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On World Hemophilia Day 2018, Shire Unites Communities in Asia Pacific and Advocates for 'Principles of Care'
SINGAPORE,
April 17, 2018 /PRNewswire/ -- Shire plc (LSE: SHP, NASDAQ: SHPG), the global
biotech leader in rare diseases, is marking World Hemophilia Day to
drive greater awareness of hemophilia in Asia Pacific (APAC) and improve
standards of care for people living with rare bleeding disorders. This year's
theme is "Sharing Knowledge Makes Us Stronger" and in this
spirit, Shire businesses across the region are hosting local community
engagement events to stand united with patient communities and their
caregivers.
At Red Dot Design Museum Singapore, the hemophilia community
(patients/healthcare professionals), participated in a Gallery
Walk led by three hematology experts from the Asia-Pacific Haemophilia
Working Group (APHWG). The focus was on establishing region-specific principles
of care and providing optimal hemophilia care programs by collaborating with
multiple agencies in the region.
"For more than 70 years, Shire has had the privilege of
working together with healthcare professionals, non-profit organizations and
patients themselves on advances in care. We seek to develop patient-focused
innovation to raise global standards of care and advance treatments to help
improve outcomes for every person with hemophilia. We believe there's a better
future for those affected by hemophilia and we're working every day to make
that future a reality," said Peter Fang, Head of Asia Pacific at Shire.
Leading Hematology Experts Join Forces to Advocate for
Better Care
Published in the February 2018 issue of the Haemophilia
journal, the 'Principles of haemophilia care: The Asia-Pacific perspective'talked
about 12 fundamental principles: ranging from education, training and relevant
research; to diagnosis; prophylaxis; management of hemophilia with inhibitors;
musculoskeletal outcomes; emergency care; comprehensive care; and nationwide
patient registries, amongst others.
While these guidelines endorsed the overall principles of
care framework outlined by the European Association for Haemophilia and
Associated Disorders (EAHAD) and the World Federation of Hemophilia, the APAC
guidelines took into account the highly varied healthcare systems as well as
the socio-economic and cultural diversities with its combination of advanced
and emerging economies that impact provision of such care. The APAC region is
vast and accounts for over 50% of the world's population, yet approximately 75%
of people with hemophilia around the world still receive inadequate treatment
or have no access to treatment[1].
"With the goal of improving care for people with
haemophilia in the region, the APHWG, representing all countries in
the Asia Pacific region, undertook this task of defining the principles
of haemophilia care adapted to regional realities and perspectives.
We took into account differences in culture, resource availability
and clinical practice across the region while recognizing the advances made in
the field in the world. This therefore becomes our aspirational
benchmark for services to be provided to patients with haemophilia
and other inherited bleeding disorders in these countries with regard to
diagnosis, replacement therapy and the management of complications
specially inhibitors," said Dr. Alok Srivastava, Professor, Department of
Haematology, Christian Medical College, Vellore, India.
Sharing Australian's example, Dr. Scott Dunkley, Senior
Staff Specialist Haematologist, Royal Prince Alfred Hospital, Sydney, Australia
said: "Patients with moderate or severe haemophilia have a disease where
there is relentless spontaneous bleeding into their joints causing great
suffering as well as progressive joint destruction, ultimately leaving them
severely disabled. Fortunately adequate availability and administration of
preventative (so called prophylactic) clotting factor replacement therapy
changes the natural history of the bleeding disorder enabling a normal
life and prevention of haemophilic joint damage. In addition it restores life
expectancy to normal by the prevention of spontaneous intra-cerebral
bleeding."
Optimal care of patients with haemophilia, and management of
prophylactic factor replacement therapy, however is complex and requires a
multidisciplinary team approach through a specialised HTC (haemophilia
treatment centre) and includes psychosocial support. Dr. Scott Dunkley
continued: "An important element of comprehensive care is the
availability of an agreed upon treatment guideline and this is where the
AP principles of care is so important, where a body of haemophilia
specialist from the AP region have agreed upon a clear and achievable way
forward based on evidenced based medicine and best practice. We hope, as has
happened in other regions of the world, that the provision of these principles
in Asia Pacific will lead to significant improvements in haemophilia
care."
To meet the evolving needs of patients and healthcare
systems, Shire is accelerating scientific research into new, innovative areas
in rare hematology. Its pipeline continues to grow as the company looks to
develop new ways to deliver optimal care to patients in the areas of
personalized care, gene therapy, and other innovations. Additionally, with its
partners, Shire is building a global environment in which novel treatments can
reach those who need them, including funding patient support programs to
improve access to therapy, developing evidence-based research approaches, and
creating life-long educational programs.
