Activity Report 1994-2012 (ENG Vers.)

7/30/2019 Activity Report 1994-2012 (ENG Vers.)

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EMERGENCY

Activity Report 1994-2012


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AFGHANISTAN - Surgical and Medical Centre, Anabah


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ITALY - Mobile Clinic


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SURGERYPaediatric and adult cardiac surgerySurgery or victims o war and landminesEmergency and trauma surgeryGeneral surgeryOrthopaedic surgeryPlastic and reconstructive surgeryOphthalmic surgeryFirst aid

MEDICINECardiologyPrimary health careInternal medicineNeonatologyOphthalmologyObstetrics and gynaecologyPaediatrics

REHABILITATIONPhysiotherapyProduction o prostheses and orthosesVocational training and setting up o smallbusiness cooperatives or the physically disabled

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In 1995, one year a ter its oundation,EMERGENCY reactivated the hospital o Choman, a village in Iraqi Kurdistan nearthe border with Iran.The surrounding area had beenpolluted with landmines, mainly o Italian production: one o the mostcommon ones being the Valmara 69, a

ragmentation mine produced in Brescia,which can kill within a 25 meters radiusand seriously injure in a radius o 200meters rom its explosion.EMERGENCYs doctors treated landminevictims in the hospital in Choman at

rst, and then also in the other two setup in Erbil and Sulaimaniya. The victimswere men, women and children who hadstepped on a mine while leading animals

to pasture, as they went to etch water,or while playing. They were not ghters,but people trying to lead their own lives.In Iraqi Kurdistan, EMERGENCYs doctors

aced up to one o the worst heritages o war: 100 million unexploded mines areestimated to be scattered around someseventy countries.EMERGENCYs surgeons started to tellwhat they saw on the operating tableso their hospitals.Their work gained great attention in Italyon the television programme called theMaurizio Costanzo Show, where Gino

Strada, the ounder o EMERGENCY,talked to the general public about thedevastating e ects o landmines or the

rst time.

For many people this was a totally newissue: ew media outlets had dealt withthis topic in a country that was one o the largest producers and exporters o landmines at the time.Thanks to an intensive in ormationcampaign consisting o newspaperarticles, meetings in schools, debatesand exhibitions, mines became a subjecto public interest.EMERGENCY publicly asked the Ministero De ence to take concrete actionagainst landmines. On August 2,1994 the Italian Parliament approved

a moratorium on the production andexport o landmines.

Keakaws Amin Ahmed , 30 years old,


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hunting, le t leg amputated; Karim Wahid,32, collecting metal, right leg amputated;Saeed Majeed, 43, collecting metal,multiple wounds ...: an extract rom theadmission book o EMERGENCYs hospitalin Sulaimaniya became a postcard to besent to the Italian President Oscar LuigiScal aro to ask or the promptdiscussion and approval o a billprohibiting Italy rom producing, tradingand using landmines, as well as acommitment in the international arena

or their total ban and the launch o humanitarian initiatives o mine clearing

and aid to victims.More than a million postcards weresent to the Quirinal Palace, the o cialresidence o the President o the Italian

Republic, in the summer o 1996.In December o the same year theinternational call or the ban onlandmines was also signed by tenNobel laureates: Rita Levi Montalcini,Adol o Perez Esquivel, Joseph Rotblat,Elie Wiesel, Jean Dausset, Christian deDuve, Frank Sherwood Rowlands, StevenWeinberg, Kenneth J. Arrow, James M.Buchanan. Finally, under the pressureo an increasingly public awarness, theItalian Parliament approved the Law n.374 on October 29, 1997. This law orbids- in Italy - the manu acture, storage,

sale, export and possession o mines,components, technologies and patents.Moreover, the law orbids the economicparticipation in oreign companies

dealing with mine production and trade.On December 3, 1997 in Ottawa, Italysigned the Anti-Personnel Mine BanConvention, which prohibits the useo these weapons, mandates thedismantlement o arsenals and makesprovisions or de-mining and victimassistance an innovation in theItalian regulations.The Ottawa treaty came into orce onMarch 1, 1999, but many countries havenot yet signed it.Among them there are China, Russiaand the United States o America.


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War broke out, is in progress, has killed and keeps on killing. It will last even whenmilitary strategists decide to a rm that it is over, rom their point o view. It will last in the mourning o the survivors, in themutilated bodies o many o them. It will last in the bursts o unexploded devices still on the ground. We know that many are in avour o this war. We also want the voice o those who are against it tobe heard. And we will use a piece o white clothto say this: hanging rom a purse or abrie case, tied to ront doors or balconies,to dog leashes, car antennas, baby strollers, school bags ... A shred o peace. And i many o us show it, it will not be possible to say that Italy as a whole haschosen war as an instrument o confict resolution.EMERGENCY calls or the participationo individual citizens, and also o municipalities, parishes, associations, schools and o anyone sharing this position. Spreading this message is a way to start.

