Dear ACR Member and Arthritis Foundation Community,

The events surrounding Hurricane Katrina have called attention to the needs of the thousands of Americans affected by the tragedy. Among the thousands of displaced citizens are people with arthritis, who under the most difficult of circumstances must cope with the pain and limitations of arthritis, the loss of medical care and the loss of access to needed arthritis medication. As leaders of the arthritis community, we are dedicated to ensuring that coordinated help is offered to people with arthritis who have also been affected by the hurricane. Many of these people have been displaced to communities all over the country, and we intend to reach out to them in their time of need.

A key role we can play is to provide information and immediate referral for those affected to a local rheumatologist for appropriate medical care and treatment with prescriptions or other therapies. One immediate need may be the re-establishment or provision of arthritis care and vital prescription medication for those with arthritis. This is of particular concern for individuals with disease flares or those on disease modifying treatments whose medication may be interrupted.

As a result, we ask the following:

1) As a rheumatologist, if you are willing to see displaced citizens with arthritis outside your normal patient base, please contact your local Arthritis Foundation chapter to be placed on a referral list. This will be a distinct referral list containing only those willing to see short-term, immediate displaced hurricane victims and separate from any current permanent referral list the chapter may have in your community. Rheumatologists may find the contact information for the nearest local chapter by going to www.arthritis.org and typing your zip code into the zip code locator on the left of the page or by clicking on the following link taking you to a chapter map: www.arthritis.org/communities/Chapters/ChapDirectory.asp

2) After placement on the referral list, rheumatologists will be contacted as need arises directly by the patient or the Arthritis Foundation office. The Chapter will follow-up at periodic intervals to let those on the list know how extensively it may have been provided to others, including to national coordinating medical authorities.

3) Because many displaced citizens may not have adequate health insurance, chapters and rheumatologists may provide information from the following Web link that serves as an industry-wide patient assistance program for prescription medication for people unable to afford medication: www.pparx.org . Also, please recommend other local resources that you may be familiar with. People who may already be on prescription medication or are already in the health care system may need appropriate follow-up and newly written prescriptions.

Local Arthritis Foundation chapters also have medication tips available for displaced patients. The ACR has created a resource area of its Web site devoted to hurricane resources for rheumatologists both in the affected areas and around the country, including a forum where members can post messages: www.rheumatology.org/katrina.asp.

There will be many months of recovery for the areas affected by the hurricane. We thank you for any efforts you may be able to provide in this time of national need.

Sincerely,

Elizabeth A. Tindall, MD - President, American College of Rheumatology

John H. Klippel, MD - President & CEO, Arthritis Foundation