"Shire has a broad global portfolio of 10 global
products across nine indications for bleeding disorders[2]. The
company builds on a legacy of important advances, beginning in 1939 with the
creation of the first long-term blood storage container[3] and
continuing to the present day with a software-based medical device to support
physician dosing decisions,[4]" said Dr Timothy Low, Head of
Medical Affairs Asia Pacific at Shire.
Shire Lights it Up RED!
Shire across APAC are celebrating World Hemophilia Day
throughout the week of 17 April with a series of activities:
- Shire
Australia is supporting Medicines X to launch 'Pharmacokinetics
(PK) Xplained' -- using a real-life story to explain how testing,
called Pharmacokinetics (or PK) can show exactly what an individual
patient's clotting factor is doing in their body -- creating their
personalised PK Curve. This allows doctors to tailor patient's treatment
specifically for them, therefore avoiding bleeds as the clotting factor
gets low.
- Shire
Korea's Lunch and Learn Event "Tied in Red,"
where employees make knotted bracelets in red. Each employee will wear one
bracelet throughout the week to show his/her commitment to the patients
and the society fighting against hemophilia, and will also give one to
his/her friend to raise awareness on the disease. The red tie is the official
symbol of the bleeding disorders community in Korea.
- Shire
Malaysia is supporting the launch of a new comic book at MPH
Bookstores nationwide entitled "The Hemophilia Mythbusters" --
created by local artist Miao&Wafupafu for the Hemophilia Society of
Malaysia. Available in English and Malay.
- Shire
Thailand is piloting the 'Zero Bleeds' app (a
secure digital logbook designed for hemophilia patients to record their
bleed and infusion events and share it with their healthcare providers) at
Ramathibodi Hospital and Phramongkutklao Hospital. Along with the National
Health Security Office (NHSO) and National Hemophilia Foundation of
Thailand (NHFT), Shire Thailand will be having an awareness booth as a
sponsor of Ramathibodi Hospital's patient event.
- Shire
Vietnam is supporting patient group events at Blood and
Transfusion Hematology Hospital and on March 25 and at Thu Duc District
Hospital on 14 April in Ho Chi Minh City.
About Hemophilia
Hemophilia is a rare bleeding disorder that causes
longer-than-normal bleeding due to lack of proper clotting factor in the blood.[5],[6] It
is estimated that more than 180,000 people worldwide are living with
hemophilia.[7] Hemophilia A, the most common type, is caused by
not enough clotting factor VIII (FVIII) and hemophilia B is caused by not
enough clotting factor IX (FIX).[8],[9] The severity of
hemophilia is determined by the amount of factor in the blood, with more
severity associated with lower amounts of factor.[10] More than
half of patients with hemophilia A have the severe form of the condition. Of
the worldwide hemophilia patient population, an estimated 75 percent lack
adequate treatment or access to treatment altogether.[11]
REFERENCES
[1] National Hemophilia Foundation. Fast facts. 2017.
Available at https://www.hemophilia.org/About-Us/Fast-Facts. |
[2] Shire. List of Shire Products. Available at: https://www.shire.com/products/product-list?t=%7bf4f1d259-99fc-4798-9fac-52e3e8706baa%7d. |
[3] Wortham S, et al. Microaggregate Removal, and
Leukocyte Reduction. Pall Medical. 2003. Jul;17(3):216-22. |
[4] Shire global newsroom. https://www.shire.com/en/newsroom/2017/december/abhvp5. |
[5] Orphanet. Rare disease registries in Europe. Orphanet
Report Series: Rare Disease Collection, May 2017. Available at: http://www.orpha.net/orphacom/cahiers/docs/GB/Registries.pdf |
[6] World Federation of Hemophilia. What is hemophilia?
Available at: http://www.wfh.org/en/page.aspx?pid=646. |
[7] World Federation of Hemophilia. Annual Global Survey
2016. October 2017. Available at: http://www1.wfh.org/publications/files/pdf-1690.pdf |
[8] EMedicine Medscape. Hemophilia A, updated May 2, 2017.
Available at: http://emedicine.medscape.com/article/779322-overview |
[9] Patient.info. Haemophilia B (Factor IX Deficiency). 3
July 2014. Available at: https://patient.info/doctor/haemophilia-b-factor-ix-deficiency |
[10] National Hemophilia Foundation. Hemophilia A.
Available at: https://www.hemophilia.org/Bleeding-Disorders/Types-of-Bleeding-Disorders/Hemophilia-A |
[11] National Hemophilia Foundation. Fast facts. 2017. Available at: https://www.hemophilia.org/About-Us/Fast-Facts |