On September 11, 2001 the attacks in theUnited States shocked the internationalpublic. The reaction was swi t: not even amonth a ter the attacks, on October 7th,U.S. bombers attacked A ghanistan. It wasthe OperationEnduring Freedom, the rstact o the global war on terror . The Talibanregime that ruled A ghanistan wasaccused o supporting the terrorist group Al-Qaeda, held responsible or the attackon the Twin Towers.The military attack on A ghanistan waslargely supported by the internationalcommunity.Italy also ell in line: on November 7, 2001the Italian Parliament approvedthe participation in the internationalmilitary operation with the avourablepronouncement o 92% o its members,in evident disregard o Article 11 o theConstitution stating that Italy repudiateswar. Eleven days later, thanks to the mostbipartisan vote in the history o theRepublic - as it was de ned by GinoStrada - 600 Italian soldiers le t orA ghanistan aboard warships rom theport o Taranto.

The war was propagandized as theinevitable sel -de ence measure o acountry under attack. EMERGENCYknew that war would not bring justiceto the victims o the attack, nor it wouldeliminate the terroristic threat, but itwould just be the umpteenth act o violence on a country battered by decadeso confict, causing the deaths o urtherthousands o innocent people.Many showed the same convictionsupporting the work o EMERGENCY, theonly NGO present in Kabul at the time o the attack o the international coalition.EMERGENCY asked people to show theirdisagreement through the symbolic useo a shred o peace, in order to mani estpublic dissent against the war and thedecisions o the Italian Parliament. Thesmall white strip o abric tied to the wrist,hanging on bags or cars would become asymbol o recognition among those whowant to nd new ways o being together,new ways to solve problems other thanviolence, terrorism, or war.


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It was the autumn o 2002. Once again,war seemed to be an unavoidable choice:Iraq was the number 1 enemy, thenonexistent weapons o mass destructionwere presented as a threat to the sa etyo the West and the West was preparinganother military campaign in the area.Italy out o the War: EMERGENCYput orward this request to the Italiangovernment and to the citizens with amassive mobilization that reached its peakon December 10, 2002.On the anniversary o theUniversal Declaration o Human Rights, more than 250

torchlight processions and 500,000 peoplepoured into the streets throughout Italy,while rainbow fags and white shreds o peace waved rom the windows.Moreover, hundreds o meetingswere organized in schools; scores o municipalities, provinces and regionsadhered to the call, and 500,000signatures were collected in avour o the appeal Italy out o the War onEMERGENCYs website.

We want a world based on justice and solidarity. We reject violence, terrorism and war as means o confict solving between people and nations. We ask that Italy, acingthe threat o a military attack against Iraq,does not participate in any act o war, inobservance o its Constitution. We do not want to be jointly responsible or new grie ,nor want to eed the spiral o terror. Stopwars, stop killings, stop victims. EMERGENCY handed the text o theappeal and the signatures collected to thepresidents o the Republic, the Government,the Chamber o Deputies, the Senate, and o

the parliamentary groups.Against the will o a great part o thecountry, on April 15, 2003, the Governmentwon the vote o the Parliament in avour o the emergency humanitarian mission,even be ore the UN Security Counciladopted resolution n. 1483.

Stop war, sign or peace.

Repudiation o war is a undamental

principle o the Italian Constitution and it isdeclared in article n. 11.In the same period, to give strength toits call or peace, EMERGENCY proposedto three jurists - Luigi Ferrajoli, DomenicoGallo, Danilo Zolo - to dra t a bill o popularinitiative Rules or the execution o theprinciple o repudiation o war, as declared inarticle n. 11 o the Italian Constitution and inthe UN Charter.The dra t bill calls or a series o guaranteesthat would put article n. 11 into operation,allowing its actual application and providingstrict penalties in case o violation.EMERGENCY collected 137,319 signatures( ar beyond the 50,000 required by law)and submitted them to theNormative Textso ce o the Chamber o Deputies onJune 17, 2003.The dra t bill has not yet been assigned toany parliamentary committee.


