Activity Report 1994-2010

EMERGENCY

Every year war and poverty destroy the lives of millions of people around the world. In todays conflicts, 90% of the victims are civilians. EMERGENCY is an independent Italian organization. EMERGENCY provides free, high quality medical and surgical treatment to the victims of war, landmines and poverty. EMERGENCY promotes a culture of peace, solidarity and respect for human rights.

Spas, say patients when they leave Sulaimaniya Rehabilitation Centre, in northern Iraq. Tashakor, say the ones discharged from our hospitals in Afghanistan. Mothers bringing their children back home from the Paediatric Centres in Sudan almost always whisper shukran. EMERGENCY carried out a great amount of work in 2010. In July we inaugurated the Paediatric Centre in Nyala, Darfur. In December, the clinical activities of the new Outpatient Clinic in Marghera, Venice, started. We are enlarging the Surgical and Paediatric Centre in Goderich, Sierra Leone, while the building of the Paediatric Centre in Port Sudan is proceeding. We have worked hard in Afghanistan, where one out of three beds in our Surgical Centres for war victims is occupied by a child, and where the Maternity Centre has broken the record of ten thousand births. In Iraq, we have continued to supply prostheses and vocational training to the physically disabled and amputee patients coming from all over the country. Our paediatricians have examined thousands of children from Sudan to Palermo, Sicily, from Afghanistan to Sierra Leone and the Central African Republic. But actually, in 2010 as in the 16 prior years of our activity, we did nothing special. We have continued to pursue a simple idea: that healthcare is a right for everyone, and we have taken care of those who were in need. Its as simple as that. And what our patients say is also simple: spas, tashakor, shukran. Thank you. To you, of course.

Cecilia Strada President of EMERGENCY

We have been treating a person every 2 minutes. For 16 years.

HOW WE WORK
In order to assert the right to healthcare for everyone, EMERGENCY:
provides assistance totally free of charge; guarantees treatment to anyone in need of assistance, without any sort of discrimination; practices high quality medicine, employing standardized therapeutic and working protocols already tested in emergency situations; trains local staff thoroughly until complete operational independence is achieved.

EMERGENCY designs, builds and manages through its international staff:

hospitals for victims of war and surgical emergencies; rehabilitation and social reintegration centres; first aid posts for emergency treatment; basic health centres for primary healthcare; paediatric and maternity centres; a centre for cardiac surgery.

EMERGENCYs international staff is also committed to the training of national staff.

AREAS OF INTERVENTION
SURGERY
Paediatric and Adult Cardiac Surgery Surgery for victims of war and landmines Emergency and trauma surgery General surgery Orthopaedic surgery Plastic and reconstructive surgery Ophthalmic surgery First Aid

MEDICINE
Cardiology Primary health care Internal medicine Neonatology Ophthalmology Obstetrics and gynaecology Paediatrics

REHABILITATION
Physiotherapy Production of prostheses and orthosis Vocational training and setting up of small business cooperatives for the physically disabled.

Between 1994 and 2010, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, 4,149,250 people received high quality medical care free of charge.
03

CULTURE OF PEACE

1995 Campaign against landmines

In 1995, one year after its foundation, EMERGENCY reactivated the hospital of Choman, a village in Iraqi Kurdistan near the border with Iran. The surrounding area had been polluted with landmines, mainly of Italian production: one of the most common ones being the Valmara 69, a fragmentation mine produced in Brescia, which can kill within a 25 meters radius and seriously injure in a radius of 200 meters from its explosion. EMERGENCYs doctors treated landmine victims in the hospital in Choman at first, and then also in the other two set up in Erbil and Sulaimaniya. The victims were men, women and children who had stepped on a mine while leading animals to pasture, as they went to fetch water, or while playing. They were not fighters, but people trying to lead their own lives. In Iraqi Kurdistan, EMERGENCYs doctors faced up to one of the worst heritages of war: 100 million unexploded mines are estimated to be scattered around some seventy countries. EMERGENCYs surgeons started to tell what they saw on the operating tables of their hospitals. Their work gained great attention on the television programme called the Maurizio Costanzo Show, where Gino Strada, the founder of EMERGENCY, talked to the general public about the devastating effects of landmines for the first time. For many people this was a totally new issue: few media outlets had dealt with this topic in a country that was one of the largest producers and exporters of landmines at the time. Thanks to an intensive information campaign consisting of newspaper articles, meetings in schools, debates and exhibitions, mines became a subject of public interest. EMERGENCY publicly asked the Minister of Defence to take concrete action against landmines. On August 2, 1994 the Italian Parliament approved a moratorium on the production and export of landmines.

Keakaws Amin Ahmed , 30 years old, hunting, left leg amputated; Karim Wahid, 32, collecting metal, right leg amputated; Saeed Majeed, 43, collecting metal, multiple wounds ...: an extract from the admission book of EMERGENCYs hospital in Sulaimaniya became a postcard to be sent to the Italian President Oscar Luigi Scalfaro to ask for the prompt discussion and approval of a bill prohibiting Italy from producing, trading and using landmines, as well as a commitment in the international arena for their total ban and the launch of humanitarian initiatives of mine clearing and aid to victims. More than a million postcards were sent to the Quirinal Palace, the official residence of the President of the Italian

Republic, in the summer of 1996. In December of the same year the international call for the ban on landmines was also signed by ten Nobel laureates: Rita Levi Montalcini, Adolfo Perez Esquivel, Joseph Rotblat, Elie Wiesel, Jean Dausset, Christian de Duve, Frank Sherwood Rowlands, Steven Weinberg, Kenneth J. Arrow, James M. Buchanan. Finally, under the pressure of an increasingly public awarness, the Italian Parliament approved the Law n. 374 on October 29, 1997. This law forbids - in Italy - the manufacture, storage, sale, export and possession of mines, components, technologies and patents. Moreover, the law forbids the economic

participation in foreign companies dealing with mine production and trade. On December 3, 1997 in Ottawa, Italy signed the Anti-Personnel Mine Ban Convention, which prohibits the use of these weapons, mandates the dismantlement of arsenals and makes provisions for de-mining and victim assistance an innovation in the Italian regulations. The Ottawa treaty came into force on March 1, 1999, but 37 countries had not yet signed it at the end of 2010. Among them there were China, Egypt, Finland, India, Israel, Pakistan, Russia, and the United States of America.

2001 A shred of peace

War broke out, is in progress, has killed and keeps on killing. It will last even when military strategists decide to affirm that it is over, from their point of view. It will last in the mourning of the survivors, in the mutilated bodies of many of them. It will last in the bursts of unexploded devices still on the ground. We know that many are in favour of this war. We also want the voice of those who are against it to be heard. And we will use a piece of white cloth to say this: hanging from a purse or a briefcase, tied to front doors or balconies, to dog leashes, car antennas, baby strollers, school bags ... A shred of peace. And if many of us show it, it will not be possible to say that Italy as a whole has chosen war as an instrument of conflict resolution. EMERGENCY calls for the participation of individual citizens, and also of municipalities, parishes, associations, schools and of anyone sharing this position. Spreading this message is a way to start. On September 11, 2001 the attacks in the United States shocked the international public. The reaction was swift: not even a month after the attacks, on October 7th, U.S. bombers attacked Afghanistan. It was the Operation Enduring Freedom, the first act of the global war on terror: the Taliban regime that ruled Afghanistan was accused of supporting the terrorist group Al-Qaeda, held responsible for the attack on the Twin Towers.

The military attack on Afghanistan was largely supported by the international community. Italy also fell in line: on November 7, 2001 the Italian Parliament approved the participation in the international military operation with the favourable pronouncement of 92% of its members, in evident disregard of Article 11 of the Constitution stating that Italy repudiates war. Eleven days later, thanks to the most bipartisan vote in the history of the Republic - as it was defined by Gino Strada - 600 Italian

soldiers left for Afghanistan aboard warships from the port of Taranto. The war was propagandized as the inevitable self-defence measure of a country under attack. EMERGENCY knew that war would not bring justice to the victims of the attack, nor it would eliminate the terroristic threat, but it would just be the umpteenth act of violence on a country battered by decades of conflict, causing the deaths of further thousands of innocent people. Many showed the same conviction supporting

the work of EMERGENCY, the only NGO present in Kabul at the time of the attack of the international coalition. EMERGENCY asked people to show their disagreement through the symbolic use of a shred of peace, in order to manifest public dissent against the war and the decisions of the Italian Parliament. The small white strip of fabric tied to the wrist, hanging on bags or cars would become a symbol of recognition among those who want to find new ways of being together, new ways to solve problems other than violence, terrorism, or war .

