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EMERGENCY
3,663,738 patients treated: a number that sums up EMERGENCY’s first 15 years of work.
But this number alone is not enough to define our activity: it is also necessary to explain where
- in fifteen different countries, all ravaged by war and poverty - and how we treated these
people, with passion and professionalism, building and managing Hospitals, Surgical Centres
and Paediatric Centres, First Aid Posts, Rehabilitation Centres…
Why we treated them, however, needs no explanations: simply, these people needed to be
treated. The meaning of our doctors’ and nurses’ work around the globe is all here: to treat
those who suffer, without distinctions of ethnicity, ideology, gender, beliefs, religion.
In March 2009 we opened a new Paediatric Centre in the capital city of the Central African
Republic, Bangui: it has already given free healthcare to 15,306 children.
We’ve worked long and hard toward the building of the African Network of Medical Excellence
(ANME). It is an ambitious project aimed at fostering cooperation between different countries
in the continent, toward the building of healthcare facilities of a very high standard following
the model of the Salam Centre for Cardiac Surgery in Khartoum, Sudan: like the Salam Centre,
all these facilities will have a regional vocation. Paediatrics, obstetrics and gynaecology,
oncology, traumatology are only a few of the medical fields covered by this project,
which is meaningful above and beyond its clinical importance.
We believe that being able to have representatives of different countries - sometimes in open
conflict with one another - sitting at the same table, working on a common goal which is
the health of the populations, is a beautiful result, from a cultural and social point of view.
New projects will begin in the first few months of 2010, like the Paediatric Centre in Nyala,
South Darfur. And our engagement in Italy is growing, as well: building upon the positive
experience of the Clinic in Palermo, we are working to open other healthcare facilities
dedicated to the migrant population and to those in need.
As always, all of this is possible only through the support of thousands of volunteers
and friends like you: don’t hold it back.
Cecilia Strada
President of EMERGENCY
Every year war and poverty destroy the lives
of millions of people.
In today’s conflicts,
90% of the victims are civilians.
EMERGENCY is an independent and neutral
Italian organisation.
Between 1994 and 2009, in the hospitals, clinics and rehabilitation centres run by
EMERGENCY, 3,663,738 people received high-quality medical care, free of charge.
Afghanistan
In 1999, EMERGENCY transformed a former military
compound in the village of Anabah, Panshir Valley,
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 and trauma care.
In 2003, Paediatric and Internal Medicine units
were opened within the same compound.
A Maternity Centre was opened in June 2003
to provide assistance to women and infants in an area
of the country that registers one of the world’s highest
mortality rates for both children and mothers.
To offer support to the women in the most remote
villages, field consultations in obstetrics and neonatal
care were established.
Tajikistan
Turkmenistan
Anabah
Kabul
Afghanistan
Lashkar-gah
Iran Pakistan
EMERGENCY
www.emergency.it
Anabah
Surgical and Medical Centre
Opened: December 1999
Activities:
Surgery for war and landmine victims
Emergency Surgery
Internal Medicine
Paediatrics
Facilities:
Emergency Department, Outpatient Department,
2 Operating Theatres, Intensive Care Unit, Surgical-
Medical Wards, Physiotherapy, Radiology, Laboratory
and Blood Bank, Pharmacy, Classrooms, Playroom,
Auxiliary Facilities, Maintenance Department.
Number of Beds: 70
Local staff: 211
As of December 2009
Admissions: 19,988
Outpatient consultations: 117,811
Surgical operations: 13,885
Anabah
Maternity Centre
Opened: June 2003
Activities:
Obstetrics and Gynaecology
Neonatal Care
Facilities:
Emergency Department, Outpatient Department,
Operating Theatre, Intensive Care Unit, Patient
Wards, Nursery, Ultrasound, Delivery Room,
Diagnostics, Technical and Auxiliary Facilities shared
with the Surgical-Medical Centre.
