WELCOME FROM THE CHAIR

WELCOME FROM THE CHIEF EXECUTIVE

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Tuberculosis continues to be one of the greatest killer infectious diseases in the World. Although in the past year the World Health Organisation (WHO) has estimated a small decrease in the global number of TB cases, there is a very long way still to go if the target of making TB a rare disease by 2050 is to be achieved.

It is in this context that TB Alert focuses its efforts in southern Africa, which suffers the highest rates of TB, in India, which has the greatest numbers of individuals with TB, and in the United Kingdom, which experiences the highest incidence of TB among the low burden countries of western Europe. In line with our Mission Statement of increasing access to effective TB care for all who need it, our particular focus in all these areas is to work with communities to increase awareness of TB so that care is sought early, and to support individuals as they go through the long, arduous treatment. One of the greatest challenges in TB today is that worldwide, 40% of individuals with TB never have contact with proper TB services. TB Alert strives to counter that by focusing on the social aspects of TB control, complementing the medical role of government health services.

The past year has been notable for TB Alert as the first time that our turnover has touched a million pounds and that, looking forward, we have developed a strategic plan for the next five years. The latter focuses on awareness of TB, enhanced collaboration between civil society and government agencies, and advocating for increased support for TB action. We aim thereby to achieve greater impact, increasing the number of individuals whose route to care is accelerated and who are helped to complete the long months of treatment.

Paul Sommerfeld, Chair

There are times in every important issue in history – whether health, political or social – when you feel an important and irreversible change has started. Looking at the world of tuberculosis, I believe we are seeing the birth of just such a change. It is the acceptance by the medical TB community that civil society plays a legitimate and a crucial part in the fight against TB.

As I sat down to write this introduction, already planning to focus on this theme, I received an inspirational slide show of the first ever civil society march held at the World Conference on Lung Health. One hundred TB activists marched through the convention centre, arriving at the opening ceremony just as delegates were taking their seats. It demonstrated how the voice of civil society – organisations working with affected communities and individual people affected by TB – has grown over recent years and how they now have the confidence to claim their place alongside health officials in tackling the scourge of TB. This has happened because the TB community is seeing that more people are accessing treatment and that lives are being saved by clinicians and civil society working together to tackle TB at grassroots.

The evidence is everywhere, not least in our own work. In India, our sister organisation TB Alert India is part of a civil society consortium at the centre of a huge national TB programme funded by the Global Fund to Fight AIDS, TB and Malaria. In Zambia, our COTHAZ network is giving the government a way to engage with communities where TB is rife. In eastern Europe, the TB Europe Coalition is working with the World Health Organisation on a plan to tackle drug-resistant TB. And in England, The Truth About TB programme and the NHS are working hand in hand to deliver help to people at risk of TB all around the country.

TB Alert has worked with passion and dedication over the last 13 years to play its part in bringing about this change in the TB world. Through the commitment and support of our staff, advisers and donors we have seen our organisation grow and deliver meaningful help to people in villages, cities and communities where, as a result, fewer people are falling ill with TB and fewer lives are being lost. This is the path we are committed to, until this dreadful disease has been consigned to history and we look out on a world that is free of TB.

Mike Mandelbaum, Chief Executive

OUR APPROACH

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Our approach is embodied in the five key objectives set out in our strategic plan 2012 to 2017:

to meet the needs of individuals and communities affected by TB for information and support, and raise awareness of TB among health professionals

to strengthen collaboration between health and social care systems and civil society, for the care of patients and the prevention and control of TB

to influence policy and the mobilisation of resources for the care of patients and the prevention and control of TB

to measure and demonstrate the impact and cost efficiency of TB Alert’s work

to secure committed, skilled and effective staff and trustees and a diversified funding base.

