EMERGENCY
Every year war and poverty destroy the lives of millions of people around the world. In todays conicts, 90% of the victims are civilians. EMERGENCY is an independent Italian organization founded in 1994. 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.
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 and employs standardized therapeutic and working protocols already tested in emergency situations; trains local staff thoroughly until complete operational independence is achieved.
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 orthoses Vocational training and setting up of small business cooperatives for the physically disabled
Between 1994 and 2012, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, over 5 million people received high quality medical care free of charge.
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CULTURE OF PEACE
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 ofcial 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 many countries have not yet signed it. Among them there are China, Russia and the United States of America.
2003 - Cease re
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 reect, 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 re!. In autumn 2003, the intensication 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 re 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 Hana, 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 Bonani, 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 rst 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.
HUMANITARIAN PROGRAMMES
Afghanistan
In over 40 years, war in Afghanistan has led to one and a half million deaths, hundreds of thousands of people wounded and mutilated, more than four million refugees. The most recent war, begun in October 2001, continues to wound, kill and destroy. And the ground still contains the legacy of the previous wars: landmines and unexploded devices continue to maim children and adults, primarily civilians. Since 1999, EMERGENCY has built and managed a Surgical and Medical Centre and a Maternity Centre in the Panjshir Valley, a Surgical Centre in Kabul, and another one in Lashkar-gah (in Helmand province). EMERGENCY also runs a medical assistance programme for the inmates of the countrys largest prisons, and has set up a network of 28 First Aid Posts and Health Centres. Afghanistan is part of EMERGENCYs Paediatrics and Cardiac Surgery Programme. At EMERGENCY hospitals, international cardiologists select the heart patients to be operated at the Salam Centre for Cardiac Surgery in Khartoum. During 2012, the Afghan Ministry of Public Health has funded about 20% of the total expenditure of the programme. Since 1999, EMERGENCY has treated 3,572,664 people in Afghanistan.
China
Anabah Kabul
AFGHANISTAN
Lashkar-gah Iran Pakistan
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: 56 Local staff: 228 As of December 31, 2012 Admissions: 29,074 Outpatient consultations: 197,555 Surgical operations: 18,686
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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. Every month at EMERGENCYs Maternity Centre more than 300 babies are born. EMERGENCY has also 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 staff working in the Maternity Centre are entirely female women from both Afghanistan and other countries. The international personnel also look after the training of local midwives, with classroom and practical lessons. A four-year specialisation course for gynaecologists, recognised by the Afghan Ministry of Health, is held at the Maternity Centre. In 2012, EMERGENCY has also signed an agreement with the school of Kapisa for the training of the midwives at the Maternity Centre.
Opened: June 2003 Activities: Obstetrics Gynaecology Neonatology 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: 39 Local staff: 45 As of December 31, 2012 Admissions: 26,206 Outpatient consultations: 101,107 Surgical operations: 5,604 Babies born: 17,763
Kabul
Opened: April 2001 Activities: Surgery for war and landmine victims 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: 260 As of December 31, 2012 Admissions: 27,536 Outpatient consultations: 82,038 Surgical operations: 34,874
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Lashkar-gah
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: 206 As of December 31, 2012 Admissions: 16,363 Outpatient consultations: 80,435 Surgical operations: 20,065
EMERGENCY - Activity Report 2012
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, Juvenile Rehabilitation Centre): 467,262 patients examined and treated as of December 2012 Local staff: 27
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Cambodia
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 ve 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 denitively handed over to the local government in 2009. After 14 years, in February 2012, EMERGENCY decided to handover the hospital to the Cambodian Ministry of Health in consideration of the changed needs of the population and the good level of autonomy acquired by the local staff. Since 1998, EMERGENCY has treated 392,060 people in Cambodia.
Thailand
Laos
Battambang
CAMBODIA
Phnom Penh Vietnam
Gulf of Thailand
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 has hosted specialized periodical missions for the medical and surgical treatment of ophthalmic diseases. EMERGENCYs international staff has been also engaged in the professional training of local personnel, including specic workshops for physiotherapists, nurses and anaesthetists. The Centre has been handed over in February 2012 to the local Ministry of Health.