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Citizens o the world can no longer grieveover the tragedies o terror: a bomb is

ollowed by a car bomb, every death leadsto a revenge that generates other deathsand other revenges. Di erent names - war,terrorism, violence - but the results arealways human bodies torn into pieces and pieces o humanity lost orever. 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 le t, no one will be right or wrong,there will only be an endless chain o grie and destruction. We ask all those who arecarrying out and planning attacks and warsto stop.We ask or time to refect, we cannot helplessly witness the spreading o murderous madness.To all those who promote violence,clandestine organizers o massacres or extremely visible dictators or presidents, we,the people, implore: cease re!.

In autumn 2003, the intensi cation o thewar in Iraq and A ghanistan and bombings inTurkey, Palestine and Chechnya ollowed one

another in a spiral o violence that seemeddestined to expand endlessly.EMERGENCY became the promoter o anappeal to ask governments and armedgroups to cease re be ore hatred andviolence became the only language used byhuman beings.

The appeal was immediately signed byNoam Chomsky, pro essor o MassachusettsInstitute o Technology ; Ignacio Ramonet,director o Le Monde Diplomatique; OscarLuigi Scal aro, President o the ItalianRepublic 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 Physicsin 1988; Leonard Bo , philosopher andtheologian; Tavola Valdese, Union o theMethodist and Waldensian churches inItaly; Inge Schoental Feltrinelli, publisher;Ermanno Olmi, director; Riccardo Muti,conductor; Pietro Ingrao, politician andwriter; Carlo Ossola, pro essor o theCollgede France; Father Alex Zanotelli, Combonimissionary; Rabbi Michael Lerner, director

o Tikkunmagazine; Sari Hana , directoro thePalestinian Diaspora and Re ugeeCentre; Peretz Kidron, journalist and writer;Yesh Gvul,Movement o Israeli soldiersagainst occupation; Sylvie Coyaud, journalist;Farid Adly, journalist; Hebe de Bona ni,President o the associationMadri de Plazade Mayo; Father Luigi Ciotti, president o theassociationLibera; Carlyle Vilarinho, Head o Cabinet o the Brazilian Government; JosGraziano da Silva, Minister o the programmeFame Zeroo the Brazilian Government;Amos Oz, writer; Andrea Camilleri, writer;Monsignor Ra aele Nogaro, Bishop o Caserta; Tiziano Terzani, writer.Among the rst signatories there was alsoHans von Sponeck, ormer director o the UNhumanitarian programme in Iraq, who hadresigned as a gesture o protest against thesanctions required by the United States.Many municipalities, as well as Italian andinternational associations also adhered,along with amily members o September11th victims. Over 76,000 o citizens signedthe appeal on EMERGENCYs website.


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We believe in the equality o all humanbeings, regardless o their opinions, sex, race; o their ethnic, political, religious background and belonging; o their social status and

nancial condition.We repudiate the use o violence, terrorismand war as instruments to resolve thedisputes between individuals, peoples,nations. We want a world based on social justice, on solidarity, on reciprocal respect,on dialogue, on an equal distribution o resources. We want a world in which governments guarantee the basic equality o all members o society and the right tomedical treatment that is both o a high standard and ree; the right to a publiceducation system that develops each person,each human being, enriching their knowledgeand intellect; the right to ree in ormationmedia. In our own Country, instead, or many years now weve witnessed the progressiveand systematic destruction o any and all principles o social, human cohabitation. A most severe and savage dri t is be oreour eyes.In the name o international alliances, theItalian political class has chosen war and aggression against other Countries.

In the name o reedom, the Italian political class has chosen war against its own citizens,building a system o privileges based uponexclusion and discrimination, a system o arrogant prevarication, o ordinary, daily corruption. In the name o security, theItalian political class has chosen war against those who come to Italy to survive, instigatinghatred and racism against them.Is this a democracy? Simply becauseit involves electoral processes o representativeness? Is the act o votingenough or a Country to be de ned asdemocratic? To us, a political system is democratic only i it works or the common well-being, avouringin its actions the needs o the underprivileged,the needs o the weakest social groups, tobetter their living conditions, so that we may all be a society o citizens.This is the world we want. For ourselves, or all o us. A world o equality.

The world we want is the title o theMani estopresented by EMERGENCY at theninth National meeting o its volunteers inSeptember 2010.Discussed by Gino Strada, along with authors

and personalities, theMani estocalls or aworld without war, where the basic rights o every human being are guaranteed - health,education, in ormation ... - and undamentalvalues such as peace, democracy, rights andequality are shared.TheMani estois not a revolutionarydocument: it was written having in mind boththe Italian Constitution and theDeclaration o Human Rights, which date back to more thansixty years ago, when the world was comingout o two wars that had subverted each andevery principle and human ideal.

