You are on page 1of 48

Activity Report 1994-2012

EMERGENCY

Every year war and poverty destroy the lives of millions of people around the world. In todays conicts, 90% of the victims are civilians. EMERGENCY is an independent Italian organization founded in 1994. EMERGENCY provides free, high quality medical and surgical treatment to the victims of war, landmines and poverty. EMERGENCY promotes a culture of peace, solidarity and respect for human rights.

AFGHANISTAN - Surgical and Medical Centre, Anabah

ITALY - Mobile Clinic

We have been treating a person every 2 minutes. For 18 years.

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

EMERGENCY designs, builds and manages through its international staff:


hospitals for victims of war and surgical emergencies; rehabilitation and social reintegration centres; rst aid posts for emergency treatment; basic health centres for primary healthcare; paediatric and maternity centres; outpatient and mobile clinics for migrants and destitute people; a centre for cardiac surgery.

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

AREAS OF INTERVENTION
SURGERY
Paediatric and adult cardiac surgery Surgery for victims of war and landmines Emergency and trauma surgery General surgery Orthopaedic surgery Plastic and reconstructive surgery Ophthalmic surgery First aid

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

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

Between 1994 and 2012, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, over 5 million people received high quality medical care free of charge.
03

CULTURE OF PEACE

1995 Campaign against landmines


In 1995, one year after its foundation, EMERGENCY reactivated the hospital of Choman, a village in Iraqi Kurdistan near the border with Iran. The surrounding area had been polluted with landmines, mainly of Italian production: one of the most common ones being the Valmara 69, a fragmentation mine produced in Brescia, which can kill within a 25 meters radius and seriously injure in a radius of 200 meters from its explosion. EMERGENCYs doctors treated landmine victims in the hospital in Choman at rst, and then also in the other two set up in Erbil and Sulaimaniya. The victims were men, women and children who had stepped on a mine while leading animals to pasture, as they went to fetch water, or while playing. They were not ghters, but people trying to lead their own lives. In Iraqi Kurdistan, EMERGENCYs doctors faced up to one of the worst heritages of war: 100 million unexploded mines are estimated to be scattered around some seventy countries. EMERGENCYs surgeons started to tell what they saw on the operating tables of their hospitals. Their work gained great attention in Italy on the television programme called the Maurizio Costanzo Show, where Gino Strada, the founder of EMERGENCY, talked to the general public about the devastating effects of landmines for the rst time. For many people this was a totally new issue: few media outlets had dealt with this topic in a country that was one of the largest producers and exporters of landmines at the time. Thanks to an intensive information campaign consisting of newspaper articles, meetings in schools, debates and exhibitions, mines became a subject of public interest. EMERGENCY publicly asked the Minister of Defence to take concrete action against landmines. On August 2, 1994 the Italian Parliament approved a moratorium on the production and export of landmines. Keakaws Amin Ahmed , 30 years old,

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

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

dealing with mine production and trade. On December 3, 1997 in Ottawa, Italy signed the Anti-Personnel Mine Ban Convention, which prohibits the use of these weapons, mandates the dismantlement of arsenals and makes provisions for de-mining and victim assistance an innovation in the Italian regulations. The Ottawa treaty came into force on March 1, 1999, but many countries have not yet signed it. Among them there are China, Russia and the United States of America.

2001 A shred of peace


War broke out, is in progress, has killed and keeps on killing. It will last even when military strategists decide to afrm that it is over, from their point of view. It will last in the mourning of the survivors, in the mutilated bodies of many of them. It will last in the bursts of unexploded devices still on the ground. We know that many are in favour of this war. We also want the voice of those who are against it to be heard. And we will use a piece of white cloth to say this: hanging from a purse or a briefcase, tied to front doors or balconies, to dog leashes, car antennas, baby strollers, school bags ... A shred of peace. And if many of us show it, it will not be possible to say that Italy as a whole has chosen war as an instrument of conict resolution. EMERGENCY calls for the participation of individual citizens, and also of municipalities, parishes, associations, schools and of anyone sharing this position. Spreading this message is a way to start. On September 11, 2001 the attacks in the United States shocked the international public. The reaction was swift: not even a month after the attacks, on October 7th, U.S. bombers attacked Afghanistan. It was the Operation Enduring Freedom, the rst act of the global war on terror. The Taliban regime that ruled Afghanistan was accused of supporting the terrorist group Al-Qaeda, held responsible for the attack on the Twin Towers. The military attack on Afghanistan was largely supported by the international community. Italy also fell in line: on November 7, 2001 the Italian Parliament approved the participation in the international military operation with the favourable pronouncement of 92% of its members, in evident disregard of Article 11 of the Constitution stating that Italy repudiates war. Eleven days later, thanks to the most bipartisan vote in the history of the Republic - as it was dened by Gino Strada - 600 Italian soldiers left for Afghanistan aboard warships from the port of Taranto. The war was propagandized as the inevitable self-defence measure of a country under attack. EMERGENCY knew that war would not bring justice to the victims of the attack, nor it would eliminate the terroristic threat, but it would just be the umpteenth act of violence on a country battered by decades of conict, causing the deaths of further thousands of innocent people. Many showed the same conviction supporting the work of EMERGENCY, the only NGO present in Kabul at the time of the attack of the international coalition. EMERGENCY asked people to show their disagreement through the symbolic use of a shred of peace, in order to manifest public dissent against the war and the decisions of the Italian Parliament. The small white strip of fabric tied to the wrist, hanging on bags or cars would become a symbol of recognition among those who want to nd new ways of being together, new ways to solve problems other than violence, terrorism, or war.