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: 109 Local staff: 180 As of February 29, 2012 Admissions: 29,652 Outpatient consultations: 113,374 Surgical operations: 33,363
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Iraq
The Iraqi Kurdistan is infested with millions of 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 390,735 people in Iraq.
Turkey
Syria
Sulaimaniya
IRAQ
Baghdad Jordan
Iran
Saudi Arabia
Kuwait
Sulaimaniya
Opened: February 1998 Activities: Physical Rehabilitation Prostheses and Orthoses Production Cardiac screening and follow-up Facilities: Physiotherapy, Indoor Swimming Pool, Orthopaedic and Prosthetic Workshops, Auxiliary Facilities, Guesthouse for patients. Number of beds: 41 Local staff: 86 As of December 31, 2012 Admissions: 6,806 Sessions of Physiotherapy: 41,689 Upper Limb Prostheses: 837 Lower Limb Prostheses: 6,238 Orthoses: 808 Trainee class graduates: 489 Groups of trainees graduated: 30 Cooperatives set up: 297 Cardiological examinations: 385
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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 difculty in nding 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. Since 2011, two buses turned into mobile clinics have brought assistance directly where it is needed. In December 2012, EMERGENCY opened an information point in Sassari, to help migrants and whoever in need have access to medical care. Also because of the critical economic situation, the number of people referring to EMERGENCYs facilities has been constantly increasing during 2012. For this reason, the Programme is going to be expanded in 2013: EMERGENCY has started the renovation works of two outpatient clinics in Naples and in Polistena (province of Reggio Calabria). The new facilities will be operational by spring 2013.
Valle dAosta
Trent Alto
Austria Slovenia
Lombardia
Piemonte Liguria
Emilia
Tosc
ITALY
Rome Sassari Greece Tyrrhenian Sea Adriatic Sea
Macedonia Albania
Sardegna
Ionian Sea
Palermo
Outpatient Clinic
In April 2006 EMERGENCY opened an Outpatient Clinic in Palermo, Sicily, to guarantee free healthcare to migrants, 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, that 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: Basic healthcare Cardiology Dentistry Dermatology Infectious diseases Obstetrics and gynaecology Otorhinolaryngology Paediatrics Psychiatrics and psychology Senology Social-medical assistance and counselling
Facilities: 5 Outpatient departments, Waiting room, Ofces and Auxiliary services. Employees: 7 Volunteer staff: 70 As of December 31, 2012 Outpatient consultations: 62,611
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Marghera
Outpatient Clinic
EMERGENCY opened an Outpatient Clinic in Marghera (Venice) 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 ones provided by the national health service. All services provided at the EMERGENCYs Outpatient Clinic in Marghera are free of charge.
Opened: December 2010 Activities: Basic healthcare Cardiology Dentistry Obstetrics and gynaecology Ophthalmology Social-medical assistance and counselling Facilities: 6 Outpatient departments, Waiting room, Consulting room, Ofces and Auxiliary services. Employees: 7 Volunteer staff: 80 As of December 31, 2012 Outpatient consultations: 11,706
EMERGENCY - Activity Report 2012
Mobile Clinics
EMERGENCY has equipped two buses as mobile clinics to bring assistance wherever its needed. EMERGENCY doctors provide free medical treatment in Gypsy camps, agricultural areas and refugee camps. Cultural-linguistic mediators assist those requiring the services of the public health facilities for specialist medical examinations. Most of the migrants turn to EMERGENCY for problems linked to their extremely hard living and working conditions: musculo-skeletal pain, gastrointestinal infections and respiratory infections. Each bus contains two consulting rooms, plus a room set aside for meetings with the cultural-linguistic mediators. In 2012, EMERGENCYs Mobile Clinics worked in the southern Italian regions of Apulia, Sicily, Calabria and Basilicata, bringing assistance to temporary farm labourers in particular. In May 2012, one of the Mobile Clinics moved to Modena province to assist the displaced people after the earthquake that stroke Emilia Region.
