Activity Report 1994-2009

EMERGENCY

3,663,738 patients treated: a number that sums up EMERGENCY’s first 15 years of work. But this number alone is not enough to define our activity: it is also necessary to explain where - in fifteen different countries, all ravaged by war and poverty - and how we treated these people, with passion and professionalism, building and managing Hospitals, Surgical Centres and Paediatric Centres, First Aid Posts, Rehabilitation Centres… Why we treated them, however, needs no explanations: simply, these people needed to be treated. The meaning of our doctors’ and nurses’ work around the globe is all here: to treat those who suffer, without distinctions of ethnicity, ideology, gender, beliefs, religion. In March 2009 we opened a new Paediatric Centre in the capital city of the Central African Republic, Bangui: it has already given free healthcare to 15,306 children. We’ve worked long and hard toward the building of the African Network of Medical Excellence (ANME). It is an ambitious project aimed at fostering cooperation between different countries in the continent, toward the building of healthcare facilities of a very high standard following the model of the Salam Centre for Cardiac Surgery in Khartoum, Sudan: like the Salam Centre, all these facilities will have a regional vocation. Paediatrics, obstetrics and gynaecology, oncology, traumatology are only a few of the medical fields covered by this project, which is meaningful above and beyond its clinical importance. We believe that being able to have representatives of different countries - sometimes in open conflict with one another - sitting at the same table, working on a common goal which is the health of the populations, is a beautiful result, from a cultural and social point of view. New projects will begin in the first few months of 2010, like the Paediatric Centre in Nyala, South Darfur. And our engagement in Italy is growing, as well: building upon the positive experience of the Clinic in Palermo, we are working to open other healthcare facilities dedicated to the migrant population and to those in need. As always, all of this is possible only through the support of thousands of volunteers and friends like you: don’t hold it back.

Cecilia Strada President of EMERGENCY

Every year war and poverty destroy the lives of millions of people. In today’s conflicts, 90% of the victims are civilians.

EMERGENCY is an independent and neutral Italian organisation. EMERGENCY provides free, high quality medical and surgical treatment to the civilian victims of war, landmines and poverty. EMERGENCY promotes a culture of peace, solidarity and respect for human rights.
All EMERGENCY facilities are designed, built and run by specialised international personnel, who train local staff.

Surgery
Emergency and Trauma Surgery General Surgery Orthopaedic Surgery Plastic and Reconstructive Surgery Paediatric and Adult Cardiac Surgery Surgery for victims of war and landmines

Medicine
First Aid Internal Medicine Interventional Cardiology Neonatology Obstetrics and Gynaecology Ophthalmology Paediatrics Primary Health Care

Rehabilitation
Physiotherapy Prosthesis and Orthosis Production Vocational training and cooperative workshops for physically disabled

Between 1994 and 2009, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, 3,663,738 people received high-quality medical care, free of charge.

Afghanistan
In 1999, EMERGENCY transformed a former military compound in the village of Anabah, Panshir Valley, 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 and trauma care. In 2003, Paediatric and Internal Medicine units were opened within the same compound. A Maternity Centre was opened in June 2003 to provide assistance to women and infants in an area of the country that registers one of the world’s highest mortality rates for both children and mothers. To offer support to the women in the most remote villages, field consultations in obstetrics and neonatal care were established. In the Spring of 2001, EMERGENCY opened a second Surgical Centre for War Victims in Kabul. In 2003, an Intensive Care Unit with 6 beds was added. In September 2004, EMERGENCY opened a third Surgical Centre for War Victims in Lashkar-gah, the regional capital of Helmand Province, in the South of Afghanistan. The hospital, named in memory of the Italian writer Tiziano Terzani, is the only one to offer high quality, free of charge healthcare in a war ravaged area. In all the Afghan regions polluted with landmines and lacking healthcare facilities, EMERGENCY has established a network of First Aid Posts (FAPs) and Health Centres, open 24/7, connected to its main hospitals by an ambulance service to refer the most urgent cases. Since 2001 EMERGENCY has been running a Prisons Clinic Programme to ensure medical assistance to the inmates of the largest prisons in the country. In 2006, EMERGENCY activated a programme of field screening and treatment of Ophtalmic Diseases. In 2009 only, 1,168 patients were attended at the Anabah Centre and in the surrounding FAPs.
Uzbekistan Tajikistan Turkmenistan China

