The Uganda Hearing Health Care Project began when Dr Irwin Stewart (Rotary Club of New Westminster) first visited Uganda in 2000. He recruited Dr. Brian Westerberg and Margaret MacKenzie (Rotary Club Vancouver Quadra), as well as a number of Rotarians from other clubs in the District to the first team trip to Uganda in 2001 to determine the prevalence and causes of hearing loss. Subsequent trips by Dr Westerberg to Uganda primarily involved treatment of those people who were deaf or hard of hearing by both medical and surgical means. The project has always included more than just ear surgery, including water and sanitation projects in Arua under the guidance of Mr. Michael Crean (Rotary Club of New Westminster). The goal has always been to train the trainers; by educating local Otolaryngologists and supplying them with donated equipment needed for ear surgery, the program strove to create a sustainable benefit for the people of Uganda. The project has expanded considerably to include a broader range of health and educational services with the addition of experienced personnel in nursing, Biomedical Engineering and Anesthesiology. This year saw the expansion of services provided through donation of service by Dr. Murray Morrison, and Rupinder Khotar, Colleen Newland, Gina Chapman and Deb Protz (Rotary Club Vancouver Quadra). Dr. Morrison contributed expertise in treatment of head and neck disorders, in particular disorders of the larynx; Rupinder, Colleen, and Deb brought operating room nursing experience and Gina contributed her extensive intensive care nursing experience. Our club has secured a US$29,600 matching grant to provide laryngology equipment for Mulago Hospital in Kampala with help from the District and clubs in Kampala and New Westminster. The program continues to expand in the services provided. In particular, local efforts have been augmented by a group of volunteers from the University of Ottawa, with expertise in Pediatric Otolaryngology, Head and Neck Surgery, and Global Health Initiatives.