EMERGENCY elt the urge to put thesewords back at the centre o public discussionso that basic rights o all do not becomeprivileges o a ew.TheMani estowas written tracingEMERGENCYs history: rom its very rstmission, in Rwanda, to the Outpatient Clinicsin Italy, EMERGENCY has given assistanceto anyone in need because we have alwaysbelieved in peace, democracy, rights andequality as the only possible orms o coexistence between human beings.


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In February 2011, the internationalcommunity and, subsequently, Italy,declared war against Libya.EMERGENCY sided once again againstthe war: to strike a dictator who had beensustained by many western governmentsuntil just a ew months be ore, it wasdecided to attack a whole country andin ringe the Italian Constitution.EMERGENCY promoted an appealinspired by the amous words o Einstein:War cant be humanised. It can onlybe abolished. Within a ew days, theappeal had been undersigned by morethan 50,000 people. Amongst the rsto these were Gino Strada, Carlo Rubbia,Renzo Piano. The peak o the mobilisationwas on 2nd April in Piazza Navona, inRome.A ew days later, EMERGENCY sent a warsurgery team to Misurata, the city mostbadly hit by the war.

Once again the statesmen have chosenthe way o war. Gadda has chosen thewar against his own citizens and theimmigrants that are crossing throughLibya. And our country has chosen the

war against Gadda : its presented tous, yet again, as humanitarian, inevitable,necessary.No war can be humanitarian. War hasalways been the destruction o ragmentso humanity, the killing o our ellow men.Every humanitarian war is actually acrime against humanity.I we want to de end human rights, theonly way is or all the parties to undertaketo cease re and stop the war, theviolence and the repression.No war is inevitable. Wars only seeminevitable at a certain point whennothing has been done to avoid them.They seem inevitable to those who or years have ignored the in ringement o rights, got rich by tra cking in arms, or denied peoples dignity and social justice.They appear inevitable to those whove prepared them.No war is necessary. War is always achoice, not a need.The preposterous choice to kill, that glori es violence and spreads it, is what generates a culture o war.Here, then, is the problem which we present to you, stark and dread ul and

inescapable: shall we put an end to thehuman race; or shall mankind renouncewar? ( rom the Russell-EinsteinMani esto, 1955).For this utopia to become real, we must

rst o all learn to think in a di erent way, removing war rom our cultural and political horizon. Together with all thecitizens whore victims o war, violenceand repression, who struggle or their rights and or democracy.War cant be humanised. It can only beabolished. Albert Einstein


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EMERGENCY -Activity Report 2012

A ghanistan

Uzbekistan China

Tajikistan

PakistanIran

Turkmenistan

Anabah

Kabul

Lashkar-gah

AFGHANISTAN

In over 40 years, war in A ghanistan has led to oneand a hal million deaths, hundreds o thousands o people wounded and mutilated, more than our millionre ugees. The most recent war, begun in October 2001,

continues to wound, kill and destroy. And the groundstill contains the legacy o the previous wars: landminesand unexploded devices continue to maim children andadults, primarily civilians.

Since 1999, EMERGENCY has built and managed aSurgical and Medical Centre and a Maternity Centrein the Panjshir Valley, a Surgical Centre in Kabul, andanother one in Lashkar-gah (in Helmand province).EMERGENCY also runs a medical assistance programme

or the inmates o the countrys largest prisons, and

has set up a network o 28 First Aid Posts and HealthCentres.

A ghanistan is part o EMERGENCYs Paediatrics andCardiac Surgery Programme. At EMERGENCY hospitals,international cardiologists select the heart patients tobe operated at theSalam Centre or Cardiac Surgery inKhartoum.

During 2012, the A ghan Ministry o Public Healthhas unded about 20% o the total expenditure o theprogramme.

Since 1999, EMERGENCY has treated 3,572,664people in Afghanistan.


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Cambodia

Gulf of Thailand

ThailandLaos

VietnamPhnom Penh

Battambang

CAMBODIA

In 1998 EMERGENCY built a Surgical Centreaddressing the victims o war and landmines inBattambang, one o the most heavily mined areaso the country. Through the years, the hospital wasturned into a Surgical and Trauma Centre.

In the Samlot district, EMERGENCY opened ve FirstAid Posts in order to provide emergency treatmentand basic healthcare in a heavily mined area with noother healthcare acilities. Management o the FAPswas de nitively handed over to the local governmentin 2009.

A ter 14 years, in February 2012, EMERGENCY decidedto handover the hospital to the Cambodian Ministryo Health in consideration o the changed needs o thepopulation and the good level o autonomy acquired bythe local sta .