Anabah Kabul

Afghanistan
Lashkar-gah Iran Pakistan

EMERGENCY www.emergency.it

Anabah

Surgical and Medical Centre
Opened: December 1999 Activities: Surgery for war and landmine victims Emergency Surgery Internal Medicine Paediatrics Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Intensive Care Unit, SurgicalMedical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 70 Local staff: 211 As of December 2009 Admissions: 19,988 Outpatient consultations: 117,811 Surgical operations: 13,885

Anabah

Maternity Centre
Opened: June 2003 Activities: Obstetrics and Gynaecology Neonatal Care Facilities: Emergency Department, Outpatient Department, Operating Theatre, Intensive Care Unit, Patient Wards, Nursery, Ultrasound, Delivery Room, Diagnostics, Technical and Auxiliary Facilities shared with the Surgical-Medical Centre. Number of Beds: 25 Local staff: 33 As of December 2009 Admissions: 11,087 Outpatient consultations: 47,982 Surgical operations: 2,251 Births: 7,318

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Kabul

Surgical Centre for War Victims
Opened: April 2001 Activities: Surgery for war and landmine victims Trauma Surgery Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization, Intensive Care Unit, Subintensive 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: 275 As of December 2009 Admissions: 21,191 Outpatient consultations: 64,918 Surgical operations: 25,362

Afghanistan

First Aid Posts (FAPs) and Primary Health Clinics
Number: 29 Locations: Abdara, Ahangaran, Anabah, Anjuman, Bagram, Bazarak, Changaram, Charikar, Dara, Darband, Dashty Rewat, Ghazni, Grishk, Gulbahar, Horaty, Kapisa, Khinch, Kohi-safi, Koklamy, Logar, Mirbachakot, Paryan, Rokha, Said Khil, Sangi Khan, Sayad and Shutul. EMERGENCY also offers health care at the Juvenile Rehabilitation Centre and the Tahi Mashkan orphanage in Kabul. Local staff: 201 As of December 2009 Outpatient consultations: 1,867,776 Patients referred to hospital: 22,185
EMERGENCY www.emergency.it

Lashkar-gah

Surgical Centre for War Victims
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 2009 Admissions: 10,015 Outpatient consultations: 56,900 Surgical operations: 11,662

Prison Programmes
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
In 1998, EMERGENCY opened a Surgical Centre in Battambang, in the North of the country, to guarantee surgical assistance and rehabilitation to war and landmines victims. The Centre is dedicated to the Italian journalist Ilaria Alpi, killed in Somalia in 1994. Through the years, the activities of the Centre have been expanded to include plastic and reconstructive surgery for the correction of congenital malformations and the effects of polio. Since 2005, in agreement with the Ministry of Health, the Centre’s activities have been extended to emergency surgery and traumatology, thus making EMERGENCY’s hospital the main referral centre for trauma care in the entire province. In 2006, the new physiotherapy ward for the rehabilitation of the hospitalised patients was inaugurated. The international staff is involved in the professional training of the local personnel, including workshops for physiotherapists, nurses and surgeons currently in residence at Phnom Penh University. In order to provide emergency assistance to landmine victims, in 1999 EMEGENCY activated 4 First Aid Posts in the densely-mined district of Samlot, and along the routes trodden by the refugees returning home from Thailand. A fifth FAP was opened in January 2000 in Tasanh, featuring an in-patient ward for the treatment of malaria, which is endemic in this area of the country. In 2003, the operation of 4 of the FAPs was transferred to the local authorities. In July 2009, the FAP of O’Tatiak, in Samlot province, was also entrusted to the local government. In 2007, EMERGENCY activated a programme of screening and surgical treatment of Ophtalmic Diseases. In 2009, 718 patients were treated at the Battambang Centre.

Thailand

Laos

Battambang Samlot Cambodia Phnom Penh Vietnam

Gulf of Thailand

EMERGENCY www.emergency.it

Battambang

Surgical Centre
Opened: July 1998 Activities: Surgery for war and landmine victims Emergency Surgery Orthopaedic and Plastic-reconstructive Surgery Traumatology Facilities: Emergency Department, Outpatient Department, 3 Operating Theatres, Intensive Care Unit, Surgical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of Beds: 107 Local staff: 194 As of December 2009 Admissions: 24,956 Outpatient consultations: 93,646 Surgical operations: 27,038

O’Tatiak

First Aid Post (FAP)
1999 - July 2009 Local staff: 4 As of July 2009 Patients referred: 4,659 Outpatient consultations: 244,375*
*This figure also includes consultations at the FAP in O’Rotkroh, Chamlong Kouy, Tasanh e O’Chom before the facilities were transferred to the local authorities.