2002 Italy Out of the War

It was the autumn of 2002. Once again, war seemed to be an unavoidable choice: Iraq was the number 1 enemy, the nonexistent weapons of mass destruction were presented as a threat to the safety of the West and the West was preparing another military campaign in the area. Italy out of the War: EMERGENCY put forward this request to the Italian government and to the citizens with a massive mobilization that reached its peak on December 10, 2002. On the anniversary of the Universal Declaration of Human Rights, more than 250 torchlight processions and 500 thousand people poured into the streets throughout Italy, while rainbow flags and white shreds of peace waved from the windows. Moreover, hundreds of meetings were organized in schools; scores of municipalities, provinces and regions adhered to the call, and 500 thousand signatures were collected in favour of the appeal Italy out of the War on EMERGENCYs website. We want a world based on justice and solidarity. We reject violence, terrorism and war as means of conflict solving between people and nations. We ask that Italy, facing the threat of a military attack against Iraq, does not participate in any act of war, in observance of its Constitution. We do not want to be jointly responsible for new grief, nor want to feed the spiral of terror. Stop wars, stop killings, stop victims. EMERGENCY handed the text of the appeal and the signatures collected to the presidents of the Republic, the Government, the Chamber of Deputies, the Senate, and of the parliamentary groups. Against the will of a great part of the country, on April 15, 2003, the government won the vote of the Parliament in favour of the emergency humanitarian mission, even before the UN Security Council adopted resolution n. 1483. Stop war, sign for peace. Repudiation of war is a fundamental principle of the Italian Constitution and it is declared in article n. 11. In the same period, to give strength to its call for peace, Emergency proposed to three jurists - Luigi Ferrajoli, Domenico Gallo, Danilo Zolo - to draft a bill of popular initiative Rules for the execution of the principle of repudiation of war, as declared in article n. 11 of the Italian Constitution and in the UN Charter. The draft bill calls for a series of guarantees that would put article n. 11 into operation, allowing its actual application and providing strict penalties in case of violation. EMERGENCY collected 137,319 signatures (far beyond the 50,000 required by law) and submitted them to the Normative Texts office of the Chamber of Deputies on June 17, 2003. The draft bill has not yet been assigned to any parliamentary committee.

2003 - Cease fire

Citizens of the world can no longer grieve over the tragedies of terror: a bomb is followed by a car bomb, every death leads to a revenge that generates other deaths and other revenges. Different names - war, terrorism, violence but the results are always human bodies torn into pieces and pieces of humanity lost forever. We no longer want to see atrocities: it is inhuman that human beings keep on killing each other. Lets stop this spiral, or in the end there will be nothing left, no one will be right or wrong, there will only be an endless chain of grief and destruction. We ask all those who are carrying out and planning attacks and wars to stop. We ask for time to reflect, we cannot helplessly witness the spreading of murderous madness. To all those who promote violence, clandestine organizers of massacres or extremely visible dictators or presidents, we, the people, implore: cease fire!. In autumn 2003, the intensification of the war in Iraq and Afghanistan and bombings in Turkey, Palestine and Chechnya followed one another in a spiral of violence that seemed destined to expand endlessly. EMERGENCY became the promoter of an appeal to ask governments and armed groups to cease fire before hatred and violence became the only language used by human beings. The appeal was immediately signed by Noam Chomsky, professor of Massachusetts Institute of Technology; Ignacio Ramonet, director of Le Monde Diplomatique; Oscar Luigi Scalfaro, President of the Italian Republic 1992-1999; Rigoberta Mench, Nobel Peace Prize in 1992; Rita Levi Montalcini, Nobel Prize in Medicine in 1986; Dario Fo, Nobel Prize in Literature in 1997; Jack Steinberger, Nobel Prize in Physics in 1988; Leonard Boff, philosopher and theologian; Tavola Valdese, Union of the Methodist and Waldensian churches in Italy; Inge Schoental Feltrinelli, publisher; Ermanno Olmi, director; Riccardo Muti, conductor; Pietro Ingrao, politician and writer; Carlo Ossola, professor of the Collge de France; Father Alex Zanotelli, Comboni missionary; Rabbi Michael Lerner, director of Tikkun magazine; Sari Hanafi, director of the Palestinian Diaspora and Refugee Centre; Peretz Kidron, journalist and writer; Yesh Gvul, Movement of Israeli soldiers against occupation; Sylvie Coyaud, journalist; Farid Adly, journalist; Hebe de Bonafini, President of the association Madri de Plaza de Mayo; Father Luigi Ciotti, president of the association Libera; Carlyle Vilarinho, Head of Cabinet of the Brazilian Government; Jos Graziano da Silva, Minister of the programme Fame Zero of the Brazilian Government; Amos Oz, writer; Andrea Camilleri, writer; Monsignor Raffaele Nogaro, Bishop of Caserta; Tiziano Terzani, writer. Among the first signatories there was also Hans von Sponeck, former director of the UN humanitarian programme in Iraq, who had resigned as a gesture of protest against the sanctions required by the United States. Many municipalities, as well as Italian and international associations also adhered, along with family members of September 11th victims. Over 76,000 of citizens signed the appeal on EMERGENCYs website.

2010 - The world we want

We believe in the equality of all human beings, regardless of their opinions, sex, race; of their ethnic, political, religious background and belonging; of their social status and financial condition. We repudiate the use of violence, terrorism and war as instruments to resolve the disputes between individuals, peoples, nations. We want a world based on social justice, on solidarity, on reciprocal respect, on dialogue, on an equal distribution of resources. We want a world in which governments guarantee the basic equality of all members of society and the right to medical treatment that is both of a high standard and free; the right to a public education system that develops each person, each human being, enriching their knowledge and intellect; the right to free information media. In our own Country, instead, for many years now weve witnessed the progressive and systematic destruction of any and all principles of social, human cohabitation. A most severe and savage drift is before our eyes. In the name of international alliances, the Italian political class has chosen war and aggression against other Countries. In the name of freedom, the Italian political class has chosen war against its own citizens, building a system of privileges based upon exclusion and discrimination, a system of arrogant prevarication, of ordinary, daily corruption. In the name of security, the Italian political class has chosen war against those who come to Italy to survive, instigating hatred and racism against them. Is this a democracy? Simply because it involves electoral processes of representativeness? Is the act of voting enough for a Country to be defined as democratic? To us, a political system is democratic only if it works for the common well-being, favouring in its actions the needs of the underprivileged, the needs of the weakest social groups, to better their living conditions, so that we may all be a society of citizens. This is the world we want. For ourselves, for all of us. A world of equality. The world we want is the title of the Manifesto presented by EMERGENCY at the ninth National meeting of its volunteers in September 2010. Discussed by Gino Strada, along with authors and personalities, the Manifesto calls for a world without war, where the basic rights of every human being are guaranteed - health, education, information ... - and fundamental values such as peace, democracy, rights and equality are shared. The Manifesto is not a revolutionary document: it was written having in mind both the Italian Constitution and the Declaration of Human Rights, which date back to more than sixty years ago, when the world was coming out of two wars that had subverted each and every principle and human ideal. EMERGENCY felt the urge to put these words back at the centre of public discussion so that basic rights of all do not become privileges of a few. The Manifesto was written tracing EMERGENCYs history: from its very first mission, in Rwanda, to the new Outpatients clinic in Marghera, EMERGENCY has given assistance to anyone in need because we have always believed in peace, democracy, rights and equality as the only possible forms of coexistence between human beings.

