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Bloodline - Haemophilia Foundation ...
Bloodline
Magazine of the Haemophilia Foundation of New Zealand. Volume 47 Number 3

CONTENTS                                                                                               CONTACTS

The H Word ......................................................................................03    Website                                Lynne Campbell
                                                                                                        www.haemophilia.org.nz                 Central Outreach Worker
CEO Report .......................................................................................04                                           PO Box 24014
                                                                                                       National Office
                                                                                                                                               Manners Street
WFH Virtual Summit ..................................................................05                 PO Box 7647
                                                                                                                                               Central Wellington 6142
                                                                                                        Sydenham
You’re invited to the 2020 HFNZ Adult Weekend!......14                                                                                         04 382 8442
                                                                                                        Christchurch 8240
                                                                                                                                               lynne@haemophilia.org.nz
                                                                                                        03 371 7477
Outreach and Member Details................................................15
                                                                                                        info@haemophilia.org.nz               Amber Maihi

Looking after ourselves ...............................................................16              President                               Northern Outreach Worker

                                                                                                        Deon York                              PO Box 41-062
Revised schedule for Port Hills walks 2020 ....................17                                                                              St Lukes, Mt Albert
                                                                                                        president@haemophilia.org.nz
                                                                                                                                               Auckland 1346
Region and Group Reports .......................................................18                     Chief Executive
                                                                                                                                               09 845 4658
                                                                                                        Sue Ellis
Gene Therapy Shows Promise For Hemophilia,                                                                                                     amber@haemophilia.org.nz
                                                                                                        sue@haemophilia.org.nz
But Could Be Most Expensive U.S. Drug Ever...............20
                                                                                                       Editor & Communications Manager
#ISTH2020 – FLT180a Gene Therapy                                                                        Phil Constable
Shows Promise for Hemophilia B Patients
                                                                                                        phil@haemophilia.org.nz
in Phase 1/2 Trial ..........................................................................22
                                                                                                       Administrator
Managing Chaos as a Family...................................................23                         admin@haemophilia.org.nz
                                                                                                        03 371 7477
We Are the Experts of Our Own Stories ............................24
                                                                                                       Ross Paterson
The Year Ahead ...............................................................................25        Southern Outreach Worker
                                                                                                        PO Box 7647, Sydenham
                                                                                                        Christchurch 8240
                                                                                                        03 371 7485
                                                                                                        ross@haemophilia.org.nz

                                                                                                                                               OUTREACH FREEPHONE
Disclaimer: The information contained in this magazine is                                                                                      0508 322 867
not intended to take the place of medical advice from your GP,
haematologist, or specialist. Opinions expressed are not necessarily                                                                              HAEMOPHILIANZ
those of HFNZ.

The purpose of this magazine is to provide a wide range of accurate
                                                                                                       Bank Details
and timely information on all aspects of haemophilia and related
disorders. Haemophilia is a dynamic specialty and therefore opinion                                    Acct Name:           Haemophilia Foundation of New Zealand
may change or be varied from time to time.                                                             Acct Number:         02 0828 0102656 000

2           Bloodline July 2020
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THE H WORD
I hope you are all keeping warm during these winter
months. As New Zealand has progressively opened, so
too has HFNZ. Planning for regional and national events
is now well underway. We also have the results of our
member survey, and the national council will be taking a
good look at this to make sure HFNZ is delivering what
members need.
As a council, we continue to pay close attention to the
financial health of the organisation, for now and the
future. We are so fortunate to have the continued
support of the New Zealand public via Kiwifirst,
generous benefactors, donors, companies, trusts and
other organisations willing to support us financially.
Times are tough out there for many, and I cannot
emphasis enough our gratitude for this support. It really
does make a difference to our community. I would also
like to acknowledge the time of our volunteers. It is
priceless in more ways than one!
Since the last edition of Bloodline, there have been
opportunities to continue to connect with our global
community despite the challenges of a global pandemic.
I hope that many of you were able to attend the World
Federation of Hemophilia’s first global summit. Most of
the content is still available to access free-of-charge
online. There is also an opportunity to participate in the
National Hemophilia Foundation’s (NHF) bleeding
disorder conference 2020. The NHF is the (much larger)
equivalent of HFNZ in the United States. As you can see,
events have gone borderless this year, so now is the
perfect time to acquaint yourself with the global
community and have direct access to the latest research
and developments in care for people with inherited
bleeding disorders.
Deon York
HFNZ President

                                                             Bloodline July 2020   3
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From the CEO
                                                       BY SUE ELLIS

The last few months have been testing for us all as we         Planning is also underway for the Youth Camp 28 April
navigated our way through the Covid-19 levels with             – 2 May 2021, again led by Ross, with support from the
Outreach Workers unable to meet members face-to-face.          team and valuable advice from Colleen McKay. This camp
Instead, we’ve made more of an effort to check with            will be held at Blue Skies in Kaiapoi, North Canterbury.
members via technology – Zoom, phone calls, Facebook,
                                                               As you may be aware, following the financial disruption of
and emails. With a return to some normality under Level 1,
                                                               Covid-19, a decision was made by the National Council to
we can now look forward to reconnecting with members
                                                               postpone recruitment of an Outreach Worker for the
via face-to-face visits.
                                                               Midland Region. In the meantime, Lynne and Amber are
As we moved through the Covid-19 alert levels, we worked       covering the Midland region, with the region split between
to maintain connections with members and with our              them. For more information on this, check out the article
supporters, and to plan events we knew could provide           later in Bloodline.
support under these unusual circumstances.
                                                               I want to acknowledge Amber and Lynne for taking on this
It was lovely to get so many responses to the HFNZ             extra work and the difficulty they have had tracking down
Member Survey. Congratulations to members Kathryn              members in the Midland region. I am very appreciative of
MacGregor and Brendan Lee for winning our Prezzy Card          them both for being quick to offer support for the Midland
draw. A quick snapshot of the data shows that 98% of           members, while continuing to look after their own regions,
members are well aware of what HFNZ does to meet their         until we are in a better position to recruit an OR Worker for
diverse needs, both regionally and nationally, and value our   the Midland region again.
national events. I was pleased to see that the Outreach
                                                               While it has been a difficult time for all of us to manage our
service scored highly in providing access to services,
                                                               work through the Covid-19 alert levels, the most important
up-to-date information, the amount of contact, and benefit
                                                               focus has been on ensuring members received the support
for those contacts. Members are also satisfied with the way
                                                               and care they need. It is a great relief that we are now able
information gets to them via the website, Bloodline, Pānui,
                                                               to meet with members face-to-face and to enjoy a more
and Facebook with almost 100% of responses happy that
                                                               relaxed environment to work in.
the information is relevant, up-to-date, and reflects our
community. However, there appears to be less satisfaction
with our website.

CSL Behring Pharmaceuticals has kindly provided funding
to help improve health outcomes for members through a
redesigned and refreshed website. HFNZ has contracted a
very experienced Wellington company to complete the
update, and work is already underway.

In other funding news, I was very pleased to attend the
national conference of the Buffalo Lodge, where the
Franklin Lodge very generously donated $20,000 to
HFNZ. This was a lovely surprise, and very useful at this
difficult time.

Planning for the Adult Weekend Workshop in
Christchurch 6 – 8 November 2020 is well advanced.
Thanks to Southern OR Worker Ross for taking the lead in
the planning of this event with support from the team. The
programme looks like it will provide an interesting and
enjoyable experience for all, including workshop
discussions, outside activities and the NZ premiere of the       HFNZ CEO Sue Ellis attended the Buffalo Lodge National Conference
movie Bombardier Blood. For more info, see the piece later                        to accept a generous donation
in Bloodline.