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Iraq
In 1995 EMERGENCY refurbished and reactivated the hospital of Choman, a village in Iraqi Kurdistan at the Iranian border. In 1996 and 1998, two Surgical Centres were opened in Sulaimaniya and Erbil to provide free, high quality healthcare to victims of war and landmines. Both Centres have been expanded to include units specialised in the treatment of burns and spinal lesions. In may 2005, having assessed the complete autonomy reached by the local staff, and the adequate economic resources of the Kurdish authorities, EMERGENCY decided to entrust the management and running of the two Surgical Centres and of the network of 22 First Aid Posts connected to them to the local Ministry of Health. In nine years, the EMERGENCY Centres in Erbil and Sulaimaniya, and the FAP network, treated over 330,000 people. In 1998, EMERGENCY opened in Sulaimaniya a Rehabilitation and Social Reintegration Centre for amputees and other patients with motor disability. The Centre features a rehabilitation ward, and workshops for the production of prostheses and orthoses. EMERGENCY also facilitates the social reintegration of former patients through professional training and vocational workshops, and financially supports them in establishing small business cooperatives to support their families. Since 2008, EMERGENCY organises in Sulaimaniya field missions for the screening of patients affected by acquired and congenital heart diseases. In cooperation with the Ministry of Health, patients in need of surgical treatment are referred for surgery to the Salam Centre for Cardiac Surgery, run by EMERGENCY in Khartoum, Sudan.

Turkey

Sulaimaniya Syria

Iraq
Baghdad Jordan

Iran

Saudi Arabia

Kuwait

EMERGENCY www.emergency.it

Sulaimaniya

Rehabilitation and Prosthetics Centre
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: 91 As of December 2009 Admissions: 5,527 Sessions of Physiotherapy: 36,164 Upper Limb Prostheses: 728 Lower Limb Prostheses: 4,992 Orthoses: 716 Cardiological examinations: 140

Sulaimaniya

Social Reintegration Programme
Opened: 1998 Activities: Vocational training and development of small business cooperatives for the physically disabled Facilities: Classrooms, Vocational Training Workshops (Professional Sewing, Leatherwork, Woodwork, Light Carpentry, Shoemaking), Auxiliary Facilities. As of December 2009 Trainee class graduates: 626 Cooperatives set up: 230

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Central African Republic
In March 2009 EMERGENCY opened a Paediatric Centre in Bangui, the capital city of the Central African Republic, a country that ranks 171st (out of 177) on the Human Development Index compiled by the UNDP (United Nations’ Development Program). Life expectancy is a mere 44 years, while the infant mortality rate is 115 deaths every 1,000 children born alive, compared to approximately 6 per 1,000 in the more developed countries. The Paediatric Centre, open 24/7, offers healthcare services to children up to 14 years of age and promotes public health and hygiene through educational activities. EMERGENCY trains the local staff, both theoretically and practically. The Centre includes a cardiology clinic for screening of patients enrolled in the Salam Centre’s Regional Programme. After surgery in Sudan, the patients undergo post-op follow-up at the Centre in Bangui, including free of charge clinical monitoring and provision of drugs. Approximately 70 children each day are treated at the EMERGENCY Paediatric Centre in Bangui.

Chad Sudan

Central African Republic
Bangui Democratic Republic of Congo

EMERGENCY www.emergency.it

Bangui

Paediatric Centre
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, Auxiliary Facilities, External Waiting Area and Playground. Number of Beds: 8 Local staff: 56 As of December 2009 Admissions: 686 Outpatient visits: 14,620 Patients referred to hospital: 710 Cardiological examinations: 369