HUMANITARIAN PROGRAMMES

Afghanistan
In over 30 years, war in Afghanistan has caused one and a half million dead, hundreds of thousands of wounded and disabled, in addition to more than four million displaced people. The most recent war, which began in October 2001, continues to injure, kill and destroy. And on the ground there is still the legacy of previous wars: landmines and unexploded devices continue to maim children and adults, mostly civilians. Since 1999, EMERGENCY has been active in Afghanistan and has built and managed a Surgical and Medical Centre and a Maternity Centre in the Panjshir Valley, a Surgical Centre in Kabul, a Surgical Centre in Lashkar-gah, a network of 28 First Aid Posts and Health Centres, a programme of medical assistance to the inmates of the largest prisons in the country. Since 1999, EMERGENCY has treated 2,831,208 people in Afghanistan.

Uzbekistan Tajikistan Turkmenistan

China

Anabah Kabul

Afghanistan
Lashkar-gah Iran Pakistan

EMERGENCY - Activity Report 2010

Anabah, Panjshir Valley

Surgical and Medical Centre

In 1999 EMERGENCYs intervention began in the Panjshir Valley, in northern Afghanistan. A former military compound in the village of Anabah was renovated and turned into a Surgical Centre for War Victims. In order to meet the needs of the local population, the Centre progressively expanded its activities to include emergency surgery, general surgery, trauma care, internal medicine and paediatrics. A programme for the surgical and medical treatment of the most prevalent ophthalmic diseases is also active within the Centre, where periodical missions of international specialized staff are organized. An ambulance service connects the Surgical and Medical Centre in Anabah to a network of 17 First Aid Posts and Health Centres, opened by EMERGENCY in the Panjshir Valley and in the neighbouring provinces of Kapisa, Parwan, and Badakhshan and on the Salang pass.

Opened: December 1999 Activities: Surgery for war and landmine victims Emergency Surgery General Surgery Trauma Surgery Internal Medicine Paediatrics Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization Room, Intensive Care Unit, Surgical-Medical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 70 Local staff: 205 As of December 31, 2010 Admissions: 23.042 Outpatient consultations: 147.409 Surgical operations: 15.531

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Anabah, Panjshir Valley

Maternity Centre
In 2003 EMERGENCY opened a Maternity Centre in Anabah to provide antenatal, gynaecological, obstetric and neonatal care to the population of the Valley and the surrounding provinces. More than 300 babies are born every month at EMERGENCYs Maternity Centre, which is the only specialized and free facility in the area. More than 10,000 babies were born in the Centre by December 2010. EMERGENCY has also activated a prenatal care programme for women living in remote areas, who are assisted through the network of EMERGENCYs First Aid Posts and Health Centres spread over the Panjshir Valley and the surrounding provinces. International and national midwives carry out periodical monitoring missions of pregnancies. Patients who need further checkups are referred to the Maternity Centre by EMERGENCYs ambulances. The personnel employed at the Maternity Centre are exclusively women, both Afghan and international. International staff is also engaged in the theoretical and practical training of local midwives.
Opened: June 2003 Activities: Obstetrics Gynaecology Neonatology Antenatal care Facilities: Emergency Department, Outpatient Department, 1 Operating Theatre, Intensive Care Unit, Wards, Nursery, Ultrasound Room, Delivery Room, Diagnostics, Technical and Auxiliary Facilities shared with the Surgical and Medical Centre. Number of Beds: 25 Local staff: 34 As of December 31, 2010 Admissions: 15,712 Outpatient consultations: 63,688 Surgical operations: 3,483 Babies born: 10,346

EMERGENCY - Activity Report 2010

Kabul

Surgical Centre for War Victims

EMERGENCY started working in Kabul in 2000, renovating and expanding a former nursery school in the centre of the capital. The structure, which had previously been hit by a rocket that killed five children, was then turned into a Surgical Centre for war victims, and started its clinical activities in April 2001. In August 2003, a 6-bed intensive care unit was set up. In 2005, a device for computerized tomography (CT) was installed; it is still the only free one in Afghanistan. The Centre is also specialized in trauma surgery. However, since July 2010 the admission criteria have been restricted to war surgery only, in order to meet the needs of the increase of injured patients. The Kabul Surgical Centre is linked to 10 of EMERGENCYs First Aid Posts and Health Centres in the provinces of Kabul, Parwan, Logar, and Ghazni.

Opened: April 2001 Activities: Surgery for war and landmine victims Trauma Surgery Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization, Intensive Care Unit, Sub-intensive Care Unit, Surgical Wards, Physiotherapy, CT Scan, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 95 Local staff: 256 As of December 31, 2010 Admissions: 23,172 Outpatient consultations: 72,065 Surgical operations: 28,196

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Lashkar-gah

Surgical Centre for War Victims

In 2004, EMERGENCY opened a Surgical Centre for war victims in Lashkar-gah. The Centre is the only free specialized facility in an area the Helmand province that has been at the centre of the Afghan conflict in the most recent years. In 2010, 60% of injured patients were war victims and one out of three was a child. On April 10, 2010, armed men from the Afghan and international security forces burst into the Surgical Centre of Lashkar-gah. After showing the press three boxes containing weapons and explosives, introduced into the hospital by persons unknown, the security forces took three members of EMERGENCYs international staff. The three operators were detained for nine days, without any formal charges being formalized against them and without being able to communicate with their families or with EMERGENCY. While the media raised absurd accusations, Italian and Afghan citizens rallied in defence of the humanitarian workers, of their rights and their work. In only four days, over 400,000 people signed the call for their release published on EMERGENCYs website. On April 18th, the three were released and recognized as innocent of charges. The identity of who introduced the weapons in the hospital was never determined, nor were the reasons for this action. The hospital in Lashkar-gah was closed for three months while waiting for the necessary guarantees for the resumption of activities, which occurred on July 29th. The Lashkar-gah Surgical Centre is linked through a service of ambulances to EMERGENCYs First Aid Post in the village of Grishk.

Opened: September 2004 Activities: Surgery for war and landmine victims Trauma Surgery Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Intensive Care Unit, Surgical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 70 Local staff: 200 As of December 31, 2010 Admissions: 11,817 Outpatient consultations: 63,562 Surgical operations: 14,197
EMERGENCY - Activity Report 2010

First Aid Posts (FAPs) and Primary Health Clinics

Since 1999, EMERGENCY established a network of 28 First Aid Posts (FAPs) and Primary Health Clinics in Afghanistan, in order to provide prompt treatment also to the population of the most remote areas or to zones lacking healthcare facilities, such as the Panjshir valley and the Salang pass, together with some areas around Kabul and in the provinces of Kabul, Kapisa, Logar, Ghazni, Parwan, Badakhshan and Helmand. The local staff trained by EMERGENCY provides basic healthcare, first aid and the referral of patients in serious conditions to EMERGENCYs hospitals by an ambulance service open 24/7.
Number: 28 Locations: Peryan, Dashty Rewat, Khinch, Dara, Changaram, Rokha, Shutul, Ahangaran, Gulbahar, Abdara, Darband, Kapisa, Sangai Khan, Anabah, Koklamy, Oraty, Anjuman, Bagram, Charikar, Mirbachakot, Logar, Sayad, Said Khil, Ghazni, Grishk. EMERGENCY also offers health care at the Juvenile Rehabilitation Centre and the Tahi Mashkan orphanage in Kabul. Local staff: 199 As of December 31, 2010 Outpatient consultations: 2,073,617 Patients referred to hospital: 25,444

Prison Programme
Since 2000, EMERGENCY has been running a programme of medical assistance to prisoners by setting up outpatient clinics within prisons. EMERGENCYs nurses provide basic medical treatment and guarantee the referral of surgical cases to the hospitals of the NGO.
Duab Prison: 694 patients examined and treated from 2001 to 2003 Shebergan Prison: 13,338 patients examined and treated from May 2002 to June 2004 Lashkar-gah Prison: 1,880 patients examined and treated from February 2006 to December 2007 Prisons in Kabul (Governmental Jail, Investigation Department, Pol-e-Charki): 223,784 patients examined and treated as of December 2009 Local staff: 26

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Cambodia
War in Cambodia ended more than a decade ago, but its consequences still burden the country and its future: over six million landmines are still scattered throughout the fields, in a country lacking free high level medical infrastructure and specialized medical personnel, and where there is an abundance of poliomyelitis cases due to the suspension of vaccination campaigns. In 1998 EMERGENCY built a Surgical Centre addressing the victims of war and landmines in Battambang, one of the most heavily mined areas of the country. Through the years, the hospital was turned into a Surgical and Trauma Centre. In the Samlot district, EMERGENCY opened five First Aid Posts in order to provide emergency treatment and basic healthcare in a heavily mined area with no other healthcare facilities. Management of the FAPs was definitively handed over to the local government in 2009. Since 1998, EMERGENCY has treated 377,769 people in Cambodia.