4     Bloodline July 2020
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WFH Virtual Summit

On 14 – 19 June 2020 the World Federation of Hemophilia           WFH EDUCATIONAL: UNCERTAINTY IN AN ERA
(WFH) ran their Virtual Summit. This online event replaced        OF TRANSFORMATIVE THERAPY FOR
the World Congress, which had been planned for Kuala              HEMOPHILIA: ADDRESSING THE UNKNOWNS
Lumpur. Unfortunately, the live event had to be cancelled
due to the worldwide Covid-19 situation. Instead, WFH put         Hemophilia is at the dawn of a new era in therapeutic
together a fantastic online summit, featuring experts from        management, one that can generate greater protection from
around the world.                                                 bleeding and a functional cure in some individuals. The
                                                                  use of gene transfer is emerging as an effective long-term
HFNZ President Deon York played a big part in getting the         treatment for a variety of diseases. While clinical progress
Virtual Summit up and running. He was part of the team who        has been definitive, many questions remain unanswered
organised the multidisciplinary programme, as well as being a     as pre-licensure phase 3 clinical trials are underway. These
speaker. We also had HFNZ Youth delegate Lauren Phillips on       unanswered questions translate into a state of uncertainty
one of the speaking panels. It’s fantastic to see HFNZ people     about the known unknowns and unknown unknowns
performing on the world stage.                                    intrinsic to any new therapeutic platform. This pre-summit
                                                                  session will examine the evolution gene therapy while
One of the advantages of running an event like this online        addressing the unknowns that need to be answered.
is that you can keep the sessions available after the live
presentation has finished. This is particularly useful for us     SPEAKERS
down here in NZ, as the sessions all started between 1am and      Glenn Pierce - WFH
4am local time. Now you can access nearly every session from      Megan Del Grosso - WFH
the comfort of your own home, at a time that suits you.           WFH GUIDELINES FOR THE MANAGEMENT OF
                                                                  HEMOPHILIA
Once you’re registered, you’ll be directed to the login page,
and from there to the Virtual Summit website.                     This WFH session highlights what is new in the hot-off-
                                                                  the-press, 2020 WFH Guidelines for the Management of
The quickest way to find all the different sessions is to hover
                                                                  Hemophilia. Informed by the best available evidence and
over the Sessions tab, and select Personal Agenda. Any
                                                                  supplemented with expert opinion and patient preference, 4
session that has On Demand next to it is available to stream
                                                                  key chapters of the WFH treatment guidelines will be featured
right now.
                                                                  in this session: hemostatic agents; prophylaxis; inhibitors; and
Here’s a summary of all the sessions available, in the order      treatment of specific hemorrhages. Come hear as the experts
they appear on the site:                                          present updated recommendations and guidance!
                                                                  SPEAKERS
                                                                  Glenn Pierce - Vice-President Medical, World Federation
                                                                  of Hemophilia

To access the sessions, first you need to register. Just go here:
https://onlinexperiences.com/scripts/Server.nxp?LASCmd=L:0&AI=1&InitialDisplay=1&ShowKey=94278&ClientBrowser=0
and hit the Register Now button.

                                                                                                          Bloodline July 2020    5
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Cedric Hermans - Hematologist, UCL Saint Luc                       SPEAKERS
Alok Srivastava - Professor of Medicine, Department of             Glenn Pierce - Vice-President Medical, World Federation of
Haemotology, Christian Medical College                             Hemophilia
Steve Pipe - Professor of Pediatrics and Pathology,                Steve Pipe - Professor of Pediatrics and Pathology,
University of Michigan                                             University of Michigan
Manuel Carcao - Co-Director, Hemophilia Clinic, Hospital           Luigi Naldini - Director, San Raffaele Telethon Institute for
for Sick Children                                                  Gene Therapy
Margaret Ragni - Tenured Professor of Medicine and                 MULTIDISCIPLINARY PLENARY: WOMEN
Clinical and Translational Science, Department of Medicine,        AGEING GRACEFULLY
Division of Hematology/ Oncology, University of Pittsburgh
Johnny Mahlangu - Professor of Haematology, University             This plenary, with special emphasis on women and those
of the Witwatersrand and NHLS                                      who care for them, aims to identify the issues that women
                                                                   with bleeding disorders may face as they age; this may
WFH GENE THERAPY AND WORLD BLEEDING                                include arthropathy associated with joint bleeds, increased
DISORDERS REGISTRIES                                               fracture risk due to osteoporosis, gynaecological malignancy
Two key WFH data programs are highlighted during this              and the need for surgical intervention for cardiac disease.
session: The WFH Gene Therapy Registry (GTR) and the               This remarkable panel of experts including, Dr. Michelle
WFH World Bleeding Disorders Registry (WBDR). With gene            Lavin, Prof. Rezan Kadir, Dr. Jameela Sathar and Latifa
therapy for hemophilia on the horizon, there is an urgent need     Lamhene addresses womens’ long-term health issues and
to develop a global database to monitor the safety and efficacy    improve screening, as well as answer any questions from the
of all patients who receive gene therapy. The WFH Gene             virtual audience.
Therapy Registry is being developed to fill this need. This        SPEAKERS
session focuses on the core data set of this registry and the      Kate Khair - Director of Research, Haemnet
global implementation plan. Additionally, a 2-year update of       Michelle Lavin - Clinical Research Fellow, Irish Centre for
the WBDR is provided, along with an exciting announcement          Vascular Biology at the Royal College of Surgeons in Ireland
planned for 2020.                                                  Rezan Abdul-Kadir - Consultant Gynaecologist, Royal Free
SPEAKERS                                                           London NHS Foundation Trust
Barbara Konkle - Associate Chief Scientific Officer, WFH           Latifa Lamhene - Association Algérienne des Hémophiles
Alfonso Iorio - Professor, McMaster University                     Jameela Sathar - Senior Consultant - Haemotology,
Catherine Lambert - Cliniques Universitaires Saint-Luc,            Ampang Hospital
Haemophilia Centre                                                 DENTAL TRACK: NEW TECHNOLOGIES,
OPENING PLENARY                                                    PSYCHOSOCIAL ASPECTS, AND
Please join us for the official opening of the WFH Virtual         INTERDISCIPLINARY DENTAL CARE
Summit: Connecting the Global Bleeding Disorders                   The Dental Committee is proud to present the dental track at
Community. The WFH President, Mr. Alain Weill, presents            the WFH Virtual Summit with a truly global representation of
welcoming remarks, along with the WFH VP (Medical), Dr.            presenters, speaking on a broad range of topics related to the
Glenn Pierce, and the WFH’s CEO, Mr. Alain Baumann,                oral health of individuals with inherited bleeding disorders.
launching the first and exciting new initiative in bringing our    SPEAKERS
bleeding disorders community together virtually.                   Lochana Nanayakkara - Part time Consultant, Restorative
SPEAKERS                                                           Dentistry at The Royal London Dental Hospital
Alain Weill - President, WFH                                       Rebecca Schaffer - Adjunct Professor, A.T. Still University
Glenn Pierce - Vice-President, Medical, WFH                        Arizona School of Dentistry & Oral Health (ATSU-ASDOH)
Alain Baumann - Chief Executive Officer, WFH                       Zikra Alkhayal - Consultant Pediatric Dentist, King Faisal
MEDICAL PLENARY: GENE THERAPY                                      Specialist Hospital & Research Center
                                                                   Laura Olan - Professor, Universidad Juárez Autónoma de
The promise of gene therapy is a single treatment (‘one and        Tabasco
done’) that leads to steady-state expression of endogenous         Elvira Correa - Chair of the Oral Medicine/Dental
factor VIII or factor IX sufficient to achieve a functional cure   Ambulatory, Hematology and Blood Transfusion Center,
(free of recurrent haemophilic bleeding) if not normalized         University of Campinas
haemostasis. Dr. Steve Pipe explores that, although we
currently stand on the threshold of this achievement,              REDEFINING PROPHYLAXIS IN THE
delivering on this promise will require broad-based multi-         MODERN ERA
stakeholder preparation with a focused emphasis on                 The currently evolving novel therapies for the management
education, approval of safe and effective therapies, removal of    of hemophilia has ushered in a new era characterized by
barriers to access and excellence in clinical delivery.            improved prophylaxis targets and outcomes. In this session, the
Dr. Luigi Naldini continues to investigate new strategies          speakers redefine prophylaxis in the modern era by revisiting
to overcome the major hurdles to safe and effective gene           its definition, presenting data to support higher trough levels
transfer, and translate them into new therapeutic strategies for   to achieve through prophylaxis, and introducing steady-state
genetic disease and cancer. This has generated new insights        hemostasis as a possible new target for prophylaxis. The
into hematopoietic stem cell function, and the induction of        benefits of low-dose prophylaxis is also discussed.
immunological tolerance and tumor angiogenesis. Naldini            SPEAKERS
presents his data regarding the further development of             Johnny Mahlangu - Professor of Haematology, University
lentiviral vectors as a systemic gene delivery vehicle to          of the Witwatersrand and NHLS
complement the reach of AAV vectors.                               Victor Blanchette - Hematologist, Hospital for Sick Children

