FISCAL YEAR 2019 ANNUAL REPORT YOUR SUPPORT & HOW IT WAS USED FY 2019 BOARD OF DIRECTORS CHAIR Mark Schwartz VICE CHAIR Pamela Gann CONTENTS SECRETARY James Selbert ASSISTANT SECRETARY Siri Marshall TREASURER Linda J. Gluck ASSISTANT TREASURER Mark Linehan 03 28 Fiscal Year 2019 in Review Strategic Foundation Partnerships Steven Amerikaner • Patricia Aoyama Bitsy Becton-Bacon • Lou Buglioli 13 30 Jeffrey Branch • David A. Brown How Direct Relief was Funded Investors Charles Fenzi, MD • Patrick Fitzgerald David Lee Gibbs, PhD • Elizabeth Green, RN 17 43 FISCAL YEAR 2019 ANNUAL REPORT Angel Iscovich, MD • Michael Kelly How Your Support Was Used In Memoriam Jane Olson • Jamie Ruffing, PhD 6100 Wallace Becknell Rd, Santa Barbara, CA 93117 Byron Scott, MD • Thomas Sturgess T: 805-964-4767 | TOLL-FREE: 800-676-1638 Steven A. Weintraub 23 44 Financial Statements Guiding Principles F: 805-681-4838 | DirectRelief.org INTERNATIONAL ADVISORY BOARD 26 E. Carmack Holmes, MD • S. Roger Horchow Corporate Partnerships IMPROVING Donald E. Petersen • John W. Sweetland ON THE COVER: THE HEALTH MEDICAL ADVISORY BOARD Responding to the devastation wrought by Hurricane Juan Carlos Alvarenga, MD Sofia Merajver, MD, PhD • Carol Millage, PharmD Michael across the Florida Federico Antillon, MD, PhD Charles Nicholson, MD • Raj Panjabi, MD, MPH AND panhandle, Mexico Beach Steve Arrowsmith, MD Bakht Sarwar, MD, MS Fire Chief Donald ‘Sandy’ Ayesha Shaikh, MD, OB/GYN LIVES Hon. Regina Benjamin, MD, MBA Walker loads a Direct Elizabeth Duarte, MD Hambardzum Simonyan, MD • Tom Stern, MD Relief Emergency Response Georges Dubuche, MD, MPH Larry Stock, MD, FACEP Backpack into his cruiser on OF PEOPLE Adrian Ebner, MD • Paul Farmer, MD, PhD Elizabeth A. Toro, MD, MPH, OB/GYN October 14, 2018. Charles Fenzi, MD • Daron Ferris, MD David S. Walton, MD, MPH PHOTO: Zach Wittman/Direct Relief AFFECTED Charles Filipi, MD • Lynn Fitzgibbons, MD Thomas Weisenburger, MD Susan Fleischman, MD • Grace Floutsis, MD Beatrice Wiafe Addai, MD, PhD Henri Ford, MD, MHA, FACS, FAAP BY Hon. Jaime Galvez Tan, MD, MPH CHAIR EMERITI Paul Giboney, MD William C. Gong, Pharm D, FASHP, FCSHP Thomas J. Cusack • Richard Godfrey POVERTY PRESIDENT EMERITUS Bert Green, MD • Elizabeth Green, RN Stanley C. Hatch • Angel Iscovich, MD Sylvia Karczag Dan Greenfield, MD • Douglas S. Gross, MD, PhD Dorothy F. Largay, PhD • Nancy Lessner PRESIDENT & CEO OR Angel L. Iscovich, MD • Rosie Jadidian, PharmD Rita Moya • John Romo • Denis Sanan Thomas Tighe Karen Lamp, MD • Michael Maguire, MD Nancy B. Schlosser EMERGENCIES Laurinda Marshall, RN 2 ANNUAL REPORT | FISCAL YEAR 2019 FISCAL YEAR 2019 IN REVIEW If the previous year was defined by humanitarian crises and natural disasters of unprecedented scale— including Hurricane Maria in the Caribbean, wildfires and mudslides in California, and the U.S. opioid THE CASE epidemic—Fiscal Year 2019 continued the tragic trend with its own epic emergencies and dire every-day threats ranging from climate to disease. The case for pessimism is easy to make. Direct Relief works every day with people experiencing a worst-case scenario, both in the immediate FOR emergencies that rivet attention and the slow-motion tragedies that don’t, such as those that unfold in deep poverty. These situations don’t lend themselves to thoughtless, sunny optimism. OPTIMISM That’s why it’s so extraordinary to see optimism emerge, every day, from the most unlikely of sources. More than 700,000 Rohingya refugees PRESIDENT EMERITUS continue to live in Bangladesh after Sylvia Karczag fleeing their home country of Myanmar, and Direct Relief is supporting local PRESIDENT & CEO 4 groups like the HOPE Foundation Thomas Tighe for Women and Children working to REASONS provide health services within the Rohingya settlements. FOR (Josh Esty/ EMC) OPTIMISM In response to the Camp Fire, the deadliest wildfire in California history, Direct Relief staff offloads Seemingly Insurmountable 20,000 N-95 respirators, Emergencies Can Be Met With 20 oxygen concentrators, an emergency health kit, hygiene kits, and medical response packs to the Butte County Public Health EXTRAORDINARY Department in Oroville, CA. (Andrew Fletcher/Direct Relief) 1 RESPONSE he 2018-2019 California wildfire season was the deadliest and most destructive ever recorded—8,500 fires scorching 1,893,913 acres. T First, the Carr Fire erupted in Shasta and Trinity counties with a fire tornado that clocked winds as high as 143 miles per hour. More than 1,000 homes were destroyed and eight people were killed. The Mendocino Complex THE RESPONSE FY19 CA WILDFIRE RESPONSE Fire followed, burning more than 459,000 acres BY THE NUMBERS becoming the largest complex fire in the state’s As a California-based disaster relief and medical assistance