Thailand

Laos

Battambang

Cambodia
Phnom Penh Vietnam

Gulf of Thailand

EMERGENCY - Activity Report 2010

Battambang

Surgical Centre
The Surgical Centre in Battambang was opened in 1998 to provide surgical assistance to war and landmine victims. Through the years, the activities of the Centre have been expanded to include emergency and trauma surgery, as well as plastic and reconstructive surgery for the correction of congenital malformations and of the effects of polio. The Centre also hosts specialized periodical missions for the medical and surgical treatment of ophthalmic diseases. EMERGENCYs international staff is also engaged in the professional training of local personnel, including specific workshops for physiotherapists, nurses and anaesthetists.

Opened: July 1998 Activities: Surgery for war and landmine victims Emergency Surgery Trauma Surgery Facilities: Emergency Department, Outpatient Department, 3 Operating Theatres, Sterilization Room, Intensive Care Unit, Surgical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 107 Local staff: 188 As of December 31, 2010 Admissions: 26,944 Outpatient consultations: 101,791 Surgical operations: 29,682

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Iraq
The Iraqi territory is infested with more than 10 million landmines, many of which were manufactured in Italy. In order to bring assistance to landmine victims, in 1995 EMERGENCY restored and reactivated the hospital of Choman, a village in Iraqi Kurdistan on the Iranian border. In 1996 and 1998 EMERGENCY opened two Surgical Centres for war victims in Sulaimaniya and Erbil, two cities which were under the control of opposing factions at the time. Both Centres were expanded later on, to include specialized units for the treatment of burn and spinal injuries. EMERGENCY also opened 22 First Aid Posts to guarantee prompt assistance to the injured and to refer them to the hospitals when indicated. In 2005, EMERGENCY entrusted the local authorities with the management and running of the two Surgical Centres and of the network of First Aid Posts, now integrated into the national health system. In 1998, EMERGENCY opened a Rehabilitation and Social Reintegration Centre in Sulaimaniya. Since 1995, EMERGENCY has treated 389.672 people in Iraq.

Turkey

Sulaimaniya Syria

Iraq
Baghdad Jordan

Iran

Saudi Arabia

Kuwait

EMERGENCY - Activity Report 2010

Sulaimaniya

Rehabilitation and Social Reintegration Centre

In 1998, EMERGENCY opened a Rehabilitation and Social Reintegration Centre in Sulaimaniya, specialized in physiotherapy and in the production of prostheses, orthoses and walking aids / orthopaedic devices for disabled and amputee patients. A project to address and correct architectural barriers is in place to assist the homecoming of patients. The Centre facilitates the occupational reintegration of former patients through professional and vocational training in carpentry, woodwork, tailoring and shoemaking. Once the courses are over, EMERGENCY guarantees financial and management support for the establishment of small business cooperatives and handicraft workshops until a complete autonomy is reached. 260 cooperatives were set up as of December 2010. The Centre is the only free, specialized facility in the area and it has become a referral centre for the whole of Iraq. At the request of local authorities, periodic missions of EMERGENCYs cardiologists are carried out at the Centre for the screening of heart patients for trasferral to the Salam Centre for Cardiac Surgery in Sudan free of charge.
Opened: February 1998 Activities: Physical Rehabilitation Prostheses and Orthoses Production Cardiac screening and follow-up Facilities: Patient Wards, Physiotherapy, Indoor Swimming Pool, Orthopaedic and Prosthetic Workshops, Auxiliary Facilities. Number of Beds: 41 Local staff: 92 As of December 31, 2010 Admissions: 5,890 Sessions of Physiotherapy: 38,178 Upper Limb Prostheses: 767 Lower Limb Prostheses: 5,443 Orthoses: 741 Cardiological examinations: 238 Trainee class graduates: 446 Cooperatives set up: 260

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Italy
The right to medical care is recognized by law in Italy, and it is actually often denied to immigrants, foreigners, poor people who do not have access to treatment because of their scarce knowledge of their rights, as well as the linguistic barriers and the difficulty in finding their way within a complex health system. In a climate of widespread fear and growing racism, migrants often do not turn to public facilities as they are afraid of being reported to the police or the authorities. For these reasons EMERGENCY began to work in Italy, operating within prisons (2005-2007), treating immigrants, and situations of social distress. In 2006 EMERGENCY opened an Outpatient Clinic in Palermo, Sicily, to guarantee free healthcare to migrants with or without residence permits and to any person in need. In December 2010 EMERGENCY opened a second Outpatient Clinic in Marghera, near Venice. In 2010, two buses were turned into mobile clinics to bring assistance directly where it is needed. Other than a few professionals needed to guarantee continuity and smooth running of the Clinics, the staff are unpaid professional volunteers.

Valle dAosta

Switzerland Marghera

Austria Slovenia

Hungary Croatia Bosnia and Herzegovina

Piemonte Liguria

Serbia Montenegro Kosovo

Italy
Rome Adriatic Sea

Macedonia Albania Greece

Sardeg

Tyrrhenean Sea

Palermo Mediterranean Sea

EMERGENCY - Activity Report 2010

Ionian Sea

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Palermo

Outpatient Clinic
In April 2006 EMERGENCY opened an Outpatient Clinic in Palermo, Sicily, to guarantee free healthcare to migrants, being they wether they were with or without residence permit. The clinic is open to anyone in need. Other than a few professionals that are necessary to organize and give continuity to the services, both the medical and non medical staff of the Outpatient Clinic are unpaid professional volunteers. The Outpatient Clinic guarantees the presence of cultural mediators, who support the patients in the administrative procedures for the issuing of the Stp code (Straniero Temporaneamente Presente, which stands for temporarily present foreign citizen, which guarantees access to the public health service to undocumented foreigners). Cultural mediators also assist patients needing examinations or tests within public health facilities. The project has been realized in cooperation with the health authorities of Palermo, who took care of the renovation of the facility and assigned it to EMERGENCY. All services provided at EMERGENCYs Outpatient Clinic in Palermo are free of charge.
Opened: April 2006 Activities: Cardiology Infectious Diseases Basic Health Care Dentistry Ophthalmology Obstetrics and gynaecology Otorhinolaryngology Paediatrics Psychiatrics and psychology Radiology Senology

Facilities: Dental Outpatient Department, General Medicine Outpatient Department, Ophthalmology Outpatient Department, Dressings Outpatient Department, Obstetrics and Gynaecology Outpatient Department, Outpatient Radiology, Infectious Diseases Outpatient Department, Auxiliary Services and offices. Employees: 8 As of December 31, 2010 Outpatient consultations: 43,680
EMERGENCY - Activity Report 2010

Marghera

Outpatient Clinic
EMERGENCY opened an Outpatient Clinic in Marghera on December 2010 to offer primary and specialized care to migrants and to people in need. Other than a few staff members that are necessary to organize and give continuity to the services, both the medical and non medical staff of the outpatient clinic are unpaid professional volunteers. Cultural mediators assist patients who need support in approaching public facilities for medical treatment: the Outpatient Clinic aims at cooperating and integrating its services with the one provided by the National Health Service. All services provided at the EMERGENCYs Outpatient Clinic in Marghera are free of charge.

