1. IN y oUE
8
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V legaIcN
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A Bolivian girl waits
to be screened for
diabetes. For more, p.4.
THE CASE FOR
OPTIMISM
Winner for
page 2
NONPROFIT INNOVATION // 2011 Drucker Award page 7
William Vazquez for Abbott Fund
D IRECTRELIEF. O R G
THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST + Japan Relief Update page 6
WINTER 2011 DIRECTRELIEF.ORG 1

2. THE CASE FOR
OPTIMISM
The case for pessimism is easy to make.
News reports provide ample evidence
every day, with reminders about being
in the worst economic period since the
Great Depression, scary budget trends and
teetering performance among governments,
the creeping grip of poverty grabbing more
people, the increasing frequency of large-
scale emergencies, and other existential
threats to humanity ranging from
climate to disease.
Direct Relief works every day with
people experiencing a worst-case
scenario, both in the immediate
emergencies that rivet attention
and the slow-motion tragedies that
don’t, such as those that unfold in
deep poverty. These situations don’t
lend themselves to thoughtless,
sunny optimism. That is why it is
so extraordinary to see optimism
emerge, every day, from the most
unlikely of sources.
Here are
4 REASONS
FOR OPTIMISM.
2 DIRECTRELIEF.ORG WINTER 2011 Photos: CHASS, Heidi Breeze-Harris for One by One, Kristin Brown, Edna Adan University Hospital, Shaleece Haas, Jenny Hutain, Annie Maxwell, Margaret Molloy, Mission of Mercy, Lindsey Pollaczek,
Daniel Rothenberg, Dan Smith, Liba Taylor, William Vazquez for Abbott Fund, Rob Wang, Brett Williams, Alison Wright

3. SEEMINGLY
INSURMOUNTABLE
PROBLEMS CAN
BE SOLVED.
The #1 killer of children under
5 doesn’t have to be.
Twenty years ago, the diagnosis of HIV was a death sentence. Now,
it is not. Millions of people can now live, thrive, and be productive
members of society with access to medications that did not exist
or were far too expensive.
Childhood pneumonia is killing more children under the age of
five than anything else, yet it too is a problem that can be solved.
Childhood Pneumonia
What it is. Childhood pneumonia is an infection of the lungs,
often caused by common viruses.
Why it matters. Pneumonia is more deadly for children
than AIDS, malaria, and measles combined.
Who it’s affecting. Pneumonia is the leading cause
of death in children under the age of five, killing an estimated 1.6
million children worldwide each year. The majority of childhood
deaths from pneumonia occur in developing countries where
access to care is limited.
What can be done. Pneumonia is treatable with
low-cost, simple health interventions, such as antibiotics,
oxygen concentrators, and inhalers.
Direct Relief’s plan. Within the next year,
Direct Relief is committed to helping 50,000 kids with pneumonia
receive care. By working with healthcare providers in 10 countries,
Direct Relief will broaden access to medications critical to treating
Jodie Willard
childhood pneumonia in the most vulnerable communities around
the world.
Why are you hopeful?
JOIN THE FIGHT AGAINST
& LEARN HOW ZYNGA
BRETT WILLIAMS, AND DIRECT RELIEF
Direct Relief Director of ARE TRANSFORMING
CHILDHOOD PNEUMONIA
International Programs ONLINE GAMING INTO
"I know that getting something REAL LIFE AID.
as simple as antibiotics in the DIRECTRELIEF.ORG/ZYNGA
right doctor’s hands can save a
child’s life, and we can do that."
WINTER 2011 DIRECTRELIEF.ORG 3