Number of Beds: 25
Local staff: 33
As of December 2009
Admissions: 11,087
Outpatient consultations: 47,982
Surgical operations: 2,251
Births: 7,318
05
Kabul
Surgical Centre
for War Victims
Opened: April 2001
Activities:
Surgery for war and landmine victims
Trauma Surgery
Facilities:
Emergency Department, Outpatient Department,
2 Operating Theatres, Sterilization, Intensive Care
Unit, Subintensive 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: 275
As of December 2009
Admissions: 21,191
Outpatient consultations: 64,918
Surgical operations: 25,362
Afghanistan
First Aid Posts (FAPs)
and Primary Health Clinics
Number: 29
Locations:
Abdara, Ahangaran, Anabah, Anjuman, Bagram,
Bazarak, Changaram, Charikar, Dara, Darband,
Dashty Rewat, Ghazni, Grishk, Gulbahar, Horaty,
Kapisa, Khinch, Kohi-safi, Koklamy, Logar,
Mirbachakot, Paryan, Rokha, Said Khil, Sangi Khan,
Sayad and Shutul.
EMERGENCY
www.emergency.it
Lashkar-gah
Surgical Centre
for War Victims
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 2009
Admissions: 10,015
Outpatient consultations: 56,900
Surgical operations: 11,662
Prison Programmes
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): 223,784 patients
examined and treated as of December 2009
Local staff: 26
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Cambodia
In 1998, EMERGENCY opened a Surgical Centre
in Battambang, in the North of the country,
to guarantee surgical assistance and rehabilitation
to war and landmines victims. The Centre is dedicated
to the Italian journalist Ilaria Alpi, killed in Somalia in 1994.
Laos
Thailand
Battambang
Samlot Cambodia
Phnom Penh
Vietnam
Gulf of Thailand
EMERGENCY
www.emergency.it
Battambang
Surgical Centre
Opened: July 1998
Activities:
Surgery for war and landmine victims
Emergency Surgery
Orthopaedic and Plastic-reconstructive Surgery
Traumatology
Facilities:
Emergency Department, Outpatient Department,
3 Operating Theatres, Intensive Care Unit, Surgical
Wards, Physiotherapy, Radiology, Laboratory and
Blood Bank, Pharmacy, Classrooms, Playroom,
Auxiliary Facilities, Maintenance Department.
Number of Beds: 107
Local staff: 194
As of December 2009
Admissions: 24,956
Outpatient consultations: 93,646
Surgical operations: 27,038
O’Tatiak
First Aid Post (FAP)
1999 - July 2009
Local staff: 4
As of July 2009
Patients referred: 4,659
Outpatient consultations: 244,375*
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Iraq
In 1995 EMERGENCY refurbished and reactivated
the hospital of Choman, a village in Iraqi Kurdistan
at the Iranian border. In 1996 and 1998, two Surgical
Centres were opened in Sulaimaniya and Erbil to provide
free, high quality healthcare to victims of war
and landmines. Both Centres have been expanded
to include units specialised in the treatment of burns
and spinal lesions.
Turkey
Sulaimaniya
Syria Iran
Iraq
Baghdad
Jordan
EMERGENCY
www.emergency.it
Sulaimaniya
Rehabilitation
and Prosthetics Centre
Opened: February 1998
Activities:
Physical Rehabilitation
Prostheses and Orthoses Production
Cardiac screening and follow-up
Facilities:
Patient Wards, Physiotherapy, Indoor Swimming
Pool, Orthopaedic and Prosthetic Workshops,
Auxiliary Facilities.
Number of Beds: 41
Local staff: 91
As of December 2009
Admissions: 5,527
Sessions of Physiotherapy: 36,164
Upper Limb Prostheses: 728
Lower Limb Prostheses: 4,992
Orthoses: 716
Cardiological examinations: 140
Sulaimaniya
Social Reintegration Programme
Opened: 1998
Activities:
Vocational training and development of small
business cooperatives for the physically disabled
Facilities:
Classrooms, Vocational Training Workshops
(Professional Sewing, Leatherwork, Woodwork, Light
Carpentry, Shoemaking), Auxiliary Facilities.
As of December 2009
Trainee class graduates: 626
Cooperatives set up: 230
11
Central African
Republic
In March 2009 EMERGENCY opened
a Paediatric Centre in Bangui, the capital city
of the Central African Republic, a country that ranks 171st
(out of 177) on the Human Development Index compiled
by the UNDP (United Nations’ Development Program).