Opened: December 2010 Activities: Cardiology Infectious Diseases Basic Health Care Paediatrics

Ophthalmology Dentistry Obstetrics and Gynaecology

Facilities: Dental Outpatient Department, General Medicine Outpatient Department, Ophthalmology Outpatient Department, Obstetrics and Gynaecology Outpatient Department, Cardiology Outpatient Department, Paediatrics Outpatient Department, Offices and auxiliary services. Employees: 5 As of December 31, 2010 Outpatient consultations: 105

27

Sierra Leone
In 2001, EMERGENCY opened a Surgical Centre in Goderich, on the outskirts of Freetown, the countrys capital. The Centre provides free high quality treatment in orthopaedics, trauma and emergency surgery. In 2002, EMERGENCY opened a Paediatric Centre next to the Surgical Centre in order to guarantee treatment to children under 14. The child mortality rate in Sierra Leone is one of the highest in the world: malaria, malnutrition, respiratory and gastrointestinal infections are the main causes of death among children up to 5 years of age. The International staff is also committed to training local personnel: EMERGENCYs Surgical Centre has been recognized as a training institution for anaesthetist nurses by the Ministry of Health of Sierra Leone. Construction in order to expand the Surgical Centre in Goderich started in October 2010 in order to meet the needs of an increasing population. Since 2001, EMERGENCY has treated 319,460 people in Sierra Leone.

Guinea

Sierra Leone
Freetown Goderich

Gulf of Guinea Liberia

EMERGENCY - Activity Report 2010

Goderich

Surgical Centre
EMERGENCYs Surgical Centre is located in Goderich, on the outskirts of Freetown, the countrys capital, which is populated by one and a half million inhabitants, 50% of whom are under 15 years of age. Admission criteria include emergency surgery, especially abdominal, trauma surgery and elective surgery for the treatment of congenital or acquired malformations, such as club foot or conseguences of poliomyelitis. The hospital also offers a programme for the treatment of oesophageal burns caused by accidental ingestion of lye by children. It is a very common phenomenon among children in a country where lye is widely used for the home-making of soap. EMERGENCYs cardiologists carry out periodical screening missions to identify patients to be transferred to the Salam Centre in Sudan for free cardiac surgery and they provide the necessary post-operative follow-up in Goderich.

Opened: November 2001 Activities: Emergency and General Surgery Orthopaedic and Reconstructive Surgery Trauma Surgery Cardiac Screening and Follow-up Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization, Intensive Care Unit, Patient Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities. Number of Beds: 100 Local staff: 267 As of December 31, 2010 Admissions: 21,011 Outpatient consultations: 182,950 Surgical operations: 20,993 Cardiological examinations: 323

29

Goderich

Paediatric Centre
In 2002 EMERGENCY opened a Paediatric Centre within the compound of the Surgical Centre. In 2003 two new wards were added, one of them entirely dedicated to paediatric medicine. A feeding programme was established, to prevent and treat malnutrition by providing treatment for malnourished children as well as hygiene and nutritional education for mothers. Malnourished children are fed with a hypercaloric and hyperproteic ready-to-use food, locally prepared with ingredients that can be easily found in the country and that are easy to preserve. This product was scientifically developed in collaboration with the University of Parma.

Opened: April 2002 Activities: Paediatrics Facilities: 2 Outpatient Departments, Medical Ward, Waiting Area, Technical and Auxiliary Facilities shared with the Goderich Surgical Centre. Number of Beds: 16 Local staff: 12 As of December 31, 2010 Admissions: 9,010 Outpatient consultations: 106,166
EMERGENCY - Activity Report 2010

EMERGENCY IN AFRICA:
THE REGIONAL PROGRAMME FOR PAEDIATRICS AND CARDIAC SURGERY
In 2007, EMERGENCY opened the Salam Centre for Cardiac Surgery in Khartoum, Sudan. This is the only free and specialized facility in the whole African continent. The Salam Centre is the hub of the Programme for Paediatrics and Cardiac surgery that EMERGENCY is implementing in Africa. EMERGENCYs Paediatric Centres provide free high quality medical treatment to children up to 14 years of age. These Centres are equipped with a cardiologic outpatient unit where our international cardiologists carry out the screening of children and adults suffering from heart diseases to be referred to the Salam Centre for surgery. In March 2009, the first Paediatric Centre of the Regional Network for Paediatrics and Cardiac surgery was inaugurated in Bangui, the capital of the Central African Republic. The second Paediatric Centre was opened in Nyala, South Darfur, in July 2010 and the third one is under construction in Port Sudan. In areas where EMERGENCY does not have its own facilities, our cardiologists carry out screening missions in local hospitals, in collaboration with the health authorities of the host countries. In little less than three years, the staff of the Centre has operated on patients from 20 countries: Burundi, Chad, Eritrea, Ethiopia, Djibouti, Jordan, Iraq, Kenya, Nigeria, Central African Republic, Democratic Republic of Congo, Rwanda, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Uganda, Zambia, Zimbabwe. MANIFESTO FOR A HUMAN RIGHTS BASED MEDICINE The Salam Centre for Cardiac Surgery in Khartoum is a truly innovative model of humanitarian intervention. The aim of the project is to bring healthcare of excellence to Africa as well, putting into practice the belief in the unquestionable right of every human being to receive free high quality medical treatment. On the strength of the results achieved by the Salam Centre, in May 2008 EMERGENCY gathered the delegations of the Ministries of Health of eight African countries for the international workshop Building Medicine in Africa. Principles and Strategies, hosted on San Servolo Island, Venice, Italy. EMERGENCY and the representatives of the Central African Republic, the Democratic Republic of Congo, Egypt, Eritrea, Rwanda, Sierra Leone, Sudan and Uganda discussed on how to ensure the right to free high quality healthcare to African citizens. The conclusions of the workshop were formalized in the document Manifesto for a Human Rights Based Medicine in which the signatories recognize the right to be treated as a basic and inalienable right belonging to each and every member of the human community and ask for a health system based on equality, quality and social responsibility.

Lebanon

Syria Iraq
Jordan Kuwait

Morocco

Tunisia

Israel

Libya Algeria

Egypt Saudi Arabia

United Arab Emirates

Oman Mauritania Mali The Gambia Senegal Guinea Sierra Leone Liberia
Cte dIvoire Burkina Faso

Niger Chad
Eritrea

DARFUR

Yemen Djibouti Somalia

SUDAN
Nigeria
Central African Republic Cameroon Equatorial Guinea Gabon Congo Democratic Republic of Congo
Rwanda Burundi

Ghana

Ethiopia

Togo Benin

Uganda

Kenya

Tanzania

Angola
Zambia

Malawi

Mozambique

Zimbabwe

Madagascar

Namibia

Home countries of the patients of the Salam Centre EMERGENCY is present with health facilities

Botswana Swaziland Lesotho South Africa

31

On the sixtieth anniversary of the Universal Declaration of Human Rights Manifesto for a Human Rights Based Medicine After the International Workshop Building Medicine in Africa. Principles and Strategies hosted at San Servolo Island, Venice, Italy, on May 14 -15, 2008 and in accordance with the spirit and the principles of the Universal Declaration of Human Rights, stating that All human beings are born free and equal in dignity and rights ( art.1 ) Everyone has the rightto medical care ( art.25 ) The recognition of the inherent dignity and of the equal and inalienable rights of all members of the human family is the foundation of freedom, justice and peace in the world ( Preamble ) WE HEREBY DECLARE the Right to be Treated as a basic and inalienable right belonging to each and every member of the human community. WE THEREFORE ADVOCATE the implementation of health systems and projects solely devoted to preserve, extend and improve the life of the people in need and based on the following principles: Equality Every human being has the right to be cured regardless his economic and social condition, gender, race, language, religion and opinions. Standards of health care, set by the progress of medical knowledge, must be delivered equally and without discrimination to all patients. Quality High quality health systems must be based on communitys needs, up to date with the achievements of medical science, and not oriented, shaped or determined by lobbies and corporations involved in the health industry. Social Responsibility Governments must have the health and well being of their citizens as their priority, and allocate adequate human and financial resources. The services provided by health systems and humanitarian projects in the health sector must be accessible to and free of charge for all. As Health Authorities and Humanitarian Organizations WE RECOGNIZE EQS (Equality, Quality, Social responsibility) based health systems and projects as respectful of human rights, appropriate to develop medical science and effective in promoting health by strengthening and generating human, scientific and material resources. WE COMMIT To plan and develop EQS based policies, health systems and projects. To cooperate among us to identify common needs in the health sector and design joint programmes. WE APPEAL To other Health Authorities and Humanitarian Organisations to sign this Manifesto and to join in promoting an EQS based medicine. To donors and to the international aid community to support, fund and participate in designing and implementing EQS based programmes.

