Emergency Report 2009

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Activity Report 1994-2009

EMERGENCY


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3,663,738 patients treated: a number that sums up EMERGENCYs rst 15 years o work.

But this number alone is not enough to dene our activity: it is also necessary to explain where

- in teen dierent countries, all ravaged by war and poverty - and how we treated thesepeople, with passion and proessionalism, 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 o our doctors and nurses work around the globe is all here: to treat

those who suer, without distinctions o ethnicity, ideology, gender, belies, religion.

In March 2009 we opened a new Paediatric Centre in the capital city o the Central Arican

Republic, Bangui: it has already given ree healthcare to 15,306 children.Weve worked long and hard toward the building o the Arican Network o Medical Excellence

(ANME). It is an ambitious project aimed at ostering cooperation between dierent countries

in the continent, toward the building o healthcare acilities o a very high standard ollowing

the model o the Salam Centre or Cardiac Surgery in Khartoum, Sudan: like the Salam Centre,

all these acilities will have a regional vocation. Paediatrics, obstetrics and gynaecology,

oncology, traumatology are only a ew o the medical elds covered by this project,

which is meaningul above and beyond its clinical importance.

We believe that being able to have representatives o dierent countries - sometimes in open

confict with one another - sitting at the same table, working on a common goal which is

the health o the populations, is a beautiul result, rom a cultural and social point o view.

New projects will begin in the rst ew months o 2010, like the Paediatric Centre in Nyala,

South Darur. And our engagement in Italy is growing, as well: building upon the positive

experience o the Clinic in Palermo, we are working to open other healthcare acilities

dedicated to the migrant population and to those in need.

As always, all o this is possible only through the support o thousands o volunteersand riends like you: dont hold it back.

Cecilia Strada

President o EMERGENCY


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Every year war and poverty destroy the liveso millions o people.

In todays conficts,90% o the victims are civilians.

E

P

P

S


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Surgery

Emergency and Trauma Surgery

General Surgery

Orthopaedic Surgery

Plastic and Reconstructive Surgery

Paediatric and Adult Cardiac Surgery

Surgery or victims o 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 or physically disabled

Between 1994 and 2009, in the hospitals, clinics and rehabilitation centres run byEMERGENCY, 3,663,738 people received high-quality medical care, ree o charge.


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EMERGENCYwww.emergency.it

Aghanistan

Uzbekistan China

Tajikistan

PakistanIran

Turkmenistan

Anabah

Kabul

Lashkar-gah

Afghanistan

In 1999, EMERGENCY transormed a ormer military

compound in the village o Anabah, Panshir Valley,

into a Surgical Centre for War Victims.

In order to meet the needs o the local population,

the Centre progressively expanded its activitiesto 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 inants in an area

o the country that registers one o the worlds highest

mortality rates or both children and mothers.

To oer support to the women in the most remote

villages, eld consultations in obstetrics and neonatal

care were established.

In the Spring o 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 o Helmand Province, in the South

o Aghanistan. The hospital, named in memory o the

Italian writer Tiziano Terzani, is the only one to oer high

quality, ree o charge healthcare in a war ravaged area.

In all the Aghan regions polluted with landminesand lacking healthcare acilities, EMERGENCY has

established a network oFirst Aid Posts (FAPs)

and Health Centres, open 24/7, connected to its main

hospitals by an ambulance service to reer the most

urgent cases.

Since 2001 EMERGENCY has been running a Prisons

Clinic Programme to ensure medical assistance

to the inmates o the largest prisons in the country.

In 2006, EMERGENCY activated a programme o eldscreening and treatment o Ophtalmic Diseases.

In 2009 only, 1,168 patients were attended at the Anabah

Centre and in the surrounding FAPs.


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Cambodia

Gulf of Thailand

ThailandLaos

VietnamPhnom Penh

Battambang

Samlot Cambodia

In 1998, EMERGENCY opened a Surgical Centre

in Battambang, in the North o 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 o the Centre have been

expanded to include plastic and reconstructive surgery

or the correction o congenital malormations

and the eects o polio.

Since 2005, in agreement with the Ministry o Health,

the Centres activities have been extended to emergency

surgery and traumatology, thus making EMERGENCYs

hospital the main reerral centre or trauma care

in the entire province.In 2006, the new physiotherapy ward or the

rehabilitation o the hospitalised patients was

inaugurated.

The international sta is involved in the proessional

training o the local personnel, including workshops

or 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 o Samlot, and alongthe routes trodden by the reugees returning home

rom Thailand. A th FAP was opened in January 2000

in Tasanh, eaturing an in-patient ward or the treatment

o malaria, which is endemic in this area o the country.

In 2003, the operation o 4 o the FAPs was transerred

to the local authorities. In July 2009, the FAP o OTatiak,

in Samlot province, was also entrusted to the local

government.