6     Bloodline July 2020
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Robert Klamroth - Director, Comprehensive Care                   SPEAKERS
Haemophilia Treatment Center & the Haemostasis &                 Andra James - Maternal-Fetal Medicine Specialist, Duke
Thrombosis UnitVivantes Klinikum im Friedrichshain               University Medical Center
Emna Gouider - Hematologist, Hopital Aziza Othmana               Mandy Yap - MBBS(IMU), MRCP(UK), Clinical
VWD, A CLOSER LOOK                                               Haematologist of Ampang Hospital, Ministry of Health
                                                                 Malaysia
Learn more about VWD and the perception of the condition         Mario von Depka Prondzinski - Director, Werlhof-
throughout the world, how the WFH is working on it,              Institute for Haemostasis & Thrombosis
psychosocial issues, the differences between men and women,      Lubna Zafar - Consultant Haematologist, Fauji Foundation
and the treatment options available.                             Hospital, Rawalpindi
The session aims to answer the following questions: how is       Robert Sidonio - Pediatric Hematologist/Oncologist, Emory
VWD perceived worldwide? What is the perspective of those        University
who suffer it? Is there a difference between men and women?      Roseline d’Oiron - Clinician Investigator, Centre Hospitalier
SPEAKERS                                                         de Bictre
Dawn Rotellini - Chief Operating Officer, National
                                                                 TRM-201 (ROFECOXIB) FOR THE TREATMENT OF
Hemophilia Foundation
                                                                 HEMOPHILIC ARTHROPATHY
Paula James - Professor, Queen’s University
Jeannette Cesta - VWD Connect Foundation Inc.                    Tremeau is focused on developing non-opioid pain therapy for
Cody Kester - Board Member, Hemophilia Foundation of             patients with significant unmet need.
Arkansas                                                         In this session you will learn more about our lead product,
Baiba Ziemele - President, Latvia Hemophilia Society             TRM-201 (rofecoxib), a COX-2 selective NSAID and a non-
                                                                 opioid analgesic. We also discuss our upcoming Phase III trial
Dental track: Dental Management and Treatment                    of TRM-201 for Hemophilic Arthropathy, which we plan to
The Dental Committee is proud to present the dental track at     initiate later this year.
the WFH Virtual Summit with a truly global representation of
                                                                 SPEAKER
presenters, speaking on a broad range of topics related to the
                                                                 Judith Boice - Tremeau Pharmaceuticals
oral health of individuals with inherited bleeding disorders.
SPEAKERS                                                         ELEVATING PATIENT CARE IN HAEMOPHILIA –
Lochana Nanayakkara - Part-time Consultant, Restorative          WHAT DO WE NEED TO KNOW AND WHY?
Dentistry at The Royal London Dental Hospital                    - BY ROCHE
Norjehan Yahaya - Specialist in Special Needs Dentistry          Our first symposium provides perspectives on what’s involved
(SND), Specialty Needs Dentistry Unit, Kuala Lumpur              in elevating patient care in haemophilia and why improving
Hospital                                                         the level of care is necessary for the haemophilia community.
Miryam Parreira - Dentist - Specialist in Surgery and            We focus on the changing conversations around patient
Traumatology Bucomaxilofacial, Fundación de la Hemofilia         focused outcomes, the risk–benefit assessments of care, and
Daniel Sundaresan - Specialist, Special Needs Dentistry,         recognising how stakeholders can facilitate joint decision
Fiona Stanley Hospital                                           making with patients. The symposium is comprised of pre-
Mathew Lim - Alfred Health                                       recorded presentations culminating in an open panel discussion
INHIBITORS - THINK DIFFERENTLY                                   illustrated with real-life examples of what can be achieved.
                                                                 SPEAKERS
The development of inhibitory antibodies to therapeutic
                                                                 Mark Skinner - President, Institute for Policy
factor VIII (FVIII) in up to 40% of severe haemophilia
                                                                 Advancement Ltd.
A (HA) patients is the major complication in treatment/
                                                                 Declan Noone - President, European Haemophlia
prevention of hemorrhages. The reasons some HA patients
                                                                 Consortium
develop inhibitors while others do not remain unclear. This
                                                                 Johnny Mahlangu - Professor of Haematology, University
session summarises our understanding of anti-FVIII immune
                                                                 of the Witwatersrand and NHLS
responses, the roles of T cells, both effector and regulatory,
                                                                 Jameela Sathar - Senior Consultant - Haemotology,
and generally discusses the interplay between FVIII and the
                                                                 Ampang Hospital
immune system, both in the case of replacement therapy and
in gene therapy.                                                 INVESTIGATIONAL AAV GENE THERAPY IN
SPEAKERS                                                         HEMOPHILIA: WOULD YOU BE READY?
Sébastien Lacroix-Desmazes - Team Leader, Centre de               - BY BIOMARIN
Recherches des Cordeliers, Universit Pierre et Marie Curie       BioMarin organized a symposium at the WFH 2020
Kathleen Pratt - Associate Professor, Uniformed Services         Virtual Summit to foster discussion on potential clinical
University of the Health Sciences                                considerations for Adeno-Associated Virus (AAV)-based
Valder R. Arruda - Associate Professor of Pediatrics,            gene therapy for hemophilia, currently under clinical trial
University of Pennsylvania School of Medicine                    investigation.
MEDICAL FREE PAPERS: VWD & WOMEN’S                               The objectives of the symposium are to: discuss the science
ISSUES                                                           behind AAV-based gene therapy and potential practical
Five of the best scoring abstract authors in category of the     considerations (including eligibility and follow-up after
VWD and Women’s issues have been selected to present their       treatment) and to give insight into the perspectives of a
research. Each presenter is available for a Question & Answer    patient advocate and a nurse through a live interview. Q&A is
discussion at the end of the presentations.                      included at the end.