THE AFRICAN NETWORK OF MEDICAL EXCELLENCE - ANME

In 2009, on the Island of San Servolo, the ANME (African Network of Medical Excellence) was born. The aim of the ANME is to promote the construction of medical centres of excellence on the African continent, following the model of the Salam Centre for Cardiac Surgery. Absence of charge and excellence of treatment are the foundations of the model of healthcare that the members of the ANME intend to build within their countries. Absence of charge is a fundamental prerequisite so that everyone can have prompt access to the treatment they need. Excellence guarantees high clinical standards of each intervention and promotes the training of qualified medical personnel, together with the development of scientific research and local health systems. In February 2010 EMERGENCY and the Federal Ministry of Health of Sudan organized a Regional Meeting of the representatives of the countries composing the ANME in Khartoum. On that occasion they launched a joint appeal to the international community: We, Ministers of Health and representatives of the Health Authorities of: Central African Republic, Chad, Democratic Republic of Congo, Djibouti, Egypt, Eritrea, Ethiopia, Rwanda, Somalia, Sudan, Uganda, attending the first Annual Conference of the African Network of Medical Excellence, jointly organized in Khartoum, Sudan, by the National Ministry of Health of Sudan and the international NGO EMERGENCY.

Acknowledging the urgent need of establishing centres of excellence in Africa to provide high standards of medical treatment through secondary and tertiary facilities, thus strengthening disease prevention and primary health care delivery; Considering the Salam Centre for Cardiac Surgery, established by EMERGENCY in cooperation with MOH of Sudan in Khartoum, as a replicable model in all our countries to provide qualified care to our citizens and proper training to medical and non medical professionals; We commit to improve regional cooperation by establishing the African Network of Medical Excellence (ANME) in different medical specialities in order to strengthen our Health Systems at national and regional level. We jointly appeal to the international donors community to support us and contribute to the successful implementation of this innovative multi-disciplinary project by providing human and financial resources.
Thursday, February 11, 2010 - Khartoum, Sudan On behalf of the Ministries of Health of: Central African Republic H.E. Nalke Dorogo Andr, Chad H.E. Hissein Djidda Khours, Democratic Republic of Congo Dr. Lokadi Opeda Pierre, Djibouti H.E. Abdallah Abdillahi Miguil, Egypt Dr. Mamdouh Ali Mohammed, Eritrea Dr. Ghirmay Tesfasellasie, Ethiopia H.E. Kebede Worku, Somalia H.E. Mohammed Haga, Sudan H.E. Tabita Botros Shokai, South Sudan Dr. Majok Yak Majok, Uganda H.E. Stephen O. Malinga. In October 2010, the third workshop of the series Building Medicine in Africa was held on the Island of San Servolo, where the implementing strategies for the development of the project were defined.

Reaffirming the principle that health care is a basic right of every individual, as stated in the Universal Declaration of Human Rights; Recalling the principles of Equality, Quality and Social responsibility stated in the Manifesto for a Human Rights Based Medicine, calling for the delivery of high quality and free of charge health care for all;

Sudan
In 2004 EMERGENCY intervened in Sudan to support the hospitals in Mellit and Al Fashir, in Northern Darfur, by renovating and equipping the emergency surgical block and ward. In 2005 EMERGENCY opened a Paediatric Centre in Mayo Internally Displaced People (IDP) camp, a few kilometres from the capital Khartoum. The Centre provides free of charge primary healthcare to children up to 14 years of age. In the same year, again nearby the capital, EMERGENCY started to build a Centre for Cardiac Surgery in order to provide highly specialized free medical and surgical assistance to patients from Sudan and its neighbouring countries. The Salam Centre for cardiac surgery started its activities in 2007. It is linked to a network of Paediatric Centres where EMERGENCYs international cardiologists carry out the screening and follow-up of children and adult heart patients that are transferred to Khartoum for surgery. Since July 2010 EMERGENCY has also been working in Darfur, in Nyala, where a Paediatric Centre was opened. A third Paediatric Centre is under construction in Port Sudan. Since 2007, EMERGENCY has treated 144,399 people in Sudan.

Egypt Libya

Khartoum Chad
DARFUR

Eritrea

Mayo

Nyala

SUDAN
Ethiopia

Central African Republic Democratic Republic of the Congo Uganda Kenya

33

Khartoum

The Salam Centre for Cardiac Surgery

The Salam Centre for Cardiac Surgery, opened by EMERGENCY in Khartoum, provides free high standard surgical care to children and adults suffering from acquired or congenital heart diseases. Valvular diseases of rheumatic origin have a particular prominence; their development is often related to poverty and lack of basic healthcare. The incidence of these diseases is particularly high among young people. 61% of patients admitted to the Salam Centre are under the age of 26. The Salam Centre is the only Centre of excellence providing completely free cardiac surgery in Africa. The Centre was meant to respond to the needs of Sudan and its neighbouring countries, but in three years of activity it has already treated patients from 20 countries. EMERGENCY has built a guesthouse within the compound in order to facilitate access to services by providing free accommodations to foreign patients.

Opened: April 2007 Activities: Paediatric Cardiac Surgery Adult Cardiac Surgery Interventional Cardiology Facilities: 3 Operating Theatres, Sterilization, 15 beds Intensive Care Unit, Sub-intensive Care Unit, 3 Surgical Wards, Outpatient Department, Catheterization Laboratory, Radiology, Ultra Sound, TC, Laboratory and Blood Bank, Physiotherapy, Pharmacy, Technical and Auxiliary Facilities, Guesthouse for foreign patients. Number of Beds: 63 Local staff: 323 As of December 31, 2010 Admissions: 3,687 Outpatient consultations: 28,327 Cardiological examinations: 19,699 Surgical interventions: 3,061 Cath Lab diagnostic and surgical procedures: 874
EMERGENCY - Activity Report 2010

Mayo, Khartoum

Paediatric Centre
In 2005 EMERGENCY opened a Paediatric Centre to provide primary healthcare to children in the IDP camp of Mayo, near Khartoum. There are no other free health facilities in the camp, which hosts about 300,000 people. The Centre has a 6-bed paediatric ward for daily observation; an ambulance ensures immediate referral of urgent cases to city hospitals. Local doctors and nurses work side by side with an international paediatrician and nurses. Six community health promoters go around the camp on their bikes to find sick children, to give hygiene advice to the patients families and to check up on the proper use of the prescribed therapies. In January 2010 EMERGENCY started an outreach programme in different areas of the IDP camp: the staff of the Paediatric Centre organizes health education sessions, screening for malnutrition and prenatal care for pregnant women, as well as vaccination programs in collaboration with the local Ministry of Health. 50 children are examined every day by nurses and doctors in the Paediatric Centre in Mayo.

Opened: December 2005 Activities: Paediatrics Facilities: 2 Outpatient Departments, Patient Observation, Pharmacy, Laboratory, Auxiliary Services, Reception, Outdoors play area. Number of Beds: 6 Local staff: 30 As of December 31, 2010 Outpatient consultations: 93,459 Patients admitted for observation: 3,937 Patients referred to hospital: 1,941 Recipients of the prevention programme: 6,838

35

Nyala

Paediatric Centre
Nyala is the capital of South Darfur. It is home to more than one and a half million people, mainly refugees fleeing the war and living in camps around the city. In July 2010, EMERGENCY opened a Paediatric Centre to offer basic healthcare to children under 14 years of age. The facility is open 24/7 and has a 20-bed ward for the hospitalization of more serious cases. During periodic missions, EMERGENCYs international cardiologists carry out a screening of paediatric and adult heart patients those are eligible for surgery at the Salam Centre in Khartoum and provide post-operative follow-up. The construction of the Paediatric Centre in Nyala was funded in part with the 766,251 Euros collected through the donation campaign via SMS called My Idea of Peace and promoted by EMERGENCY in the autumn of 2008.

