Emergency Report 2008

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Activity Report 1994-2008

EMERGENCY


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

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


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Surgery

Surgery or victims o war and landmines

Emergency and Trauma Surgery

General Surgery

Plastic and Reconstructive Surgery

Orthopaedic Surgery

Paediatric and Adult Cardiac Surgery

Medicine

Internal Medicine

Obstetrics and Gynaecology

Neonatology

Paediatrics

Interventional Cardiology

First Aid

Primary Health Care

Rehabilitation

Physiotherapy

Prosthesis Production

Vocational training and cooperative

workshops or physically disabled

Since 1994, over three million patients have been treatedin EMERGENCY clinics, hospitals and rehabilitation centreslocated in war-torn areas.


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Aghanistan

Uzbekistan China

Tajikistan

PakistanIran

Turkmenistan

Anabah

Kabul

Lashkar-gah

Afghanistan

In 1999, in Anabah, a village in the Panjshir Valley,

EMERGENCY transormed military barracks into a

surgical centre or war victims.

In order to respond to the needs o the local people,

the centres activities progressively expanded to includeemergency surgery and trauma care. In 2003, paediatric

and internal medicine units as well as a maternity ward

were built next to the main centre.

The centre provides maternity and neonatal assistance

to women and newborns in an area that has one o the

highest maternal and inant mortality rates in the world.

An itinerant prenatal health care programme was put in

place or women in the most inaccessible villages.

In the Spring o 2001, EMERGENCY opened a second

centre in Kabul that has become the trauma care centre

o reerence or the entire country. In 2003, a six-bed

intensive care unit was created, and in 2005 a CAT Scan

(CT) unit was installed.

In September 2004, EMERGENCY opened a third

surgical centre in Lashkar-gah, the provincial capital

o Helmand in the south o the country. The hospital

is named ater Tiziano Terzani, Italian journalist and

humanitarian. It is the only medical acility oeringree high quality health care assistance in an area

devastated by war.

In the areas most mined or where there is no health

care assistance available, EMERGENCY is present

through a network o First Aid Posts (FAP) which

are open 24/7 and are connected to the hospitals.

Ambulance service is provided or the most urgent

cases.

Since 2001, EMERGENCY has also provided health careassistance to the inmates o the major prisons

in the country.


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Cambodia

Gulf of Thailand

ThailandLaos

VietnamPhnom Penh

Battambang

Samlot Cambodia

The EMERGENCY Surgical Centre or War Victims

was established in Battambang in 1998, to provide

ree high quality surgical assistance and rehabilitation

to victims o war and landmines. The Centre also

provides plastic and reconstructive surgery or patients

aected by polio, congenital malormations and burns.In 2005, ollowing a memorandum o understanding

signed with the Ministry o Health o Cambodia,

the EMERGENCY hospital began to admit all

trauma patients and other lie-threatening surgical

emergencies. Ater the closure o the department

o traumatology at the provincial hospital,

the EMERGENCY Surgical and Trauma Centre

has become the reerral acility or the entire province.

In 2006, a new physical rehabilitation department

or hospitalized patients was opened.

The international sta is engaged in training

programmes or local personnel by oering courses

or physiotherapists, nurses, and specialised surgeons

rom the University o Phnom-Penh.

In order to cope with the high number o landmine

victims among the reugees returning rom Thailand,

a feld programme in the northern Samlot region

was established in 1999. EMERGENCY set up our First

Aid Posts (FAP) and a reerral system to connectthe remote and heavily mined Samlot district

with the Surgical Centre in Battambang.

A fth FAP was opened in January 2000 in Tasanh,

with a ward equipped or the treatment o malaria,

which is endemic in this part o the country. Each FAP

is open 24/7, and an ambulance provides transer o

urgent cases to the EMERGENCY hospital.

In 2003, the management o our FAP was transerred to

the local authorities; however, EMERGENCY continues

to support all activities.EMERGENCY still directly manages the OTtiak FAP

in Samlot province providing basic health care services.


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Iraq

Baghdad

KuwaitSaudi Arabia

Sulaimaniya

Jordan

Syria

Turkey

Iran

Iraq

EMERGENCY has been working in Iraq since March 1995,

initially in the village o Choman on the Iraq/Iran border.

