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Who uses COPE's services?
Last year we made and fitted 1,264 orthotic/prosthetic devices and 400 wheelchairs/tricycles. The rehabilitation centres we support treated many adults and children in the rehabilitation centres.
Unexploded Ordnance

UXO victims waiting to be assessed at the National Rehabilitation Centre.
Around 40% of our patients use our service because they have been injured by unexploded ordnance (UXO). It is still a significant problem in many villages - children and people trying to make a living from collecting scrap metal are particularly at risk. Many of the areas are remote and getting proper medical attention is difficult. Corrective surgery is occasionally required and can be carried out at the COPE centres. With a prosthesis many people are able to return to their farming or other methods of supporting their family. The group of people in the photo were brought to our centre by a PCL a UXO clearance company. We try to inform as many other organisations as possible about our service so that people will know that these devices are available and free if they cannot afford to pay.

Monty from Sam Neua.
Leprosy
People can be affected by leprosy in different ways and there is still a lot of misunderstanding and stigma around this disease. Monty is a good example of what can be achieved. He was born in Sam Neua which is in North Eastern Laos. He lost his leg due to leprosy and manages well with a prosthetic leg. He also has significant problems with his hands and uses a tricycle to get around for longer distances. He is currently studying for his high school qualifications and dreams of being a teacher.

Trauma
The rate of industrial and traffic accidents is on the rise in Laos. We support the rehabilitation of people with problems such as spinal injury, complex orthopædic problems, head injury and amputations. COPE also supports the development of rehabilitation services for people following stroke and other medical problems.

Evaluating club foot.
Club foot
Club foot is an easily treated condition if seen early enough in the child's life, but when not treated is a common cause of mobility impairment in Laos. We have developed good links with local hospitals and now we see many babies that we can successfully treat. Extra training has been provided by Feet First so that local staff are able to treat this problem effectively.

Children with disabilities
COPE also supports the rehabilitation service for Children with disabilities in partnership with World Vision and the rehabilitation centres. We see many children with cerebral palsy and other problems. COPE provides equipment for rehabilitation and support and training of staff to help children reach their potential.

Polio
Although Laos was declared Polio free in 2002 there are still many people living with the effects of polio. Orthoses (supportive devices) can assist people with their mobility and reduce the chance of deformities occurring which can be painful and make daily life more difficult. Tricycles can be provided where appropraite and can mean someone is able to travel for study or to work.