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TB Alert believes in a world without TB. It is possible. TB is curable, and early diagnosis and treatment helps to prevent the spread of TB. Unfortunately, it is not that simple. Whilst it is clinically possible to diagnose and treat most forms of the disease effectively, the people most vulnerable to TB – who tend to be the poorest and most marginalised in society – all too frequently fall through the gaps in service provision. As many as 40% of the 8.7 million people who develop the disease each year never reach a qualified doctor – those that do, frequently delay going to a doctor until the illness is advanced and therefore more difficult to treat. Even when people do receive a timely and accurate diagnosis, and are started on medication for TB, too many cease their treatment before they have been successfully cured of the disease.

Working within national TB control programmes, TB Alert promotes a collaborative, social model of health to address TB. This model considers the social, cultural and economic factors that make some people more vulnerable to TB; less likely to seek help for possible TB symptoms; and less able to complete treatment successfully if diagnosed with the illness.

TB Alert’s programmes help close the gaps in service provision by encouraging collaboration between statutory service providers and the civil society organisations that already exist to support vulnerable communities. Our programmes are designed in consultation with experts from across the TB spectrum: TB clinicians, public health specialists, TB researchers – and people affected by TB. By including the voices of individuals affected by TB we help ensure that service design and delivery truly meets the needs of affected communities.

Our programmes help prevent delays in diagnosis, and support treatment completion by raising awareness about the risks and symptoms of TB, the rights people have to treatment – which is usually free – and the dangers of not completing treatment. By talking about the illness, and empowering people affected by TB to share their stories, our programmes challenge stigma and overcome misconceptions. We also raise awareness of TB among health professionals, to help prevent delays in diagnosis that may occur after people reach primary care. TB Alert is committed to training and development – including specific TB training for our civil society partners – so that our awareness raising and advocacy work is informed by sound TB knowledge.

TB Alert aids treatment completion by providing practical and emotional support for patients throughout the long, and often difficult, treatment for TB. We also advocate for improved TB medications; for improved health systems for new TB tools to work within; and for sufficient and consistent funding for TB care and control. We extend the scope and impact of our advocacy work by working in partnership with key organisations such as the Stop TB Partnership, TB Europe Coalition, UK Coalition to Stop TB and All Party Parliamentary Group on Global TB.

We know that TB Alert’s work saves lives: our programmes are shaped by continuous monitoring and evaluation to ensure that they have the greatest impact in diverse settings and to demonstrate their effectiveness to others. We promote the adoption of a social model of health across national and international TB programmes, sharing our learning and increasing the influence of our life-saving work.

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OUR WORK IN THE UK OUR WORK IN THE UK – IMPACT

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In the UK, The Truth About TB reached 134,147 people directly, with 4.8 million more opportunities to view information about TB in the media, on the world wide web, and on UK public transport:

113 people received patient support fund grants totalling £15,745, providing support to cover costs linked to TB treatment, such as travel to hospital, nutritious food and heating

279 third sector and local government programme staff attended 13 The Truth About TB training events

19,275 people who were concerned about or affected by TB received help through TB Alert’s Information Service: www.thetruthabouttb.org [01273 234770]

84,000 people received TB awareness materials that were produced by 12 programme partners with TB Alert’s support, and a further 289,000 people had the opportunity to view information about TB on buses in the London Borough of Wandsworth

45 programme partners requested TB Alert’s symptoms animation and screensaver – this has now gone viral, with requests from numerous countries including the United States, Canada, Lithuania and Bangladesh

4,420,568 people had the opportunity to view articles on TB placed in 56 UK media channels, including The Independent, Daily Mail, BBC Asian Network and satellite broadcast programs

30,480 people received The Truth About TB materials, distributed by the 259 TB Alert partners that held awareness raising events on World TB Day 2012

Amy McConville

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THE TRUTH ABOUT TBIn 2010 TB Alert launched The Truth About TB programme, which has continued in 2011-12 to shape a new paradigm for addressing TB awareness in the UK: recognising the social, cultural and economic factors that heighten individual vulnerability to TB; empowering the people affected by TB to inform the design and delivery of TB services; and involving the third sector in TB partnerships with local government and the NHS. The project has been funded until 2014 by the Department of Health (DH). This grant recognised TB Alert’s innovative approach to meet the TB awareness raising objectives set out in the DH’s TB Action Plan.

