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JOINT COMMITTEE ON SOCIAL AND FAMILY AFFAIRS debate -
Tuesday, 3 Oct 2006

Post Polio Support Group: Presentation.

I thank the Chairman and the committee secretariat for processing the request from the Post Polio Support Group to attend a meeting of the Joint Committee on Social and Family Affairs. This came about when constituents of mine were refused travel passes even though they suffered from polio in the 1960s and, in many cases, had to give up their employment on account of the debilitating effects of having had polio in the 1960s. From my investigations over a period of weeks when this came to my attention in a very specific way, I am convinced this group has been totally neglected by the State. It is unbelievable that in the past 40 years this issue has not been addressed and that there are people who suffered from polio as children to whom the State refuses a travel pass. It is hard to believe this is happening, given the country's current wealth.

I understand from the Post Polio Support Group, which has approximately 600 members, that there may be several thousand people who suffered from polio in the 1960s. These people have progressed on their own, have gone to college, to work and have retired from work, early in most cases as a result of having had polio. None of the free schemes is available to them on the basis of having had that debilitating condition. They must qualify under some other heading. Today is a watershed. I hope this committee will resolve the issue. I call on the Government to start by providing travel passes to all of these people. There are only a few thousand in the country. I hope they will qualify also for the free schemes following further investigation.

I welcome Mr. Hugh Hamilton and Ms Joan Bradley, who have been in touch with my office and Mr. Eamonn Farrell, the chief executive of the group.

I welcome the delegation from the Post Polio Support Group to make a presentation to the committee in regard to free transport for victims of polio. Before I ask the representative to make her opening remarks I remind members of the parliamentary practice that they should not comment on, criticise or make charges against any person outside the Houses or an official either by name or in such a way as to make him or her identifiable. Members who wish to make a declaration in regard to any matter being discussed may do so now or at the beginning of their contribution. Members are also reminded that if there is a possibility of a conflict of interest they should make a declaration of interest either now or at the start of their contribution. I draw witnesses' attention to the fact that members of the committee have absolute privilege but the same privilege does not apply to witnesses appearing before the committee. While it is generally accepted that witnesses would have qualified privilege, the committee is not in a position to guarantee any level of privilege to witnesses appearing before it. I do not think any matters will arise in the presentation but it is customary to point out this fact as a prelude to any presentation.

Ms Joan Bradley

I thank the Chairman and the committee for inviting me to appear here today. I propose to make a short presentation outlining how I believe this committee can assist polio survivors in Ireland. The committee has already been introduced to my two colleagues. If I relate my own experience it will clearly show what has been happening to those who had polio as children. I contracted polio when I was four and I was totally paralysed. After gradual recovery I was eventually able to walk unaided. I only started school at the age of nine. When I was 18 years of age I attended UCD and was awarded a diploma in radiotherapy. I then worked as a radiographer for three years but had to give it up owing to severe fatigue and other physical symptoms. I now recognise I was at that time suffering the onset of the late effects of polio. While I was unable to undertake further study or training and could get only low-paid employment in an office, I nonetheless continued to work for 40 years. I was, however, unable to afford VHI or pension contributions and was fobbed off for many years by the medical profession when I sought answers to my problems. In the initial stage of my illness I had to use a stick, then a caliper, crutches, then two calipers, all of which were purchased at my own expense. When I could no longer get on a bus — before the introduction of low-floor buses — I managed to buy a car with the assistance of the primary medical certificate. As I accepted each of these aids, my working life was prolonged. In 1995 I purchased a manual wheelchair and in 2003 I purchased a powered wheelchair. My story is typical of those which pertain to a polio survivor suffering the late effects of polio.

I helped found the Post Polio Support Group in the early 1990s to provide advice, assistance and support to Irish polio survivors suffering the late effects of polio. Current membership of the group exceeds 600. The late effects of polio, a disabling condition which affects polio survivors, often start decades after polio is initially contracted. The late effects of polio/post polio syndrome were internationally recognised by the medical profession in the late 1980s.

The Post Polio Support Group commissioned a professional survey entitled Polio — the Late Effects Reality. Members' ages range from 30 years to 80 years, most of whom contracted polio in the late 1940s and 1950s. Having achieved a successful life in many respects and having participated in the social and economic life of this country, they have now been hit a second time by the late effects of polio, a cruel and debilitating blow.