                                                                                                         Bloodline July 2020     7
Bloodline - Haemophilia Foundation ...
SPEAKERS                                                             by regulators for post marketing surveillance and additional
Wing Yen Wong - Vice President Clinical Sciences and                 data needed to enhance our understanding of gene therapy
Global Medical Affairs, BioMarin Pharmaceutical Inc.                 outcomes and their impact on the lives of people with
Glenn Pierce - Vice-President Medical, World Federation of           haemophilia. The aim of this session is to describe efforts
Hemophilia, Independent Consultant, La Jolla, CA, USA                underway by the American Thrombosis and Hemostasis
Debra Pollard - Lead Nurse, Specialist Practice,                     Network and the World Federation of Hemophilia to collect
Haemophilia, Katharine Dormandy Haemophilia &                        long-term harmonized data and considerations of the
Thrombosis Centre, Royal Free Hospital, London, UK                   European and US regulatory agencies, which will inform
Matthew Jajeh - Active Member, Hemophilia Foundation of              ongoing data collection.
Northern California, CA, USA                                         SPEAKERS
MEDICAL PLENARY: DIAGNOSIS                                           Barbara Konkle - Associate Chief Scientific Officer,
                                                                     Bloodworks Northwest
The combination of high BAT score followed by NGS-based
                                                                     Michael Recht - Chief Science Officer, American Thrombosis
genetic diagnosis could be the new paradigm for the primary
                                                                     and Hemostasis Network
diagnosis of IBDs. This needs to be followed by confirmation
                                                                     Caroline Voltz - Product Lead, Oncology, Haematology &
with functional haemostasis tests, as required. This approach
                                                                     Diagnostics Office, European Medicines Agency
will increase rates of detection of the known common
                                                                     Peter Marks - Director, Center for Biologics Evaluation and
disorders many folds and reduce the burden on these families
                                                                     Research United States Food and Drug Administration
towards accessing facilities for accurate diagnosis and
appropriate treatment based on that.                                 EMERGING FROM COVID - DEFINING A NEW
SPEAKERS                                                             NORMAL
Steve Kitchen - Clinical Scientist, Sheffield Teaching               This session explores what patients are most concerned about
Hospitals                                                            and what we should expect living in a Covid-19 world from
Alok Srivastava - Professor of Medicine, Department of               the perspective of multidisciplinary healthcare professionals.
Haemotology, Christian Medical College                               SPEAKERS
Pierre Toulon - Hemostasis and Thrombosis Laboratory,                Declan Noone - President, European Haemophlia
Pasteur University Hospital                                          Consortium
MULTIDISCIPLINARY PLENARY:                                           Len Valentino - Chief Executive Officer, National
QUALITY OF LIFE                                                      Hemophilia Foundation
                                                                     Kate Khair - Director of Research, Haemnet
This plenary seeks to
                                                                     Ed Kuebler - Advocacy & Leadership Programs Manager,
explore and explain
                                                                     Global Blood Disorder Foundation
the role of pain in our
lives. While pain is not                                             LABORATORY SCIENCES TRACK:
something we generally                                               LABORATORY ISSUES AND TESTING
wish to experience, it has                                           The advent of novel nonfactor therapies poses a new level of
an essential role in making                                          difficulty on the laboratory monitoring of these patients. It
us who we are. Lorimer                                               is important to understand the correct assays and the mode
Moseley will explore                                                 of action of these nonfactor agents. The WFH Laboratory
the new understanding                                                Sciences Committee addresses these issues as well as
of pain, and how that                                                monitoring replacement therapy.
understanding can change
                                                                     SPEAKERS
one’s perspectives of
                                                                     Steve Kitchen - Clinical Scientist, Sheffield Teaching
dealing with pain. “Sleep:
                                                                     Hospitals
Why we need it” gives an
                                                                     Stefan Tiefenbacher - Vice-President, Technical Director,
overview of what sleep is,
                                                                     Colorado Coagulation
how it happens and why
                                HFNZ President Deon York spoke at    Anna Lowe - Advanced Biomedical Scientist, Scientific Lead
‘good’ sleep is so important
                                the summit and helped organise the   Haemophilia Programmes, UK NEQAD BC
to being healthy and how           multidisciplinary programme.      Annette Bowyer - Senior Biomedical Scientist, Sheffield
pain influences sleep
                                                                     Teaching Hospital NHS Foundation Trust
patterns. Dr. Bajan Singh also offers ideas on how to promote
                                                                     Sukesh Nair - Professor, Christian Medical College and
good habits for better sleep.
                                                                     Hospital Vellore
SPEAKERS
                                                                     LABORATORY SCIENCES TRACK:
Deon York - Board Member, World Federation of Hemophilia
                                                                     REPLACEMENT THERAPY AND TESTING
Lorimer Moseley - Clinical Neurosciences, School of Health
Sciences, University of South Australia                              For decades the clinical laboratory has predominantly
Bhajan Singh - Clinical Professor, University of                     performed either manual or automated one stage (OS)
Western Australia                                                    factor VIII assays as a reliable means for monitoring
                                                                     factor VIII (F8) replacement therapy in hemophilia. The
CRITICAL NEED FOR HARMONIZED POST-
                                                                     emergence of chromogenic factor VIII testing illuminated
MARKETING SURVEILLANCE IN GENE THERAPY
                                                                     both discrepancies between testing methods and potential
With regulatory approval of the first gene therapy product           issues associated with product potency assessment. However,
expected as early as mid-2020, there is an urgent need for a         the creation of B-domain deleted recombinant (BDDR) F8
mechanism to collect long-term data on safety and variability        replacement product initiated the first real challenge for
and durability of efficacy. There will be elements required          clinical laboratories to accurately monitor the advances in

8      Bloodline July 2020
Bloodline - Haemophilia Foundation ...
hemophilia replacement therapy. Currently, the escalation of      between disease severity and bleeding phenotype is reviewed.
hemophilia therapeutic advances, including extended half-         Defining sub-groups in the hemophilia B population who
life products (EHL), gene therapy and non-factor bridging         are currently undertreated will shed a light on the needs of
therapies, have generated significant improvements for            the whole community. Additionally, the importance of high
hemophilia management. However, the clinical laboratory           circulating FIX trough activity levels is discussed. Finally,
may not possess the ideal laboratory test(s) for monitoring       utilizing digital tools based on robust pharmacokinetic
these new-age therapies, and it may be that a single F8 testing   principles has the potential to guide treatment strategies.
platform may not be adequate. A description of the EHL            New electronic tools will allow precision dosing that address
products and the optimal or acceptable laboratory F8 testing      the goals of both health care providers and patients to
platforms is discussed.                                           optimize outcomes.
SPEAKERS                                                          SPEAKERS
Steve Kitchen - Clinical Scientist, Sheffield Teaching            Flora Peyvandi - Professor of Internal Medicine, Angelo
Hospitals                                                         Bianchi Bonomi hemophilia and Thrombosis Center,
Emmanuel Favaloro - Principal Hospital Scientist, Institute       Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,
of Clinical Pathology & Medical Research                          Universit degli Studi di Milano
Robert Gosselin - Clinical Laboratory Scientist, University       David Lillicrap - Professor, Department of Pathology &
of California at Davis Hemostasis & Thrombosis Center             Molecular Medicine,Richardson Laboratory,
Geoffrey Kershaw - Senior Hospital Scientist, Institute of        Queen’s University
Haemotology, Royal Prince Alfred Hospital                         Cedric Hermans - Hematologist, UCL Saint Luc
SUBSTITUTION THERAPY                                              Alfonso Iorio - Professor, McMaster University