In 2007, EMERGENCY activated a programme

o screening and surgical treatment o OphtalmicDiseases. In 2009, 718 patients were treated

at the Battambang Centre.


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Iraq

Baghdad

KuwaitSaudi Arabia

Sulaimaniya

Jordan

Syria

Turkey

Iran

Iraq

In 1995 EMERGENCY reurbished and reactivated

the hospital o 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

ree, high quality healthcare to victims o warand landmines. Both Centres have been expanded

to include units specialised in the treatment o burns

and spinal lesions.

In may 2005, having assessed the complete autonomy

reached by the local sta, and the adequate economic

resources o the Kurdish authorities, EMERGENCY

decided to entrust the management and running

o the two Surgical Centres and o the network o 22

First Aid Posts connected to them to the local Ministry

o Health. In nine years, the EMERGENCY Centres in Erbiland Sulaimaniya, and the FAP network, treated over

330,000 people.

In 1998, EMERGENCY opened in Sulaimaniya

a Rehabilitation and Social Reintegration Centre

or amputees and other patients with motor disability.

The Centre eatures a rehabilitation ward,

and workshops or the production o prostheses

and orthoses. EMERGENCY also acilitates the social

reintegration o ormer patients through proessional

training and vocational workshops, and nancially

supports them in establishing small businesscooperatives to support their amilies.

Since 2008, EMERGENCY organises in Sulaimaniya

eld missions or the screening o patients aected

by acquired and congenital heart diseases.

In cooperation with the Ministry o Health, patients

in need o surgical treatment are reerred or surgery

to the Salam Centre or Cardiac Surgery, run by

EMERGENCY in Khartoum, Sudan.


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Central AricanRepublic

Central African Republic

Chad

Sudan

Democratic Republic of

Congo

Bangui


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Liberia

Guinea

Freetown

Goderich

Sierra Leone

Atlantic Ocean

Sierra LeoneAt the end o 2000, a Surgical Centre was established

by EMERGENCY in Goderich, on the outskirts

o Freetown, the countrys capital. The hospital provides

treatment or the wounded and trauma patients.

Subsequently, admissions criteria have been widenedto include all patients requiring urgent surgical

procedures.

In the Spring o 2002, EMERGENCY opened, within

the hospital compound, a Paediatric Centre.

In 2003, two new wards were added, one o them

entirely dedicated to paediatric medicine or the

treatment o malaria, anemia and respiratory inections.

In 2005, a eeding programme was established, providing

treatment or malnourished children as well as hygiene

and nutritional education or the mothers.

In the same eld, EMERGENCY in collaboration with

the University o Parma, Italy, developed in June 2008

a hypercaloric and hyperproteic ready-to-use ood

(RUF) or malnourished children, locally prepared with

ingredients easily ound in the country.

In 2006, a programme or oesophageal endoscopic

dilation was put in place, to cope with the high incidence

o internal burns due to accidental lye ingestion

by children. Lye is widely used or the home-making

o soap.

Since 2008, EMERGENCY organises in Goderich eld

missions or the screening o patients aected

by acquired and congenital heart diseases.

Patients in need o surgical treatment are reerred

or surgery to the Salam Centre or Cardiac Surgery,

run by EMERGENCY in Khartoum, Sudan.

Currently, the EMERGENCY Surgical and Paediatric

Centre is the only acility in the region to oer ree

o charge healthcare and training programmes

or surgeons and anesthesiologists, in a country that stillsuers the consequences o a long and heavy war.


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SudanBetween Spring 2004 - Summer 2005, EMERGENCY

intervened in North Darur 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 o 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, oering ree o charge

primary healthcare assistance to about 300,000 people.

In addition to outpatient activities, the Centre eatures

an observation ward and an ambulance or the reerral

o the most severe cases to the citys hospitals.

A door-to-door ollow-up and public health/hygiene

outreach service was established in Spring 2006,

involving health promoters selected rom the local

community and trained by EMERGENCYs

international sta.

Both at the Paediatric Centre and in the 8 sections

o the Mayo camp, EMERGENCY has begun a preventive

medicine programme, which includes health education,

screening o malnourished children and a vaccination

service or children up to 5 years o age, obstetric

consultations and amily planning services.

In April 2007, EMERGENCY opened theSalamCentre

for Cardiac Surgery in Soba, a village along the banks

o the Blue Nile, about 20km outside Khartoum.

The Salam (meaning peace in Arabic) Centre

is the rst centre o excellence in cardiac surgery

completely ree o charge in the whole

Arican continent.

It is a technologically-advanced acility, built with

innovative and environmentally-riendly techniques.

The Centre - run both clinically and administratively

by EMERGENCY - oers ree specialised care to patientsrom Sudan and the surrounding countries.