The people that are particularly vulnerable to TB in the UK number among the most marginalised in society: black and minority ethnic communities, homeless people, substance misusers and people living with HIV. They are often considered hard to reach by statutory service providers that have previously taken an overwhelmingly clinical approach to delivering TB services. The Truth About TB programme reaches these groups by supporting local partnerships between statutory providers with responsibility for TB, and the not-for-profit organisations that already exist to support vulnerable groups. The programme provides TB training and support to enable such non-TB specialist organisations to integrate TB into their programmes. The programme also encourages local TB partnerships to include the voices of people affected by TB at all levels of planning and delivery. After all, people who have experienced TB are best placed to understand why people may delay seeking help for possible TB symptoms, and what encourages affected individuals to seek out and remain in treatment for TB.

TB Alert leads by example though its work with the TB Action Group (TBAG), a network for people affected by TB in the UK. Members provide peer support for people during treatment for TB, and use their stories and insights to raise awareness and to advocate for better TB services.

Amy Mcconville has been a committed member of TBAG since 2008. With TB Alert’s training and support Amy has built her involvement over the years. In 2011, Amy began to co-facilitate TBAG with TB Alert’s Policy and Engagement Officer, Tessa Marshall. Amy’s involvement is helping to realise the ambition that TBAG should become a self-sustaining organisation and the first point of call for TB policy-makers who need the patient’s perspective. TBAG is now widely consulted on TB policy and practice, such as the recent NICE guidelines for the management and control of TB.

Amy has grown in confidence to use her increased knowledge of TB, alongside her personal experience, to participate in high profile advocacy activities. In February 2012, Amy shared her insights during a consultation on the social determinants of TB and their implications for TB policy and practice on a global scale. The event was co-sponsored by the World Health Organisation; United Nations Development Programme; Bill &

Melinda Gates Foundation; Health Protection Agency; Chatham House; and London School of Tropical Medicine. Amy has also shared her story in the national press, at TB Alert’s third sector training events, and at a World TB Day event at the UK Parliament. It is no wonder that people sit up and take notice when Amy speaks, her story is incredibly powerful.

Amy developed a dry itchy cough whilst studying for a law degree in early 2004. She assumed that it was a result of the stress of her studies, and she was satisfied that the course of antibiotics prescribed by her doctor would be sufficient treatment. Three months went by, and Amy did not respond to the antibiotics so her doctor referred her to hospital. In the six weeks it took for her appointment to come through, Amy began experiencing night sweats – another common symptom of TB. Amy finally received an appointment in April 2005; by this time her weight had dropped from eight to five and a half stone. The hospital performed a bronchoscopy and sputum test. Amy was diagnosed with TB, and started on TB antibiotics.

“I have to admit that I didn’t start taking the tablets for three weeks,” Amy explained, “because I was so scared of side effects. A month after my diagnosis, an X-ray showed that one of my lungs had collapsed.” Alongside the TB treatment, Amy received physiotherapy to help her lung. She was given the all clear in January 2006. “About a month later red circles appeared on my legs, so I went to the county hospital. My heart rate was high. A consultant took samples. I heard nothing for three weeks, so I called and was told that they’d lost my notes. My cough came back and I began to feel sick, tired and lost weight again.”

Amy returned to her doctor in May 2006. She was given more antibiotics and an emergency appointment for the chest clinic – but she was re-admitted to hospital with a pneumonia-related infection before she could attend this appointment. Her TB had returned. The consultant explained that her treatment had not killed the TB bacteria in full because of her collapsed lung. The impact of the delays in diagnosis and the collapse of one lung were devastating for Amy. In May 2007, she had to have an operation to remove the affected lung.

Amy does not want anyone else to ever go through the same experience. This is why she joined the TB Action Group. As she explains, “TBAG’s support is invaluable to people like me, who may need support during their difficult treatment for TB. But more than this, if my story can be used to raise awareness of TB, so that people are diagnosed and treated quickly, then I did not suffer for nothing.”