Opened: April 2011 Places of intervention: provinces of Foggia and Lecce, province of Potenza, province of Reggio Calabria, provinces of Ragusa and Syracuse. Activities: General medicine Social-medical assistance and counselling Facilities: 2 Consulting rooms, Consulting room for cultural mediators, Waiting room and auxiliary services. Employees: 13 As of December 31, 2012 Outpatient consultations: 11,120
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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. In order to expand the Surgical Centre in Goderich EMERGENCY has built a new surgical block, inaugurated in 2012. Last year the Ministry of Health and Sanitation has nanced the hospital with a contribution in the amount of 15 % of the hospitals budget. This hospital is also part of the Regional Programme for Paediatrics and Cardiac Surgery: EMERGENCY cardiologists regularly carry out screening sessions to identify patients in need to be operated at the Salam Centre for Cardiac Surgery in Khartoum, Sudan, and subsequently perform all the necessary post-op checks. Since 2001, EMERGENCY has treated 415,210 people in Sierra Leone.
Guinea
SIERRA LEONE
Freetown Goderich
Gulf of Guinea
Liberia
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 consequences 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. In August 2012, new operating theatres, intensive care unit, wards and a guesthouse for the relatives of patients arriving from the more distant provinces were opened. During the last year, EMERGENCY signed a Memorandum of understanding with the local Ministry of Health for the supply of drugs for patients affected by malaria.
Opened: November 2001 Activities: Emergency and General Surgery Orthopaedic and Reconstructive Surgery Trauma Surgery Cardiac screening and Follow-up Facilities: Emergency Department, Outpatient Department, 3 Operating Theatres, Sterilization, Intensive Care Unit, Patient Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Guesthouse for patients and their parents. Number of beds: 85 Local staff: 334 As of December 31, 2012 Admissions: 25,671 Outpatient consultations: 229,702 Surgical operations: 27,267 Cardiological examinations: 495
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Goderich
Paediatric Centre
In 2002 the Goderich Surgical Centre was extended to include a paediatric clinic. Two new wards were opened in 2003, one of them entirely for paediatric patients. The Centres main work includes the programme to prevent and treat malnutrition: as well as treating the children, EMERGENCYs staff also teaches mothers the basic principles of good nourishment and hygiene. At least 50 children are examined every day at the Paediatric Centre. Malnutrition, malaria, gastrointestinal infections and respiratory infections are the most common problems. In 2012, the hospital became part of the national Under 5 programme: EMERGENCYs centre benets from a contribution by the local Ministry of Health for ensuring healthcare for children under 5 years.
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: 14 Local staff: 17 As of December 31, 2012 Admissions: 11,880 Outpatient consultations: 147,462
EMERGENCY - Activity Report 2012
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-of-charge 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 rst 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 was opened in Port Sudan, Red Sea State, in December 2011. 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 more than 5 years, the staff of the Centre has operated on patients from 25 countries: Afghanistan, Burkina Faso, Burundi, Central African Republic, Chad, Democratic Republic of Congo, Djibouti, Eritrea, Ethiopia, Jordan, Iraq, Italy, Kenya, Liberia, Nigeria, Rwanda, Senegal, Sierra Leone, Somalia, Sudan, South 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
Afghanistan
Morocco
Tunisia
Israel
Libya Algeria
Oman Mauritania Mali The Gambia Senegal Guinea Sierra Leone Liberia
Cte dIvoire Burkina Faso
Niger Chad
DARFUR
SUDAN
Eritrea
Yemen Djibouti
Nigeria
Ghana Central African Republic Cameroon Equatorial Guinea Gabon Congo Democratic Republic of Congo
Rwanda Burundi
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
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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 nancial 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 dened.
Reafrming 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; 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 qualied care to our citizens and proper training to medical and non medical professionals;
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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. The staff of the Centre has operated patients from 25 countries. In July 2010 EMERGENCY opened in Nyala, Darfur, its second Paediatric Centre in the country. The activities of the Centre have been suspended after the kidnapping of a logistician of EMERGENCY, because of the lack of the essential security conditions. A third Paediatric Centre was opened in Port Sudan, Red Sea State, in December 2011. Since 2007, EMERGENCY has treated 261,734 people in Sudan.