Opened: July 2010 Activities: Paediatrics Paediatric First Aid Cardiologic screening and follow-up Facilities: 2 Outpatient Departments, Cardiology Outpatient Department, Radiology, Laboratory, Pharmacy, Inpatient Ward, Warehouse, Offices, Staff services, Reception and outdoors play area, Auxiliary Services. Number of Beds: 20 Local staff: 70 As of December 31, 2010 Outpatient consultations: 8.814 Patients admitted for observation: 515 Cardiological examinations: 110
EMERGENCY - Activity Report 2010

Central African Republic

The Central African Republic ranks 171st (out of 177 countries) on the Human Development Index compiled by the UNDP (United Nations Development Program), with a life expectancy of only 44 years. Infant mortality rate is of 115 deaths every 1,000 live births. In March 2009 EMERGENCY opened a Paediatric Centre in the capital city Bangui in order to provide healthcare to children up to 14 years of age. The Centre also organizes activities of health promotion for families, focusing on the fundamentals of hygiene and nutrition that are essential for childrens health. Since 2009, EMERGENCY has treated 35,075 children in the Central African Republic.

Chad Sudan

Central African Republic

Bangui Democratic Republic of Congo

37

Bangui

Paediatric Centre
EMERGENCYs Paediatric Centre is located in front of the Parliament of the Central African Republic, in a compound made available by local authorities. EMERGENCYs paediatricians and nurses provide free high quality outpatient services to children up to 14 years of age, while the most serious cases are admitted in the 8-bed inpatient ward. The Paediatric Centre of Bangui is part of the Regional programme for Paediatrics and Cardiac Surgery that EMERGENCY is promoting in Africa. The programme involves a network of facilities where our international cardiologists carry out the screening of children and adult heart patients for the Salam Centre for cardiac surgery in Sudan and provide the needed postoperative treatment to those who already underwent surgery. EMERGENCYs staff examines up to 70 children every day.

Opened: March 2009 Activities: Paediatrics Paediatric Emergency Unit Cardiac screening and follow-up Facilities: 2 Paediatric Outpatient Departments, Cardiology Outpatient Department, Ultra Sound, Radiology, Laboratory, Pharmacy, Ward, Warehouse, Offices, External Waiting Area and Playground, Auxiliary Facilities. Number of Beds: 8 Local staff: 62 As of December 31, 2010 Admissions: 1,633 Outpatient visits: 33,442 Patients referred to hospital: 130 Cardiological examinations: 638
EMERGENCY - Activity Report 2010

COMPLETED PROGRAMMES
EMERGENCY provides free, high quality healthcare in the facilities it builds and runs until they reach complete professional and financial autonomy. The final goal of EMERGENCY is to hand them over to the local communities. 2001 - Establishment of a social water and medicines were distributed to programme to help war widows with representatives of the local community the distribution of farming cattle to 400 and to the local hospital. families in the Panjshir Valley, Afghanistan. 2004/2005 - Renovation and equipment 2003 - Supply of pharmaceuticals, of the emergency surgery ward of the Al consumables and fuel for the generators Fashir Teaching hospital, in North Darfur, 1994 - Renovation and reopening of the to the Al-Kindi hospital in Baghdad and to Sudan. The facilities include a surgical surgical department of Kigalis hospital, the Karbala hospital, Iraq. block and a 20 bed ward. The unit was Rwanda. During a 4 month mission, transferred to the Ministry of Health in a surgical team operated on 600 2003 - Established a Rehabilitation August 2005. war victims. Within the same facility, and Prostheses Centre in Medea, Algeria. EMERGENCY reopened the Ob-Gyn ward, EMERGENCY refurbished and equipped a 2005 - EMERGENCY donated surgical which offered medical and surgical and building inside the local public hospital, equipment and consumables to the surgical assistance to over 2,500 women. undertaking the training of the local general hospital in Kalutara, Sri-Lanka, personnel, as well. The management of to enhance its clinical activities after the 1996/2005 - Building of a Surgical Centre the Centre, called Amal (hope in Arabic) tsunami. in Sulaimaniya, Northern Iraq, to treat was handed over to the local health landmine victims. The facilities include authorities in 2004. 2005 - EMERGENCY completed the Back a burn unit, and one for the treatment of to the Sea project, which called for the spinal cord injuries. In 2005, the Centre 2003 - Building of a Rehabilitation and distribution of engine-powered boats, and the network of 22 First Aid Posts Prosthetics Production Centre in Dohuk, canoes and fishing nets to the fishermen were handed over to the local health Northern Iraq. The Centre is now run by in the village of Punochchimunai, in authorities. local health authorities. Sri-Lanka. To further encourage the resumption of daily activities, school 1998/2005 - Building of a Surgical Centre 2003/04 - Established two Health kits were donated to the students in the in Erbil, Northern Iraq, to treat landmine Centres in the Benguela province, Angola. village. victims. The facilities include a burn unit EMERGENCY equipped and managed and one for the treatment of spinal cord the centres and trained the local staff for 2005/07 - EMERGENCY organised injuries. In 2005, the Centre was handed over a year before handing it over to a courses in hygiene, prevention and first over to the local health authorities. congregation of local nuns. aid for the inmates of the Rebibbia New Complex prison in Rome. In the same 1999 - Supported the Jova Jovanovic 2003/04 - EMERGENCY sent a surgical prison, EMERGENCY organized a TB Zmaj orphanage in Belgrade, Serbia. team to work at the Orthopedic Unit of screening. Furthermore, EMERGENCY the Jenin public hospital, in Palestine. guaranteed the assistance of medical 1999/2003 - Establishment of 5 First Aid In addition to the supervision of clinical specialists in other jails in the Lazio Posts (FAP) in Samlot district, Cambodia, activities and training of the local region, Italy. to assist landmine victims. In 2003, medical staff, EMERGENCY opened the FAPs in ORotkroh, Chamlong Kouy, a new physiotherapy unit and a new 2005/08 - EMERGENCY completed the Tasanh and OChom were handed over to orthopaedic ward. construction of 91 brick houses for the the local health authorities. families in the village of Punochchimunai, 2003/04 - Supply of medicines to the in Sri-Lanka, destroyed by the tsunami in 2000 - Upon request by the Italian Casa de la Mujer, a community network 2004. The delivery of the houses could Cooperation, a surgical team was sent to giving assistance to women affected by only be completed in September 2008, Eritrea. EMERGENCYs personnel worked cancer and diabetes in Nicaragua. due to the resuming hostilities between for two months at the Mekane Hiwet government troops and local rebels, hospital, in Asmara, treating victims of 2003/2007 - Opening of a workshop which halted all work for months. the conflict between Ethiopia and Eritrea. for the production of rugs aimed at promoting the economic independence of 2009 - Transfer of the management of 2001 - Building of a Rehabilitation and women in the Panjshir Valley, Afghanistan. the First Aid Post of OTatiak, Cambodia Prosthetics Centre in Diana, North Iraq. to local health authorities. The Centre was handed over to the local 2004 - EMERGENCY supported the health authorities. population of Fallujah, in Iraq, during the siege of the city, in May. Relief items,

39

WORK IN PROGRESS
A new Paediatric Centre under construction in Port Sudan
On July, 2010 the construction work of a Paediatric Centre in Port Sudan began. The Centre will be part of the Regional programme for Paediatrics and Cardiac Surgery run by EMERGENCY in Africa and it will provide free high quality healthcare to children under 14, specialized training for local staff and health promotion for families. The Centre will also host periodical missions of screening and follow-up of children and adults suffering from heart diseases of surgical interest, who will then be treated at the EMERGENCY Salam Centre in Khartoum. The Paediatric Centre will cover a total area of 780 square metres, including 3 outpatients departments, an in-patient ward with 14 beds, a 4-bed sub-intensive care unit, a pharmacy, an X-ray room, a laboratory and ancillary services. Port Sudan has had a huge population growth in the recent years, with an increase from 30,000 inhabitants in 2000 to almost 500,000 in 2007. An enormous number of poor people have arrived in the city: farmers abandoning the countryside, harbour day labourers, refugees from the various conflicts of the area.