OUR WORK IN ZAMBIA OUR PROJECTS IN AFRICA – IMPACT

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COMMUNITY-LED TB-HIV ADVOCACY IN ZAMBIA (COTHAZ)

TB Alert launched COTHAZ in February 2011, a partnership project with seven local civil society organisations that helps to address TB and HIV co-infection in six areas of Zambia: Kabwe, Katete, Luanshya, Masaiti, Lusaka and Kitwe. The UK’s Department for International Development has provided funding for the project until 2014.

Zambia has close to one million people living with HIV. Each year, 76,000 more are infected with the virus. Though deaths from AIDS reduced by 13% between 2001 and 2009, that progress is in danger of stalling if HIV organisations in Zambia do not also begin to address TB. TB is the leading killer of people living with HIV worldwide. Unless treated with anti-retroviral therapy, HIV destroys the immune system making TB more likely – and an untreated TB-HIV co-infection can kill within a matter of months.

“We cannot win the battle against AIDS if we do not also fight TB”

Nelson Mandela

Many HIV organisations simply do not have the knowledge or capacity to address TB. This is why COTHAZ forms partnerships with HIV organisations, like the Copperbelt Integrated Health Education Project (COIHEP). Partners receive training and support to raise awareness of TB-HIV among local communities and to advocate for better TB-HIV services at local and national levels.

Eugene Ponga, 62, became involved with the COTHAZ project as a result of the support he received through COIHEP’s HIV programme. His long battle with TB-HIV co-infection highlights why an integrated approach to TB-HIV is so important.

Eugene lives with his wife Lizie and their two teenage sons. The family earns a living by growing maize on their smallholding. As a farmer, Eugene is dependent on his physical strength, but his livelihood has suffered as a result of his recurrent ill-health. Eugene was diagnosed with HIV in 2004 and placed on anti-retroviral therapy. He has been treated for TB three times since his HIV diagnosis. At one time, his health was so poor that he had to use crutches to walk. Until he received training as a COTHAZ volunteer, Eugene did not understand the link between TB and HIV, or that failure to routinely take his anti-retroviral therapy (ARTs) and TB medication contributed to his recurrent TB.

As Professor Peter Davies, TB Alert Trustee and chest consultant explains, “Someone with HIV may become re-infected with TB – even if treated successfully in the past – especially if they do not take anti-retroviral therapy consistently.

“TB bacteria can also begin to multiply once more if an affected individual fails to successfully complete a prescribed course of TB medication, to completely kill off all the TB bacteria. This is true both for people that are HIV negative and people living with HIV, even if they are taking ARTs regularly. In both instances the answer to preventing harm from TB is completing their course of treatment.”

Through COTHAZ, Eugene received training on all aspects of TB, “I now know what symptoms to look for, the impact of stigma, what rights people have to treatment, and the importance of taking TB and HIV medications correctly. I am now a role model for drug adherence and use my training to volunteer as a drug-adherence counsellor. I also chair a team of COTHAZ volunteers and share my experiences through radio broadcasts on TB and HIV.”

COTHAZ volunteers go out into the community to pass on messages around TB-HIV, through drama, door-to-door visits and group discussions. The project also organises live panel discussions on TB that are broadcast by Ichengo Community Radio and the Zambia National Broadcasting Corporation in Kitwe. Eugene participates in the discussion and uses his new understanding of TB and HIV, alongside his personal experience of both conditions, to provide advice and support for audience members who call the show with questions. The broadcasts reach nearly three million people, many in remote areas of Zambia that are otherwise difficult for COTHAZ volunteers to reach.

