in 1999 and 2019, he received the Catholic last rites on three occasions. He handed over his position in ICROSS during his illness in 2019. He never married, being a Catholic Celibate adhering to the divine Office, and in the mid-1980s he adopted two Kenyans; a Samburu, Lemoite Lemako and a Maasai, Saruni OleKoitee OleLengeny, later to become assistant CEO of ICROSS Kenya, a role he held until July 2014. Career Elmore-Meegan's first involvement in Africa was in Karamoja, Uganda and then with a number of health and development projects with Dr Robbie McCabe MD in Turkana. He then expended his work into sections of northern Mogadishu in Somalia, developing and interest in infant health and nutrition. He began to work among the Samburu and Maasai people to address villages devastated by diseases such as malaria and tuberculosis and the effects of repeated drought. He spent the 1980s mostly living amongst pastoral nomadic Turkana, Maasai and Samburu tribesmen in Uganda and Northern Kenya. A long-time friend of Wilfred Thesiger, he worked closely with traditional Samburu primarily north of Maralal. In 1979, Elmore-Meegan, with Dr Joseph Barnes, founded the Community for the Relief of Starvation and Suffering (CROSS) which, by 1984, he renamed the International Community for Relief of Starvation and Suffering (ICROSS), which began funding health projects in Africa and India. He was supported in this work by Dr Wilfred Koinange, Director of Medical Services of the Kenyan Ministry of Health. Together with Fr Paul Cunningham CSSp, Fr Brendan O'Brien CSSp, and Dr Evan Sequeira, he established a series of community health programmes. After 32 years Dr Sequeira retired from the Board of Directors and was replaced by Dr Allan Soita. By 1985 he had built health clinics and development programmes serving three pastoralist communities. Learning local tribal languages, Elmore-Meegan created a unique approach to community development, insisting that any planning had to be done by the members of the local communities in the local languages, not by others. He pioneered a series of grassroots locally appropriate health interventions as part of integrated community health strategies in close collaboration with leading research institutions including the Institute of Child Health, London. He developed a series of locally appropriate methods for reducing infectious diseases which have been widely adopted. In 1984, he established a branch of his charity in the USA. ICROSS East End expanded with the support of Norman Jaffe and