2002 Italy Out of the War


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

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

2010 - The world we want


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

2011 - It can only be abolished, against the war in Libya


In February 2011, the international community and, subsequently, Italy, declared war against Libya. EMERGENCY sided once again against the war: to strike a dictator who had been sustained by many western governments until just a few months before, it was decided to attack a whole country and infringe the Italian Constitution. EMERGENCY promoted an appeal inspired by the famous words of Einstein: War cant be humanised. It can only be abolished. Within a few days, the appeal had been undersigned by more than 50,000 people. Amongst the rst of these were Gino Strada, Carlo Rubbia, Renzo Piano. The peak of the mobilisation was on 2nd April in Piazza Navona, in Rome. A few days later, EMERGENCY sent a war surgery team to Misurata, the city most badly hit by the war. Once again the statesmen have chosen the way of war. Gadda has chosen the war against his own citizens and the immigrants that are crossing through Libya. And our country has chosen the war against Gadda: its presented to us, yet again, as humanitarian, inevitable, necessary. No war can be humanitarian. War has always been the destruction of fragments of humanity, the killing of our fellow men. Every humanitarian war is actually a crime against humanity. If we want to defend human rights, the only way is for all the parties to undertake to cease re and stop the war, the violence and the repression. No war is inevitable. Wars only seem inevitable at a certain point when nothing has been done to avoid them. They seem inevitable to those who for years have ignored the infringement of rights, got rich by trafcking in arms, or denied peoples dignity and social justice. They appear inevitable to those whove prepared them. No war is necessary. War is always a choice, not a need. The preposterous choice to kill, that glories violence and spreads it, is what generates a culture of war. Here, then, is the problem which we present to you, stark and dreadful and inescapable: shall we put an end to the human race; or shall mankind renounce war? (from the Russell-Einstein Manifesto, 1955). For this utopia to become real, we must rst of all learn to think in a different way, removing war from our cultural and political horizon. Together with all the citizens whore victims of war, violence and repression, who struggle for their rights and for democracy. War cant be humanised. It can only be abolished. Albert Einstein

HUMANITARIAN PROGRAMMES

Afghanistan
In over 40 years, war in Afghanistan has led to one and a half million deaths, hundreds of thousands of people wounded and mutilated, more than four million refugees. The most recent war, begun in October 2001, continues to wound, kill and destroy. And the ground still contains the legacy of the previous wars: landmines and unexploded devices continue to maim children and adults, primarily civilians. Since 1999, EMERGENCY has built and managed a Surgical and Medical Centre and a Maternity Centre in the Panjshir Valley, a Surgical Centre in Kabul, and another one in Lashkar-gah (in Helmand province). EMERGENCY also runs a medical assistance programme for the inmates of the countrys largest prisons, and has set up a network of 28 First Aid Posts and Health Centres. Afghanistan is part of EMERGENCYs Paediatrics and Cardiac Surgery Programme. At EMERGENCY hospitals, international cardiologists select the heart patients to be operated at the Salam Centre for Cardiac Surgery in Khartoum. During 2012, the Afghan Ministry of Public Health has funded about 20% of the total expenditure of the programme. Since 1999, EMERGENCY has treated 3,572,664 people in Afghanistan.

Uzbekistan Tajikistan Turkmenistan

China

Anabah Kabul

AFGHANISTAN
Lashkar-gah Iran Pakistan

EMERGENCY - Activity Report 2012

Anabah, Panjshir Valley

Surgical and Medical Centre


In 1999 EMERGENCYs intervention began in the Panjshir Valley, in northern Afghanistan. A former military compound in the village of Anabah was renovated and turned into a Surgical Centre for War Victims. In order to meet the needs of the local population, the Centre progressively expanded its activities to include emergency surgery, general surgery, trauma care, internal medicine and paediatrics. Also in 2012 a programme for the surgical and medical treatment of the most prevalent ophthalmic diseases has been held within the Centre, where periodical missions of international specialized staff are organized. An ambulance service connects the Surgical and Medical Centre in Anabah to a network of 16 First Aid Posts and Health Centres, opened by EMERGENCY in the Panjshir Valley and in the neighbouring provinces of Kapisa, Parwan and Badakhshan and on the Salang pass. During 2012, the Afghan Ministry of Public Health has contributed to nance the running costs of the hospital in Anabah.

Opened: December 1999 Activities: Surgery for war and landmine victims Emergency Surgery General Surgery Trauma Surgery Internal Medicine Paediatrics Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization Room, Intensive Care Unit, Surgical-Medical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of beds: 56 Local staff: 228 As of December 31, 2012 Admissions: 29,074 Outpatient consultations: 197,555 Surgical operations: 18,686

15

Anabah, Panjshir Valley

Maternity Centre
In 2003 EMERGENCY opened a Maternity Centre in Anabah to provide antenatal, gynaecological, obstetric and neonatal care to the population of the Valley and the surrounding provinces. Every month at EMERGENCYs Maternity Centre more than 300 babies are born. EMERGENCY has also a prenatal care programme for women living in remote areas, who are assisted through the network of EMERGENCYs First Aid Posts and Health Centres spread over the Panjshir Valley and the surrounding provinces. International and national midwives carry out periodical monitoring missions of pregnancies. Patients who need further checkups are referred to the Maternity Centre by EMERGENCYs ambulances. The staff working in the Maternity Centre are entirely female women from both Afghanistan and other countries. The international personnel also look after the training of local midwives, with classroom and practical lessons. A four-year specialisation course for gynaecologists, recognised by the Afghan Ministry of Health, is held at the Maternity Centre. In 2012, EMERGENCY has also signed an agreement with the school of Kapisa for the training of the midwives at the Maternity Centre.
Opened: June 2003 Activities: Obstetrics Gynaecology Neonatology Facilities: Emergency Department, Outpatient Department, 1 Operating Theatre, Intensive Care Unit, Wards, Nursery, Ultrasound Room, Delivery Room, Diagnostics. Technical and Auxiliary Facilities shared with the Surgical and Medical Centre. Number of beds: 39 Local staff: 45 As of December 31, 2012 Admissions: 26,206 Outpatient consultations: 101,107 Surgical operations: 5,604 Babies born: 17,763

EMERGENCY - Activity Report 2012

Kabul

Surgical Centre for War Victims


EMERGENCY started working in Kabul in 2000, renovating and expanding a former nursery school in the centre of the capital. The structure, which had previously been hit by a rocket that killed ve children, was then turned into a Surgical Centre for war victims, and started its clinical activities in April 2001. In August 2003, a 6-bed intensive care unit was set up. In 2005, a device for computerized tomography (CT) was installed; it is still the only free-of-charge one in Afghanistan. Since July 2010 the admission criteria have been restricted to war surgery only, in order to meet the needs of the increased number of injured patients. The Afghan Ministry of Public Health has ofcially recognized the hospital as a training centre for local surgeons. The Kabul Surgical Centre is linked to 9 of EMERGENCYs First Aid Posts and Health Centres in the provinces of Kabul, Parwan, Logar, Ghazni and Wardak.