4. THE POTENTIAL
BENEFITS OF
TECHNOLOGY
ARE PROFOUND.
An Innovative Approach to
Fighting Diabetes in Bolivia
At least 19 million people have diabetes in Latin America
and the Caribbean, and that number is expected to nearly
double by 2025.
As daunting as these statistics are, the day-to-day realities
of living with diabetes in an area without adequate care are
far worse. Fortunately, the many health complications related
to diabetes can be minimized or eliminated entirely through
early detection and changes in daily lifestyle.
At ground zero of the disease in Bolivia, in the city of
Cochabamba, where an estimated 10 percent of adults
are suffering from diabetes, the country’s only institution
providing diabetes prevention, care, and treatment services
is El Centro Vivir Con Diabetes (CVCD). It also happens to be
one of the best in the world. In 2009, CVCD was named one of
William Vazquez for Abbott Fund
six International Diabetes Federation Centers of Education,
and in 2011, one of World Diabetes Foundation’s Centers of
Excellence.
CVCD focuses on screening, lifestyle education, and
nutritional counseling, along with providing treatment for the
most common diseases that accompany diabetes.
William Vazquez for Abbott Fund
ABOVE:
Abbott, the Abbott Fund, and Direct Relief support CVCD A Bolivian woman waits to be screened for
diabetes at one of CVCD’s mobile testing sites.
with cash assistance, medicine, and medical supplies that aid
in screening for diabetes and the treatment of diabetes-related LEFT:
CVCD uses Direct Relief-donated iPads to
conditions, such as visual, neural, and circulatory problems. record a patient who has tested positive for
diabetes, making referral to a CVCD clinic
In a new collaboration, Direct Relief provided CVCD with seamless.
iPads to integrate electronic medical records for mobile and
clinical data collection, management, and visualization. This
technology has bolstered CVCD’s already strong mobile
Why are you hopeful?
testing program, Prevenir, which has screened more than
100,000 Bolivians for diabetes.
ELIZABETH DUARTE GOMEZ, M.D.,
El Centro Vivir Con Diabetes Founder and Director
“The happiness we feel at being able to give to those in need,
without worrying about what it costs, is indescribable. Direct
Relief and Abbott provide us with materials for quality medical
5 THINGS TO KNOW ABOUT DIABETES care, and thus allow our dreams to come true.”
k 25 MILLION AMERICANS—1 in 12—affected. If trends continue, could be 1 in 3 by 2050. l 7TH LEADING CAUSE OF DEATH IN THE U.S. m 346 MILLION PEOPLE WORLDW
4 DIRECTRELIEF.ORG WINTER 2011

5. Why are
you hopeful?
MELANIE ROBY,
Executive Director,
Dr. Albert B. Cleage
Senior Memorial
Health Center,
Detroit, MI
“For our diabetic
patients in particular,
Venice Family Clinic
it is so hard to
monitor and control
their diabetes
because they are
unable to afford
their supplies and
medications. It is
because of generous
donations like Direct
Relief’s that we are
able to fight the good
THINGS CAN BE DONE BETTER, fight and provide
necessary healthcare
FASTER, AND CHEAPER. services for our most
underprivileged
population.”
Helping Uninsured U.S. Patients with Diabetes
Nonprofit safety-net community clinics and health centers are the medical
homes for low-income patients without insurance, providing care to millions
of patients annually. They are also key providers of health care for the
unemployed. Numerous studies have shown that when a rise in unemployment
occurs, so does the number of patients seeking care at clinics and health centers.
BY THE NUMBERS
Over the past several years, the unemployment rate has experienced a
greater increase than in the previous two decades, causing many people to lose
their health insurance. This presents serious challenges to those diagnosed with
chronic diseases, especially the 25 million people in the United States with
diabetes. Direct Relief’s partner-clinics and health centers have reported a sharp 10 million insulin syringes
increase in the numbers of patients seeking treatment. donated & distributed
To address this growing challenge, Direct Relief USA and BD developed
a program to assist people with insulin-dependent diagnosed diabetes, 803 clinics and health centers providing
providing 10 million insulin syringes and pen needles to a nationwide network care to 5 million patients
of nonprofit clinics. Additionally, Direct Relief and BD, in partnership with the
National Association of Community Health Centers and the National Association All 50 states
of Free and Charitable Clinics, distributed two nationwide surveys to better
understand the need for insulin injection products and to gauge the increase in
In 2010, health centers reported
patient populations. 6.5% of patients had a primary
With information provided by 803 clinic and health center respondents diagnosis of diabetes
spanning all 50 states, Direct Relief and BD have been able to support Findings from Direct Relief survey analysis in 2009 and 2011
treatment for tens of thousands of patients. and the Health Resources and Services Administration.
WIDE affected n 80% of people with diabetes live in low- and middle-income countries o Total deaths from diabetes projected to rise by more than 50% IN NEXT 10 YEARS
WINTER 2011 DIRECTRELIEF.ORG 5