The focus of the Post Polio Support Group has been, since its foundation, to assist polio survivors to live with as much independence and dignity as possible. These people want to stay in employment and to live in their homes and communities for as long as is possible. In this regard, we have worked with Departments and their agencies to address the medical, housing and other needs of polio survivors. People with disabilities have a lower standard of living than others on equivalent incomes. This arises because of the extra cost of living associated with their disabilities. We are heartened that a cost-of-disability payment is being discussed and that the Minister for Finance is being encouraged to introduce such a payment in the forthcoming budget.

The Post Polio Support Group is concerned about the financial situations of polio survivors not in receipt of Department of Social and Family Affairs benefits based purely on diagnosis of their condition. While they can take advantage of various assistance schemes, they must meet the same qualifying criteria as other members of the general public and, for this reason, many do not qualify.

We are concerned about the social isolation of polio survivors and its link to lack of mobility. We know that the cost of travel, where appropriate transport is available, militates against taking up employment. We believe that access to the free travel scheme would greatly assist polio survivors in playing their full part as citizens of this State. We are deeply concerned about our members as they face the winter and the cost of oil, gas and electricity soars. Increased intolerance to cold is a symptom of the late effects of polio and as such access to the free fuel scheme would greatly assist our members to meet their heating needs.

We have come here today to ask that this committee act as an advocate on behalf of polio survivors. I respectfully request that it ask the Department if it has any understanding of the ongoing serious hardship being endured by our members. The committee might also ask what practical and effective steps the Department will take to alleviate our members' difficulties. We are not asking for much. We are a finite group and there will be no ongoing cost to the Exchequer, as vaccination programmes continue virtually to eliminate this illness in Ireland. The State has generally not supported people with the late effects of polio.

The Post Polio Support Group has sought inclusion in the long-term illness scheme and the medical card scheme but this has not been forthcoming despite recognition of the special and unique position of polio survivors. In this context, any additional supports by way of access to other schemes will go a considerable distance to help alleviate the suffering and hardship endured by many whose financial means are marginally greater than the relevant thresholds. Inclusion in the free transport scheme would help to reduce the isolation and changes in regard to the eligibility criteria for access to the free fuel allowance scheme would help address a specific need for survivors in the context of rising fuel costs.

Ours is a finite group. Effective vaccination ensures no one will suffer in the way we have. We look to members of the committee to ensure these issues will be vigorously pursued to assist this small group which has experienced so much disadvantage for so many years. Mr. Farrell, Mr. Hamilton and I will be happy to take questions.

I thank Ms Bradley for a succinct and illuminating presentation.

I thank the group for the presentation. There is no justification for not meeting its needs. Does the rate of progression of the condition vary from one individual to another? The group's excellent report on the late effects of polio states between 3,000 and 4,200 survivors have developed the condition or will in the near future. How many have it at present?

Ms Bradley

Virtually all our members have the condition, that is, more than 600. People only come to us when they reach the degenerative stage of the condition. Degeneration can be slow, stretching over many years.

Are we talking about 600 people who need assistance?

Ms Bradley

They may not all require assistance but some certainly require it immediately.

What reason has the Department given for not making such assistance available?

Mr. Eamonn Farrell

We have written specifically about fuel allowance because of our concerns about the increasing cost of oil, gas and electricity. Note has been taken of this.

The question of free travel has been raised with Deputy Finneran. We have also been part of the Disability Federation of Ireland's campaign on the question of the cost of disability.

I agree with the group on all of the issues raised. I take it from the presentation that the condition has not been recognised as a long-term illness. That would be an issue for the Joint Committee on Health and Children rather than this committee. Would it also be of great benefit to those who have the condition?

Mr. Farrell

Yes.

The number is very small. It is between 600 and 700.

Mr. Hugh Hamilton

The report shows the number who have polio and are alive to be in the region of 7,000. It is acknowledged internationally that approximately 60% of these may suffer the late effects of polio. This may amount to somewhere between 3,000 and 4,000 in Ireland. However, the number is diminishing all the time. As we will all be dead in 20 years, this is not an ongoing problem for the Government.

What is the situation in other jurisdictions?

Mr. Farrell

There is an uneven pattern. Some states, for example Germany, recognise the condition for full care. In others we have to fight for various benefits in many fora.

I welcome the three representatives of the group. I am pleased they have been given an opportunity to air their position in public. I regret that I have not brought this matter into the public arena before now. It did not come to my attention until recently. I am extremely disappointed that the State, during the terms in office of many Governments since the 1960s, has failed to respond to the victims of polio. It is difficult to believe no support has been given to them.

