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- W270667893 abstract "In 1967, exactly 40 years ago, on a fine summer Friday, I was operating at Vancouver General Hospital, and just over the same weekend I flew to Switzerland, starting on Monday my new job at WHO, suddenly beginning a new life.A new life that began with a shock. Almost overnight, from my usual circle of cutters and decision-making surgical friends in a hospital atmosphere, I found myself submerged among public health functionaries and decision-postponing specialists in an administrative stronghold. What a difference! No talk of surgery, no talk of personal patients, no excitement of running to an urgent bedside call; but much talk of millions with diarrhoea and of unseen malaria victims far away. Fortunately, however, also some talk on the mass casualties, destruction and fires following the then recent Skopje earthquake! Therefore a possibility for surgical action... just enough to soften my cultural shock. As the only surgeon among some 2500 personnel in the house, I desperately searched for some therapeutic distraction and, to my delight, unexpectedly found some drabs of correspondence from A.B. Wallace of the U.K. addressed to WHO, trying to draw international attention to the burn problem. There was only one other surgical association at that time in relation with WHO, the International Federation of Surgical Colleges (IFSC), with which I had been asked by the wise Dr Dorolle, DDG at WHO, and Prof. MacKenzie, President of the IFSC, a friend from Canada, to ensure continuing liaison. The ISBI was not yet born. In September 1965 AB organized the Second Burn Congress in Edinburgh, with a passionate, almost messianic, plea for burn surgeons throughout the world to unite, which they enthusiastically did under a new banner named International Society for Burn Injuries, and immediately took steps to establish official relations with WHO. (Probably the only persons left from that Congress are Professors Radana Konigova and Friedrich Muller.) Again, this being a rare surgical subject in the Organization, I became very closely involved in the negotiations, which resulted in 1969 in the ISBI becoming the first burn association to be affiliated with WHO. A donated stone bench of Scottish granite on the WHO grounds marks that significant occasion. In the meantime the IFSC (which had already had ties with WHO since 1960) covered also burns among its wider surgical activities, not that there was much surgical activity or interest in the predominantly public health oriented organization. One of the IFSC leaders, Professor Witold Rodowski of Warsaw, was interested in burns and together we produced what I think is the first ever discussion paper on burns to have been presented at a WHO meeting. The paper must exist somewhere, without my name, as in those days only the WHO origin could appear on the publication, without the staff being named individually! Meagre as those ties were, it was still good that there were formal relations, with always a possibility of strengthening them later. At ISBI, following A.B. Wallace, John Boswick took over the direction of the Society, considerably internationalizing it with a plethora of conferences and courses over several years, and subsequently with its quarterly journal Burns. Concurrently, Professor Giovanni Dogo of Padua, the influential surgical figure in ISBI who always had new ideas, asked me at WHO and his collaborator in Palermo, Michele Masellis, to help establish an informal international forum for burn specialists to deal with the serious fires and burn problems raging in the Euro-Mediterranean basin. This resulted in what you all know, the informal Mediterranean Burns Club, now the very active - and more formal - Mediterranean Council for Burns and Fire Disasters (MBC). With its proven success this scientific club was officially designated a WHO Collaborating Centre in 1998, still the only such centre within the United Nations system as, since 2001, the MBC is also in Consultative Status with the UN Economic and Social Council, two significant recognitions - and achievements. In fact these are important steps not only for the advancement of surgery and the science of burns, but also for the international community to be aware of the problem of fires and burns and to have acknowledged experts to call upon when the need arises. Indeed the MBC has responded to such international calls, carrying out several humanitarian emergency burn missions on behalf of WHO in, inter alia, Nigeria, Poland, Kazakhstan and Moldova. Its quarterly publication, Annals of Burns and Fire Disasters, now running its 20th volume, is the only journal on burns accessed at the WHO Library, while of the 10 annual MBC scholarships, two are reserved for WHO. It is also significant that with IFSC, MBC specialists have participated in the preparation of the Burns section in the recent WHO primary health care surgical book Surgery in the District Hospital. A word about Primary Health Care. When in September 1978 WHO, UNICEF and all Member States solemnly signed the Alma-Ata Declaration on PHC and essential health services, not a word was said about (or thought of!) essential surgical conditions being in any way an integral part of essential, primary, health care. I must say that single-handedly I had to fight hard for what I call the essentiality of essential surgery, and finally did succeed in having essential surgery included within the framework of essential primary health care. I did this as a surgeon and as representative of the IFSC, of ISBI and of MBC, organizations that are now affiliated within the International Association for Humanitarian Medicine Brock Chisholm (IAHM), which we named after the first Director-General of WHO. I am particularly proud that at present WHO is involved, and has a special department and relevant projects and publications on the subject. And by happy coincidence, the report of the WHO Global Initiative for Emergency and Essential Surgical Care appears in this month's Journal of Humanitarian Medicine, adjoining the current issue of the Annals. Within WHO the burns question has been dealt with primarily in the department of disasters and health crises, and to a certain academic extent, within the surgical activities of essential health technologies, in both of which I have been pleased to hold an expert advisory position; quite a change from the 1967 beginnings! More recently, the department dealing with accidents and violence has also become involved in burns. All of which constitute a healthy sign that a major health problem is not being altogether forgotten at the World Health Organization or at the United Nations." @default.
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- W270667893 date "2007-12-31" @default.
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- W270667893 title "Editorial: how who et Al. Discovered burn surgery." @default.
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