Despite significant paradigm shifts in the medical                WFH EDUCATIONAL: TREATMENT CHOICE IN
management of hemophilia A with inhibitors and the                AN ERA OF CHANGE
expanding use of novel non-factor therapies, FVIII-based          This session explores the patient and provider perceptions on
immune tolerance induction (ITI) is still the only effective      treatment choices: how does each make a choice and process
means to inhibitor eradication. With the recently introduced      the risk-benefit analysis.
Atlanta protocol, emicizumab prophylaxis is given in              SPEAKERS
combination with 50-100 IU/kg FVIII three times a week.           Glenn Pierce - Vice-President Medical, World Federation
The session explores the impact of emicizumab prophylaxis         of Hemophilia
for non-inhibitor patients and examine the current status of      Johnny Mahlangu - Professor of Haematology, University of
clinical studies regarding emicizumab prophylaxis.                the Witwatersrand and NHLS
SPEAKERS                                                          David Page - National Director of Health Policy, Canadian
Alok Srivastava - Professor of Medicine, Department of            Hemophilia Society
Haemotology, Christian Medical College                            Brian O’Mahony - Irish Haemophilia Society
Midori Shima - Professor of the Department of Pediatrics,         PHYSICAL ACTIVITY FOR JOINT HEALTH AND
Nara Medical University                                           WELLNESS
Robert Sidonio - Pediatric Hematologist/Oncologist, Emory
University                                                        Exercise joint and muscle can reduce spontaneous bleeding
Gallia Levy - Vice President and Global Head of Rare Blood        in the long term. Many patients focus only getting enough
Disorders, Roche Pharmaceuticals                                  treatment products, which is impossible for developing
Steve Pipe - Professor of Pediatrics and Pathology,               countries. Musculoskeletal care is one solution. This
University of Michigan                                            session aims to demonstrate easy and practical methods in
                                                                  musculoskeletal care from orthopedist, physiotherapist and
WFH EDUCATIONAL: PATIENT FOCUS: ASH,                              patient perspectives, including bone health without surgery,
ISTH, NHF, WFH GUIDELINES ON THE                                  rehabilitation vs wellness, best patient practices.
DIAGNOSIS AND MANAGEMENT OF VWD
                                                                  SPEAKERS
Join us for this patient-focused preview of two of the            Paul McLaughlin - Haemophilia - Physiotherapist, Royal
recommendations resulting from the international                  Free Hospital
collaboration to develop guidelines for the diagnosis and         Adolfo Llinas - Orthopedic Surgeon, Fundación Santa Fe de
management of von Willebrand disease (VWD), ahead of              Bogotá
publication later this year. Learn why international clinical     Pamela Narayan - Executive Committee Member, Medical
guidelines are particularly important to this community,          Advisory Board Member, Hemophilia Federation of India (HFI)
how they were developed, and the important contributions of       Chavez Edgecombe - Bahamas Hemophilia Foundation
various stakeholders throughout this process.
                                                                  WFH EDUCATIONAL: BETTER DATA, BETTER
SPEAKERS                                                          PATIENT OUTCOMES: 20 YEARS OF DATA
Paula James - Professor, Queen’s University                       COLLECTION
Nathan Connell - Chief of Hematology, Brigham and
Women’s Faulkner Hospital                                         This workshop is intended for healthcare professionals
Mark Skinner - President, Institute for Policy                    engaged in clinical research and patient leaders and
Advancement Ltd.                                                  organizations who have an active interest in using health data
                                                                  in their work.
HEMOPHILIA B: CARE ACROSS THE SPECTRUM
- BY CSL BEHRING                                                  SPEAKERS
                                                                  Part 1: Data Collection at WFH - Welcome
This symposium highlights the paradigm shift in hemophilia        Ellia Tootoonchian - Data Specialist, World Federation
B treatment and management. Specifically, the discordance         of Hemophilia
                                                                                                         Bloodline July 2020   9
Bloodline - Haemophilia Foundation ...
Donna Coffin - Director, Research & Public Policy, World             despite a large variability in phenotype expression, the joint
Federation of Hemophilia                                             health and the way to secure both maternal and fetal bleeding
Mark Skinner - President, Institute for Policy                       risks during pregnancy, delivery and the post-partum period.
Advancement Ltd.                                                     SPEAKERS
Part 2: 20th Anniversary of the Annual Global Survey                 Roseline d’Oiron - Clinician Investigator, Centre Hospitalier
Ellia Tootoonchian - Data Specialist, World Federation of            de Bictre
Hemophilia                                                           Sarah O’Brien - Pediatric Hematologist-Oncologist,
Alfonso Iorio - Professor, McMaster University                       Nationwide Children’s Hospital
Part 3: Improvements/New Approaches in Metrics                       Andra James - Maternal-Fetal Medicine Specialist, Duke
Ellia Tootoonchian - Data Specialist, World Federation               University Medical Center
of Hemophilia
Jeff Stonebraker - Associate Professor, North Carolina State         EXPLORING THE WFH ELEARNING PLATFORM:
University’s Poole College of Management                             OVER 700 FREE RESOURCES AT YOUR
Emna Gouider - Hematologist, Hopital Aziza Othmana                   FINGERTIPS

MUSCULOSKELETAL TRACK: SYNOVITIS AND                                 A Guided Tour of the WFH eLearning Platform: Join WFH
SYNOVECTOMY                                                          Educational Materials Manager, Fiona Robinson, as she
                                                                     shows you how to get the most out of the >700 resources
This session addresses the current understanding of synovitis        and 24 languages on the WFH eLearning Platform. Together
and its treatment options with specific emphasis on chemical         you will navigate the bleeding disorders themed eLearning
and radioactive synovectomy, surgical options, rehabilitation        Centres, explore the enhanced Featured Tools including many
and non-surgical management.                                         of your favourite well-loved WFH publications, and master
SPEAKERS                                                             the searching and sharing functions of the Platform.
Sébastien Lobet - Physiotherapist and Researcher, Clinique           SPEAKER
Universitaire Saint-Luc                                              Fiona Robinson - Education Materials Manager, World
Eline van Bergen - MD PhD Candidate, Van Creveldkliniek              Federation of Hemophilia
Sylvia Thomas - Hematologist, Federal University of
Rio de Janeiro                                                       HEALTHY LIVING
Mauricio Silva - Medical Director, Orthopaedic Institute             This session discusses the strategies for healthy living in all
for Children                                                         developmental stages and share advice on nutrition, fitness,
WHAT DOES QUALITY OF LIFE MEAN TO YOU?                               getting a good night’s sleep, building self-confidence/self-
LIVING WITH (AN INHERITED) BLEEDING                                  esteem, healthy aging, and sexuality.
DISORDER IN A CHANGING WORLD                                         SPEAKERS
                                                                     Sabrina Farina - Social Worker, Gulf States Hemophilia &
Quality of life for patients
                                                                     Thrombophilia Center
is a topic often discussed
                                                                     Hariyati Shahrima Abdul Majid - Chief Health
among clinicians. This
                                                                     Psychologist, Naluri Life
session focuses on what
                                                                     Richa Mohan - Consultant Clinical Psychologist & Director,
quality of life means
                                                                     Empowering Minds Society for Research and Development
from the perspective
                                                                     Mina Nguyen-Driver - Associate Professor, Oregon Health
of a person living with
                                                                     and Science University (OHSU)/ The Hemophilia Center
a bleeding disorder.
                                                                     of Oregon
This session asks you
to consider: what does                                               MUSCULOSKELETAL TRACK: HOT TOPIC
quality of life mean to you,                                         DEBATES
especially during                                                    This session features three controversial topics debated by
a pandemic?                                                          experts in their field: POCUS image capture by patients; Ankle
SPEAKERS                                                             Arthrodesis or Arthroplasty; HJHS vs. functional measurement.
Deon York - Board                                                    SPEAKERS
Member, World                  HFNZ Youth Delegate Lauren Phillips   Adolfo Llinas - Orthopedic Surgeon, Fundación Santa Fe de
Federation of Hemophilia             spoke at the Summit.            Bogotá
Nathalie Roussel -                                                   Hortensia de la Corte Rodriguez - University Hospital La
Assistant Professor, University of Antwerp                           Paz, Madrid, Spain
Cathy Harrison - Advance Nurse Practitioner, Sheffield               Annette von Drygalski - Director, Hemophilia & Thrombosis
Haemostasis & Thrombosis Centre                                      Treatment Center, University of California San Diego
Lauren Phillips - Youth Committee Member, Haemophilia                Mauricio Silva - Medical Director, Orthopaedic Institute
Foundation of New Zealand                                            for Children
Randall Curtis - Hemophilia Utilization Group Study (HUGS)           David Dalstrom - Orthopedic Surgeon, UC San Diego Health
WOMEN AND GIRLS WITH HEMOPHILIA                                      Janaina Bosso S. Ricciardi - Physiotherapist, Hemocentro
                                                                     UNICAMP
The aim of this session is to address issues on women and
                                                                     David Stephensen - Physiotherapist, Kent Haemophilia
girls with hemophilia (WGWH) integrating here female
                                                                     Centre / Royal London Hospital
carriers with low levels of FVIII or FIX and/or bleeding
experiences. The key points that will be covered are the             VWD
importance of early diagnosis during childhood of affected           Von Willebrand disease (VWD) is the most common inherited
girls, the management and treatment of the bleeding risk             bleeding disorder. This session provides an overview of VWD