DARFUR
Nyala
SUDAN
Ethiopia South Sudan
Uganda Kenya
Khartoum
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Mayo, Khartoum
Paediatric Centre
In 2005 EMERGENCY opened a Paediatric Centre to provide primary healthcare to children in the IDP (Internally Displaced People) camp of Mayo, near Khartoum, that hosts more than 300,000 people without any health facility. The Centre has a 6-bed paediatric ward for daily observation; an ambulance ensures immediate referral of urgent cases to city hospitals. A midwife provides antenatal care to pregnant women 5 days a week. A vaccination programme is held at the Centre in cooperation with the Ministry of Health. The role of six community health promoters is essential for spreading awareness on a preventive approach to healthcare, following-up patients referred to hospital, giving hygiene advice to patients and their families and checking up on the proper use of the prescribed therapies. An outreach programme is carried out in different areas of the IDP camp: the staff of the Paediatric Centre organizes health education sessions, screening for malnutrition and antenatal care for pregnant women, as well as vaccinations always in close cooperation with the local Ministry of Health. Since December 2011 the European Union has co-nanced the project Community participation to strengthen basic maternal and paediatric health services in Mayo IDP camp, taking place in the Paediatric Centre and in different areas of the camp. National partner of this project is the local Ministry of Health. The project reached over 24,000 beneciaries during its rst year of implementation.
Opened: December 2005 Activities: Paediatrics Facilities: 2 Outpatient Departments, Patient Observation Ward, Pharmacy, Laboratory, Auxiliary Services, Reception, Outdoors play area. Number of beds: 6 (day hospital) Local staff: 35 As of December 31, 2012 Patients admitted for observation: 8,457 Paediatric outpatient consultations: 134,281 Patients referred to hospital: 4,995 Beneciaries of integrated outreach activities: 19,102 Antenatal care consultations: 4,243
EMERGENCY - Activity Report 2012
Port Sudan
Paediatric Centre
EMERGENCY opened a Paediatric Centre in Sudan in the city of Port Sudan, capital of Red Sea State. The clinic opened its doors on 26th December 2011, offering free treatment to the children of Port Sudan and the surrounding area. Over the past 10 years, hundreds of thousands of refugees have come to the city, attempting to escape the numerous local conicts and droughts in the countryside. EMERGENCYs international and national paediatricians and nurses provide healthcare to children, mainly affected by malaria, anaemia, respiratory infections. The Centre has 3 outpatient departments, a 14-bed ward and a 4-bed sub-intensive care unit. The building of the Centre was supported by the contribution of the MAXXI 2per100 competition, set up by MAXXI (the National Museum of XXI Century Arts) in Rome. During 2012, the Centre was co-nanced by the Common Humanitarian Fund of OCHA (Ofce for the Coordination of Humanitarian Affairs of the United Nations).
Opened: December 2011 Activities: Paediatrics Paediatric First Aid Cardiac screening and Follow-up Facilities: 2 Outpatient Departments, Cardiology outpatient department, Sub-intensive care unit, Ward, Radiology, Warehouse, Ofces, Pharmacy, Laboratory, Auxiliary Services, Reception, Outdoors play area. Number of beds: 18 Local staff: 89 As of December 31, 2012 Patients admitted: 823 Outpatient consultations: 18,431 Cardiological examinations: 99
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Cameroon
Bangui
South Sudan
Congo
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. An antenatal assistance programme is offered at the Centre: an EMERGENCY midwife examines pregnant women, prescribes the necessary tests and offers advice about basic hygiene. About 80 children and 20 pregnant women are examined every day by the staff of EMERGENCY. 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. During the rst semester of 2012, the Centre was co-nanced by the Common Humanitarian Fund of OCHA (Ofce for the Coordination of Humanitarian Affairs of the United Nations).