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Sierra Leone
At the end of 2000, a Surgical Centre was established by EMERGENCY in Goderich, on the outskirts of Freetown, the country’s capital. The hospital provides treatment for the wounded and trauma patients. Subsequently, admissions criteria have been widened to include all patients requiring urgent surgical procedures. In the Spring of 2002, EMERGENCY opened, within the hospital compound, a Paediatric Centre. In 2003, two new wards were added, one of them entirely dedicated to paediatric medicine for the treatment of malaria, anemia and respiratory infections. In 2005, a feeding programme was established, providing treatment for malnourished children as well as hygiene and nutritional education for the mothers. In the same field, EMERGENCY in collaboration with the University of Parma, Italy, developed in June 2008 a hypercaloric and hyperproteic ready-to-use food (RUF) for malnourished children, locally prepared with ingredients easily found in the country. In 2006, a programme for oesophageal endoscopic dilation was put in place, to cope with the high incidence of internal burns due to accidental lye ingestion by children. Lye is widely used for the home-making of soap. Since 2008, EMERGENCY organises in Goderich field missions for the screening of patients affected by acquired and congenital heart diseases. Patients in need of surgical treatment are referred for surgery to the Salam Centre for Cardiac Surgery, run by EMERGENCY in Khartoum, Sudan. Currently, the EMERGENCY Surgical and Paediatric Centre is the only facility in the region to offer free of charge healthcare and training programmes for surgeons and anesthesiologists, in a country that still suffers the consequences of a long and heavy war.
Guinea

Sierra Leone
Freetown Goderich

Atlantic Ocean Liberia

EMERGENCY www.emergency.it

Goderich

Surgical Centre
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: 260 As of December 2009 Admissions: 18,419 Outpatient consultations: 157,036 Surgical operations: 17,350 Cardiological examinations: 140

Goderich

Paediatric Centre
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: 10 As of December 2009 Admissions: 7,692 Outpatient consultations: 92,439

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Sudan
Between Spring 2004 - Summer 2005, EMERGENCY intervened in North Darfur to support the hospitals in Mellit and Al Fashir. EMERGENCY built a surgical block at the Al Fashir hospital, with 2 operating theatres, sterilization department and a 20 bed ward. On the outskirts of the capital Khartoum, about 2 million Internally Displaced People (IDPs) live in slum camps lacking even the most basic services. In 2005, EMERGENCY opened a Paediatric Centre, inside the Mayo IDPs camp, offering free of charge primary healthcare assistance to about 300,000 people. In addition to outpatient activities, the Centre features an observation ward and an ambulance for the referral of the most severe cases to the city’s hospitals. A door-to-door follow-up and public health/hygiene outreach service was established in Spring 2006, involving health promoters selected from the local community and trained by EMERGENCY’s international staff. Both at the Paediatric Centre and in the 8 sections of the Mayo camp, EMERGENCY has begun a preventive medicine programme, which includes health education, screening of malnourished children and a vaccination service for children up to 5 years of age, obstetric consultations and family planning services. In April 2007, EMERGENCY opened the Salam Centre for Cardiac Surgery in Soba, a village along the banks of the Blue Nile, about 20km outside Khartoum. The Salam (meaning “peace” in Arabic) Centre is the first centre of excellence in cardiac surgery completely free of charge in the whole African continent. It is a technologically-advanced facility, built with innovative and environmentally-friendly techniques. The Centre - run both clinically and administratively by EMERGENCY - offers free specialised care to patients from Sudan and the surrounding countries. In the first three years, the Centre has treated patients coming from 17 Countries besides Sudan, namely Chad, Eritrea, Ethiopia, Djibouti, Jordan, Iraq, Kenya, Nigeria, the Central African Republic, the Democratic Republic of Congo, Rwanda, Senegal, Sierra Leone, Somalia, Tanzania, Uganda and Zambia.

EMERGENCY www.emergency.it

Regional Programme for Paediatrics and Cardiac Surgery
In May 2007, EMERGENCY began in Africa a regional programme in paediatrics and cardiac surgery. In connection with the Salam Centre for Cardiac Surgery in Khartoum, Sudan, a network of centres in Sudan and its neighbouring countries is being implemented to provide qualified healthcare to children up to 14 years and promote public health and health education. The programme also includes the screening and of follow-up of cardiac patients. The first centre of the network was opened in March 2009 in Bangui, the capital city of the Central African Republic. The second one is under construction in Nyala, South Darfur, Sudan. In addition, since December 2006, the EMERGENCY staff visited public hospitals in several Countries to identify children and adults to be referred for cardiac surgery to the Salam Centre. Totally, 1,264 patients have been screened during 30 missions. In 2009, clinical missions took place in Central African Republic, Chad, Eritrea, Djibouti, the Democratic Republic of Congo, Sierra Leone and Uganda.