COTHAZ trains its partner organisations to use the insights they gain from working directly in their local communities – and with volunteers like Eugene who talk from their own experience – to advocate for improved TB services. Eugene explained that he was reluctant to leave his farm on crucial days in the harvest cycle to collect his medication at the local hospital – and he did not see the point of doing so if he felt well. COIHEP are now advocating to extend the number of days allocated to ART provision at the local Roan Hospital, so that people have more opportunity to obtain their life-saving drugs. Eugene wholeheartedly supports this approach:

“My health status is now greatly improved and our maize harvest will see us through 2012. I also wish to urge other support organisations to emulate COIHEP and COTHAZ as they serve their target communities in TB, HIV and AIDS prevention.”

Eugene Ponga

COTHAZ reached 2,757,511 people in Zambia:

56,836 through TB-HIV awareness activities

2,700,000 through local radio shows on TB-HIV

569 local leaders with information on TB-HIV and rights to treatment

106 project staff and community volunteers with TB-HIV and advocacy training

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The Murambinda Mission Hospital TB programme reached 94,153 people in Zimbabwe:

5,342 tested for TB

1,133 diagnosed with TB

16,441 through active case finding

68,405 with messages on TB

1,054 through Directly Observed Therapy

1,240 community members trained as volunteers

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OUR WORK IN INDIA OUR PROJECTS IN INDIA – IMPACT

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IMPROVED ACCESS TO TB SERVICES FOR UNDERSERVED COMMUNITIES IN ANDHRA PRADESH (TAP), INDIA

In September 2011 TB Alert launched TAP, a major new project funded until 2015 by the Department for International Development. The project is being led by our sister organisation, TB Alert India, and our partner, Vasavya Mahila Mandali (VMM).

The project aims to reach over 300,000 tribal, fishing, rural and urban poor people in Andhra Pradesh, who have a limited understanding of TB and HIV or their rights to access free government TB and TB-HIV services. The project works with local community leaders to develop a programme of TB-HIV awareness raising that meets the language, literacy and cultural needs of the local community. The programme includes activities such as community meetings, door-to-door outreach, mass rallies, drama and dance – supported with highly visual materials that are also distributed in settings where they will reach a wide audience: health centres, post offices, schools, public transport, and marketplaces.

The project recognises that private medical practitioners and traditional healers are often the first point of call for people who fall ill, though these private providers may have a limited understanding of TB. TAP staff and volunteers arrange meetings with these providers to train them on TB and HIV, and how to refer patients to government TB-HIV services for diagnosis and treatment. The project also provides ongoing support for people affected by TB-HIV. This may take the form of support groups including child support groups and grannie clubs, since many grandparents in Andhra Pradesh are raising children that have been orphaned by TB or HIV. Assistance may also be in the form of direct provision for travel to TB-HIV services and, potentially, nutritional support for children affected by TB, as we explain below.

TAP’s staff and volunteers are trained in advocacy techniques to enable them to work with health service providers and policymakers to improve TB and HIV services, based on their understanding of local need. TAP are currently advocating with the state government of Andhra Pradesh to provide funding for a nutritional support package for children aged six or below who are affected by TB – to match the support already provided by the Government of India to children living with HIV. The TAP project has successfully secured this package for Perla Nallaraju, a three year-old member of a poor fishing family who fell ill with TB of the lymph nodes.

Perla lives in Kunduvanipeta, a small fishing community of 1,850 people in northern Andhra Pradesh. When his mother Varalakshmi separated from Perla’s father, she and Perla moved into the cramped home of her father Yerrayya – a fisherman and the family’s only breadwinner – and aunt Eswaramma. Both have been treated for pulmonary TB – the only form of TB that is infectious.

When Perla began to feel unwell and developed a swelling in the neck, the family did not immediately associate it with TB. Though his aunt and grandfather have had TB, they did not know that it could affect any part of the body. Perla did not have a cough, one of the common symptoms associated with pulmonary TB. Varalakshmi took her young son to a private practitioner who treated Perla’s symptoms – unsuccessfully – for over a year. Fortunately, TAP’s trained outreach volunteers visited the family and they immediately became suspicious that Perla’s symptoms resulted from TB. The outreach workers encouraged Varalakshmi to take Perla to a government hospital, 15 kilometres from his village. Perla was tested for TB and diagnosed with TB of the lymph node. After Perla’s diagnosis, the TAP outreach worker returned to the house to help the family access free government TB treatment for Perla. The volunteer had to explain their rights and help them overcome their distrust of government-provided facilities.