In the rst three years, the Centre has treated patients

coming rom 17 Countries besides Sudan, namely Chad,

Eritrea, Ethiopia, Djibouti, Jordan, Iraq, Kenya, Nigeria,

the Central Arican Republic, the Democratic Republic

o Congo, Rwanda, Senegal, Sierra Leone, Somalia,

Tanzania, Uganda and Zambia.


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Democratic Republicof the Congo Kenya

Khartoum

Ethiopia

EgyptLibya

Chad

Central AfricanRepublic

SUDAN

Uganda

Eritrea

Mayo

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Regional Programme for

Paediatrics and Cardiac Surgery

In May 2007, EMERGENCY began in Arica a regional

programme in paediatrics and cardiac surgery.

In connection with the Salam Centre or Cardiac

Surgery in Khartoum, Sudan, a network o centres

in Sudan and its neighbouring countries is beingimplemented to provide qualied healthcare to children

up to 14 years and promote public health and health

education. The programme also includes the screening

and o ollow-up o cardiac patients.

The rst centre o the network was opened in March

2009 in Bangui, the capital city o the Central Arican

Republic. The second one is under construction

in Nyala, South Darur, Sudan.

In addition, since December 2006, the EMERGENCY

sta visited public hospitals in several Countries

to identiy children and adults to be reerred or cardiac

surgery to the Salam Centre. Totally, 1,264 patients

have been screened during 30 missions.

In 2009, clinical missions took place in Central Arican

Republic, Chad, Eritrea, Djibouti, the Democratic

Republic o Congo, Sierra Leone and Uganda.


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ItalySerious violations o human rights, generating needs

that go unnoticed and unmet, occur daily in many

contexts in Italy, as well.

Aiming to integrate and acilitate access to the nationalhealthcare system to which migrants (with or without

residency permits) have a right, EMERGENCY opened

in Palermo, in April 2006, a Clinic oering primary

healthcare, paediatrics, dermatology, dentistry,

ophthalmology, ENT, ob-gyn, cardiology, psychiatry

and psychological services.

Clinical activities heavily rely on the collaboration

o unpaid proessional 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 ree o charge acility specically

dedicated to migrants, but open to anyone in need.

As o December 31st, 2009, the Clinic assisted 6,140

patients rom 68 dierent countries.

Palermo

Sicily

Calabria

Basilicata

Tyrrhenian Sea

Mediterranean Sea

Ionian Sea

Apulia

Campania

Molise


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The Regional Programme or Paediatrics and Cardiac

Surgery in Arica calls or the establishment throughout

the region o a network on Paediatric Centres, equipped

or the screening and ollow-up o cardiac patients.

The rst Centre was opened in Bangui, Central Arican

Republic, in March 2009.

The second one is being built in Nyala, South Darur,

Sudan. The Centre, open 24/7, will oer primary

healthcare to children up to 14 years old, and will

implement education programmes in public health

and hygiene or amilies. EMERGENCY will also

guarantee the proessional training o the local sta.

The building will eature sustainable

and environmentally riendly technologies.

Special attention is given to the care o the interiors

and gardens, which play an important part in the healing

process.

The acilities will include: two Paediatric outpatient

Departments, Cardiology Department, Ultra Sound,

X-ray room, Laboratory, Pharmacy, in-patient ward

with 20 beds, Storage area, Oces, 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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*Estimated balance

1994

1995

1996

1997

1998

1999

435,977

317,828

1,582,883

2,754,334

2,157,363

3,979,566

Year EURO

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

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

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To Support EMERGENCY:

> DONATIONS

Donations in avor o Emergencys projects can be made via:

Credit card, on-line (on Secure Server) at www.emergency.it(Euros)

Bank wire in avor o EMERGENCY IBAN IT 41 V 05387 01600 000000713558 - BIC BPMOIT22XXX

c/o Banca Popolare dellEmilia Romagna Bank wire in avor o EMERGENCY IBAN IT 02 X 05018 01600 000000130130 - BIC CCRTIT2T84A

c/o Banca Etica, Filiale di Milano

Non-transerable bank check to the order o EMERGENCY, to be mailed to Emergency, via Gerolamo Vida 11 - 20127 Milano

For urther inormation:

www.emergency.it under donations



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EMERGENCY -

Life Support For Civilian War Victims UKis a charity registered in England

and Wales (1128569)

EMERGENCY USA -

Life Support for Civilian Victimsof War and Poverty

is an independent

non-prot organization

with 501(c)3 tax exempt status

rom the IRS (26-3321828)

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All human beings are born ree and equal in dignity and rights.

The acknowledgment o this principle

is the oundation o reedom, justice and peace in the world.

Universal Declaration of Human Rights

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

Design:ZagoLL

TranslatedbyMauroSa

cchi

Documents

Emergency Report 2009