JOA20/40フォーカスグループほど、若いオストメイトへの深い愛情や思いやりの気持ちをもったグループを見たことがありません。他の国々では20/40世代（20～40代）のオストメイト団体の活動が衰退していることもありますが、JOA20/40フォーカスグループは組織をしっかり築きあげています。あなた方は20/40世代のオストメイト団体を作ることができるということを示すお手本となっています。私はこうした活動が広がって行くのに時間がかかることをよく知っています。しかし今、あなた方が感じているように、辛抱強く、たゆまぬ努力で育ててきた果実を収穫しているのです。まさに今回のワールドオストミーデーのテーマ「Many Stories, One Voice（たくさんの物語、ひとつの声）」をあなた方は体現したのです。
------------------------- Dear Friends and Young Ostomates,
I am writing to you from the heart. I extend my full appreciation to all who pioneered and are now continuing the work of helping young people adjust to their situation after their stoma surgeries. I must say that you are a strong group because since 2008 when this was proposed and up to now 2015, 7 years later, you have no other way of advancing but up. I believe that you have enthusiastically given your time and effort for the continued success of the group not only for yourselves but also for young people in Japan needing their voices to be heard.
I would like to tell you frankly that I have not seen so much love and compassion for fellow young ostomates other than from the 20/40 of JOA. Without duly undermining the work of other countries in building and maintaining groups intended for these bracket, the 20/40 of JOA has structuralized the system and you are the models that indeed it is possible to have a strong support group for this sector. I know full well that such endeavors take time to grow but as you see, you are now reaping all the fruits of your patient and untiring effort. You have embodied the very theme of the celebration “Many Stories, One Voice”.
I have of the strong belief that this group is an important component of any ostomy association. And if you ask me why, it is because it provides continuity and stability in the organization. I know that JOA is secured in the future to come because of the crop of young people with brilliant minds and a big heart. You are ready to take the cudgels and promote support for fellow young people and the association.
I would have wanted to join you in these activities but similar celebrations too are underway in my country as we celebrate World Ostomy Day. However, I look ahead to further collaborating with you in the near future as I put forward that this model you have started will be an example in the international landscape for all ostomates all over the world. We will challenge all 20/40 young ostomates to relaunch their groups after the system you have institutionalized.
Please stretch your wings a little bit further. Turn your visions across the far horizons. Bear with me for just a little more. Discover and get to know the plight of young ostomates in your neighboring countries. There are many young people and young professionals like you who continue to live alone because of confusion, apprehension, lack of confidence and even shame for these life saving surgeries that is not understood by the society we all live in. Let us make them realize that there is so much happiness and fun in being of service to young ostomates who share similar experiences.
You may be immersed with all your activities and personal endeavors but I just ask you to please come out a little bit from your comfort zone. Feel free to smile with others, laugh with others, cry with others, and hope with other young people just like you. I leave this challenge to all of you. I wish your organization nothing but the best.
Ronaldo Lora 20/40 Focus Chair IOA / ASPOA -------------------------