Opened: April 2001 Activities: Surgery for war and landmine victims Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Sterilization, Intensive Care Unit, Sub-intensive Care Unit, Surgical Wards, Physiotherapy, CT Scan, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of beds: 95 Local staff: 260 As of December 31, 2012 Admissions: 27,536 Outpatient consultations: 82,038 Surgical operations: 34,874

17

Lashkar-gah

Surgical Centre for War Victims


In 2004, EMERGENCY opened a Surgical Centre for war victims in Lashkar-gah. The Centre is the only free-of-charge, specialised one in an area Helmand province which is still at the heart of the Afghan conict. The ghting between the Afghan army and the Taliban, the bombing by the allied forces, the kamikaze attacks and the landmines all continue to be a constant threat for those who live in this region. War surgery and trauma surgery (for patients up to 14 years) are the main admission criteria. 60% of patients at the Lashkar-gah hospital are war victims, and 1 every 3 is a child. The Lashkar-gah Surgical Centre has a 24/7 ambulance service link with EMERGENCYs First Aid Posts in the villages of Grishk, Sangin and Garmsir.

Opened: September 2004 Activities: Surgery for war and landmine victims Trauma Surgery Facilities: Emergency Department, Outpatient Department, 2 Operating Theatres, Intensive Care Unit, Surgical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of beds: 70 Local staff: 206 As of December 31, 2012 Admissions: 16,363 Outpatient consultations: 80,435 Surgical operations: 20,065
EMERGENCY - Activity Report 2012

First Aid Posts (FAPs) and Primary Health Clinics


Since 1999, EMERGENCY established a network of 28 First Aid Posts (FAPs) and Primary Health Clinics in Afghanistan, in order to provide prompt treatment also to the population of the most remote areas or to zones lacking healthcare facilities, such as the Panjshir Valley and the Salang pass, together with some areas around Kabul and in the provinces of Kapisa, Logar, Ghazni, Wardak, Parwan, Badakhshan and Helmand. The local staff trained by EMERGENCY provides basic healthcare, rst aid and the referral of patients in serious conditions to EMERGENCYs hospitals by an ambulance service available 24/7. During 2012, three facilities in Wardak and in Helmand provinces have been funded by the Emergency Response Fund of OCHA (Ofce for the Coordination of Humanitarian Affairs of the United Nations).
Number: 28 Locations: Anabah, Abdara, Ahangaran, Anjuman, Changaram, Dara, Darband, Dasht-e-Rewat, Gulbahar, Kapisa, Khinch, Koklamy, Oraty, Paryan, Sangi Khan, Shutul, Azra, Mirbachakot, Said Khil, Poli Sayad, Maydan Shahr, Ghazni, Chark, Grishk, Sangin, Garmsir. EMERGENCY also offers health care in both the female and male orphanages in Kabul. Local staff: 193 As of December 31, 2012 Outpatient consultations: 2,490,471 Patients referred to hospital: 36,643

Prison Programme
Since 2000, EMERGENCY has been running a programme of medical assistance to prisoners by setting up outpatient clinics within prisons. EMERGENCYs nurses provide basic medical treatment and guarantee the referral of surgical cases to the hospitals of the NGO.
Duab Prison: 694 patients examined and treated from 2001 to 2003 Shebergan Prison: 13,338 patients examined and treated from May 2002 to June 2004 Lashkar-gah Prison: 1,880 patients examined and treated from February 2006 to December 2007 Prisons in Kabul (Governmental Jail, Investigation Department, Pol-e-Charki, Juvenile Rehabilitation Centre): 467,262 patients examined and treated as of December 2012 Local staff: 27

19

Cambodia
In 1998 EMERGENCY built a Surgical Centre addressing the victims of war and landmines in Battambang, one of the most heavily mined areas of the country. Through the years, the hospital was turned into a Surgical and Trauma Centre. In the Samlot district, EMERGENCY opened ve First Aid Posts in order to provide emergency treatment and basic healthcare in a heavily mined area with no other healthcare facilities. Management of the FAPs was denitively handed over to the local government in 2009. After 14 years, in February 2012, EMERGENCY decided to handover the hospital to the Cambodian Ministry of Health in consideration of the changed needs of the population and the good level of autonomy acquired by the local staff. Since 1998, EMERGENCY has treated 392,060 people in Cambodia.

Thailand

Laos

Battambang

CAMBODIA
Phnom Penh Vietnam

Gulf of Thailand

EMERGENCY - Activity Report 2012

Battambang

Surgical Centre
The Surgical Centre in Battambang was opened in 1998 to provide surgical assistance to war and landmine victims. Through the years, the activities of the Centre have been expanded to include emergency and trauma surgery, as well as plastic and reconstructive surgery for the correction of congenital malformations and of the effects of polio. The Centre has hosted specialized periodical missions for the medical and surgical treatment of ophthalmic diseases. EMERGENCYs international staff has been also engaged in the professional training of local personnel, including specic workshops for physiotherapists, nurses and anaesthetists. The Centre has been handed over in February 2012 to the local Ministry of Health.

Opened: July 1998 Activities: Surgery for war and landmine victims Emergency Surgery Trauma Surgery Facilities: Emergency Department, Outpatient Department, 3 Operating Theatres, Sterilization Room, Intensive Care Unit, Surgical Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Maintenance Department. Number of beds: 109 Local staff: 180 As of February 29, 2012 Admissions: 29,652 Outpatient consultations: 113,374 Surgical operations: 33,363

21

Iraq
The Iraqi Kurdistan is infested with millions of landmines, many of which were manufactured in Italy. In order to bring assistance to landmine victims, in 1995 EMERGENCY restored and reactivated the hospital of Choman, a village in Iraqi Kurdistan on the Iranian border. In 1996 and 1998 EMERGENCY opened two Surgical Centres for war victims in Sulaimaniya and Erbil, two cities which were under the control of opposing factions at the time. Both Centres were expanded later on, to include specialized units for the treatment of burn and spinal injuries. EMERGENCY also opened 22 First Aid Posts to guarantee prompt assistance to the injured and to refer them to the hospitals when indicated. In 2005, EMERGENCY entrusted the local authorities with the management and running of the two Surgical Centres and of the network of First Aid Posts, now integrated into the national health system. In 1998, EMERGENCY opened a Rehabilitation and Social Reintegration Centre in Sulaimaniya. Since 1995, EMERGENCY has treated 390,735 people in Iraq.

Turkey

Syria

Sulaimaniya

IRAQ
Baghdad Jordan

Iran

Saudi Arabia

Kuwait

EMERGENCY - Activity Report 2012

Sulaimaniya

Rehabilitation and Social Reintegration Centre


In 1998, EMERGENCY opened a Rehabilitation and Social Reintegration Centre in Sulaimaniya, specialized in physiotherapy and in the production of prostheses, orthoses and walking aids / orthopaedic devices for disabled and amputee patients. A project to address and correct architectural barriers is in place to assist the homecoming of patients. The Centre offers professional training courses in metal work, carpentry, tailoring, leather-work and shoe-making to encourage the occupational reintegration of former patients. At the end of the courses, EMERGENCY guarantees nancial and management assistance for the setting up of small business co-operatives and artisan workshops. By December 2012, 297 co-operatives were established. The Centre is the only free-of-charge, specialised facility of its kind in the area and has become a point of reference for the whole of Iraq and for the surrounding countries.