Perla is now receiving TB medication under the supervision of the Government of India’s Integrated Child Development Service (ICDS). The ICDS initially provided Perla with an egg and milk for eight days each month, to help support his recovery from TB. On their meagre income, Perla’s family found it hard to afford the eggs and milk that Perla still needed on the remaining days of the month. The TAP team advocated with the Srikakulam District Collector – the chief administrative officer in the district – and the ICDS Project Director to link children affected by TB with the double-nutrition programme already available to children affected by HIV.

As a result, Perla is now taking home a ration of rice, lentils, oil and eggs for 25 days each month. He is also eligible to eat a meal of rice, lentils, vegetables and millet each day at the ICDS centre. This has removed the strain from Perla’s family and he is now a vibrant little boy once more.

Perla Nallaraju

TAP reached 33,367 people:1

364 diagnosed with TB

148 diagnosed with HIV

32,855 adults and children with information onTB-HIV co-infection and health rights

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Andhra Pradesh Community Health Interventions Project (APCHIP) reached 364,467 people:

23,988 referred for testing for TB, HIV, malaria, filaria and leprosy

1,339 diagnosed with TB

511 diagnosed with HIV

79 diagnosed with malaria

5 diagnosed with filaria

21 diagnosed with leprosy

340,479 reached with awareness messages about TB, HIV, malaria, leprosy and filaria

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AXSHYA reached 35,151 people:

27,307 through TB awareness meetings with local community members, local leaders, non-governmental organisation staff and health professionals

5,020 with TB awareness materials

454 patients were supported through treatment for drug-resistant TB

377 volunteers and staff from community and non-governmental organisations trained

437 health professionals trained

1,556 business leaders and private practitioners trained on workplace Directly Observed Therapy

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Delhi DIVINE reached 11,327 people:

543 TB cases were registered for Directly Observed Therapy

10,638 with TB awareness messages through 288 community outreach meetings and events

109 community volunteers trained on TB

37 private healthcare providers trained on TB

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1: From September 2011, when the project launched, to March 2012

ADVOCATING FOR GLOBAL CHANGE

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As the UK’s national TB charity we are committed to ensuring there is always a strong and informed voice making the case for the resources and policies necessary to fight TB. This year saw us continue to increase the scope and scale of our policy development and advocacy work.

In England, the reform of the NHS presents a chance to improve TB services and reverse the 25 year pattern of increasing incidence. We can see that in developed countries where good progress has been made in reducing TB, a preventive public health approach has been taken, rather than a primarily clinical view of the disease. With the establishment of Public Health England in 2013, we have an opportunity to make similar progress in this country. TB Alert has therefore been coordinating a policy group, working with the British Thoracic Society and other stakeholders across the country, to advise the Department of Health on how future TB services can most effectively be designed and commissioned.

In the European arena, TB Alert is a leading voice in the TB Europe Coalition (TBEC), a network of civil society advocates across the WHO Europe Region that stretches from Ireland to Vladivostok, thus including both the low burden countries of Western Europe and the high burden nations of Eastern Europe and central Asia. We played a lead role in expanding the Coalition through a series of visits to civil society TB activists in key countries and ran an advocacy training workshop for local groups in Romania. TBEC worked closely with WHO Europe in developing and beginning to implement a regional plan for action on multi-drug resistance.

Internationally, we again coordinated Advocacy Corner, the civil society ‘hub’ at the World Conference on Lung Health, this time held in Lille, France. The impact and reputation of the Corner has grown year on year, and at Lille we had the widest range yet of speakers and discussion sessions, as well as providing a catalogue of resources that delegates could research.