Egypt Libya

Chad

Khartoum Mayo

Eritrea

SUDAN
Ethiopia Central African Republic Democratic Republic of the Congo Uganda Kenya

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Khartoum

The Salam Centre for Cardiac Surgery
Opened: April 2007 Activities: Paediatric Cardiac Surgery Adult Cardiac Surgery Interventional Cardiology Facilities: 3 Operating Theatres, Intensive Care Unit, Subintensive Care Unit, Surgical Wards, Outpatient Departments, Catheterization Laboratory, Radiology, Ultra Sound, Laboratory and Blood Bank, Physiotherapy, Pharmacy, Technical and Auxiliary Facilities, Repairs & Maintenance, Guesthouse for relatives of patients. Number of Beds: 63 Local staff: 302 As of December 2009 Admissions: 2,456 Outpatient consultations: 19,546 Cardiological examinations: 12,451 Surgical interventions: 1,902 Cath Lab diagnostic and surgical procedures: 673

EMERGENCY www.emergency.it

Mayo, Khartoum

Paediatric Centre
Opened: December 2005 Activities: Paediatrics Facilities: 2 Outpatient Departments, Patient Observation, Pharmacy, Laboratory, Auxiliary Services. Number of Beds: 6 Local staff: 23 As of December 2009 Outpatient consultations: 78,514 Patients admitted for observation: 3,111 Patients referred to hospital: 1,570

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Italy
Serious violations of human rights, generating needs that go unnoticed and unmet, occur daily in many contexts in Italy, as well. Aiming to integrate and facilitate access to the national healthcare system to which migrants (with or without residency permits) have a right, EMERGENCY opened in Palermo, in April 2006, a Clinic offering primary healthcare, paediatrics, dermatology, dentistry, ophthalmology, ENT, ob-gyn, cardiology, psychiatry and psychological services. Clinical activities heavily rely on the collaboration of unpaid professional volunteers; among them are: 25 dentists, 4 ophthalmologists, 12 internal medicine doctor, 1 ear-nose-throat specialist, 1 dermatologist, 2 paediatricians, 3 nurses, 4 gynecologists, 4 cardiologists, 1 psychiatrist, 1 psychologist. The Clinic is a free of charge facility specifically dedicated to migrants, but open to anyone in need. As of December 31st, 2009, the Clinic assisted 6,140 patients from 68 different countries.

Molise

Campania Basilicata Apulia

Calabria Tyrrhenian Sea

Palermo

Sicily

Ionian Sea

Mediterranean Sea

EMERGENCY www.emergency.it

Palermo

Outpatient Clinic
Opened: April 2006 Activities: Cardiology Dermatology Infectious Diseases Basic Health Care Dentistry Ophtalmology Obstetrics and Gynaecology Otolaryngology Psychiatry and Psychology Radiology

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. Employees: 6 As of December 2009 Outpatient consultations: 33,317

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

WORK IN PROGRESS
Nyala, SUDAN

Paediatric Centre
The Regional Programme for Paediatrics and Cardiac Surgery in Africa calls for the establishment throughout the region of a network on Paediatric Centres, equipped for the screening and follow-up of cardiac patients. The first Centre was opened in Bangui, Central African Republic, in March 2009. The second one is being built in Nyala, South Darfur, Sudan. The Centre, open 24/7, will offer primary healthcare to children up to 14 years old, and will implement education programmes in public health and hygiene for families. EMERGENCY will also guarantee the professional training of the local staff. The building will feature sustainable and environmentally friendly technologies. Special attention is given to the care of the interiors and gardens, which play an important part in the healing process. The facilities will include: two Paediatric outpatient Departments, Cardiology Department, Ultra Sound, X-ray room, Laboratory, Pharmacy, in-patient ward with 20 beds, Storage area, Offices, Ancillary services, Outdoor waiting area and playground. Estimated international personnel: 1 paediatrician, 2 paediatric nurses, 1 logistician, 1 cardiologist. Estimated local personnel: approximately 50 people, including doctors, nurses, administrative and ancillary personnel. Clinical activities are set to begin in Summer 2010.

