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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www.emergency.it
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:
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
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