6. Direct Relief-
JAPAN EARTHQUAKE & TSUNAMI RELIEF supported Peace
Boat has provided
more than 100,000
meals for people
affected by the
earthquake.
TALENT IS
EVERYWHERE,
AND PEOPLE
STILL CARE.
In emergencies, community-based
groups do the heavy lifting.
During emergencies, the local clinics and hospitals that Direct
Peace Boat, peaceboat.jp/relief/
Relief works with are often too busy and spread too thin to worry
about fundraising to support their efforts, and they quickly run
out of the money and resources needed to do the job. They are,
however, at the heart of the work being done to save lives and
repair communities.
In Japan, Direct Relief—in partnership with the Japanese
American Citizens League (JACL)—leveraged the generous
Why are you hopeful?
attention received by granting 100 percent of funding and
resources to these small, grassroots groups, in full. This
MARK PINCUS, CEO, Zynga, Inc.
ensures that those with the most at stake in an emergency—the
“Zynga and Direct Relief connect
healthcare providers who are among the people affected—with
millions of people around the
the greatest potential to save lives and repair and rehabilitate
world through online games to
injuries have the means to do so.
do offline good in a novel, easy,
Direct and meaningful way.”
Relief
and
JACL
$2.5 1/4 8
of which thanks to
M
ILLION Zynga, Facebook, TO
JAPANESE RELIEF
in GRANTS Mafia Wars players RECOVERY GROUPS
Why are you hopeful?
FLOYD MORI, JACL National Executive Director/CEO
“While the recovery prospects in Japan will run long-term, the basic
values of community and sacrifice give me great hope that human
suffering will be minimized and rebuilding will be accomplished.” where does the aid go?
See for yourself.
6 DIRECTRELIEF.ORG WINTER 2011 DirectRelief.org/Maps

7. 100% OF CONTRIBUTIONS GO TO PROGRAMS. DONATE AT DIRECTRELIEF.ORG
— Charity Navigator
— Forbes
LEVERAGE $1 spent = $25 of medical aid
2011 PETER F. DRUCKER AWARD
WINNER FOR NONPROFIT INNOVATION
rick wartzman, Drucker Institute Executive Director:
“[Direct Relief’s] fundamental insight—to take the best in private-sector technology
and uniquely adapt it for the social sector—has greatly strengthened a weak
link in the medical supply chain…Its efforts demonstrate that social-sector
organizations can achieve the very highest levels of efficiency. ”
WINTER 2011 DIRECTRELIEF.ORG 7