Since 1998, EMERGENCY has treated392,060 people in Cambodia.


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Iraq

Baghdad

KuwaitSaudi Arabia

Sulaimaniya

Jordan

Syria

Turkey

IranIRAQ

The Iraqi Kurdistan is in ested with millions o landmines, many o which were manu acturedin Italy.

In order to bring assistance to landmine victims,in 1995 EMERGENCY restored and reactivated thehospital o Choman, a village in Iraqi Kurdistan on theIranian border. In 1996 and 1998 EMERGENCY openedtwo Surgical Centres or war victims in Sulaimaniyaand Erbil, two cities which were under the controlo opposing actions at the time. Both Centres wereexpanded later on, to include specialized units or thetreatment o burn and spinal injuries.

EMERGENCY also opened 22 First Aid Posts toguarantee prompt assistance to the injured and tore er them to the hospitals when indicated.In 2005, EMERGENCY entrusted the local authoritieswith the management and running o the twoSurgical Centres and o the network o First Aid Posts,now integrated into the national health system.

In 1998, EMERGENCY opened a Rehabilitation andSocial Reintegration Centre in Sulaimaniya.

Since 1995, EMERGENCY has treated 390,735people in Iraq.


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In 1998, EMERGENCY opened a Rehabilitation andSocial Reintegration Centre in Sulaimaniya, specializedin physiotherapy and in the production o prostheses,

orthoses and walking aids / orthopaedic devices ordisabled and amputee patients. A project to addressand correct architectural barriers is in place to assist thehomecoming o patients.

The Centre o ers pro essional training courses in metalwork, carpentry, tailoring, leather-work and shoe-makingto encourage the occupational reintegration o ormerpatients.

At the end o the courses, EMERGENCY guaranteesnancial and management assistance or the setting up

o small business co-operatives and artisan workshops.By December 2012, 297 co-operatives were established.

The Centre is the only ree-o -charge, specialised acilityo its kind in the area and has become a point o re erence

or the whole o Iraq and or the surrounding countries.

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ItalyThe right to medical care is recognized by law inItaly, and it is actually o ten denied to immigrants,

oreigners, poor people who do not have access totreatment because o their scarce knowledge o

their rights, as well as the linguistic barriers and thedi culty in nding their way within a complex healthsystem.

In a climate o widespread ear and growing racism,migrants o ten do not turn to public acilities as they area raid o being reported to the police or the authorities.For these reasons EMERGENCY began to work inItaly, operating within prisons (2005-2007), treatingimmigrants and situations o social distress.In 2006 EMERGENCY opened an Outpatient Clinic

in Palermo, Sicily, to guarantee ree healthcare tomigrants with or without residence permits andto any person in need.

In December 2010 EMERGENCY opened a secondOutpatient Clinic in Marghera, near Venice.Since 2011, two buses turned into mobile clinics havebrought assistance directly where it is needed.In December 2012, EMERGENCY opened an in ormationpoint in Sassari, to help migrants and whoever in needhave access to medical care. Also because o the criticaleconomic situation, the number o people re erring toEMERGENCYs acilities has been constantly increasingduring 2012. For this reason, the Programme is goingto be expanded in 2013: EMERGENCY has started therenovation works o two outpatient clinics in Naplesand in Polistena (province o Reggio Calabria). The new

acilities will be operational by spring 2013.

Mediterranean Sea

Ionian Sea

Adriatic Sea

Tyrrhenian Sea

Rome

Marghera

SwitzerlandAustria

Hungary

SloveniaCroazia

Bosnia andHerzegovina i

l i

i

ITALY

Palermo

Sassari


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EMERGENCY opened an Outpatient Clinic in Marghera(Venice) on December 2010 to o er primary andspecialized care to migrants and to people in need.

Other than a ew sta members that are necessary toorganize and give continuity to the services, both themedical and non medical sta o the Outpatient Clinicare unpaid pro essional volunteers.

Cultural mediators assist patients who need support inapproaching public acilities or medical treatment: theOutpatient Clinic aims at cooperating and integratingits services with the ones provided by the nationalhealth service.

All services provided at the EMERGENCYs OutpatientClinic in Marghera are ree o charge.


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EMERGENCY has equipped two buses as mobile clinicsto bring assistance wherever its needed.

EMERGENCY doctors provide ree medicaltreatment in Gypsy camps, agricultural areas andre ugee camps. Cultural-linguistic mediators assistthose requiring the services o the public health

acilities or specialist medical examinations.Most o the migrants turn to EMERGENCY orproblems linked to their extremely hard livingand working conditions: musculo-skeletal pain,gastrointestinal in ections and respiratory in ections.Each bus contains two consulting rooms, plus a roomset aside or meetings with the cultural-linguisticmediators.

