. FoleyMrs. Barbara Hunter FosterMr. and Mrs. Larry GainesMs. Monica GallagherMr. and Mrs. Emmette GatewoodMr. and Mrs. Fred S. GauntMr. Harry GellesMr. Bob GerberMr. Dane E. GlasgowMr. and Mrs. Larry GlennMr. Paul F. GlennMr. and Mrs. Richard GodfreyMr. Dudley J. Godfrey, Esq.Ms. Sarah GreenMs. Kate GreggMr. and Mrs. Garney HallMs. Elizabeth Halloran, M.D., D.S.C.Ms. Patricia HalloranMr. Chip HarlowMr. and Mrs. Thomas J. HarrimanMr. and Mrs. David F. HartMr. and Mrs. Houston HarteDr. and Mrs. Melville H. HaskellMr. and Mrs. Stanley C. HatchMr. and Mrs. Billy Ray HearnMr. William A. HelsellMr. and Mrs. Richard HennonMr. and Mrs. Richard J. HerczogMs. Priscilla C. HickmanMr. and Mrs. T. Milton HoneaMr. and Mrs. Carl HopkinsMr. and Mrs. S. Roger HorchowMr. Stanley HubbardMr. and Mrs. Derk HunterMrs. Alice W. HutchinsMr. and Mrs. Victor J. Illig

Gifts fromDirect ReliefInternationalBoard Members

for the year 2000totaled

$1,032,433.

Donations

The Mission of Direct Relief International is to provide appropriate ongoing

medical assistance to health institutions and projects worldwide which

serve the poor and victims of natural and civil disasters without

regard to political affiliation, religious belief, ethnic

identity or ability to pay.

Direct Relief International 27 South La Patera Lane Santa Barbara, CA 93117

www.directrelief.org info@directrelief.org 805 964-4767

ADVISORY BOARDCHAIR, Frank N. Magid

Hon. Henry E. Catto

Lawrence R. Glenn

E. Carmack Holmes, M.D.

S. Roger Horchow

Stanley S. Hubbard

Jon B. Lovelace

John D. Macomber

Donald E. Petersen

Richard L. Schall

2000 BOARD OF DIRECTORSCHAIR, Richard D. Godfrey

VICE-CHAIR, James H. Jackson

TREASURER, Ted Ewing

SECRETARY, Nancy Schlosser

Dorothy Adams

Gilbert L. Ashor, M.D.

William Bailey

Jayne Brechwald, M.P.H.

William Burtness

James A. Eiting

Ellen Engleman, Esq.

Patricia Halloran

Melville Haskell, M.D.

Jean Hay (CHAIR EMERITUS)

Peter O. Johnson

Sylvia Karczag (PRESIDENT EMERITUS)

Nancy M. Lessner

Don Lewis, M.D.

Helga Morris

Paul Riemenschneider, M.D.

Del Rudeen

Denis Sanan

Krishan G. Singh

Susan Sully

Donn V. Tognazzini

Bruce A. Woodling, M.D.