8. Leave a Legacy
A bequest or planned gift to Direct Relief can extend your generosity beyond your lifetime. Your commitment and
dedication will help people in the U.S. and around the world affected by poverty, disaster, and civil unrest live better,
healthier lives far into the future. With such a gift, you will be included in the Legacy Society, which recognizes visionary
and caring individuals who have included Direct Relief in their estate plans.
For more information on planned giving, visit DirectRelief.GiftLegacy.com, or contact
Kerri Murray, at KMurray@DirectRelief.org or (805) 964-4767.
LEGACY SOCIETY MEMBERS
Dotsy Jack Adams Marjorie B. Cullman Trust Estate of June Gaudy Estate of Yvonne C. Lucassen William J. Partridge Revocable Estate of Robert H. Sommer
Ms. Jane H. Alexander Roy R. Laurie M. Cummins Kate Dick Godfrey Evelyn C. Lund Charitable Living Trust Estate of K. Walter Stawicki
Anner Trust Fund Ed Mary Harvey Trust Remainder Trust Jody Don Petersen Estate of Elaine F. Stepanek
Anonymous Estate of Margaret E. Davis Mrs. Raye Haskell Estate of Robert Maclean Mr. Juan Posada Walter Mae Stern Trust
Estate of Rhea Applewhite Estate of Peter M. Dearden Betty Stan Hatch Marilyn Frank* Magid Estate of Nancy Roberts The Anna Stuurmans
Dr. Mrs. Gilbert L. Ashor Estate of H. Guy Di Stefano Estate of Dorothy S. Hitchcock Audrey E. Martinson Estate of Paul N. Roberts Revocable Trust
Miriam William* Bailey The Grant C. Ehrlich Trust Terrence Joseph Hughes Martone Family Trust Estate of Maria Rosmann Estate of Elna Theusen
Estate of Charles H. Bell Mr. Mrs. Ted Ewing Estate of Dorothy Humiston Kathleen Bruce McBroom The Babette L. Roth Irrevocable Estate of Wilbur H. Thies, Sr.
Merle E. Betz, Jr. Estate of Elsie Feibes Pat Dick Johnson Ms. Estelle Meadoff Trust Emily P. Thies
Mr. Joseph F. Bleckel Estate of Florence Feiler Ms. Beverly A. Jones Mr. Michael Mendelson Maryan Richard Schall Grace A. Tickner
Mrs. Helen J. Brown Estate of Howard C. Fenton Estate of Judith Jones Mr. Mrs. Frank B. Miles The Petar Schepanovich* Tilton Family Foundation
Estate of Marguerite Bulf Peggy Gary Mrs. Marvel Kirby Patricia McNulty Mitchell Kathleen Schepanovich Donn V. Tognazzini
Don Bullick Finefrock John Michael Koelsch Charles J. Esther R. Mlynek Trust Trust Carol Van den Assem Trust
William S. Burtness June Breton Fisher Mr. James Kohn Estate of Regis J. Morris Nancy Bill* Schlosser Estate of Marie L. Van Schie
Ms. Carol Carson Estate of Mario J. Frosali The Anette La Hough Trust Connie Smith Nevins Estate of June H. Schuerch Bettine* Lawrence Wallin
Estate of Charlotte Castalde Mildred K. Fusco Trust Dorothy Largay Wayne Rosing Estate of James Orr Estate of Margaret H. Smith Linda Seltzer Yawitz
Ms. Patricia Clancy Estate of Monica Gallagher Kenneth R. Loh Estate of Harold A. Parma Estate of Thelma R. Smith Marjorie Lynn Zinner
The Crosby Fund Sandra Garcia Estate of Barbara Jeanne Lotz Mrs. Fred Smithcors
* deceased
NONPROFIT ORGANIZATION
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ww w .D i r e ct r e l i e f . o rg
BOARD OF DIRECTORS
CHAIR Thomas J. Cusack
VICE CHAIR John Romo
SECRETARY Rita Moya
TREASURER Patrick Enthoven
Kendall Bishop • Jon E. Clark • Lawrence Dam • Patty DeDominic
Hon. Paul G. Flynn • Gregg L. Foster • Dorothy Gardner • Ernest J. Getto
J. Michael Giles • Bert Green, M.D. • Raye Haskell • W. Scott Hedrick
Priscilla Higgins, Ph.D. • Angel Iscovich, M.D. • Ellen K. Johnson
Nancy Walker Koppelman • Dorothy F. Largay, Ph.D. • Donald J. Lewis
Mari Mitchel • Jeanne Newman • Mary Louise Scully, M.D. • James Selbert
Ayesha Shaikh, M.D. • George Short • Gary R. Tobey
INTERNATIONAL ADVISORY BOARD CHAIR EMERITI
Lawrence R. Glenn • E. Carmack Holmes, M.D. Richard Godfrey
S. Roger Horchow • Stanley S. Hubbard • Jon B. Lovelace Stanley C. Hatch
Donald E. Petersen • Richard L. Schall • John W. Sweetland Denis Sanan
Nancy Schlosser
HONORARY BOARD
PRESIDENT EMERITUS Sylvia Karczag
CHAIR EMERITUS Jean Hay
DIRECTOR EMERITUS Dorothy Adams
PRESIDENT CEO Thomas Tighe
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8 DIRECTRELIEF.ORG WINTER 2011