GEMNET is a proposed global emergency medical network to provide rapid response rescue teams within 24 hours of natural disasters. It would be an independent, standardized, multidisciplinary network composed of local emergency physicians, nurses, and logisticians from around the world. The goals of GEMNET are to provide prevention and standardized training, establish a rapid response medical rescue team, develop an early warning system using satellites, and allow for local and global medical assessments in order to address issues with the delays and inadequacies of current emergency responses to natural disasters.

1. GEMNET Global Emergency Medical Net « Tout ce qui n’est pas donné est perdu » « What is not given is lost » Presentation Davos GRF 1.06.2010 Dr Ali AFDJEI www.gemnet.ch

2. Natural Disasters 1 (issues) Inadequate resources / inability to meet needs Less than 24 hours response time (mortality 80/95% and morbidity with increasing time) Political problems. Restrictions due to international laws(visas…) Organizational restrictions, not centralized Ethical and neutrality , local culture and respect Medical domain for Resiliency (will be a rapid rescue and medical response? Healthcare?)

3. Natural disasters 2 (cost) Developed countries disasters: Industrial , cost in dollars Disasters in developing countries: Natural , cost in human lives Gorky (Bengladesh) Cyclone April-1991 140 000 victims & $82 Millions Hurricane Andrew(USA) Aug-1992, 15 victims et $15 Billions

4. Issues in Emergency Responses Why? Organisational (coordination, quality, reaction, local knowledge, adequate means) Politics (authorisations, constraints, visas, international laws, private life, sentiments of inferiority, of superiority, politics between nations)

5. Emergency Physicians Proposal: GEMNET (Global Emergency Medical Net) ( what?) A NETWORK In case of Natural disasters Local, Regional or International Standardized Rapid Response Rescue Team (H24) Multidisciplinary & International At the disposal of the country and any rescuers (H24;H72). At the disposal of UN, NGO’s, and any rescuers in urgency.

6. GEMNET (what is it?) GEMNET is an independent , global , multidisciplinary , apolitical , standardized trained network . From Civil society Private fundraising

7. GEMNET (what is it?) Prevention training (International on line modules) Professional network International Chart Rapid satellite assessement (2 ways) aid to local rescuers and authorities without any prerequisite (H24/72) With respect of local culture

8. GEMNET (Who and how?) Local action Global thoughts Emergency physicians, nurses, logisticians… all professionals involved in disasters from Local team Aim of 2000 correspondents Signature of an international charter for automatic response Private financing

9. GEMNET (Who and how?) It is an upstream , coordinated, thorough work with standardized online module training for rescuers in disaster . Each country will have notified and authorized correspondents. The correspondents will be mobilizable within 24 hours. (like hospital shift) Strong local links between emergency rescuers, standardized training around year. Quick global and local assessment provided by satelllite organisation (ESA NASA) For critical and crucial 24 hours .

10. GEMNET (goals) Prevention standardized training (professional) Medical and rescuer resiliency Rapid Response Team (intervention) Early warning system with satellite PDA, Local and Global assessment. Prevention and Education (civil society) Means of local detection, International sharing of knowledge Matching Hyogo framework

11. GRF °°° GEMNET Medical for the end We propose to launch a new Circle : a medical chair in GRF Applying “from Thoughts to Actions“ Applying sciences to the Art of medicine How to begin? By a Collective work coordinator Dr Ali AFDJEI Our first idea and act will be to gather and make a guide book of pathology in case of extreme climate and I am asking you to help me by sending to me all documents and files concerning extreme situations or climates [email_address]