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1 John 3:18b "...let us not love with words or speech but with actions and in truth."

2025 Pipers Angel Foundation Gala Keynote

Ep. 4 The Sick Chick Hour Podcast

West Georgia University

MPA Health Policy Class

Guest Lecture on

International Health Economics

Dr. Barrett's MPA Health Policy Class

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Essential Access
4

Cuba

Cystic Fibrosis Essential Access Program - Cuba (CF-EAP Cuba)

Cuba has a remarkably advanced healthcare system and some of the finest physicians in the world. But the island is now in the grip of a humanitarian crisis - a catastrophic energy shortage and historic hyperinflation - that has left even its most skilled doctors

without the everyday tools their patients depend on. For the roughly 300 Cubans living with cystic fibrosis, average survival is just 6 -15 years, a fraction of the 60-plus expected where basic care is standard. This gap is driven not by biology, but by access.

Building on our proven More Mornings 4 Mexico project, CFV4L launches the initial phase of CF-EAP Cuba within two weeks. Thirteen patients - roughly 4–5% of Cuba's entire CF population - will receive nebulizer compressors, cups, and the components to prepare hypertonic saline at home, and five of the most fragile will additionally receive personal oxygen concentrators and a month of caloric supplementation to nourish them

and their families. The program will roll out in three phases, scaling toward a sustainable national model of care. In early August, our team travels to Cuba to visit the clinic and meet the families.

Left Corporate Partner Hellmuch Barisch, Director, Evolution Nuetraceutical; Non-profit Partner, Lupita Compoy, Director, Association Mexicana de Fibrosis Quistica, Mark Tremblay, President, CFV4L, and Government Partner, Jose Luis Lezana Fernandez, MD, Medical Director at Frederico Gomez Children's Hospital

More Mornings
4

MEXICO

CFV4L, Piper’s Angels Foundation, Frederico Gomez

Children’s Hospital, Aerosol Medical Systems, Evolution Nuetracutical, and University of West Georgia have collaborated to provide basic evidenced based care to children and young adults with CF in Mexico City and evaluate its impact on the patients.

Children with cystic fibrosis (CF) in low-resource settings often lack access to basic, evidence-based care, contributing to dramatically reduced life expectancy, including just 23 years at Mexico City’s Federico Gómez Children’s Hospital. This study evaluates the health and cost impact of providing a comprehensive basic CF care package including: weight gainer supplements, hypertonic saline, Aerobikas, nebulizer compressors, and portable oxygen concentrators to 25 at-risk pediatric patients, at an annual cost of approximately $2,200 per child. Over 12 months, this generated a net savings of $2,500 per child.

MM4M 12-mo Research Presentation

NACFC26

(Español)

MM4M 12m Presentación de Investigación

NACFC26

Hope
4

ECUADOR

Cystic fibrosis (CF) is a life-limiting genetic disease in which most patients develop exocrine pancreatic insufficiency, yet an estimated 35% of CF patients worldwide lack access to pancreatic digestive enzymes, contributing to profound disparities in survival. In Quito, Ecuador—where life expectancy for children with CF is just 9.5 years—this study evaluates the health outcomes and cost-effectiveness of providing 25 of the most at-risk pediatric patients with pancreatic enzymes and daily multivitamins at an annual cost of $1,600 per patient. By tracking growth, lung function (FEV₁), healthcare utilization, and quality of life over time, the study aims to determine whether access to basic evidence-based nutritional therapy can improve outcomes while reducing acute healthcare costs in low-resource settings.

Left: Raul Enrique Rios Mendez, Pediatric Cardiologist; Maria Eugenia Arauz Martinez, Pediatric Pulmonologist; Mark Tremblay, President and Founder of CFV4L, MaryGrace Tremblay, Vice President of CFV4L, Travis Suit, Executive Director of Piper’s Angels Foundation

Breathe Easier

ECUADOR

A collaboration between CF Vests 4 Life (CFV4L) and CFPhysio.com (CFP) that brings evidence-based respiratory education to cystic fibrosis patients under the care of Dr. Maria Eugenia Arauz Martinez across clinics in Quito, Guayaquil, and the Galápagos. Airway clearance is a cornerstone of CF care, yet in low-resource settings both the equipment and the specialized training to use it effectively are often out of reach. In its initial phase, CFP will deliver a series of up to four virtual education sessions - developed and led by their respiratory subject-matter experts and facilitated and translated by CFV4L - to strengthen clinical capacity on the ground. When fully implemented, Breathe Easier Ecuador envisions providing Aerobikas and professional respiratory training for up to 160 CF patients.