Opened: February 1998 Activities: Physical Rehabilitation Prostheses and Orthoses Production Cardiac screening and follow-up Facilities: Physiotherapy, Indoor Swimming Pool, Orthopaedic and Prosthetic Workshops, Auxiliary Facilities, Guesthouse for patients. Number of beds: 41 Local staff: 86 As of December 31, 2012 Admissions: 6,806 Sessions of Physiotherapy: 41,689 Upper Limb Prostheses: 837 Lower Limb Prostheses: 6,238 Orthoses: 808 Trainee class graduates: 489 Groups of trainees graduated: 30 Cooperatives set up: 297 Cardiological examinations: 385

23

Italy
The right to medical care is recognized by law in Italy, and it is actually often denied to immigrants, foreigners, poor people who do not have access to treatment because of their scarce knowledge of their rights, as well as the linguistic barriers and the difculty in nding their way within a complex health system. In a climate of widespread fear and growing racism, migrants often do not turn to public facilities as they are afraid of being reported to the police or the authorities. For these reasons EMERGENCY began to work in Italy, operating within prisons (2005-2007), treating immigrants and situations of social distress. In 2006 EMERGENCY opened an Outpatient Clinic in Palermo, Sicily, to guarantee free healthcare to migrants with or without residence permits and to any person in need. In December 2010 EMERGENCY opened a second Outpatient Clinic in Marghera, near Venice. Since 2011, two buses turned into mobile clinics have brought assistance directly where it is needed. In December 2012, EMERGENCY opened an information point in Sassari, to help migrants and whoever in need have access to medical care. Also because of the critical economic situation, the number of people referring to EMERGENCYs facilities has been constantly increasing during 2012. For this reason, the Programme is going to be expanded in 2013: EMERGENCY has started the renovation works of two outpatient clinics in Naples and in Polistena (province of Reggio Calabria). The new facilities will be operational by spring 2013.
Valle dAosta

Trent Alto

Switzerland Marghera France

Austria Slovenia

Lombardia

Hungary Croazia Bosnia and Herzegovina

Piemonte Liguria

Emilia

Tosc

Serbia Montenegro Kosovo

ITALY
Rome Sassari Greece Tyrrhenian Sea Adriatic Sea

Macedonia Albania
Sardegna

Palermo Mediterranean Sea


EMERGENCY - Activity Report 2012

Ionian Sea

Palermo

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

Opened: April 2006 Activities: Basic healthcare Cardiology Dentistry Dermatology Infectious diseases Obstetrics and gynaecology Otorhinolaryngology Paediatrics Psychiatrics and psychology Senology Social-medical assistance and counselling

Facilities: 5 Outpatient departments, Waiting room, Ofces and Auxiliary services. Employees: 7 Volunteer staff: 70 As of December 31, 2012 Outpatient consultations: 62,611

25

Marghera

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

Opened: December 2010 Activities: Basic healthcare Cardiology Dentistry Obstetrics and gynaecology Ophthalmology Social-medical assistance and counselling Facilities: 6 Outpatient departments, Waiting room, Consulting room, Ofces and Auxiliary services. Employees: 7 Volunteer staff: 80 As of December 31, 2012 Outpatient consultations: 11,706
EMERGENCY - Activity Report 2012

Mobile Clinics
EMERGENCY has equipped two buses as mobile clinics to bring assistance wherever its needed. EMERGENCY doctors provide free medical treatment in Gypsy camps, agricultural areas and refugee camps. Cultural-linguistic mediators assist those requiring the services of the public health facilities for specialist medical examinations. Most of the migrants turn to EMERGENCY for problems linked to their extremely hard living and working conditions: musculo-skeletal pain, gastrointestinal infections and respiratory infections. Each bus contains two consulting rooms, plus a room set aside for meetings with the cultural-linguistic mediators. In 2012, EMERGENCYs Mobile Clinics worked in the southern Italian regions of Apulia, Sicily, Calabria and Basilicata, bringing assistance to temporary farm labourers in particular. In May 2012, one of the Mobile Clinics moved to Modena province to assist the displaced people after the earthquake that stroke Emilia Region.

Opened: April 2011 Places of intervention: provinces of Foggia and Lecce, province of Potenza, province of Reggio Calabria, provinces of Ragusa and Syracuse. Activities: General medicine Social-medical assistance and counselling Facilities: 2 Consulting rooms, Consulting room for cultural mediators, Waiting room and auxiliary services. Employees: 13 As of December 31, 2012 Outpatient consultations: 11,120

27

Sierra Leone
In 2001, EMERGENCY opened a Surgical Centre in Goderich, on the outskirts of Freetown, the countrys capital. The Centre provides free high quality treatment in orthopaedics, trauma and emergency surgery. In 2002, EMERGENCY opened a Paediatric Centre next to the Surgical Centre in order to guarantee treatment to children under 14. The child mortality rate in Sierra Leone is one of the highest in the world: malaria, malnutrition, respiratory and gastrointestinal infections are the main causes of death among children up to 5 years of age. The international staff is also committed to training local personnel: EMERGENCYs Surgical Centre has been recognized as a training institution for anaesthetist nurses by the Ministry of Health of Sierra Leone. In order to expand the Surgical Centre in Goderich EMERGENCY has built a new surgical block, inaugurated in 2012. Last year the Ministry of Health and Sanitation has nanced the hospital with a contribution in the amount of 15 % of the hospitals budget. This hospital is also part of the Regional Programme for Paediatrics and Cardiac Surgery: EMERGENCY cardiologists regularly carry out screening sessions to identify patients in need to be operated at the Salam Centre for Cardiac Surgery in Khartoum, Sudan, and subsequently perform all the necessary post-op checks. Since 2001, EMERGENCY has treated 415,210 people in Sierra Leone.

Guinea

SIERRA LEONE
Freetown Goderich

Gulf of Guinea

Liberia

EMERGENCY - Activity Report 2012

Goderich

Surgical Centre
EMERGENCYs Surgical Centre is located in Goderich, on the outskirts of Freetown, the countrys capital, which is populated by one and a half million inhabitants, 50% of whom are under 15 years of age. Admission criteria include emergency surgery, especially abdominal, trauma surgery and elective surgery for the treatment of congenital or acquired malformations, such as club foot or consequences of poliomyelitis. The hospital also offers a programme for the treatment of oesophageal burns caused by accidental ingestion of lye by children. It is a very common phenomenon among children in a country where lye is widely used for the home-making of soap. In August 2012, new operating theatres, intensive care unit, wards and a guesthouse for the relatives of patients arriving from the more distant provinces were opened. During the last year, EMERGENCY signed a Memorandum of understanding with the local Ministry of Health for the supply of drugs for patients affected by malaria.