In 2012, EMERGENCYs Mobile Clinics worked in thesouthern Italian regions o Apulia, Sicily, Calabria andBasilicata, bringing assistance to temporary armlabourers in particular.

In May 2012, one o the Mobile Clinics moved toModena province to assist the displaced people a terthe earthquake that stroke Emilia Region.


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Liberia

Guinea

Freetown

Goderich

SIERRA LEONE

Gulf of Guinea

Sierra LeoneIn 2001, EMERGENCY opened a Surgical Centre inGoderich, on the outskirts o Freetown, the countryscapital. The Centre provides ree high quality treatmentin orthopaedics, trauma and emergency surgery.

In 2002, EMERGENCY opened a Paediatric Centre nextto the Surgical Centre in order to guarantee treatment tochildren under 14.The child mortality rate in Sierra Leone is one o thehighest in the world: malaria, malnutrition, respiratoryand gastrointestinal in ections are the main causes o death among children up to 5 years o age.

The international sta is also committed to traininglocal personnel: EMERGENCYs Surgical Centre has beenrecognized as a training institution or anaesthetistnurses by the Ministry o Health o Sierra Leone.In order to expand the Surgical Centre in GoderichEMERGENCY has built a new surgical block, inauguratedin 2012.

Last year the Ministry o Health and Sanitation hasnanced the hospital with a contribution in the amount

o 15 % o the hospitals budget.

This hospital is also part o the Regional Programmeor Paediatrics and Cardiac Surgery: EMERGENCY

cardiologists regularly carry out screening sessions toidenti y patients in need to be operated at theSalamCentre or Cardiac Surgery in Khartoum, Sudan, andsubsequently per orm all the necessary post-op checks.

Since 2001, EMERGENCY has treated 415,210people in Sierra Leone.


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LibyaAlgeria

Mali

Ghana

BurkinaFaso

Mauritania

Guinea

CtedIvoire

The Gambia

Cameroon

Angola

NamibiaBotswana

Mozambique

Madagascar

South Africa

Morocco Tunisia

Kuwait

DARFU

Liberia

Swaziland

Lesotho

Malawi

GabonCongo

EquatorialGuinea

Togo

Benin

Egypt

Chad Eritrea

JordanIsrael

Lebanon

Djibouti

United ArabEmirates

Central AfricanRepublic

Democratic Republicof Congo

Somalia

SUDAN

Uganda

Ethiopia

Rwanda

Sierra Leone

Burundi

Iraq

Syria

Saudi Arabia

Yemen

Oman

Kenya

Niger

Nigeria

Senegal

Tanzania

Zambia

Zimbabwe

Afghanistan

South Sudan

EMERGENCY IN AFRICA:THE REGIONAL PROGRAMME FOR PAEDIATRICS AND CARDIAC SIn 2007, EMERGENCY opened theSalamCentre

or Cardiac Surgery in Khartoum, Sudan. This isthe only ree-o -charge and specialized acilityin the whole A rican continent.

TheSalamCentre is the hub o the Programmeor Paediatrics and Cardiac surgery that

EMERGENCY is implementing in A rica.EMERGENCYs Paediatric Centres provide reehigh quality medical treatment to children upto 14 years o age. These Centres are equippedwith a cardiologic outpatient unit whereour international cardiologists carry out thescreening o children and adults su ering romheart diseases to be re erred to theSalam Centre or surgery.

In March 2009, the rst Paediatric Centre o theRegional Network or Paediatrics and Cardiacsurgery was inaugurated in Bangui, the capitalo the Central A rican Republic. The secondPaediatric Centre was opened in Nyala, SouthDar ur, in July 2010 and the third was opened inPort Sudan, Red Sea State, in December 2011.

In areas where EMERGENCY does not haveits own acilities, our cardiologists carryout screening missions in local hospitals, incollaboration with the health authorities o thehost countries.

In little more than 5 years, the sta o theCentre has operated on patients rom 25countries: A ghanistan, Burkina Faso, Burundi,Central A rican Republic, Chad, DemocraticRepublic o 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 MEDICINETheSalamCentre or Cardiac Surgery inKhartoum is a truly innovative model o humanitarian intervention. The aim o theproject is to bring healthcare o excellence toA rica as well, putting into practice the belie inthe unquestionable right o every human being

to receive ree high quality medical treatment.On the strength o the results achieved bythe SalamCentre, in May 2008 EMERGENCYgathered the delegations o the Ministrieso Health o eight A rican countries or theinternational workshop Building Medicine inA rica. Principles and Strategies, hosted on SanServolo Island, Venice, Italy.