Chad
Sudan
Democratic Republic of
Congo
EMERGENCY
www.emergency.it
Bangui
Paediatric Centre
Opened: March 2009
Activities:
Paediatrics
Paediatric Emergency Unit
Cardiac screening and follow-up
Facilities:
2 Paediatric Outpatient Departments, Cardiology
Outpatient Department, Ultra Sound, Radiology,
Laboratory, Pharmacy, Ward, Warehouse, Offices,
Auxiliary Facilities, External Waiting Area and
Playground.
Number of Beds: 8
Local staff: 56
As of December 2009
Admissions: 686
Outpatient visits: 14,620
Patients referred to hospital: 710
Cardiological examinations: 369
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Sierra Leone
At the end of 2000, a Surgical Centre was established
by EMERGENCY in Goderich, on the outskirts
of Freetown, the country’s capital. The hospital provides
treatment for the wounded and trauma patients.
Subsequently, admissions criteria have been widened
to include all patients requiring urgent surgical
procedures.
Sierra Leone
Freetown
Goderich
Atlantic Ocean
Liberia
EMERGENCY
www.emergency.it
Goderich
Surgical Centre
Opened: November 2001
Activities:
Emergency and General Surgery
Orthopaedic and Reconstructive Surgery
Trauma Surgery
Cardiac screening and follow-up
Facilities:
Emergency Department, Outpatient Department,
2 Operating Theatres, Sterilization, Intensive Care
Unit, Patient Wards, Physiotherapy, Radiology,
Laboratory and Blood Bank, Pharmacy, Classrooms,
Playroom, Auxiliary Facilities.
Number of Beds: 100
Local staff: 260
As of December 2009
Admissions: 18,419
Outpatient consultations: 157,036
Surgical operations: 17,350
Cardiological examinations: 140
Goderich
Paediatric Centre
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: 16
Local staff: 10
As of December 2009
Admissions: 7,692
Outpatient consultations: 92,439 15
Sudan
Between Spring 2004 - Summer 2005, EMERGENCY
intervened in North Darfur to support the hospitals
in Mellit and Al Fashir. EMERGENCY built a surgical block
at the Al Fashir hospital, with 2 operating theatres,
sterilization department and a 20 bed ward.
EMERGENCY
www.emergency.it
Regional Programme for
Paediatrics and Cardiac Surgery
In May 2007, EMERGENCY began in Africa a regional
programme in paediatrics and cardiac surgery.
In connection with the Salam Centre for Cardiac
Surgery in Khartoum, Sudan, a network of centres
in Sudan and its neighbouring countries is being
implemented to provide qualified healthcare to children
up to 14 years and promote public health and health
education. The programme also includes the screening
and of follow-up of cardiac patients.
Egypt
Libya
Khartoum Eritrea
Chad
Mayo
SUDAN
Ethiopia
Central African
Republic
17
Khartoum
The Salam Centre for
Cardiac Surgery
Opened: April 2007
Activities:
Paediatric Cardiac Surgery
Adult Cardiac Surgery
Interventional Cardiology
Facilities:
3 Operating Theatres, Intensive Care Unit,
Subintensive Care Unit, Surgical Wards, Outpatient
Departments, Catheterization Laboratory,
Radiology, Ultra Sound, Laboratory and Blood Bank,
Physiotherapy, Pharmacy, Technical and Auxiliary
Facilities, Repairs & Maintenance, Guesthouse
for relatives of patients.
Number of Beds: 63
Local staff: 302
As of December 2009
Admissions: 2,456
Outpatient consultations: 19,546
Cardiological examinations: 12,451
Surgical interventions: 1,902
Cath Lab diagnostic and surgical procedures: 673
EMERGENCY
www.emergency.it
Mayo, Khartoum
Paediatric Centre
Opened: December 2005
Activities:
Paediatrics
Facilities:
2 Outpatient Departments, Patient Observation,
Pharmacy, Laboratory, Auxiliary Services.
Number of Beds: 6
Local staff: 23
As of December 2009
Outpatient consultations: 78,514
Patients admitted for observation: 3,111
Patients referred to hospital: 1,570
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Italy
Serious violations of human rights, generating needs
that go unnoticed and unmet, occur daily in many
contexts in Italy, as well.