Opened: November 2001 Activities: Emergency and General Surgery Orthopaedic and Reconstructive Surgery Trauma Surgery Cardiac screening and Follow-up Facilities: Emergency Department, Outpatient Department, 3 Operating Theatres, Sterilization, Intensive Care Unit, Patient Wards, Physiotherapy, Radiology, Laboratory and Blood Bank, Pharmacy, Classrooms, Playroom, Auxiliary Facilities, Guesthouse for patients and their parents. Number of beds: 85 Local staff: 334 As of December 31, 2012 Admissions: 25,671 Outpatient consultations: 229,702 Surgical operations: 27,267 Cardiological examinations: 495

29

Goderich

Paediatric Centre
In 2002 the Goderich Surgical Centre was extended to include a paediatric clinic. Two new wards were opened in 2003, one of them entirely for paediatric patients. The Centres main work includes the programme to prevent and treat malnutrition: as well as treating the children, EMERGENCYs staff also teaches mothers the basic principles of good nourishment and hygiene. At least 50 children are examined every day at the Paediatric Centre. Malnutrition, malaria, gastrointestinal infections and respiratory infections are the most common problems. In 2012, the hospital became part of the national Under 5 programme: EMERGENCYs centre benets from a contribution by the local Ministry of Health for ensuring healthcare for children under 5 years.

Opened: April 2002 Activities: Paediatrics Facilities: 2 Outpatient Departments, Medical Ward, Waiting Area, Technical and Auxiliary Facilities shared with the Goderich Surgical Centre. Number of beds: 14 Local staff: 17 As of December 31, 2012 Admissions: 11,880 Outpatient consultations: 147,462
EMERGENCY - Activity Report 2012

EMERGENCY IN AFRICA:
THE REGIONAL PROGRAMME FOR PAEDIATRICS AND CARDIAC SURGERY
In 2007, EMERGENCY opened the Salam Centre for Cardiac Surgery in Khartoum, Sudan. This is the only free-of-charge and specialized facility in the whole African continent. The Salam Centre is the hub of the Programme for Paediatrics and Cardiac surgery that EMERGENCY is implementing in Africa. EMERGENCYs Paediatric Centres provide free high quality medical treatment to children up to 14 years of age. These Centres are equipped with a cardiologic outpatient unit where our international cardiologists carry out the screening of children and adults suffering from heart diseases to be referred to the Salam Centre for surgery. In March 2009, the rst Paediatric Centre of the Regional Network for Paediatrics and Cardiac surgery was inaugurated in Bangui, the capital of the Central African Republic. The second Paediatric Centre was opened in Nyala, South Darfur, in July 2010 and the third was opened in Port Sudan, Red Sea State, in December 2011. In areas where EMERGENCY does not have its own facilities, our cardiologists carry out screening missions in local hospitals, in collaboration with the health authorities of the host countries. In little more than 5 years, the staff of the Centre has operated on patients from 25 countries: Afghanistan, Burkina Faso, Burundi, Central African Republic, Chad, Democratic Republic of Congo, Djibouti, Eritrea, Ethiopia, Jordan, Iraq, Italy, Kenya, Liberia, Nigeria, Rwanda, Senegal, Sierra Leone, Somalia, Sudan, South Sudan, Tanzania, Uganda, Zambia, Zimbabwe. MANIFESTO FOR A HUMAN RIGHTS BASED MEDICINE The Salam Centre for Cardiac Surgery in Khartoum is a truly innovative model of humanitarian intervention. The aim of the project is to bring healthcare of excellence to Africa as well, putting into practice the belief in the unquestionable right of every human being to receive free high quality medical treatment. On the strength of the results achieved by the Salam Centre, in May 2008 EMERGENCY gathered the delegations of the Ministries of Health of eight African countries for the international workshop Building Medicine in Africa. Principles and Strategies, hosted on San Servolo Island, Venice, Italy. EMERGENCY and the representatives of the Central African Republic, the Democratic Republic of Congo, Egypt, Eritrea, Rwanda, Sierra Leone, Sudan and Uganda discussed on how to ensure the right to free high quality healthcare to African citizens. The conclusions of the workshop were formalized in the document Manifesto for a Human Rights Based Medicine in which the signatories recognize the right to be treated as a basic and inalienable right belonging to each and every member of the human community and ask for a health system based on equality, quality and social responsibility.

Lebanon

Syria Iraq
Jordan Kuwait

Afghanistan

Morocco

Tunisia

Israel

Libya Algeria

Egypt Saudi Arabia


United Arab Emirates

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

Niger Chad
DARFUR

SUDAN

Eritrea

Yemen Djibouti

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

Somalia South Sudan Ethiopia

Togo Benin

Uganda

Kenya

Tanzania

Angola
Zambia

Malawi

Mozambique

Zimbabwe

Madagascar

Namibia

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

Botswana Swaziland Lesotho South Africa

31

On the sixtieth anniversary of the Universal Declaration of Human Rights


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

THE AFRICAN NETWORK OF MEDICAL EXCELLENCE - ANME


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

We commit to improve regional cooperation by establishing the African Network of Medical Excellence (ANME) in different medical specialities in order to strengthen our Health Systems at national and regional level. We jointly appeal to the international donors community to support us and contribute to the successful implementation of this innovative multi-disciplinary project by providing human and nancial resources.
Thursday, February 11, 2010 - Khartoum, Sudan On behalf of the Ministries of Health of: Central African Republic H.E. Nalke Dorogo Andr, Chad H.E. Hissein Djidda Khours, Democratic Republic of Congo Dr. Lokadi Opeda Pierre, Djibouti H.E. Abdallah Abdillahi Miguil, Egypt Dr. Mamdouh Ali Mohammed, Eritrea Dr. Ghirmay Tesfasellasie, Ethiopia H.E. Kebede Worku, Somalia H.E. Mohammed Haga, Sudan H.E. Tabita Botros Shokai, South Sudan Dr. Majok Yak Majok, Uganda H.E. Stephen O. Malinga. In October 2010, the third workshop of the series Building Medicine in Africa was held on the Island of San Servolo, where the implementing strategies for the development of the project were dened.