Opened: March 2009 Activities: Paediatrics Paediatric Emergency Unit Cardiac screening and Follow-up Antenatal care Facilities: 2 Paediatric Outpatient Departments, Cardiology Outpatient Department, Radiology, Laboratory, Pharmacy, Ward, Warehouse, Ofces, External Waiting Area and Playground, Auxiliary Facilities. Number of beds: 8 Local staff: 68 As of December 31, 2012 Admissions: 4,536 Outpatient visits: 72,589 Antenatal care: 7,475 outpatient consultations Cardiological examinations: 882
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COMPLETED PROGRAMMES
1994 - Renovation and reopening of the surgical department of Kigalis hospital, Rwanda. During a 4 month mission, a surgical team operated on 600 war victims. Within the same facility, EMERGENCY reopened the Ob-Gyn ward, which offered medical and surgical and surgical assistance to over 2,500 women. 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, to the Al-Kindi hospital in Baghdad and to Sudan. The facilities include a surgical the Karbala hospital, Iraq. block and a 20 bed ward. The unit was 1996/2005 - Building of a Surgical Centre transferred to the Ministry of Health in in Sulaimaniya, Northern Iraq, to treat 2003 - Established a Rehabilitation August 2005. landmine victims. The facilities include and Prostheses Centre in Medea, Algeria. a burn unit, and one for the treatment of EMERGENCY refurbished and equipped a 2005 - EMERGENCY donated surgical spinal cord injuries. In 2005, the Centre building inside the local public hospital, equipment and consumables to the and the network of 22 First Aid Posts undertaking the training of the local general hospital in Kalutara, Sri-Lanka, were handed over to the local health personnel, as well. The management of to enhance its clinical activities after the authorities. the Centre, called Amal (hope in Arabic) tsunami. was handed over to the local health 1998/2005 - Building of a Surgical Centre authorities in 2004. 2005 - EMERGENCY completed the Back in Erbil, Northern Iraq, to treat landmine to the Sea project, which called for the victims. The facilities include a burn unit 2003 - Building of a Rehabilitation and distribution of engine-powered boats, and one for the treatment of spinal cord Prosthetics Production Centre in Dohuk, canoes and shing nets to the shermen injuries. In 2005, the Centre was handed Northern Iraq. The Centre is now run by in the village of Punochchimunai, in over to the local health authorities. local health authorities. Sri-Lanka. To further encourage the resumption of daily activities, school 1998/2012 Building of a Surgical Centre 2003/04 - Established two Health kits were donated to the students in the in Battambang, Cambodia. The Centre Centres in the Benguela province, Angola. village. was handed over to local authorities in EMERGENCY equipped and managed February 2012. the centres and trained the local staff for 2005/07 - EMERGENCY organised over a year before handing it over to a courses in hygiene, prevention and rst 1999 - Supported the Jova Jovanovic Zmaj congregation of local nuns. aid for the inmates of the Rebibbia New orphanage in Belgrade, Serbia. Complex prison in Rome. In the same 2003/04 - EMERGENCY sent a surgical prison, EMERGENCY organized a TB 1999/2009 - Establishment of 5 First Aid team to work at the Orthopedic Unit of screening. Furthermore, EMERGENCY Posts (FAP) in Samlot district, Cambodia, the Jenin public hospital, in Palestine. guaranteed the assistance of medical to assist landmine victims. Those FAPs In addition to the supervision of clinical specialists in other jails in the Lazio were later transferred to local health activities and training of the local region, Italy. authorities (ORotkroh, Chamlong Kouy, medical staff, EMERGENCY opened Tasanh and OChoms in 2003; OTatiak a new physiotherapy unit and a new 2005/08 - EMERGENCY completed the in 2009). orthopaedic ward. construction of 91 brick houses for the families in the village of Punochchimunai, 2000 - Upon request by the Italian 2003/04 - Supply of medicines to the in Sri-Lanka, destroyed by the tsunami in Cooperation, a surgical team was sent to Casa de la Mujer, a community network 2004. The delivery of the houses could Eritrea. EMERGENCYs personnel worked giving assistance to women affected by only be completed in September 2008, for two months at the Mekane Hiwet cancer and diabetes in Nicaragua. due to the resuming hostilities between hospital, in Asmara, treating victims of government troops and local rebels, the conict between Ethiopia and Eritrea. 2003/2007 - Opening of a workshop which halted all work for months. for the production of rugs aimed at 2001 - Building of a Rehabilitation and promoting the economic independence of 2011 - War surgery programme in Libya, Prosthetics Centre in Diana, North Iraq. women in the Panjshir Valley, Afghanistan. in the under-siege city of Misurata. The Centre was handed over to the local health authorities. 2004 - EMERGENCY supported the population of Fallujah, in Iraq, during the siege of the city, in May. Relief items,
