activity report 1994-2012

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    ITALY - Mobile Clinic

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    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 official

    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.

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    EMERGENCY - Activity Report 2012

    Afghanistan

    Uzbekistan China

    Tajikistan

    PakistanIran

    Turkmenistan

    Anabah

    Kabul

    Lashkar-gah

    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 groundstill 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 HealthCentres.

    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.

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    EMERGENCY - Activity Report 2012

    Cambodia

    Gulf of Thailand

    ThailandLaos

    VietnamPhnom Penh

    Battambang

    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 five 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 definitively 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 bythe local staff.

    Since 1998, EMERGENCY has treated

    392,060 people in Cambodia.

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    EMERGENCY - Activity Report 2012

    Iraq

    Baghdad

    KuwaitSaudi Arabia

    Sulaimaniya

    Jordan

    Syria

    Turkey

    Iran

    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.

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    EMERGENCY - Activity Report 2012

    ItalyThe 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 thedifficulty in finding 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 tomigrants 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.

    Mediterranean Sea

    Ionian Sea

    Adriatic Sea

    Tyrrhenian Sea

    Rome

    Marghera

    SwitzerlandAustria

    Hungary

    SloveniaCroazia

    Bosnia and

    Herzegovina i

    l i

    i

    ITALY

    Palermo

    Sassari

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    EMERGENCY - Activity Report 2012

    Liberia

    Guinea

    Freetown

    Goderich

    SIERRA LEONE

    Gulf of Guinea

    Sierra LeoneIn 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

    financed 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 SalamCentre 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.

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    EMERGENCY - Activity Report 2012

    SudanIn 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 inMayo 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 startedits 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 ofthe 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.

    Kenya

    Khartoum

    Ethiopia

    Egypt

    Libya

    Chad

    Central AfricanRepublic

    SUDAN

    South Sudan

    Uganda

    Eritrea

    Nyala

    DARFURMayo

    Democratic

    Repubblic of Congo

    Port Sudan

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    WORK WITH USEMERGENCY 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 defined 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: [email protected]

    TO APPLY: visitwww.emergency.itor send a detailed CV [email protected] which position you are applying for.

    AFGHANISTAN - Maternity Centre, Anabah

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    To Support EMERGENCYDONATIONS

    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 BPMOIT22XXXc/o Banca Popolare dellEmilia Romagna

    Bank wire in favour of EMERGENCY - IBAN IT 02 X 05018 01600 000000130130 - BIC CCRTIT2T84Ac/o Banca Etica, filiale di Milano

    Non-transferable bank check to the order of EMERGENCY, to be mailed to EMERGENCY,via Gerolamo Vida 11 - 20127 Milan, ITALY

    45

    AFGHANISTAN - Maternity Centre, Anabah

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    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

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