The Sulaimaniya and Erbil Surgical Centres opened

in 1996 and 1998, respectively, oering ree high-quality

surgical assistance to victims o landmines and war.Both centres were later equipped with specialized units

or burn and spinal injury patients.

As o 2005, EMERGENCY treated over 330,000 people

at the Centres in Erbil and Sulaimaniya and the network

o First Aid Posts (FAP).

In May 2005, ater 9 years o training the national sta,

the management o the Sulaimaniya and Erbil Surgical

Centres and their network o FAP were transerred

to the national health authorities. The Centres are now

ully integrated into the national health care system,

oering highly qualifed assistance to all patients ree

o charge.

In 1998, EMERGENCY opened the Rehabilitation and

Social Reintegration Centre in Sulaimaniya.

This Centre provides lower and upper limb prosthetic

services, physical rehabilitation and vocational

training to the physically disabled, and assists them

in starting proessional cooperative workshops.

The Rehabilitation and Social Reintegration Centre

is still managed by EMERGENCY.


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Liberia

Guinea

Freetown

Goderich

Sierra Leone

Atlantic Ocean

Sierra LeoneIn late 2000, EMERGENCY initiated a Surgical

Programme to assist war victims. An abandoned medical

clinic in the district o Goderich, on the outskirts

o Freetown, was transormed and expanded into a

Surgical Centre, with the addition o new buildings.

This is where EMERGENCY provides treatment to wartrauma, and orthopaedic patients. The admission criteria

have now been expanded to include all lie-threatening

surgical emergencies.

In spring 2002, a Paediatric Outpatient Department

was opened in order to manage the growing number

o paediatric patients.

In 2003, the government o Sierra Leone provided

more land where EMERGENCY built two new wards

to expand its paediatric activities. Children admitted

to the EMERGENCY Centre mainly suer rom severe

malaria, acute anaemia and respiratory tract inections.

Since 2005, a programme was launched at the Paediatric

Centre to counter malnutrition. The programme also

provides hygiene and nutrition classes to mothers.

In 2006, EMERGENCY launched a new programme

or esophageal endoscopic dilatation procedures

to address accidental injuries related to ingestiono caustic lye, a chemical used in homemade soap

production, a practice prevalent throughout Sierra Leone.

Currently, EMERGENCYs surgical and paediatric centres

in Sierra Leone are the only medical acilities oering

ree high standard health care services, and training o

surgeons and anesthesiologists in a country still greatly

suering rom the consequences o a long and harsh war.


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Sri Lanka

Gulf of Mannar

Bay of Bengal

Kalutara

Sri Lanka

Punochchimunai

Colombo

Immediately ollowing the 2004 Indian Ocean tsunami,

an assessment was conducted by EMERGENCY and a ew

days later, surgical instruments and medical consumables

were supplied to the Kalutara General Hospital enabling it

to resume activities.

Soon thereater, EMERGENCY was inundated with

donations rom private individuals throughout Italy. As

EMERGENCY began responding that disaster relie was

not part o its mission, donors insisted that EMERGENCY

reconsider. They were aware o EMERGENCYs track

record and trusted it to be the best organization to put

their donations to good use. Assessments or where and

how to best aid the numerous victims aected by this

catastrophric natural disaster were then conducted.

In collaboration with a local organization, theTamil

Rehabilitaion Organisation, EMERGENCY established an

integrated programme to assist the coastal village o

Punochchimunai, a Muslim minority community, in the

eastern district o Batticaloa.

The frst phase o this programme, called Back to the Sea,

was completed at the end o July 2005. EMERGENCY

distributed motor boats, canoes, and fshing nets to the

communitys fshermen so they could return to work.

School kits were also supplied to the local school children.

A housing project was also approved and construction

began on 91 brick homes or the homeless. Recurring

riots and hostilities between the government and civilians

caused signifcant delays, even halting construction

work or several months. The housing project was fnally

completed in September 2008.