Throughout the year, we continued to work with partners such as the UK’s All Party Parliamentary Group on Global TB and the UK Coalition to Stop TB. Our Chief Executive was a session chair at the Health Protection Agency’s annual conference and presented at other conferences, including on the social determinants of TB at an international symposium run by the London School of Hygiene and Tropical Medicine. We also served on a development group for the NHS’s National Institute for Health and Clinical Excellence, assessing how to identify and manage TB among ‘hard to reach’ groups.

During the year we decided to reduce our involvement in the broader health system issues addressed by Action for Global Health, the European network in which we have played a key role for the last five years. Our future focus, as described in our strategic plan for 2012-17, will centre on influencing policy and the mobilisation of resources for the care of TB patients and the prevention and control of TB. This is where we believe we can have most impact as part of global efforts to tackle and, eventually, rid the world of TB.

Elizabeth Yeomans

YOU MAKE IT POSSIBLE – THANK YOU MONEY MATTERS

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We are immensely grateful to the many individuals and organisations who have continued to support our work. The people who donate to TB Alert, year in and year out, are the lifeblood of our organisation and provide the funding base that is essential to our growth.

INCOME 2011-12

EXPENDITURE 2011-12

Income 2011-12 £

International activities 398,321

UK activities 316,372

Advocacy activities 39,287

Voluntary income 186,407

Activities that earn income 10,693

Investment income 7,188

Total income 958,268

Expenditure 2011-12

International activities 506,546

UK activities 375,060

Advocacy activities 73,263

Costs of generating funds 115,827

Governance costs 15,036

Total expenditure 1,085,732

Balance sheet 2011-12

Current assets:

Stocks 5,573

Debtors 14,908

Cash at bank and in hand 418,674

Creditors (249,051)

Net assets 190,104

Funds:

Unrestricted funds 161,938

Restricted funds 28,166

Total funds 190,104

TRUSTEES’ STATEMENTThese summarised accounts are extracted from the full unqualified audited accounts approved by the trustees and subsequently submitted to the Charity Commission and Companies House. They may not contain sufficient information to allow full understanding of the financial affairs of the charity. For further information, full accounts can be obtained by calling 01273 234029.

Paul Sommerfeld, Chair of Trustees

INTERNATIONAL ACTIVITIES: £506,546UK ACTIVITIES: £375,060ADVOCACY ACTIVITIES: £73,263COSTS OF GENERATING FUNDS: £115,827GOVERNANCE COSTS: £15,036

TRUSTS AND FOUNDATIONS

TB Alert is very grateful for the support of the increasing number of trusts and foundations who fund particular aspects of our project work, both in the UK and overseas. We would also like to thank other trusts, too many to mention here, who have provided smaller but equally essential support for our work. Each and every donation from a trust and foundation makes an important contribution to our work.

CORPORATE SUPPORT

We were delighted to see an increase in our Christmas card sales in 2011 and are so grateful to our corporate sponsors Genus Pharmaceuticals and Oxford Immunotec for continuing to cover the costs of producing the cards – meaning that every penny from card sales supports our work.

Genus continued their generous support throughout the year, including sponsorship of our World TB Day materials and support for our work at Murambinda Hospital in Zimbabwe, and the Delhi DIVINE project in India.

COMMUNITY AND EVENTS

The build-up to the Olympic year not only gripped the nation, but TB Alert supporters too, as we saw the widest range of sponsored and challenge events we have ever experienced at TB Alert. From the beard-shaving antics of consultant anaesthetist Dr Dip Bose, to the sponsored silence of Dr Ebere Okereke and the courageous runners who took part in the Brighton marathon and Brighton half marathon, people all around the country went that extra mile in support of our work. Thank you also to Barts Choir, for holding their annual fundraising carol service in Trafalgar Square in aid of TB Alert.

INDIVIDUALS

We are very grateful to all the individuals that support our important work. We would like to thank Elizabeth Yeomans for her generosity in donating over £2,000 in royalties from her book ‘Life Beyond TB’; Mrs Isabel Gillard for donating royalties from her book ‘Circe’s Island’; and Professors John Grange and Peter Davies and our Chair Paul Sommerfeld for donating royalty and speaking engagement fees.