10     Bloodline July 2020
diagnosis and treatment, special considerations in treating       WFH EDUCATIONAL: DIGITAL TECHNOLOGIES
women with VWD, and current genomic approaches to                 AND PERSONALIZED CARE TO MANAGE
VWD. Diagnosis of VWD begins with the clinical assessment         JOINT HEALTH
for the bleeding phenotype, and then made by laboratory           This session provides an overview of the cellular effects of
investigation. Interdisciplinary management of childbirth and     bleeding in a joint and discusses the importance of individual
prophylaxis in the postpartum period are needed to reduce         monitoring plans for the preservation of joint health in
the risk of postpartum haemorrhage. Genomic approaches            patients with haemophilia. It also conveys the concept that
to VWD can inform VWD diagnosis, treatment, test assay            every bleed matters and that treatment should be without
selection, reproductive planning, and family counseling. Next     delay and provided examples for how digital tools can enable
generation sequencing is rapidly being adopted to provide         education and collaboration with patients and the wider
more comprehensive VWF sequence information for patients          multi-disciplinary team to strive for zero bleeds.
with known or suspected VWD.
                                                                  SPEAKERS
SPEAKERS                                                          Angela Forsyth - Director, REBUILD Program, Diplomat
Jill Johnsen - Associate Member, Bloodworks Northwest             Specialty Infusion Group
Research Institute                                                Len Valentino - Chief Executive Officer, National
Michael Laffan - Professor of Haemostasis and Thrombosis,         Hemophilia Foundation
Centre for Haematology, Department of Medicine                    Deon York - Board Member, World Federation of Hemophilia
Imperial College                                                  Alfonso Iorio - Professor, McMaster University
Jameela Sathar - Senior Consultant - Haemotology,
Ampang Hospital                                                   MUSCOLOSKELETAL FREE PAPERS:
                                                                  ORTHOPEDIC ISSUES
ELEVATING PATIENT CARE – FIND OUT HOW TO
CREATE YOUR ‘NEW NORMAL’ - BY ROCHE                               Four researchers will present their findings in the
                                                                  arthroplasties.
Our second symposium provides practical examples of
                                                                  SPEAKERS
how to apply the theory from symposium #1 in improving
                                                                  Adolfo Llinas - Orthopedic Surgeon, Fundación Santa Fe
patient care and the realistic expectations of the community.
                                                                  de Bogotá
Our expert panel engages in discussion focused on the
                                                                  Cedric Hermans - Hematologist, UCL Saint Luc
evolving needs of patients, effective collaboration between all
                                                                  Jenny Y. Zhou
stakeholders, and the importance of shared decision making
                                                                  Ozgür Mert Bakan
when selecting treatments. Throughout the programme the
                                                                  Kumiko Ono
panel highlights the tangible opportunities that exist for
enabling patients to improve the level of care they receive.      WFH EDUCATIONAL: CONNECTING THE
SPEAKERS                                                          GLOBAL COMMUNITY THROUGH
Mark Skinner - President, Institute for Policy                    PARTNERSHIPS: WFH TWINNING PROGRAM
Advancement Ltd.                                                  SPEAKERS
Declan Noone - Professor of Haematology, University of the        Deniece Chevannes - Director of Health Promotion and
Witwatersrand and NHLS                                            Evaluation, Hemophilia of Georgia
Johnny Mahlangu - Senior Consultant - Haemotology,                Jayson Stoffman
Ampang Hospital                                                   Niamh O’Connell
Jameela Sathar - Senior Consultant - Haemotology,                 John Sarmenta
Ampang Hospital                                                   Luisa Durante - Director, Programs and Education, World
MANAGEMENT OF HEMOPHILIA IN TIMES OF                              Federation of Hemophilia
UNCERTAINTY: ADAPT, INNOVATE, EVOLVE                              GENE THERAPY: THE UNFOLDING STORY
-BY PFIZER
                                                                  We are still learning about Gene Therapy. Each patient
We are living in an age of uncertainty due to the current         experience is different, and gene therapy is not for everyone
global crisis. There is an increased need to adapt the way        – either by choice or by exclusion because of the antibodies.
we work, develop innovate new therapies and to evolve our         What can we expect if we ARE eligible – what is it like to
approaches to the delivery of care.                               participate in the gene therapy trials? What is it like to be
Now more than ever, in an era of transformative medicine, it      a patient once you have gone through the treatment? What
is fundamental that information is shared with patients and       if it does not work for me (one and done) – can I try other
patient communities, in order to support shared decision-         future therapies?
making based on open, and transparent education.
                                                                  SPEAKERS
Through a basic overview of the science underpinning gene
                                                                  Debra Pollard - Lead Nurse, Specialist Practice,
therapy, this session explores the evolution of the patient-
                                                                  Haemophilia, Katharine Dormandy Haemophilia &
physician relationship.
                                                                  Thrombosis Centre
SPEAKERS                                                          John Pasi - Professor of Haemostasis and Thrombosis, Barts
Thierry VandenDriessche - Professor, Vrije                        and the London, Queen Mary, University of London
Universiteit Brussel                                              David Page - National Director of Health Policy, Canadian
Wolfgang Miesbach - Professor, University Hospital                Hemophilia Society
Frankfurt, Haemophilia Centre / Department of                     Garrett Hayes - National Youth Leadership Institute (NYLI)
Haemostaseology, Medical Clinic 2 / Institute of                  Representative, National Hemophilia Foundation
Transfusion Medicine                                              Rob Schroeder - Senior Executive Rep, Oncology-Prostate,
Laurence Woollard - Director, On The Pulse Consultancy            Astellas