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Democratic Republicof the Congo Kenya

Khartoum

Ethiopia

Egypt

Libya

Chad

Central AfricanRepublic

SUDAN

Uganda

Eritrea

Mayo

SudanFrom the spring o 2004 to the summer o 2005,

EMERGENCY provided assistance to the Mellit

and Al Fashir hospitals in North Darur. EMERGENCY

built a surgical ward at the Al Fashir Hospital which is

comprised o two operating theaters, a sterilisation room

and a 20-bed ward.Approximately two million reugees live in Internally

Displaced Persons (IDP) camps under miserable

conditions on the outskirts o Khartoum with no access

to basic medical services. EMERGENCY opened a

paediatric centre in the Mayo IDP camp in 2005. It is the

only acility providing ree o charge basic health care

to approximately 300,000 people. In addition to other

clinical activities, the centre also serves as a day hospital

with an outpatient ward and with an ambulance to

transer the more serious cases to the surrounding

city hospitals.

Community Health Promoters (CHP) carry out ollow-up

home visits as well as health and hygiene programmes.

These services have been up and running since the

spring o 2006. Local community members are selected

and trained as CHP by EMERGENCYs international sta.

Maternity/pre-natal screenings are run at the centre, as

well as immunisation programmes or children ages fve

and under.

In 2007, EMERGENCY opened the Salam Cardiac Surgery

Centre located in Soba, a village which runs alongthe Blue Nile, about 20 kilometers rom Khartoum.

The Salam Centre, meaningpeace in Arabic, is the frst

ree o charge cardiac surgery hospital o excellence

on the Arican continent. It is a technologically

advanced centre, built with innovative techniques, and

is environmentally riendly. The Centre is clinically and

administratively managed by EMERGENCY.

It provides ree, specialised cardiac treatment to

Sudanese patients and to those coming rom neighboring

countries. Patients have come or treatment romChad, Central Arican Republic, Democratic Republic o

Congo, Eritrea, Ethiopia, Nigeria, Rwanda, Sierra Leone,

Tanzania, Uganda and Zambia. In 2008, patients rom as

ar as northern Iraq, reerred by their Ministry o Health,

underwent surgery at the Centre.

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ItalySerious violations o human rights aect the daily lives

o migrants coming to Italy. In April 2006, EMERGENCY

opened a medical acility which oers social and health

care services to any patient, regardless o immigration

status, seeking treatment in the ollowing departments:

general medicine, paediatrics, dermatology, dentistry,ophthalmology and otolaryngology, obstetrics

and gynecology, cardiology, psychiatry and psychology.

The volunteer medical sta at the clinic is comprised

o 25 dentists, 4 optometrist, 12 internists,

1 otolaryngologist, 1 dermatologist, 2 paediatricians,

3 nurses, 4 gynecologists, 4 cardiologists, 1 psychiatrist

and 1 psychologist.

The ree o charge services are intended or immigrants,

but are available to anyone in need. The health care

treatment is made possible thanks to the collaboration

o a volunteer corps o medical personnel committed

to integrating national health care and to ensuring

the right o ree high standard health care to all.

As o December 31, 2008, 4,474 patients rom 62

dierent countries have been registered or treatment

at the clinic.


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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

6,200,616

14,147,638

18,440,738

17,440,944

17,240,225

13,945,171

14,716,032

23,261,986

17,500,000*

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DONATIONS

Bank wire in avour o EMERGENCY:

c/o Banca Popolare dellEmilia RomagnaIBAN IT 41 V 05387 01600 000000713558

c/o Banca Etica, Filiale di Milano

IBAN IT 02 X 05018 01600 000000130130

c/o Banca Monte dei Paschi di Siena

IBAN IT 76 D 01030 01600 000007362036

Credit Card on-line (on Secure Server) atwww.emergency.it(Euros)

Adopt EMERGENCY,Adopt a HospitalThrough itsAdopt a Hospitalplan, EMERGENCY gives

supporters the opportunity to directly donate to

a specifc project.

By providing vital fnancial support, your commitment

allows you to personally participate in the adopted

hospitals liesaving activities. I you wish, you can

receive regular email updates on progress, results

and developments on the project you support.

For urther inormation please contact:

[email protected]

To Support EMERGENCY:


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EMERGENCY -

Life Support For Civilian War Victims UK

is a charity registered in England

and Wales (1128569)


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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:Zago

LLC

Emergency Report 2008

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