Reafrming the principle that health care is a basic right of every individual, as stated in the Universal Declaration of Human Rights; Recalling the principles of Equality, Quality and Social responsibility stated in the Manifesto for a Human Rights Based Medicine, calling for the delivery of high quality and free of charge health care for all; Acknowledging the urgent need of establishing centres of excellence in Africa to provide high standards of medical treatment through secondary and tertiary facilities, thus strengthening disease prevention and primary health care delivery; Considering the Salam Centre for Cardiac Surgery, established by EMERGENCY in cooperation with MOH of Sudan in Khartoum, as a replicable model in all our countries to provide qualied care to our citizens and proper training to medical and non medical professionals;

33

Sudan
In 2004 EMERGENCY intervened in Sudan to support the hospitals in Mellit and Al Fashir, in Northern Darfur, by renovating and equipping the emergency surgical block and ward. In 2005 EMERGENCY opened a Paediatric Centre in Mayo Internally Displaced People (IDP) camp, a few kilometres from the capital Khartoum. The Centre provides free of charge primary healthcare to children up to 14 years of age. In the same year, again nearby the capital, EMERGENCY started to build a Centre for Cardiac Surgery in order to provide highly specialized free medical and surgical assistance to patients from Sudan and its neighbouring countries. The Salam Centre for cardiac surgery started its activities in 2007. It is linked to a network of Paediatric Centres where EMERGENCYs international cardiologists carry out the screening and follow-up of children and adult heart patients that are transferred to Khartoum for surgery. The staff of the Centre has operated patients from 25 countries. In July 2010 EMERGENCY opened in Nyala, Darfur, its second Paediatric Centre in the country. The activities of the Centre have been suspended after the kidnapping of a logistician of EMERGENCY, because of the lack of the essential security conditions. A third Paediatric Centre was opened in Port Sudan, Red Sea State, in December 2011. Since 2007, EMERGENCY has treated 261,734 people in Sudan.

Egypt Libya Port Sudan Chad Khartoum Mayo Eritrea

DARFUR

Nyala

SUDAN
Ethiopia South Sudan

Central African Republic

Democratic Repubblic of Congo

Uganda Kenya

EMERGENCY - Activity Report 2012

Khartoum

The Salam Centre for Cardiac Surgery


The Salam Centre for Cardiac Surgery, opened by EMERGENCY in Khartoum, provides free high standard surgical care to children and adults suffering from acquired or congenital heart diseases. Valvular diseases of rheumatic origin have a particular prominence; their development is often related to poverty and lack of basic healthcare. The incidence of these diseases is particularly high among young people. 61% of patients admitted to the Salam Centre are under the age of 26. The Salam Centre is the only Centre of excellence providing completely free cardiac surgery in Africa. The Centre was meant to respond to the needs of Sudan and its neighbouring countries, but in more than ve years of activity it has already treated patients from 25 countries. EMERGENCY has built a guesthouse within the compound in order to facilitate access to services by providing free accommodations to foreign patients. The Salam Centre is nanced for 30% by the local Ministry of Health.
Opened: April 2007 Activities: Paediatric Cardiac Surgery Adult Cardiac Surgery Interventional Cardiology Facilities: 3 Operating Theatres, Sterilization, 15 beds Intensive Care Unit, Sub-intensive Care Unit, 3 Surgical Wards, Outpatient Department, Catheterization Laboratory, Radiology, Ultra Sound, TC, Laboratory and Blood Bank, Physiotherapy, Pharmacy, Technical and Auxiliary Facilities, Guesthouse for foreign patients. Number of beds: 63 Local staff: 300 As of December 31, 2012 Admissions: 5,485 Outpatient consultations: 43,414 Cardiological examinations: 35,431 Surgical interventions: 4,663 Cath Lab diagnostic and surgical procedures: 1,139 Foreign patients: 776 Origin countries of patients (except Sudan): Afghanistan (23), Burkina Faso (5), Burundi (10), Central African Republic (74), Chad (30), Democratic Republic of Congo (31), Djibouti (16), Eritrea (124), Ethiopia (129), Jordan (3), Iraq (76), Italy (2), Kenya (46), Liberia (1), Nigeria (36), Rwanda (19), Senegal (2), Sierra Leone (54), Somalia (40), South Sudan (3), Tanzania (4), Uganda (35), Zambia (8), Zimbabwe (5).

35

Mayo, Khartoum

Paediatric Centre
In 2005 EMERGENCY opened a Paediatric Centre to provide primary healthcare to children in the IDP (Internally Displaced People) camp of Mayo, near Khartoum, that hosts more than 300,000 people without any health facility. The Centre has a 6-bed paediatric ward for daily observation; an ambulance ensures immediate referral of urgent cases to city hospitals. A midwife provides antenatal care to pregnant women 5 days a week. A vaccination programme is held at the Centre in cooperation with the Ministry of Health. The role of six community health promoters is essential for spreading awareness on a preventive approach to healthcare, following-up patients referred to hospital, giving hygiene advice to patients and their families and checking up on the proper use of the prescribed therapies. An outreach programme is carried out in different areas of the IDP camp: the staff of the Paediatric Centre organizes health education sessions, screening for malnutrition and antenatal care for pregnant women, as well as vaccinations always in close cooperation with the local Ministry of Health. Since December 2011 the European Union has co-nanced the project Community participation to strengthen basic maternal and paediatric health services in Mayo IDP camp, taking place in the Paediatric Centre and in different areas of the camp. National partner of this project is the local Ministry of Health. The project reached over 24,000 beneciaries during its rst year of implementation.

The Paediatric Centre in Mayo is co-financed by the European Union

Opened: December 2005 Activities: Paediatrics Facilities: 2 Outpatient Departments, Patient Observation Ward, Pharmacy, Laboratory, Auxiliary Services, Reception, Outdoors play area. Number of beds: 6 (day hospital) Local staff: 35 As of December 31, 2012 Patients admitted for observation: 8,457 Paediatric outpatient consultations: 134,281 Patients referred to hospital: 4,995 Beneciaries of integrated outreach activities: 19,102 Antenatal care consultations: 4,243
EMERGENCY - Activity Report 2012

Port Sudan

Paediatric Centre
EMERGENCY opened a Paediatric Centre in Sudan in the city of Port Sudan, capital of Red Sea State. The clinic opened its doors on 26th December 2011, offering free treatment to the children of Port Sudan and the surrounding area. Over the past 10 years, hundreds of thousands of refugees have come to the city, attempting to escape the numerous local conicts and droughts in the countryside. EMERGENCYs international and national paediatricians and nurses provide healthcare to children, mainly affected by malaria, anaemia, respiratory infections. The Centre has 3 outpatient departments, a 14-bed ward and a 4-bed sub-intensive care unit. The building of the Centre was supported by the contribution of the MAXXI 2per100 competition, set up by MAXXI (the National Museum of XXI Century Arts) in Rome. During 2012, the Centre was co-nanced by the Common Humanitarian Fund of OCHA (Ofce for the Coordination of Humanitarian Affairs of the United Nations).