Molise
Campania
Apulia
Basilicata
Calabria
Tyrrhenian Sea
Palermo
Mediterranean Sea
EMERGENCY
www.emergency.it
Palermo
Outpatient Clinic
Opened: April 2006
Activities:
Cardiology Ophtalmology
Dermatology Obstetrics and Gynaecology
Infectious Diseases Otolaryngology
Basic Health Care Psychiatry and Psychology
Dentistry Radiology
Facilities:
Dental Outpatient Department, General Medicine
Outpatient Department,Ophthalmology Outpatient
Department, Dressings Outpatient Department,
Obstetrics and Gynaecology Outpatient
Department, Outpatient Radiology, Infectious
Diseases Outpatient Department, Auxiliary
Services.
Employees: 6
As of December 2009
Outpatient consultations: 33,317
21
COMPLETED PROGRAMMES
EMERGENCY offers free, high-quality healthcare Centre in Diana, North Iraq. The Centre was economic independence of women in the Panshir
in the facilities it builds and runs until they reach handed over to the local health authorities. Valley, Afghanistan.
complete professional and financial autonomy.
The final goal is to transfer them to the local 2001 - Establishment of a social programme 2004 - EMERGENCY supported the population
communities. to help war widows with the distribution of Fallujah, in Iraq, during the siege of the city,
of farming cattle to 400 families in the Panshir in May. Relief items, water and medicines
1994 - Renovation and reopening of the surgical Valley, Afghanistan. were distributed to representatives of the local
department of Kigali’s hospital, Rwanda. community and to the local hospital.
During a 4 month mission, a surgical team 2003 - Supply of pharmaceuticals, consumables
operated on 600 war victims. Within the same and fuel for the generators to the Al-Kindi hospital 2004/2005 - Renovation and equipment of the
facility, EMERGENCY reopened the ob-gyn ward, in Baghdad and to the Karbala hospital, Iraq. emergency surgery ward of the Al Fashir Teaching
which offered medical and surgical assistance hospital, in North Darfur, Sudan. The facilities
to over 2,500 women. 2003 - Establishment of a Rehabilitation include a surgical block and a 20 bed ward.
and Prostheses Centre in Medea, Algeria. The unit was transferred to the Ministry of Health
1996/2005 - Building of a Surgical Centre EMERGENCY refurbished and equipped a building in August 2005.
in Sulaimaniya, Northern Iraq, to treat landmine inside the local public hospital, undertaking
victims. The facilities include a burn unit, and one the training of the local personnel, as well. 2005/07 - EMERGENCY donated surgical
for the treatment of spinal cord injuries. The management of the Centre, called Amal equipment and consumables to the general
In 2005, the Centre and the network of 22 First (“hope” in Arabic) was handed over to the local hospital in Kalutara, Sri-Lanka, to enhance
Aid Posts were handed over to the local health health authorities in 2004. its clinical activities.
authorities.
2003 - Building of a Rehabilitation and Prosthetics 2005 - EMERGENCY completed the Back to the
1998/2005 - Building of a Surgical Centre in Production Centre in Dohuk, Northern Iraq. Sea project, which called for the distribution
Erbil, Northern Iraq, to treat landmine victims. The Centre is now run by local health authorities. of engine-powered boats, canoes and fishing nets
The facilities include a burn unit and one for to the fishermen in the village of Punochchimunai,
the treatment of spinal cord injuries. In 2005, 2003 - Establishment of two Health Centres in Sri-Lanka. To further encourage the resumption
the Centre was handed over to the local health in the Benguela province, Angola. EMERGENCY of daily activities, school kits were donated to the
authorities. equipped and managed the centres and trained students in the village.
the local staff for over a year before the hand over
1999 - Supported the Jova Jovanovic Zmaj to a congregation of local nuns. 2005/07 - EMERGENCY organised courses
orphanage in Belgrade, Serbia. in hygiene, prevention and first aid for the inmates
2003/04 - EMERGENCY sent a surgical team of the Rebibbia New Complex prison in Rome.