                                                                                                         Bloodline July 2020   11
Enrique David Preza Hernandez - Federación de                     Tien-Truong Dang - Ozlem Turan
Hemofilia de la República Mexicana                                Glaivy Batsuli - Assistant Professor of Pediatrics,
PSYCHOSOCIAL TRACK: TRAINING AND                                  Emory University
CAREER GUIDANCE FOR YOUTH WITH                                    PSYCHOSOCIAL TRACK: NEW
BLEEDING DISORDERS                                                COMMUNICATION STRATEGIES FOR THE
This session explores the ways in which social workers can        BLEEDING DISORDERS COMMUNITY
assist youth with bleeding disorders explore careers and          This session explores challenges that affect communication
develop skills that will prepare them for employment. The         between HTC team members and the patients and families
presentation also addresses the economic disparity in countries   whom they serve. As providers, we know what we want
around the world, which significantly impacts the opportunities   our patients to understand, but sometimes, it seems that
that are available for youth with bleeding disorders, discusses   we just cannot get our message across effectively. These
how the bleeding disorders community has addressed this           experiences can be frustrating and, in some cases, can result
issue, and suggests ways that we can expand our efforts.          in strained relationships between patients and providers. In
SPEAKERS                                                          this session, we discuss common communication barriers
Susan Cutter - Social Worker, Hospital of the University of       and ask participants to identify situations that they personally
Pennsylvania, Penn Comprehensive Hemophilia Center                have found difficult or frustrating. By the end of the session,
Claude Bartholomew - Social Worker, Providence Health             participants specify one or two communication skills that
Care (Adult Hemophilia Program)                                   they want to utilize or improve and identify resources to assist
Annie Bole - Lectures and Programming Assistant, Faith            in this process.
Justice Institute                                                 SPEAKERS
Tony Roberts - Registered Educational Psychologist, South         Ed Kuebler - Advocacy & Leadership Programs Manager,
African Haemophilia Foundation                                    Global Blood Disorder Foundation
Santosh Manivannan - Chairman, Youth Group of                     Silvina Grana - Psychologist, Fundación de la Hemofilia de
Hemophilia Federation (India)                                     la Argentina
MANAGEMENT OF COMORBIDITIES IN                                    Diane Standish - Faculty, Partners in Bleeding Disorders
BLEEDING DISORDERS                                                Education Program of the Indiana Hemophilia and
                                                                  Thrombosis Center
With the introduction of clotting factor concentrates in the      David Silva - Spanish Federation of Hemophilia
early 1970s, significant improvements in quality of life and      Patricia Cabré - Therapeutic Pedagogue, Catalan
life expectancy of persons with hemophilia (PWH) were             Association of Hemophilia
realized. Unfortunately, as a result of transmission of HIV and
hepatitis C virus (HCV) by contaminated concentrates in the       MEDICAL FREE PAPERS: LATE-BREAKING 2
1980s, many of these gains were lost. Now with four decades       Four non-scientific abstracts were selected to present on
of PWH unexposed to contaminated factor products and              research in registries, psychosocial, prevalence and
current treatments capable of suppressing and eliminating         tele-dentistry.
HIV and HCV, respectively, the survival rate is once again        SPEAKERS
increasing. In addition to the usual comorbidities associated     Saliou Diop - Board Member, World Federation
with advanced age in the general population, several specific     of Hemophilia
issues occur in patients with bleeding disorders. This session    Ampaiwan Chuansumrit - Director, International
explores the incidence and management of the comorbidities        Hemophilia Training Center - Bangkok
of the ageing PWH with a focus on cardiovascular disease          Silvia Riva - Senior Lecturer in Psychology,
and osteoporosis.                                                 St. Mary’s University
SPEAKERS                                                          Ahmad Tarawah - President, Middle East and North Africa
Mike Makris - Professor of Haemostasis and Thrombosis,            Hematology League
Sheffield Haemophilia and Thrombosis Centre Royal                 Alison Dougall - Academic and Clinical Dental Consultant,
Hallamshire Hospital                                              Dublin Dental Hospital
Pal André Holme - Professor, Senior Consultant, Oslo              MULTIDISCIPLINARY FREE PAPERS: DATA
University Hospital                                               COLLECTION AND PATIENT OUTCOMES
Christine Kempton - Associate Professor, Hematology &
Medical Oncology, Emory University Hospital Midtown               Three speakers from the WFH Research & Public Policy
                                                                  department present on three key projects: The World
MEDICAL FREE PAPERS: YOUNG RESEARCHERS                            Bleeding Disorders Registry; Data Quality; and the Annual
The top six abstracts from young researchers as selected by       Global Survey.
the Abstract Review Committee are presented and compete           SPEAKERS
for the Christine Lee Haemophilia Journal Award in this           Mayss Naccache - Gene Therapy Program Manager, World
Young Researchers Free Paper Session.                             Federation of Hemophilia
SPEAKERS                                                          Emily Ayoub - Data & Research Manager, World Federation
Cedric Hermans - Hematologist, UCL Saint Luc                      of Hemophilia
Geertje Goedhart - Epidemiologist, HemoNED Foundation             Toong Youttananukorn - Data & Research Coordinator,
Patricio Cesar Gatti - Assistant Professor, Surgery               World Federation of Hemophilia
Department, University of Buenos Aires                            Ellia Tootoonchian - Data Specialist, World Federation
Sandeep Albert - Associate Professor, Department of               of Hemophilia
Orthopaedics Unit-1, Christian Medical College and                Johannes Oldenburg - President, German Society of
Hospital Vellore                                                  Thrombosis and Haemostasis Research