EMERGENCY and the representatives o theCentral A rican Republic, the DemocraticRepublic o Congo, Egypt, Eritrea, Rwanda,Sierra Leone, Sudan and Uganda discussedon how to ensure the right to ree high qualityhealthcare to A rican citizens.

The conclusions o the workshop were

ormalized in the documentMani esto or aHuman Rights Based Medicinein which thesignatories recognize the right to be treatedas a basic and inalienable right belongingto each and every member o the humancommunity and ask or a health system basedon equality, quality and social responsibility.

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On the sixtieth anniversary of the Universal Declaration of Human Rights

Manifesto for a Human Rights Based MedicineA ter the International Workshop Building Medicine in A rica. Principles and Strategies hosted at San Servolo Islan

Venice, Italy, on May 14 -15, 2008 and in accordance with the spirit and the principles o the Universal Declarationo Human Rights, stating that All human beings are born ree and equal in dignity and rights ( art.1 )

Everyone has the right to medical care ( art.25 )The recognition o the inherent dignity and o the equal and inalienable rights o all members o the human amily

is the oundation o reedom, justice and peace in the world ( Preamble )

WE HEREBY DECLAREthe Right to be Treated as a basic and inalienable right belonging to each

and every member o the human community.

WE THEREFORE ADVOCATEthe implementation o health systems and projects solely devoted to preserve, extend and improve

the li e o the people in need and based on the ollowing principles:EqualityEvery human being has the right to be cured regardless his economic and social condition, gender,

race, language, religion and opinions.Standards o health care, set by the progress o 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 o medicalscience, and not oriented, shaped or determined by lobbies and corporations involved in the health industry.

Social ResponsibilityGovernments must have the health and well being o their citizens as their priority,

and allocate adequate human and nancial resources.The services provided by health systems and humanitarian projects in the health sector

must be accessible to and ree o charge or all.

As Health Authorities and Humanitarian Organizations

WE RECOGNIZEEQS (Equality, Quality, Social responsibility) based health systems and projects as respect ul o human rights,

appropriate to develop medical science and e ective in promoting health by strengthening and generating human,scienti c and material resources.

WE COMMITTo plan and develop EQS based policies, health systems and projects.

To cooperate among us to identi y common needs in the health sector and design joint programmes.

WE APPEALTo other Health Authorities and Humanitarian Organisations

to sign this Mani esto and to join in promoting anEQSbased medicine.To donors and to the international aid community to support,

und and participate in designing and implementingEQSbased programmes.


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In 2009, on the Island o San Servolo, the ANME ( A rican Network o Medical Excellence) was born. The aim o the ANME is topromote the construction o medical centres o excellence

on the A rican continent, ollowing the model o theSalam Centre or Cardiac Surgery.

Absence o charge and excellence o treatment are theoundations o the model o healthcare that the members o the

ANME intend to build within their countries. Absence o chargeis a undamental prerequisite so that everyone can have promptaccess to the treatment they need. Excellence guarantees highclinical standards o each intervention and promotes the trainingo quali ed medical personnel, together with the development o scienti c research and local health systems.

In February 2010 EMERGENCY and the Federal Ministry o Healtho Sudan organized a Regional Meeting o the representatives o the countries composing the ANME in Khartoum. On that occasionthey launched a joint appeal to the international community:

We, Ministers o Health and representatives o the Health Authorities o : Central A rican Republic, Chad, DemocraticRepublic o Congo, Djibouti, Egypt, Eritrea, Ethiopia, Rwanda,Somalia, Sudan, Uganda, attending the rst Annual Con erence

o the A rican Network o Medical Excellence, jointly organized inKhartoum, Sudan, by the National Ministry o Health o Sudan and the international NGO EMERGENCY,

Rea frming the principle that health care is a basic right o everyindividual, as stated in the Universal Declaration o Human Rights;

Recalling the principles o Equality, Quality and Socialresponsibility stated in the Mani esto or a Human Rights BasedMedicine, calling or the delivery o high quality and ree o chargehealth care or all;

Acknowledging the urgent need o establishing centres o excellence in A rica to provide high standards o medical treatmentthrough secondary and tertiary acilities, thus strengtheningdisease prevention and primary health care delivery;

Considering the SalamCentre or Cardiac Surgery, establishedby EMERGENCY in cooperation with MOH o Sudan in Khartoum,as a replicable model in all our countries to provide quali ed careto our citizens and proper training to medical and non medical

pro essionals;

THE AFRICAN NETWORK OF MEDICAL EXCELLENCEANMEWe commit to improve regional cooperation by establishing theA rican Network o Medical Excellence (ANME) in di erent medicalspecialities in order to strengthen our Health Systems at national

and regional level.