organization, Direct Relief history. Then, on November 8, the Camp Fire has responded to wildfires in California, and throughout the U.S., for decades. The exploded in Butte County. It burned 153,000 acres, organization is also a long-time partner of the State of California through its Office of 144 deliveries containing destroyed nearly 19,000 structures, 14,000 of Emergency Services and Emergency Management Agency, and serves as a member of doses of medicine valued 80,800 which were homes, and claimed 85 lives. While the state’s Business Operations Center. at $1.34 million wholesale, to the Camp Fire was still raging, the Woolsey and Direct Relief was quickly able to assist its extensive network of health centers and 35 healthcare providers, first Hill Fires charred over 105,000 acres in Ventura clinics throughout California and around the wildfire perimeters. In Fiscal earY 2019, responders, public agencies and and Los Angeles Counties, consuming homes and Direct Relief made 144 deliveries containing 80,800 doses of medicine valued at $1.34 evacuation centers businesses throughout the region, and killing at million wholesale, to 35 healthcare providers, first responders, public agencies, and least three people. $456,546 in emergency grants evacuation centers. Fifty product manufacturers and distributors contributed medical, nutritional, patient care, and personal protection products to the relief and recovery to 8 healthcare providers RISKS BEYOND THE FLAMES effort. Emergency shipments contained: $668,100 in financial support to Not only do fires result in burns and other injuries > N-95 masks to filter out smoke and dangerous particulates harmful to the respiratory system. city and county fire departments for sustained from heat, but they can seriously > Respiratory medications, inhalers, nebulizers, and oxygen concentrators to assist people who the procurement of off-road trucks, exacerbate respiratory issues such as asthma as suffer from lung diseases such as asthma. utility terrain vehicles, fire-fighting and they generate a harsh combination of smoke, dust, > Insulin, oral diabetes medication, and diabetes injection supplies to manage care for people search and rescue tools and gear, and and other particulates. Because many are forced to with Type 1 and Type 2 diabetes. communications devices. flee, people suffering from chronic illnesses, such > Epinephrine injections to provide emergency treatment of severe allergic reactions. as diabetes and hypertension, often leave home > Tetanus vaccines to protect people who sustained burns or puncture wounds from developing lockjaw—a bacterial disease that can become deadly if not properly treated. without their medications and can quickly find themselves in a medical crisis. > Anti-infective agents to address a wide range of bacterial infections. The Camp Fire burned so intensely and moved so quickly that the town of Paradise was > Cardiovascular drugs to treat high blood pressure and symptoms of congestive heart failure. reduced to little more than ash. Much of the burn area was subsequently declared to be a > Gastrointestinal agents for vomiting and diarrhea associated with the norovirus outbreak. public health emergency due to the potentially dangerous mix of toxins left behind. Many > Ophthalmic agents to treat eye irritations and infections. residents remain displaced and will not be allowed to return or start rebuilding until the > First aid supplies to treat wounds and orthopedic injuries. hazardous debris is removed. > Diagnostic equipment such as blood pressure kits, otoscopes, pulse oximeters, and blood Most of the shelters have closed and hundreds of people and families who lost their glucose meters and test strips. homes have been struggling to find short-term housing, leaving many to live in tents and > Mental health medications to address disorders including depression, anxiety, and bipolar disorder. vehicles despite the cold and rainy winter. > Water purification equipment to ensure that people had clean drinking water. 4 Direct Relief provided $668,100 in financial support to city and county fire departments for the procurement of off-road trucks, utility terrain vehicles, fire-fighting and search and rescue tools and gear, and communications devices, to increase and enhance city Erick Madrid and county fire department capacity in affected areas. (Santa Barbara County Fire) After the Camp Fire, Paradise Residents Got Sicker. FINANCIAL ASSISTANCE So Local Nurses Founded a Clinic. In addition to the provision of needed medical goods and personal care products, Direct Relief has provided With firm roots in the local community, a family of nurses emergency funding support to healthcare facilities and founded a brand new nonprofit to treat Paradise