12     Bloodline July 2020
GENERAL PLENARY: MANAGING COVID-19 AND                           Michelle Lavin - Clinical Research Fellow, Irish Centre for
BLEEDING DISORDERS                                               Vascular Biology at the Royal College of Surgeons in Ireland
Since the outbreak of the coronavirus disease 2019               Tahira Zafar - Chairperson, Medical Advisory Board,
(COVID-19) there has been an unprecedented global public         Pakistan Haemophila Patients Welfare Society
health challenge. This session - developed as an educational     Robert Sidonio - Pediatric Hematologist/Oncologist, Emory
response for the global bleeding disorders community -           University
presents four main topics:                                       WFH EDUCATIONAL: TREATMENTS FOR
• Radoslaw Kaczmarek focuses on the pathophysiology of           BLEEDING DISORDERS: CURRENT
   COVID-19                                                      ENVIRONMENT AND PIPELINE PRODUCTS
• Flora Peyvandi, MD, explains the clinical manifestations       There are novel products newly arrived on the market (longer
   of COVID-19                                                   half-life, non-factor products) that are very different from
• Cedric Hermans, MD, provides practical advice on the           traditional clotting factor concentrates which pose new
   management of COVID-19                                        questions about safety and clinical use. Furthermore, gene
• Mark Skinner concludes the session with information on         therapies may revolutionize hemophilia care. Finally, these
   the safety and supply of plasma derived products during       new technologies mean the global supply of all treatment
   the pandemic.                                                 products continues to grow, opening up the possibility for
SPEAKERS                                                         greater access to treatment in under-served areas of the world.
Cedric Hermans - Hematologist, UCL Saint Luc                     SPEAKERS
Radoslaw Kaczmarek - Postdoctoral Research Associate,            Radoslaw Kaczmarek - Postdoctoral Research Associate,
Hirszfeld Institute of Immunology                                Hirszfeld Institute of Immunology
Flora Peyvandi - Professor of Internal Medicine, Angelo          Flora Peyvandi - Professor of Internal Medicine, Angelo
Bianchi Bonomi hemophilia and Thrombosis Center,                 Bianchi Bonomi hemophilia and Thrombosis Center,
Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,       Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,
Universit degli Studi di Milano                                  Universit degli Studi di Milano
Mark Skinner - President, Institute for Policy                   Dan Hart - Consultant Haematologist, The Royal London
Advancement Ltd.                                                 Hospital Haemophilia Centre
NURSES TRACK: UNMET AREAS OF EVIDENCE                            Johnny Mahlangu - Professor of Haematology, University
BASED NURSING IN BLEEDING DISORDER CARE                          of the Witwatersrand and NHLS
As the role of hemophilia nurses continues to expand globally,   NURSES TRACK: EMERGING HEMOPHILIA
they are practicing at ever-more advanced levels, delivering     NURSING SKILLS
totally nurse-led care. The sessions cover best evidence-based   The session covers best evidence-based practices and looks
practices, and look at how the role of the nurse in delivering   at how the role of the nurse in delivering care will change
care will change dramatically over the coming years.             dramatically over the coming years.
SPEAKERS                                                         SPEAKERS
Kate Khair - Director of Research, Haemnet                       Kate Khair - Director of Research, Haemnet
Chris Guelcher - Pediatric Nurse Practitioner, Children’s        Amber Federizo - Medical Director, Hemostasis &
National Medical Center                                          Thrombosis Center of Nevada
Debra Pollard - Lead Nurse, Specialist Practice,                 Michelle Witkop - Head of Research, National Hemophilia
Haemophilia, Katharine Dormandy Haemophilia &                    Foundation
Thrombosis Centre                                                Regina Butler - Clinical Manager, Childrens Hospital of
Kelly Tickle - Pediatric Nurse Practitioner, Childrens           Philadelphia
Healthcare of Atlanta                                            Cathy Harrison - Advance Nurse Practitioner, Sheffield
Mahmoud Abu-Riash - Senior Clinical Specialist, King             Haemostasis & Thrombosis Centre
Faisal Specialist Hospital and Research Centre
                                                                 WFH EDUCATIONAL: WFH GLOBAL INITIATIVE
WFH EDUCATIONAL: IMPACT OF CHALLENGES                            FOR BETTER CARE OF VWD
OF BLEEDING DISORDERS IN WOMEN AND GIRLS
                                                                 VWD is the most common bleeding disorder yet it is greatly
The session highlights the challenges women and girls            undiagnosed. It is challenging to diagnose particularly or
experience in getting proper diagnosis, care, and treatment      developing countries. The Committee shares practical ways
for their bleeding disorder. What are the global and personal    to diagnose that would work in all contexts around the world
impacts of having a bleeding disorder for women and girls?       and educate the community on management.
The session addresses key issues such as reproductive
challenges, diagnostic dilemmas, and treatment options for       SPEAKERS
heavy menstrual bleeding. The session also shares examples       Margaret Ragni - Tenured Professor of Medicine and
of what actions are being taken to improve the lives of women    Clinical and Translational Science, Department of Medicine,
and girls worldwide with bleeding disorders. The session         Division of Hematology/ Oncology, University of Pittsburgh
includes a presentation on the impact of the COVID-19            Augusto Federici - Associate Professor of Hematology,
pandemic on women and girls with bleeding disorders.             University of Milan
                                                                 Roshni Kulkarni - Professor Emerita of Pediatrics and
SPEAKERS                                                         Human Development, Director, Michigan State University
Roshni Kulkarni - Professor Emerita of Pediatrics and            Rezan Abdul-Khadir - Consultant Gynaecologist, Royal
Human Development, Director, Michigan State University           Free London NHS Foundation Trust
Rezan Abdul-Kadir - Consultant Gynaecologist, Royal Free
London NHS Foundation Trust

                                                                                                        Bloodline July 2020    13
You’re invited to the 2020 HFNZ
              Adult Weekend!
If you’re 25 or over, and you’ve been hanging out for some         on Sunday afternoon. This is a great opportunity to really
HFNZ education and social time, then we have some great            engage with the running of your foundation.
news for you!
                                                                   The registration fee for the weekend, including flights and
Coming up in Christchurch on 6-8 November 2020 is the              accommodation is $100 per person or $150 per couple. You
first HFNZ national event since lock-down: The 2020 HFNZ           can choose to pay via internet banking as soon as you like, or
Adult Weekend.                                                     you will be invoiced closer to the date.

Living with a bleeding disorder, or living with a person           Please use your family name as a reference.
with a bleeding disorder, is challenging. Adult Weekend is
an opportunity for adults with bleeding disorders to openly        Account Name: Haemophilia Foundation of New Zealand
discuss their experiences, challenges, and concerns about          Account: 02 0828 0102656 000
living and aging with a bleeding disorder. The focus of the
weekend is to increase knowledge about bleeding disorders,         To make any other arrangements please contact Leanne at
upcoming trends and treatments, aging with a bleeding              head office: admin@haemophilia.org.nz
disorder, and the provision of health care in New Zealand, as
well as learning about HFNZ and its activities.                    So, sign up today:
                                                                   https://2020-hfnz-adult-weekend.lilregie.com/
Southern Outreach Worker, Ross, is working on the
programme, and so far it’s looking fantastic! We have an           The link will take you to the sign-up page, hosted by Lil Regie,
expert HFNZ panel lined up, a haematologist, a nurse, and          where you’ll be able to give us all your details, and sign up
a psychologist, all concentrating on the theme that ‘life is a     your other half too. Then all you have to do is sit back and wait
highway’. That means talking about the challenges you might        for November.
encounter along the way, as well as the good things.
                                                                   We’re looking forward to seeing you then!
Along with the education, there’ll be plenty of chances to enjoy
some social time, as well as a couple of interesting outings.

To top it all off we’re aiming to finish up with the HFNZ AGM

14     Bloodline July 2020
Outreach and Member Details

In order to increase the reach of HFNZ communications, and              That means, for some people, it may still be more appropriate
improve member outcomes, Outreach have begun updating                   to connect with you via phone, text, email, or video. Please
member details in the database. Over the coming weeks                   contact your OR Worker to organise the best way for you to
members will be contacted to add missing details. The most              connect with them:
important details are email addresses and dates of birth.
                                                                        Southern: Ross Paterson - ross@haemophilia.org.nz,
Having a current email address for you and your whānau is               021 656 804
important as we try to manage costs. Posting invitations and
information to members is an expensive business, and where
possible we would prefer to make contact electronically. If you
have an email address, but you’re not sure that we have it,
please let your Outreach Worker know.
The other essential detail is date of birth. We need this so that
we can be sure you’re on the list for age-restricted events, like
Adult Weekend and Women’s Weekend. If we have no DOB
for you, the database won’t filter you in to age-based mailing
lists. Again, if you’re not sure whether we have your DOB,
please let your OR Worker know.
Please find your OR contact details below.
As many of you already know, the National Council has
decided not to seek a new Midland OR Worker until 2021.
                                                                                        Ross Paterson - Southern OR Worker
During this time, members in the Midland region will
continue to be supported by either Northern OR Worker                   Central: Lynne Campbell - lynne@haemophilia.org.nz,
Amber Maihi or Central OR Worker Lynne Campbell.                        027 273 3443
                                                                        Northern: Amber Maihi - amber@haemophilia.org.nz,
                                                                        027 512 1114

Amber Maihi - Northern OR Worker   Lynne Campbell - Central OR Worker

If you live in the Waikato DHB catchment your OR contact is
Amber Maihi at amber@haemophilia.org.nz or on
027 512 1114.
If you live in the Bay of Plenty or Lakes DHB catchments, then
your OR contact is Lynne Campbell at lynne@haemophilia.
org.nz or on 027 273 3443.
Please refer to the image below to figure out the DHB you’re
in, and which OR Worker currently supports you.
Since the Covid-19 lockdown, Outreach staff were advised
not to undertake any travel. We are pleased to say that there
is now the ability for OR Workers to travel to meet with
HTCs and members. With reduced funding due to the Covid
situation, OR Workers still need to manage their travel well.

                                                                                                                 Bloodline July 2020   15
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