Opened: December 2011 Activities: Paediatrics Paediatric First Aid Cardiac screening and Follow-up Facilities: 2 Outpatient Departments, Cardiology outpatient department, Sub-intensive care unit, Ward, Radiology, Warehouse, Ofces, Pharmacy, Laboratory, Auxiliary Services, Reception, Outdoors play area. Number of beds: 18 Local staff: 89 As of December 31, 2012 Patients admitted: 823 Outpatient consultations: 18,431 Cardiological examinations: 99

37

Central African Republic


The Central African Republic ranks 179st (out of 187 countries) on the Human Development Index compiled by the UNDP (United Nations Development Programme), with a life expectancy of only 48 years. Infant mortality rate is of 106 deaths every 1,000 live births. In March 2009 EMERGENCY opened a Paediatric Centre in the capital city Bangui in order to provide healthcare to children up to 14 years of age. The Centre also organizes activities of health promotion for families, focusing on the fundamentals of hygiene and nutrition that are essential for childrens health. An EMERGENCY midwife examines pregnant women, prescribes the necessary tests and offers advice about basic hygiene. At the end of 2012, Central African Republic went through a serious political crisis. Rebels of the coalition named Seleka marched towards the capital city, protesting against the President. Despite the increasing lack of security, EMERGENCYs staff remained in Bangui to guarantee healthcare to all the children in need. The hospital continued working even during the imposition of curfew that caused many difculties to patients and staff in reaching the hospital. Since 2009, EMERGENCY has treated 85,482 children in the Central African Republic.

Sudan Nigeria Chad

Cameroon

Bangui

CENTRAL AFRICAN REPUBLIC

South Sudan

Democratic Republic of Congo Uganda

Congo

EMERGENCY - Activity Report 2012

Bangui

Paediatric Centre
EMERGENCYs Paediatric Centre is located in front of the Parliament of the Central African Republic, in a compound made available by local authorities. EMERGENCYs paediatricians and nurses provide free high quality outpatient services to children up to 14 years of age, while the most serious cases are admitted in the 8-bed inpatient ward. An antenatal assistance programme is offered at the Centre: an EMERGENCY midwife examines pregnant women, prescribes the necessary tests and offers advice about basic hygiene. About 80 children and 20 pregnant women are examined every day by the staff of EMERGENCY. The Paediatric Centre of Bangui is part of the Regional programme for Paediatrics and Cardiac Surgery that EMERGENCY is promoting in Africa. The programme involves a network of facilities where our international cardiologists carry out the screening of children and adult heart patients for the Salam Centre for cardiac surgery in Sudan and provide the needed postoperative treatment to those who already underwent surgery. During the rst semester of 2012, the Centre was co-nanced by the Common Humanitarian Fund of OCHA (Ofce for the Coordination of Humanitarian Affairs of the United Nations).
Opened: March 2009 Activities: Paediatrics Paediatric Emergency Unit Cardiac screening and Follow-up Antenatal care Facilities: 2 Paediatric Outpatient Departments, Cardiology Outpatient Department, Radiology, Laboratory, Pharmacy, Ward, Warehouse, Ofces, External Waiting Area and Playground, Auxiliary Facilities. Number of beds: 8 Local staff: 68 As of December 31, 2012 Admissions: 4,536 Outpatient visits: 72,589 Antenatal care: 7,475 outpatient consultations Cardiological examinations: 882

39

COMPLETED PROGRAMMES
1994 - Renovation and reopening of the surgical department of Kigalis hospital, Rwanda. During a 4 month mission, a surgical team operated on 600 war victims. Within the same facility, EMERGENCY reopened the Ob-Gyn ward, which offered medical and surgical and surgical assistance to over 2,500 women. 2001 - Establishment of a social water and medicines were distributed to programme to help war widows with representatives of the local community the distribution of farming cattle to 400 and to the local hospital. families in the Panjshir Valley, Afghanistan. 2004/2005 - Renovation and equipment 2003 - Supply of pharmaceuticals, of the emergency surgery ward of the Al consumables and fuel for the generators Fashir Teaching hospital, in North Darfur, to the Al-Kindi hospital in Baghdad and to Sudan. The facilities include a surgical the Karbala hospital, Iraq. block and a 20 bed ward. The unit was 1996/2005 - Building of a Surgical Centre transferred to the Ministry of Health in in Sulaimaniya, Northern Iraq, to treat 2003 - Established a Rehabilitation August 2005. landmine victims. The facilities include and Prostheses Centre in Medea, Algeria. a burn unit, and one for the treatment of EMERGENCY refurbished and equipped a 2005 - EMERGENCY donated surgical spinal cord injuries. In 2005, the Centre building inside the local public hospital, equipment and consumables to the and the network of 22 First Aid Posts undertaking the training of the local general hospital in Kalutara, Sri-Lanka, were handed over to the local health personnel, as well. The management of to enhance its clinical activities after the authorities. the Centre, called Amal (hope in Arabic) tsunami. was handed over to the local health 1998/2005 - Building of a Surgical Centre authorities in 2004. 2005 - EMERGENCY completed the Back in Erbil, Northern Iraq, to treat landmine to the Sea project, which called for the victims. The facilities include a burn unit 2003 - Building of a Rehabilitation and distribution of engine-powered boats, and one for the treatment of spinal cord Prosthetics Production Centre in Dohuk, canoes and shing nets to the shermen injuries. In 2005, the Centre was handed Northern Iraq. The Centre is now run by in the village of Punochchimunai, in over to the local health authorities. local health authorities. Sri-Lanka. To further encourage the resumption of daily activities, school 1998/2012 Building of a Surgical Centre 2003/04 - Established two Health kits were donated to the students in the in Battambang, Cambodia. The Centre Centres in the Benguela province, Angola. village. was handed over to local authorities in EMERGENCY equipped and managed February 2012. the centres and trained the local staff for 2005/07 - EMERGENCY organised over a year before handing it over to a courses in hygiene, prevention and rst 1999 - Supported the Jova Jovanovic Zmaj congregation of local nuns. aid for the inmates of the Rebibbia New orphanage in Belgrade, Serbia. Complex prison in Rome. In the same 2003/04 - EMERGENCY sent a surgical prison, EMERGENCY organized a TB 1999/2009 - Establishment of 5 First Aid team to work at the Orthopedic Unit of screening. Furthermore, EMERGENCY Posts (FAP) in Samlot district, Cambodia, the Jenin public hospital, in Palestine. guaranteed the assistance of medical to assist landmine victims. Those FAPs In addition to the supervision of clinical specialists in other jails in the Lazio were later transferred to local health activities and training of the local region, Italy. authorities (ORotkroh, Chamlong Kouy, medical staff, EMERGENCY opened Tasanh and OChoms in 2003; OTatiak a new physiotherapy unit and a new 2005/08 - EMERGENCY completed the in 2009). orthopaedic ward. construction of 91 brick houses for the families in the village of Punochchimunai, 2000 - Upon request by the Italian 2003/04 - Supply of medicines to the in Sri-Lanka, destroyed by the tsunami in Cooperation, a surgical team was sent to Casa de la Mujer, a community network 2004. The delivery of the houses could Eritrea. EMERGENCYs personnel worked giving assistance to women affected by only be completed in September 2008, for two months at the Mekane Hiwet cancer and diabetes in Nicaragua. due to the resuming hostilities between hospital, in Asmara, treating victims of government troops and local rebels, the conict between Ethiopia and Eritrea. 2003/2007 - Opening of a workshop which halted all work for months. for the production of rugs aimed at 2001 - Building of a Rehabilitation and promoting the economic independence of 2011 - War surgery programme in Libya, Prosthetics Centre in Diana, North Iraq. women in the Panjshir Valley, Afghanistan. in the under-siege city of Misurata. The Centre was handed over to the local health authorities. 2004 - EMERGENCY supported the population of Fallujah, in Iraq, during the siege of the city, in May. Relief items,
EMERGENCY - Activity Report 2012