1999/2003 - Establishment of 5 First Aid Posts to work at the Orthopedic Unit of the Jenin public In the same prison, EMERGENCY organized a TB
(FAP) in Samlot district, Cambodia, to assist hospital, in Palestine. screening. Furthermore, EMERGENCY guaranteed
landmine victims. In 2003, the FAPs in O’Rotkroh, In addition to the supervision of clinical the assistance of medical specialists in other jails
Chamlong Kouy, Tasanh and O’Chom were handed activities and training of the local medical staff, in the Lazio region, Italy.
over to the local health authorities. EMERGENCY opened a new physiotherapy unit
and a new orthopaedic ward. 2005/08 - EMERGENCY completed the
2000 - Upon request by the Italian Cooperation, construction of 91 brick houses for the families
a surgical team was sent to Eritrea. 2003/04 - Supply of medicines to the Casa de la in the village of Punochchimunai, in Sri-Lanka,
EMERGENCY’s personnel worked for two months Mujer, a community network giving assistance destroyed by the tsunami in 2004.
at the Mekane Hiwet hospital, in Asmara, to women affected by cancer and diabetes The delivery of the houses could only be
treating victims of the conflict between Ethiopia in Nicaragua. completed in September 2008, due to the
and Eritrea. resuming hostilities between government troops
2003/2007 - Opening of a workshop for the and local rebels, which halted all works for
2001 - Building of a Rehabilitation and Prosthetics production of rugs aimed at promoting the months (see image below).
WORK IN PROGRESS
Nyala, SUDAN
Paediatric Centre
The Regional Programme for Paediatrics and Cardiac
Surgery in Africa calls for the establishment throughout
the region of a network on Paediatric Centres, equipped
for the screening and follow-up of cardiac patients.
The first Centre was opened in Bangui, Central African
Republic, in March 2009.
The second one is being built in Nyala, South Darfur,
Sudan. The Centre, open 24/7, will offer primary
healthcare to children up to 14 years old, and will
implement education programmes in public health
and hygiene for families. EMERGENCY will also
guarantee the professional training of the local staff.
23
EMERGENCY’s Financial Resources
EMERGENCY was born in Italy in 1994 to offer treatment and rehabilitation to the victims of wars and landmines.
On August 19th, 1999, EMERGENCY was officially recognised as a Non-Governmental Organization (NGO)
by the Italian Foreign Ministry.
EMERGENCY’s financial resources are based primarily on the personal donations of hundreds of thousands of private
citizens.
EMERGENCY’s budget in 2008 (the latest approved budget) amounted to 16,794,441 Euros.
The overhead costs for 2008 was 7.95% of the total budget.
EMERGENCY
www.emergency.it
Financial resources managed by EMERGENCY to date:
Year EURO
1994 435,977 2000 6,200,616
2006 14,716,032
2007 23,261,986
2008 16,974,441
2009 24,000,000*
*Estimated balance
The anomalous revenue flow registered between 2007 - 2009 is due to the timing of the disbursement of funds resulting from the donations of the 5/1000
of individuals’ income taxes in Italy.
25
To Support EMERGENCY:
> DONATIONS
EMERGENCY
www.emergency.it
> ADOPT EMERGENCY, > GADGETS AND KEEPSAKES FOR SOLIDARITY
ADOPT A HOSPITAL
Through its Adopt a Hospital plan, T-Shirts, sweatshirts, key chains... on sale online and at our booths
EMERGENCY gives supporters the opportunity and tables at countless public events, EMERGENCY gadgets are
to directly donate to a specific project. a simple and direct way to support our activities.
By providing vital financial support, your The wedding keepsakes for solidarity, on sale on the web at
commitment allows you to personally www.emergency.it, remind friends and relatives of a special day
participate in the adopted hospital’s lifesaving in a different way, and are a concrete sign of your commitment
activities. If you wish, you can receive regular and solidarity in support of the victims of war.
email updates on progress, results
and developments on the project you support.
27
Volunteer
Volunteering is essential component of EMERGENCY’s 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 EMERGENCY’s projects around the world, please contact us:
EMERGENCY info@emergency.it
EMERGENCY UK info@emergencyuk.org
EMERGENCY USA info@emergencyusa.org
EMERGENCY
www.emergency.it
EMERGENCY EMERGENCY USA EMERGENCY UK
EMERGENCY