We jointly appeal to the international donors community tosupport us and contribute to the success ul implementation o 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 A rican Republic H.E. Nalke Dorogo Andr,Chad H.E.Hissein Djidda Khours,Democratic Republic o Congo Dr.Lokadi Opeda Pierre,Djibouti H.E. Abdallah Abdillahi Miguil,Egypt Dr. Mamdouh Ali Mohammed,Eritrea Dr. Ghirmay Tes asellasie,Ethiopia H.E. Kebede Worku,Somalia H.E. Mohammed Haga,Sudan H.E. Tabita Botros Shokai,South Sudan Dr. Majok YakMajok,Uganda H.E. Stephen O. Malinga.

In October 2010, the third workshop o the series BuildingMedicine in A rica was held on the Island o San Servolo, wherethe implementing strategies or the development o the project

were de ned.


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SudanIn 2004 EMERGENCY intervened in Sudan to supportthe hospitals in Mellit and Al Fashir, in NorthernDar ur, by renovating and equipping the emergencysurgical block and ward.

In 2005 EMERGENCY opened a Paediatric Centre inMayo Internally Displaced People (IDP) camp, a ewkilometres rom the capital Khartoum. The Centreprovides ree o charge primary healthcare to childrenup to 14 years o age.

In the same year, again nearby the capital,EMERGENCY started to build a Centre or CardiacSurgery in order to provide highly specialized reemedical and surgical assistance to patients romSudan and its neighbouring countries.

TheSalamCentre or cardiac surgery startedits activities in 2007. It is linked to a network o Paediatric Centres where EMERGENCYs internationalcardiologists carry out the screening and ollow-up o children and adult heart patients that are trans erredto Khartoum or surgery.

The sta o the Centre has operated patients rom25 countries.In July 2010 EMERGENCY opened in Nyala, Dar ur, itssecond Paediatric Centre in the country. The activitieso the Centre have been suspended a ter the

kidnapping o a logistician o EMERGENCY, because o the lack o the essential security conditions.

A third Paediatric Centre was opened in Port Sudan,Red Sea State, in December 2011.

Since 2007, EMERGENCY has treated 261,734people in Sudan.

Kenya

Khartoum

Ethiopia

EgyptLibya

Chad

Central AfricanRepublic

SUDAN

South Sudan

Uganda

Eritrea

Nyala

DARFURMayo

Democratic

Repubblic of Congo

Port Sudan


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The Paediatric Centre in Mayois co-financed by the European Union



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Central A ricanRepublic

CENTRAL AFRICANREPUBLIC

Chad

South Sudan

Sudan

Democratic Republic of Congo

BanguiCameroon

Uganda

Nigeria

Congo


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AFGHANISTAN - Surgical Centre or War Victims, Kabul


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SIERRA LEONE - Paediatric Centre, Goderich


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WORK WITH USEMERGENCY is recruiting medical sta or 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 Centrein 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 pro essional experience in hospital settings; ability to ollow standardized clinical working proceduresand sa ety protocols as defned by EMERGENCY; ability to train local sta ; well-disposed towards local cultures; minimum availability 3 upto 6 months; good spoken and written English (or French or Central A rican Republic).TERMS AND CONDITIONS: monthly salary, travel expenses, board and lodging, ull insurance cover or accidents and illness provided.

For any further information: [email protected]

TO APPLY: visit www.emergency.it or send a detailed CV to [email protected] speci ying which position you are applying or.

AFGHANISTAN - Maternity Centre, Anabah


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To Support EMERGENCYDONATIONS

Donations in avor o EMERGENCYs projects can be made via:

Credit card, on-line (on secure server) atwww.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, fliale di Milano Non-transferable bank check to the order o EMERGENCY, to be mailed to EMERGENCY,

via Gerolamo Vida 11 - 20127 Milan, ITALY

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AFGHANISTAN - Maternity Centre, Anabah


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All human beings are born ree and equal in dignity and rights.The acknowledgment o this principleis the oundation o reedom, justice and peace in the world.

Universal Declaration o Human RightsParis, December 10, 1948, Article 1 and Preamble

EMERGENCY w w w. e m e r g e n c y. i t

Documents

Activity Report 1994-2012 (ENG Vers.)