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EMERGENCY’s Financial Resources
EMERGENCY was born in Italy in 1994 to offer treatment and rehabilitation to the victims of wars and landmines. On August 19th, 1999, EMERGENCY was officially recognised as a Non-Governmental Organization (NGO) by the Italian Foreign Ministry.

EMERGENCY’s financial resources are based primarily on the personal donations of hundreds of thousands of private citizens. EMERGENCY’s budget in 2008 (the latest approved budget) amounted to 16,794,441 Euros. The overhead costs for 2008 was 7.95% of the total budget.

EMERGENCY www.emergency.it

Financial resources managed by EMERGENCY to date:
Year 1994 1995 1996 1997 1998 1999 EURO 435,977 317,828 1,582,883 2,754,334 2,157,363 3,979,566 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*Estimated balance

6,200,616 14,147,638 18,440,738 17,440,944 17,240,225 13,945,171 14,716,032 23,261,986 16,974,441 24,000,000*

The anomalous revenue flow registered between 2007 - 2009 is due to the timing of the disbursement of funds resulting from the donations of the 5/1000 of individuals’ income taxes in Italy.

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To Support EMERGENCY:
> DONATIONS • Donations in favor of Emergency’s projects can be made via:
Ø Credit card, on-line (on Secure Server) at www.emergency.it (Euros) Ø Bank wire in favor of EMERGENCY— IBAN IT 41 V 05387 01600 000000713558 - BIC BPMOIT22XXX c/o Banca Popolare dell’Emilia Romagna Ø Bank wire in favor of EMERGENCY — IBAN IT 02 X 05018 01600 000000130130 - BIC CCRTIT2T84A c/o Banca Etica, Filiale di Milano Ø Non-transferable bank check to the order of EMERGENCY, to be mailed to Emergency, via Gerolamo Vida 11 - 20127 Milano

For further information: www.emergency.it under “donations”

EMERGENCY www.emergency.it

> ADOPT EMERGENCY, ADOPT A HOSPITAL
Through its Adopt a Hospital plan, EMERGENCY gives supporters the opportunity to directly donate to a specific project. By providing vital financial support, your commitment allows you to personally participate in the adopted hospital’s lifesaving activities. If you wish, you can receive regular email updates on progress, results and developments on the project you support.

> GADGETS AND KEEPSAKES FOR SOLIDARITY
T-Shirts, sweatshirts, key chains... on sale online and at our booths and tables at countless public events, EMERGENCY gadgets are a simple and direct way to support our activities. The wedding keepsakes for solidarity, on sale on the web at www.emergency.it, remind friends and relatives of a special day in a different way, and are a concrete sign of your commitment and solidarity in support of the victims of war.

For further information please contact: progetti@emergency.it

For further information: www.emergency.it under “support us” bomboniere.solidali@emergency.it

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Volunteer
Volunteering is essential component of EMERGENCY’s 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 EMERGENCY’s projects around the world, please contact us: EMERGENCY info@emergency.it EMERGENCY UK info@emergencyuk.org EMERGENCY USA info@emergencyusa.org

EMERGENCY www.emergency.it

EMERGENCY
via Gerolamo Vida 11 20127, Milan - ITALY T +39 02 881881 F +39 02 86316336 info@emergency.it

EMERGENCY USA
4910 Massachusetts Ave, NW Suite 300 Washington, DC 20016 USA T 1-888-501-EUSA info@emergencyusa.org
EMERGENCY USA Life Support for Civilian Victims of War and Poverty is an independent non-profit organization with 501(c)3 tax exempt status from the IRS (26-3321828) credit/debit card online (secure server) at www.emergencyusa.org

EMERGENCY UK
PO Box 62437 London - UK E14 1GA T +44 0 3333406411 info@emergencyuk.org
EMERGENCY Life Support For Civilian War Victims UK is a charity registered in England and Wales (1128569) Bank wire: Co-operative Bank Account name: EMERGENCY UK Account number: 65284573 Sort Code: 089299 credit/debit card online (secure server) at www.emergencyuk.org (Sterling)

via dell’Arco del Monte 99/A 00186, Rome - ITALY T +39 06 688151 F +39 06 68815230 roma@emergency.it

www.emergency.it

www.emergencyusa.org

www.emergencyuk.org

29

“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, 10th December, 1948, Article 1 and Preamble

EMERGENCY

Design: Zago LL —Translated by Mauro Sacchi

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