EMERGENCY - Activity Report 2012
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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 support EMERGENCYs projects around the world, please contact us: EMERGENCY info@emergency.it EMERGENCY BELGIUM info@emergencybe.org EMERGENCY HONG KONG info@emergencyhkg.org EMERGENCY JAPAN info@emergency-japan.org EMERGENCY SWITZERLAND FOUNDATION info@emergency.ch EMERGENCY UK info@emergencyuk.org EMERGENCY USA info@emergencyusa.org
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EMERGENCY - Activity Report 2012
EMERGENCY
via Gerolamo Vida 11 - 20127, Milan ITALY T +39 02 863161 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 HONG KONG Room 615, 6/F kwong Loong Tai Bldg 1016 Tai Nan West Road Cheung Sha Wan, Kowloon T +852 28939306 F +852 28939309 info@emergencyhkg.org - www.emergencyhkg.org EMERGENCY JAPAN 669-2702, Hyogo-ken, Sasayama-shi Hongo 499-15 T / F +81 79 506 0932 info@emergency-japan.org - www.emergency-japan.org EMERGENCY SWITZERLAND FOUNDATION Weberstrasse 21 Postfach 9419 Ch-8036 Zurich T +41 (0) 433171904 F +41 (0)43 317 13 42 info@emergency.ch - www.emergency.ch EMERGENCY UK Can Mezzanine, 49-51 East Road, Old Street, N1 6AH London T +44(0)207 250 8302 F +44(0)333 340 6499
info@emergencyuk.org - www.emergencyuk.org
EMERGENCY USA 1016 Lincoln Blvd, Suite 211, San Francisco - CA 94129 T 1-888-501-3872 info@emergencyusa.org - www.emergencyusa.org
To support our projects around the world, please visit our websites under the sections Make a donation.
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WORK WITH US
EMERGENCY is recruiting medical staff for its hospitals in AFGHANISTAN, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN
For projects in AFGHANISTAN, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN we are recruiting: - ANAESTHETISTS - GYNAECOLOGISTS (FEMALE ONLY) - MIDWIVES (FEMALE ONLY) - ICU NURSES - OPERATING THEATRE NURSES - PAEDIATRIC AND NEONATAL NURSES - WARD AND CRITICAL CARE NURSES - PAEDIATRICIANS AND NEONATOLOGISTS - PHYSIOTHERAPISTS - GENERAL, ORTHOPAEDIC AND TRAUMA SURGEONS - X-RAY TECHNICIANS For the CARDIAC SURGERY Centre in KHARTOUM, SUDAN, we are recruiting: - CARDIAC ANAESTHETISTS - CARDIOLOGISTS - SPECIALISTS IN CATH LAB - SPECIALISTS IN ECHOCARDIOGRAPHY - NURSES (OPERATING THEATRE, ICU, CATH LAB AND CARDIAC SURGERY WARD) - PERFUSIONISTS - PHYSICIANS (INTERNAL MEDICINE) - CARDIAC SURGEONS - BIOMEDICAL TECHNICIANS - MEDICAL LAB TECHNICIANS - X-RAY TECHNICIANS
GENERAL REQUIREMENTS: relevant professional experience in hospital settings; ability to follow standardized clinical working procedures and safety protocols as dened by EMERGENCY; ability to train local staff; well-disposed towards local cultures; minimum availability 3 up to 6 months; good spoken and written English (or French for Central African Republic). TERMS AND CONDITIONS: monthly salary, travel expenses, board and lodging, full insurance cover for accidents and illness provided. For any further information: recruiting@emergency.it TO APPLY: visit www.emergency.it or send a detailed CV to curriculum@emergency.it specifying which position you are applying for.
To Support EMERGENCY
DONATIONS Donations in favor of EMERGENCYs projects can be made via:
Credit card, on-line (on secure server) at www.emergency.it (Euros) Bank wire in favour of EMERGENCY - IBAN IT 41 V 05387 01600 000000713558 - BIC BPMOIT22XXX
c/o Banca Popolare dellEmilia Romagna
Bank wire in favour of EMERGENCY - IBAN IT 02 X 05018 01600 000000130130 - BIC CCRTIT2T84A
c/o Banca Etica, liale di Milano
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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
w w w. e m e r g e n c y. i t
Between 1994 and 2012, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, over 5,000,000 people received high quality medical care free of charge.