Extension of the Surgical Centre in Goderich

Ten years after starting its activities in Sierra Leone, and after treating 300,000 patients, EMERGENCY decided to expand the Goderich Surgical Centre to meet the needs of a growing population. The works will include the building of a new emergency room, a new operating theatres, a new intensive care unit and a guesthouse for protected discharges and to host patients from all over the country on the occasion of cardiological screening missions. The whole hospital will be renovated in order to improve the distribution and functionality of spaces. The work started in October 2010 and was planned in order to avoid stopping the clinical activities of the Centre. The project was funded in part by the Help Sierra Leone donation campaign via SMS, during October 2010.
EMERGENCY - Activity Report 2010

FUNDS RAISED IN 2009

In 2009, date of the last approved budget, EMERGENCY raised 25,407,125 Euros. Once again in 2009 the vast majority of funds raised (more than 80%) came from private donors, especially ordinary citizens. The contribution of the public authorities in the countries where EMERGENCY works has reached 13% of the total, mainly thanks to the contribution of the Sudanese government for the Salam Centre in Khartoum. We have registered a growth in the revenues from planned giving contributions and from donations of goods and services (8%). The rest comes from foundations, corporations, local public bodies. Italian citizens have the option to donate 5/1,000 of taxes on their financial yearly income to activities of public interest, such as non-profit organizations, scientific research, etc. In the category non-profit and community volunteer organizations, EMERGENCY was the first assignee in terms on number of preferences expressed, amounting to 262,461 preferential votes. 84% of the funds come from Italy. During 2010, EMERGENCY worked to increase its presence abroad by developing the activities of EMERGENCY UK and EMERGENCY USA and began to open EMERGENCY SWITZERLAND and EMERGENCY JAPAN. EMERGENCYs funds mostly derive from private donations, thus granting independence of action and economic stability to the organization.

Individual Donors (donations, sales of gadgets, events)

Foreign Public Institutions

13%
8%
Legal Entities (Foundations, Corporations, etc.) Local Authorities and other Entities

38%
Individuals (Incoming Tax Return Voluntary Contributions)

Goods and Services

Wills and Donations in Kind

4%
3%

4%
3%

27%
In 2009, EMERGENCY allocated 93.81% of the funds raised to its humanitarian programs in Italy and abroad. On average, every month 110 international professionals (doctors, nurses, medical staff, technicians, logisticians ...) work and commit themselves to EMERGENCYS projects all over the world, supported by about 2,000 local collaborators. In 2009,

Foreign Donors (Individuals and Fondations)

USE OF EMERGENCYS FINANCIAL RESOURCES

the incidence of management and administrative costs was 1,403,719 Euros, corresponding to 6.19% of the funds raised. 1,376,304 Euros were spent for cultural promotion and for the management of the activities of the local groups of volunteers.

93,81%

6,19%

41

VOLUNTEERING
Volunteering is a fundamental and necessary component of EMERGENCYs work. Volunteers work to inform the general public and promote a culture of peace through participation in conferences, meetings and workshops. Volunteers are key to fundraising by hosting dedicated events and presenting projects to local donors both in the public and private sector. To become a volunteer and suport EMERGENCYs projects around the world, please contact us: EMERGENCY info@emergency.it EMERGENCY UK info@emergencyuk.org EMERGENCY USA info@emergencyusa.org EMERGENCY JAPAN info@emergency-japan.org EMERGENCY CH info@emergencych.org

EMERGENCY - Activity Report 2010

EMERGENCY
via Gerolamo Vida 11 - 20127, Milan ITALY T +39 02 881881 F +39 02 86316336 info@emergency.it - www.emergency.it via dellArco del Monte 99/A - 00186, Rome ITALY T +39 06 688151 F +39 06 68815230 roma@emergency.it - www.emergency.it

EMERGENCY USA
1016 Lincoln Blvd, Suite 211, San Francisco - CA 94129 T 1-888-501-3872 info@emergencyusa.org - www.emergencyusa.org

EMERGENCY UK
Can Mezzanine, 49-51 East Road, Old Street, N16AH London T +44(0)333 340 6411 / +44(0)207 250 8302 F +44 (0)333 340 6499 info@emergencyuk.org - www.emergencyuk.org

EMERGENCY CH
CP 1435 6501 - Bellinzona CH T +41(0) 787 333 159 info@emergencych.org www.emergencych.org

EMERGENCY JAPAN
669-2702, Hyogo-ken, Sasayama-shi Hongo 499-15 info@emergency-japan.org www.emergency-japan.org

43

WORK WITH US
EMERGENCY is recruiting medical staff for its hospitals in AFGHANISTAN, CAMBODIA, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN
For projects in AFGHANISTAN, CAMBODIA, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN we are recruiting: - GENERAL AND ORTHOPAEDIC SURGEONS - GYNAECOLOGISTS (female only) - MIDWIVES - ANAESTHESIOLOGISTS - PAEDIATRICIANS - X-RAY TECHNICIANS - DOCTORS OF INTERNAL MEDICINE - PAEDIATRIC AND NEONATAL NURSES - GENERAL SURGERY, ORTHOPAEDICS, EMERGENCY ROOM NURSES - ICU NURSES - OT NURSES - PHYSIOTHERAPISTS For the CARDIAC SURGERY Centre in KHARTOUM, SUDAN, we are recruiting: - SURGEONS - ANAESTHESIOLOGISTS - CARDIOLOGISTS - PERFUSIONISTS - SPECIALISTS IN ECHOCARDIOGRAPHY - SPECIALISTS IN CATH LAB - NURSES (OT, ICU, ward, Cath Lab) - PHYSIOTHERAPISTS - LABORATORY TECHNICIANS - X-RAY TECHNICIANS

Every applicant is required to have advanced professional experience in the area of reference; 6 months availability; knowledge of written and spoken English; aptitude for teaching and training local staff. The knowledge of written and spoken French is required for the programme in the Central African Republic. For further details and to submit your application browse: www.emergency.it (section work with us) Or send your CV to: curriculum@emergency.it.

To Support EMERGENCY:
DONATIONS - Bank wire in favour of EMERGENCY: At: Banca Etica, Filiale di Milano IBAN IT 02 X 05018 01600 000000130130 At: Banca Popolare dellEmilia Romagna IBAN IT 41 V 05387 01600 000000713558 At: Banca Monte dei Paschi di Siena IBAN IT 76 D 01030 01600 000007362036 At: Banca Popolare Milano IBAN IT 35 T 05584 01600 000000067000 - PayPal toll-free number 800-667788 to donate through PayPal, Visa and MasterCard - Credit card, on-line (on Secure Server) at www.emergency.it (Euros)

SUPPORT EMERGENCY THROUGH A REGULAR DONATION Be directly involved in EMERGENCYs work through an automatic donation. With direct debit you can donate an amount of your choice automatically and on a regular basis - even monthly - allowing EMERGENCY to better plan its interventions and the management of its hospitals around the world. Donations by direct debit-that is, through an automatic bank transfer on a regular basis - do not imply additional costs to the donor in the majority of banks. For further information: www.emergency.it (section "Help us Individual") - Tel. (+39) 02 881 881 DONATE THE 5/1,000 OF YOUR INCOME-TAX RETURN TO EMERGENCY If you live in Italy, you can contribute to EMERGENCYs activities in favour of the victims of war and poverty for free: donating the 5/1,000 of your income-tax return wont cost you anything. Donors submitting the 730 or CUD models for their income-tax can fill in the file for the destination of 5/1,000 of their income-tax return with EMERGENCYs data and fiscal code: 971 471 101 55 EMERGENCYS MEMBERSHIP CARD ITALY REPUDIATES WAR EMERGENCYs membership card for 2011 is dedicated to the article n.11 of the Italian Constitution which declares that Italy repudiates war. The membership card is valid from January 1, 2011 to December 31, 2011. Along with EMERGENCYs card, members receive the quarterly magazine and are entitled to discounts and special terms in libraries, theatres and art galleries in Italy. For further information and for membership registrations browse: tessera.emergency.it or e-mail: tesseramento@emergency.it GADGETS AND BOMBONNIRES FOR SOLIDARITY T-shirts, sweatshirts, key rings... are for sale online or in our stalls. EMERGENCYs gadgets represent a simple and direct way to support the activities of the association. The bombonnires for solidarity are a different way to provide a souvenir for a special day to friends and family by giving a concrete sign of commitment towards the victims of war and poverty. For further information browse: shop.emergency.it and lietieventi.emergency.it

All human beings are born free and equal in dignity and rights. The acknowledgment of this principle is the foundation of freedom, justice and peace in the world.
Universal Declaration of Human Rights Paris, December 10, 1948, Article 1 and Preamble

EMERGENCY

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