It is unbelievable that the only way to obtain support is to qualify under the same means test as any other person in the country. No exclusive or independent evaluation of the circumstances of polio victims takes place. When I saw the letter from the Department which stated a person was not entitled to a free travel pass without a qualifying allowance — and I am familiar with the circumstances of the person involved — I felt it was time to make a public statement on this issue. Today provides an opportunity to do so.

I hope the Departments of Finance and Social and Family Affairs listen to the call of the delegation. Given the financial position in which the State finds itself, it would be negligent, as it has been for the past 40 years, not to respond in a positive way to polio victims. The most basic aspect to consider is to ensure people have the opportunity to travel. I know many people affected had to give up work at an early stage because they were not in a position to travel. Some of them cannot now drive a car. Public transport and a free travel pass are a must for them.

Those affected should be entitled to all free schemes and included in the long-term illness provisions. I am glad this committee has given the delegation an opportunity to be heard. I hope we will keep it on our agenda and pursue it, particularly during the next two months and until consideration of the Finance Bill 2007. This is the most genuine case I have come across during my 16 or 17 years in the Oireachtas. It shows neglect not only by the present Government but by every Government since the 1960s.

I thank the Chairman for providing an opportunity for the delegation to be heard and I thank the committee for listening. Various Departments, particularly the Department of Social and Family Affairs, must take due note of what was stated and the decisions made at this meeting. Will the committee make a formal decision to support the case of the Post Polio Support Group to be included in the free schemes? As a start, free travel must be announced as soon as possible.

It can be taken that the committee will support the case and we will make a formal recommendation to the Minister for Social and Family Affairs to include it in the upcoming budget.

I compliment Deputy Finneran on making this case and the Chairman on allowing it. The committee gives its full support to the request because members know several polio victims. The group is not asking for much and the Minister should grant it.

I thank the witnesses for coming before us and presenting their case. I support them and will do whatever I can to advance the matter. Ms Bradley mentioned she had to reduce her working hours. If someone must give up his or her job because of the onset of the late effects of polio, is he or she entitled to social welfare benefits? Does he or she qualify for long-term illness benefits in that situation? Is someone in that situation regarded in the same way as anyone else who gets sick, such as a cancer sufferer, and has to give up work?

Mr. Farrell

Such people can present themselves for consideration of their disability in the same way as anybody else who has become disabled. The specific nature and progression of this condition are not recognised.

Are figures available on whether those who had to give up their jobs and presented themselves for entitlements were refused?

Ms Bradley

The person to whom Deputy Finneran referred has been refused but the situation was slightly different in that case. In general, once people give up work, they can obtain a social welfare payment. However, as some of the additional support payments are means-tested, people do not always qualify for them.

I know from talking to people who have telephoned the helpline that they are staying in bed because they cannot heat their homes. They are just not getting up. That makes their situation worse. In a sense, it is a vicious circle. As it is very costly to recharge a wheelchair battery, many are faced with a choice of turning down the heat or using their wheelchair less frequently.

Is Ms Bradley referring to people who have been out of the workplace for many years? Did they, for example, stay at home to perform caring duties, never enter the workplace, or were they forced to leave it because of their illness?

Ms Bradley

They all had to leave the workplace because of their illness. One of the main problems with the illness is fatigue — sufferers must rest in the middle of the day. I gave up work in 2000 because I needed to rest. Sometimes it is possible to get part-time work, but not always. In general, work is very difficult for sufferers.

Mr. Farrell

If one moves from full to part-time work, the cost of transport becomes disproportionately high, begging the question of why one is still working.

That was a very useful presentation. I commend the delegates for their clarity and succinctness. The committee will make a formal recommendation to the Minister for Social and Family Affairs urging him initially to consider the granting of free travel to polio sufferers. It will also draw his attention to the fact that polio sufferers as a group are finite in number and recommend that they be included in the household benefits package in the forthcoming budget. Furthermore, we will forward a transcript of today's meeting to him to demonstrate that there is cross-party support for the recommendation presented to us, as well as a copy of the presentation provided by the delegates. We hope, as a result, the group will be in a much better position by this time next year.

Mr. Farrell

Our aim is to keep people at work and ensure they can live independently and do not end up in negative situations. They want to maintain their dignity and carry on with their lives. I thank committee members for their attention.

I thank the delegates for their presentation.

Sitting suspended at 3.43 p.m and resumed at 3.45 p.m.
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