AFGHANISTAN - Surgical Centre for War Victims, Kabul

41

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

v in v ro

in

in

in

in

T
EMERGENCY - Activity Report 2012

SIERRA LEONE - Paediatric Centre, Goderich

EMERGENCY
via Gerolamo Vida 11 - 20127, Milan ITALY T +39 02 863161 F +39 02 86316336 info@emergency.it - www.emergency.it via dellArco del Monte 99/A - 00186, Rome ITALY T +39 06 688151 F +39 06 68815230 roma@emergency.it - www.emergency.it

EMERGENCY BELGIUM Avenue du Diamant 96 - 1030, Bruxelles


info@emergencybe.org - www.emergencybe.org

EMERGENCY HONG KONG Room 615, 6/F kwong Loong Tai Bldg 1016 Tai Nan West Road Cheung Sha Wan, Kowloon T +852 28939306 F +852 28939309 info@emergencyhkg.org - www.emergencyhkg.org EMERGENCY JAPAN 669-2702, Hyogo-ken, Sasayama-shi Hongo 499-15 T / F +81 79 506 0932 info@emergency-japan.org - www.emergency-japan.org EMERGENCY SWITZERLAND FOUNDATION Weberstrasse 21 Postfach 9419 Ch-8036 Zurich T +41 (0) 433171904 F +41 (0)43 317 13 42 info@emergency.ch - www.emergency.ch EMERGENCY UK Can Mezzanine, 49-51 East Road, Old Street, N1 6AH London T +44(0)207 250 8302 F +44(0)333 340 6499
info@emergencyuk.org - www.emergencyuk.org

EMERGENCY USA 1016 Lincoln Blvd, Suite 211, San Francisco - CA 94129 T 1-888-501-3872 info@emergencyusa.org - www.emergencyusa.org
To support our projects around the world, please visit our websites under the sections Make a donation.

43

AFGHANISTAN - Maternity Centre, Anabah

WORK WITH US
EMERGENCY is recruiting medical staff for its hospitals in AFGHANISTAN, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN
For projects in AFGHANISTAN, CENTRAL AFRICAN REPUBLIC, SIERRA LEONE and SUDAN we are recruiting: - ANAESTHETISTS - GYNAECOLOGISTS (FEMALE ONLY) - MIDWIVES (FEMALE ONLY) - ICU NURSES - OPERATING THEATRE NURSES - PAEDIATRIC AND NEONATAL NURSES - WARD AND CRITICAL CARE NURSES - PAEDIATRICIANS AND NEONATOLOGISTS - PHYSIOTHERAPISTS - GENERAL, ORTHOPAEDIC AND TRAUMA SURGEONS - X-RAY TECHNICIANS For the CARDIAC SURGERY Centre in KHARTOUM, SUDAN, we are recruiting: - CARDIAC ANAESTHETISTS - CARDIOLOGISTS - SPECIALISTS IN CATH LAB - SPECIALISTS IN ECHOCARDIOGRAPHY - NURSES (OPERATING THEATRE, ICU, CATH LAB AND CARDIAC SURGERY WARD) - PERFUSIONISTS - PHYSICIANS (INTERNAL MEDICINE) - CARDIAC SURGEONS - BIOMEDICAL TECHNICIANS - MEDICAL LAB TECHNICIANS - X-RAY TECHNICIANS

GENERAL REQUIREMENTS: relevant professional experience in hospital settings; ability to follow standardized clinical working procedures and safety protocols as dened by EMERGENCY; ability to train local staff; well-disposed towards local cultures; minimum availability 3 up to 6 months; good spoken and written English (or French for Central African Republic). TERMS AND CONDITIONS: monthly salary, travel expenses, board and lodging, full insurance cover for accidents and illness provided. For any further information: recruiting@emergency.it TO APPLY: visit www.emergency.it or send a detailed CV to curriculum@emergency.it specifying which position you are applying for.

AFGHANISTAN - Maternity Centre, Anabah

To Support EMERGENCY
DONATIONS Donations in favor of EMERGENCYs projects can be made via:

Credit card, on-line (on secure server) at www.emergency.it (Euros) Bank wire in favour of EMERGENCY - IBAN IT 41 V 05387 01600 000000713558 - BIC BPMOIT22XXX
c/o Banca Popolare dellEmilia Romagna

Bank wire in favour of EMERGENCY - IBAN IT 02 X 05018 01600 000000130130 - BIC CCRTIT2T84A
c/o Banca Etica, liale di Milano

Non-transferable bank check to the order of EMERGENCY, to be mailed to EMERGENCY,


via Gerolamo Vida 11 - 20127 Milan, ITALY

45

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

EMERGENCY

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

Between 1994 and 2012, in the hospitals, clinics and rehabilitation centres run by EMERGENCY, over 5,000,000 people received high quality medical care free of charge.

You might also like